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Complaint Investigation

Accolade Hc Of Paxton On Pells

August 27, 2025 · Paxton, IL · 1001 East Pells Street
Citations 2
CMS Rating 1/5
Beds 106
Provider ID 145603
Healthcare Facility
Accolade Hc Of Paxton On Pells
Paxton, IL  ·  View full profile →
Inspection Summary

ACCOLADE HC OF PAXTON ON PELLS in PAXTON, IL — inspection on August 27, 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.

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Inspection Findings

FF0686
Quality of Life and Care Deficiencies
Actual Harm

bilateral heels.

Areas assessed. R2 denied pain.

Wound nurse, (physician) and Power of Attorney notified.

Foam dressings applied and heels floated. R2's Physician's orders document a treatment to cleanse wound, apply skin prep and a bordered foam dressing was initiated at that time.R2's Multi Wound Chart Details by V9, Wound Care Physician's Assistant dated 8/19/25 documents Initial Exam Stage 2 Pressure Ulcer Right, Distal, Plantar, Posterior, Inferior, heel measuring 1.0CM in length 0.5 CM in width 0.1 CM in depth and Left Distal, Plantar, Posterior, Inferior, heel measuring 3.0CM in length 1.5 CM in width 0.1 CM in depth. R2's Wound assessment dated [DATE] by V7 wound nurse documents the wounds are Deep Tissue Injuries as opposed to Stage 2 Pressure Ulcers. V9's documentation states the wounds were acquired 8/10/25 as opposed to 8/13/25. V9's wound care orders included in the 8/19/25 document state Cleanse wound with 0.125% Dakin's solution while the actual order being administered states to cleanse with wound cleanser. On 8/26/25 at 10:00AM, V7 stated (R2's) heel wounds are closed unstageable pressure ulcers.

You would not want to clean intact skin with Dakin's solution.

The order in place is to clean with wound cleanser apply skin prep and cover with foam border dressing. V7 removed in place foam border dressings from R2's heel wounds. R2's left heel observed to have a half dollar sized purple intact Deep Tissue Injury.

R2's right heel observed to have a dime sized purple Deep Tissue Injury.On 8/26/25 at 1:35PM V9 stated (R2's) heel wounds are Deep Tissue Injuries. V9 verified Dakin's Solution would not be used for intact skin.

When asked why his wound assessment indicated both wounds are Stage 2 Pressure injuries V9 stated I believe I documented that by mistake.

When asked what type of experience or certification V9 maintains in Wound Care V9 stated I've been a Physician's Assistant for a long time. V9 did not indicate any specialized wound care experience or certification.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/27/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Accolade Hc of Paxton on Pells

1001 East Pells Street Paxton, IL 60957

SUMMARY STATEMENT OF DEFICIENCIES

though she did not sign AMA paperwork, (R1) was alert and oriented and willing to make the decision to leave AMA without signing papers. (V19) stated (R1) would become the concern of the Police Department at this time.

Staff continued to monitor (R1) and (V19). At 5:42pm, (V19) continued to remain with (R1) in the parking lot and an ambulance arrived on scene. EMT entered facility and received paperwork for transport to (hospital). (family member) was updated on the situation and was appreciative of the update.

On 8/27/25 at 10:45AM V17, verified that V17 was observing R1 at all times from the time R1 went into the parking lot until R1 consensually left in the ambulance to be transferred to the hospital for evaluation and treatment. V5 stated R1 then opted to be discharged from the hospital in the care of a family member.

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 PAXTON, 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 ACCOLADE HC OF PAXTON ON PELLS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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