Arc At Normal
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.
Inspection Findings
the time.
After a few minutes, she had forgotten about it .
The nurse (unidentified) did a skin
of Nursing/DON) because (V1, Administrator/Abuse prevention Coordinator) was not here.
The
after that. We did a one on one with him the rest of the shift.On 9/5/25 at 12:05 pm V1, Administrator/Abuse prevention Coordinator reviewed R9 and R13's abuse allegation investigation documented above and confirmed R9 intentional made contact with R13's arm.The facility policy Abuse prevention and Reporting-Illinois dated 09/2024 documents the following: Guidelines:This facility affirms the right of our residents to be free from abuse, neglect, exploitation,misappropriation of property, deprivation of goods and services by staff or mistreatment.
This facilitytherefore prohibits abuse, neglect, exploitation, misappropriation of property, and mistreatment ofresidents. In order to do so, the facility has attempted to establish a resident sensitive and residentsecure environment.
The purpose of this policy is to assure that the facility is doing all that is within itscontrol to prevent occurrences of abuse, neglect, exploitation, misappropriation of property, deprivationof goods and services by staff and mistreatment of residents.The same policy documents:Definitions: Abuse: Abuse means any physical or mental injury or sexual assault inflicted upon a resident other than by accidental means.
Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish to a resident.
This also includes the deprivation by an individual, including a caretaker, of goods or services that are necessary to attain and/or maintain physical, mental, and psychosocial well-being.
This assumes that all instances of abuse of residents, even those in a coma, cause physical harm or pain or mental anguish.
The term willful in the definition of abuse means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm. An example of a deliberate (willful) action would be a cognitively impaired resident who strikes out at a resident within his/her each, as opposed to a resident with a neurological disease who has involuntary movements (e.g., muscle spasms, twitching, jerking, writhing movements) and his/her body movements impact a resident who is nearby.
Having a mental disorder or cognitive impairment does not automatically preclude a resident from engaging in deliberate or non-accidental actions.
Physical Abuse is the infliction of injury on a resident that occurs other than by accidental means and that requires medical attention.
Physical abuse includes hitting, slapping, pinching, kicking, and controlling behavior through corporal punishment The same policy documents: Resident-to-Resident Abuse (any type): A resident-to-resident altercation should be reviewed as a potential situation 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.
145732 09/05/2025
Arc at Normal 509 North Adelaide Normal, IL 61761
R1 was pending an admission to an ICU (intensive care unit) bed. On [DATE] at 1:40 PM, V16 agreed
complete for R1 would have been a Discharge with Return Anticipated and she would need to submit a
145732 09/05/2025
Arc at Normal 509 North Adelaide Normal, IL 61761
Psychotropics: “PRN hypnotic, antianxiety or antidepressant medications shall not be used
beyond 6 (six) months unless re-evaluated by the attending physician or prescribing practitioner and
- 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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.