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Complaint Investigation

Arc At Normal

September 5, 2025 · Normal, IL · 509 North Adelaide
Citations 3
CMS Rating 1/5
Beds 141
Provider ID 145732
Healthcare Facility
Arc At Normal
Normal, IL  ·  View full profile →
Inspection Summary

ARC AT NORMAL in NORMAL, IL — inspection on September 5, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

of abuse.

Not all resident-to resident altercations result in abuse.

For example, infrequent arguments or disagreements that occur during the course of normal social interactions (e.g., dinner table discussions) would not necessarily constitute abuse but should be investigated to make this determination.

Resident-to-resident altercations that include any willful action that results in physical injury, mental anguish or pain must be reported in accordance with regulations.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/05/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Normal

509 North Adelaide Normal, IL 61761

SUMMARY STATEMENT OF DEFICIENCIES

resident has a hospital observation period for greater than 24 hours, regardless if the hospital admits the resident. R1's Nursing Progress Note dated [DATE] documents R1 was sent to the emergency room at 12:45 PM on this date. At 2:50 PM on this same date, R6's Nursing Progress Note documents a facility nurse received an update from the hospital that R1 was pending an admission to an ICU (intensive care unit) bed. On [DATE] at 1:40 PM, V16 agreed from 12:45 PM on [DATE] until 9:40 PM on [DATE] was something like 32 hours, more than the 24 hours referenced in the Minimum Data Set manual. V16 stated the appropriate Minimum Data Set to complete for R1 would have been a Discharge with Return Anticipated and she would need to submit a corrected Minimum Data Set for R1.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/05/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Normal

509 North Adelaide Normal, IL 61761

SUMMARY STATEMENT OF DEFICIENCIES

The same policy Psychotropic Medication- Gradual Dosage Reduction document: PRN (as needed) Psychotropics: “PRN hypnotic, antianxiety or antidepressant medications shall not be used beyond 14 days unless the prescribing practitioner indicates the clinical rationale for extended use and the expected duration for PRN use of the medication.

The duration of use should not extend beyond 6 (six) months unless re-evaluated by the attending physician or prescribing practitioner and clinical rationale is provided.”

  • R14's Hospital Progress Notes dated for 8/9/25 through 8/25/25 documents R14 had experienced a
  • urinary tract infection from the multi-drug resistant bacteria Klebsiella.

These progress notes document R14 was simultaneously experiencing sepsis and a bacterial infection of his left knee hardware, all treated with the intravenous antibiotics Cefepime and Ceftriaxone.

R14's Hospital Discharge Orders dated 6/26/25 document R14 was to continue the intravenous antibiotic Ceftriaxone daily beginning on 8/27/25, the day after R14's return to the facility as R14 had received a dose for 8/26/25 at the hospital.

R14's Medication Administration Record dated for August 2025 does not document administration of Ceftriaxone to R14 on 8/27/25, 8/28/25, and 8/29/25.

This lack of administration was noted as blank spaces where the administering nurse should place their initials when the medication was administered.

On 9/3/25 at 9:40 AM, V2, Director of Nursing, stated he was the administering nurse as the intravenous medications are administered by a Registered Nurse. V2 stated he did administer the intravenous antibiotic and did not go into R14's record to document the administration.

R14's Medication Administration Record dated for September 2025 did not document the administration of R14's intravenous antibiotic Ceftriaxone for 9/3/25, leaving R14's antibiotic administrations undocumented for a total of 4 out of 7 days between 8/27/25 through 9/3/25.

On 9/5/25 at 1:45 PM, V2 again stated he had administered R14's intravenous antibiotic on 9/3/25 and had not gone into R14's record to document the administration.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NORMAL, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ARC AT NORMAL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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