Rose Garden Of Pana
ROSE GARDEN OF PANA in PANA, IL — inspection on February 26, 2026.
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
his or her rights.
interview and record review, the facility failed to ensure dignity and respect for 4 of 5 (R23, R21, R35
2:00 PM, R23 stated that if they don't answer her call light and she has to go to the bathroom and she has an accident it does not feel good and it embarrasses her.R23's Minimum Data Set (MDS), dated [DATE], documented that her cognition was moderately impaired and that she was frequently incontinent of urine and occasionally incontinent of stool. 2. On 02/24/2026 at 2:08 PM, R35 stated that she takes a water pill, and she is always incontinent but if she has to wait, she is just thinking about the other residents that need help and that are not getting it.R35's MDS, dated [DATE], documented that her cognition was intact and that she was frequently incontinent of urine. 3. On 02/24/2026 at 2:12 PM, R21 stated that it takes a long time for the night shift to answer her call light, but she will just get up and go to the bathroom on her own. R21's MDS, dated [DATE], documented that her cognition was intact and that she was occasionally incontinent of urine. 4. On 02/24/2026 at 2:15 PM, R46 stated that if she has to wait a long time and she has to go to the toilet and if she has an accident, it makes her feel awful. R46's MDS, dated [DATE], documented that her cognition was intact and that she was occasionally incontinent of urine. On 2/24/2026 at 4:12 AM, V12 (Licensed Practical Nurse/LPN) stated they usually staff 2 to 3 Certified Nurse Assistants (CNA) for 100, 200, 400 and 1 CNA for the Memory Care unit on night shift.
She also stated that she does not feel it is enough CNAs to get everything done, 1 CNA is not enough on the unit.On 2/24/2026 at 4:28 AM, V14 (CNA) stated management does not answer when staff try to contact them.
Not even the call nurse's answer.
She stated night shift does not have enough staff and they need 5 CNAs on nights (2 on memory unit). On 02/26/2026 at 9:20 AM, V22 (CNA) stated that they try and answer the call lights as soon as possible but if it was her and if she had urinated on herself, she would feel embarrassed.On 02/26/2026 at 9:25 AM, V20 (CNA) that they try and answer the call lights as soon as possible, but she said if she had urinated on herself while waiting for someone to answer her call light, it would embarrass her.On 02/26/2026 at 9:25 AM, V23 (CNA) stated that they try and answer the call lights as soon as possible, but she said if she had urinated on herself while waiting for someone to answer her call light it would embarrass her.
The Long-Term Care Ombudsman Program Residents' Right for People in Long Term Care Facilities, undated, documented, Your facility must provide services to keep your physical and mental health, and sense of satisfaction with yourself, at their highest practical levels.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
145411 02/26/2026
Rose Garden of Pana 900 South Chestnut Pana, IL 62557
made by the resident related to the procedure.9. If the resident refused the treatment and the
145411 02/26/2026
Rose Garden of Pana 900 South Chestnut Pana, IL 62557
nurses on a full time basis.
(RN) for at least 8 consecutive hours a day for 88 of the 88 days reviewed for December 2025,
in the facility.
Findings Include: During this investigation was V4 (Regional Nurse) was the only RN in the building.
The facility's working schedules and daily staffing sheets were reviewed and documents the following: December 2025, there was no RN scheduled from 12/01/25 through 12/31/25.January 2026, there was no RN scheduled from 01/01/26 through 01/31/26.February 2026, there was no RN scheduled from 02/01/26 through 02/26/26. On 02/26/2026 at 9:21 AM, V23 (Certified Nursing Assistant/CNA), said V2 (Director of Nursing/DON) and V4 (Regional Nurse) are in the facility, but she did not know if they (V2 and V4) were working the floor as a nurse. On 02/26/26 at 9:25 AM, V22 (CNA) stated V2 and V4 are in the facility but didn't know if they worked on the floor. On 02/26/2026 at 9:45 AM, V4 (Regional Nurse) stated that the facility does not have an RN for 8 consecutive hours a day.
The facility's policy Staffing, Sufficient, and Competent Nursing, revision date of August 2022, documents Policy Statement Our facility provides sufficient numbers of nursing staff with the appropriate skills and competency necessary to provide nursing and related care and services for all residents in accordance with resident care plans and the facility assessment. It further documents Sufficient Staff 3. A registered nurse provides services at least eight (8) consecutive hours every 24 hours, seven (7) days a week. RNs may be scheduled more than eight (8) hours depending on the acuity needs of the resident.
The facility's CMS 671, dated 02/23/26, documents there is 71 residents in the facility.