Arc At Normal
ARC AT NORMAL in NORMAL, IL — inspection on September 21, 2025.
Found 2 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
09/19/25, R3's record review of undated care plan documents an admission date of 10/06/2023 with diagnosis Vascular Dementia, Unspecified Severity, with Other Behavioral Disturbance, Presence of Other Specified Functional Implants, REM Sleep Behavior Disorder, Visual Hallucinations, Dementia, Unspecified Severity, with Agitation, Dementia in Other Diseases Classified Elsewhere, Unspecified Severity, without Behavioral Disturbance, Psychotic Disturbance, Mood Disturbance, and Anxiety, History of Falling, Acute Kidney Failure, and Major Depressive Disorder.
The same care plan documents: R3 is at risk for fall related to weakness and needs assist with mobility.
History of falls.
Date Initiated: 10/09/2023 Revision on: 01/10/2025. R3 will reduce his risk of injuries from falls by the next review date.
Date Initiated: 10/07/2023 Revision on: 07/31/2025 Target Date: 11/27/2025. Be sure the resident's call light is within reach and encourage the resident to use it for assistance as needed.
Date Initiated: 10/09/2023.
Encourage resident to be in common area during mealtimes Date Initiated: 05/15/2024.
Encourage resident to lay down when visibly tired Date Initiated: 03/24/2025.
Ensure all supplies are within reach when providing cares Date Initiated: 02/14/2025.
Environmental rounding to ensure resident is positioned in the middle of the bed.
Date Initiated: 03/11/2025. R3 has stated verbally R3 prefers to sit/lay on the floor directly, and at times will move himself to the floor.
Date Initiated: 05/21/2024 Revision on: 05/21/2024.
Offer alternate seating when patient is visibly tired or restless Date Initiated: 09/04/2025.
Offer resident fluids and snack after early a.m. get up Date Initiated: 06/24/2024.
Offer to adjust positioning of chair when resident visibly tired as he allows Date Initiated: 01/10/2025.
Place floor mat on the floor next to bed.
Date Initiated: 10/13/2023 Revision on: 10/24/2023 Place snacks in easily accessible area Date Initiated: 03/31/2025On 09/19/25, R3's record review of Minimum Data Set completed on 9/2/25 documents a Brief Interview for Mental Status (BIMS) score of 13. A score of 13 indicates R3 is cognitively intact.On 09/19/25, R3's record review of progress note dated 9/6/2025 at 06:14am documents V9 was on hall three middle way and turned to push the medication cart and observed R3 crawling in the hallway to the common area fully clothed with one slipper sock on.On 09/19/25, R3's record review documents a progress note entered by V3 Director of Nursing, dated 9/8/2025 at 10:09am stating that the Interdisciplinary Team (IDT) met to discuss the fall.
Root cause: resident purposefully placed self on floor to crawl.
Intervention: resident care planned to crawl on floor. when desired.On 09/21/25 at 11:30am, V1 Administrator, confirmed R3's care plan had not been revised/updated with new intervention.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/21/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Arc at Normal
509 North Adelaide Normal, IL 61761
SUMMARY STATEMENT OF DEFICIENCIES
seatbelt broke but was it broke after admission to the facility. R1 stated nursing staff are aware the seat belt is broken. On 9/19/25 at 12:59pm, V9 stated R1 called V9 from R1's cell phone indicating R1 needed help with the straps of the lift sling as they were caught under the wheel of the wheelchair. V9 stated V9 delivered the coffee V9 had and then proceeded outside to R1's location and R1 was sitting on the ground.
V9 stated R1 stated R1 fell from the wheelchair due to the straps of the sling being under the wheels of the power chair. V9 stated R1 was assessed and gotten off the ground and returned to the wheelchair and the straps were then tucked under R1 to prevent further incidents. V9 stated R1 should be care planned to have the straps of the lift sling tucked under R1 to prevent further incidents.On 09/21/2025 at 08:54am, V4 Maintenance Director, stated V4 was unaware of the broken seatbelt on R1's wheelchair. V4 stated staff use the TELS computer program (maintenance request platform) to request service/repair orders for equipment needing repair.On 09/21/2025 at 09:43am, R1 stated that R1 wears the seatbelt at all times when R1 is in the wheelchair and had the seatbelt been working it would have been worn and R1 would not have fallen from the wheelchair.On 09/21/2025 at 11:03am, V1 Administrator, confirmed R1 fell from the wheelchair on 09/12/25 and the care plan did not have proper interventions to prevent a fall from the wheelchair. On 09/21/2025 at 11:33am, V11 (R1s Family), confirmed the seatbelt on R1's wheelchair was functioning upon admission and broke during R1's stay. V11 confirmed R1 wears the seatbelt to prevent falls from the wheelchair.
Facility ID: