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Complaint Investigation

Sunny Acres Nursing Home

Inspection Date: August 28, 2025
Total Violations 2
Facility ID 146068
Location PETERSBURG, IL
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Inspection Findings

F-Tag F0558

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

helped me didn't feel comfortable. There is an aide (V12, Certified Nursing Assistant) who comes in at 5:00 AM because that is when I like my showers, but I don't know if there's not enough help or what, because

she is by herself and so I only have gotten bed baths for several weeks.Resident R2's Shower Sheets, dated 7/31/25-8/25/25, document Resident R2 has been given only bed baths and no showers for over three weeks.On 8/27/25 at 12:25 PM, V12 (Certified Nursing Assistant) stated When staff have transferred and assisted (Resident R2) they have been getting hurt. It really does take two people. If I don't have help, then (Resident R2) only gets a bed bath. We have a bariatric shower chair, but our commodes are plastic, and I am not sure they would be safe. (Resident R2) gets scheduled showers on Monday and Friday and she will tell me (if she wants a shower). If there are no other staff to help, (Resident R2) gets a bed bath. (Resident R2) toilets on the bedpan. I don't think we have a bariatric commode to use for her. (Resident R2) could get up to toilet if we had the right equipment. Her wheelchair and the commodes do not fit her and so her recliner is the only place for her to go right now.On 8/27/25 at 12:45 PM, V13 (Certified Occupational Therapy Assistant) stated (Resident R2) has had a recent weight gain. Staff brought to our attention that the shower chair and (Resident R2's) wheelchair are too small now. The largest commode they have here is a size 28 inch and (Resident R2) would probably need larger than that. V13 confirmed that the facility's shower chair is suitable for Resident R2, but her wheelchair and the available commodes are too small to use. On 8/27/25 at 1:10 PM, V1 (Administrator in Training), stated (Resident R2) is adamant that they (showers) occur first thing in the morning. It is a busy time of day for staff, so we have an aide that comes in early. I am not sure why there wouldn't be enough staff to at least get her transferred to the shower chair though. That seems doable for staff to get completed. We have been searching for a commode since we don't have one the appropriate size for (Resident R2). Her wheelchair does not fit her either. We realize these are accommodations that need met to care for (Resident R2) properly.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/28/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Sunny Acres Nursing Home

19130 Sunny Acres Road Petersburg, IL 62675

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

and hanging by covered electrical wires. Surrounding the smoke alarm were areas of tan stains on the ceiling.On 8/27/25 at 11:00 AM, V11 (Certified Nursing Assistant) confirmed the ceiling damage in Resident R1, Resident R3 and Resident R8's rooms. V11 stated There is water that drips when it is hot, and the AC (air conditioner) runs frequently. The smoke detector in (Resident R3's room) has been pulled down because they had condensation behind the detector, so they had to pull it out to dry. All the rooms on this side (Rose Lane) drip when it's hot. They all have damage on the ceiling.On 8/27/25 at 11:05 AM, V2 (Director of Nursing) toured the facility's [NAME] Lane hallway and rooms. V2 confirmed that every room in the [NAME] Lane hallway has tan stains surrounding the air vents on the ceilings. V2 stated (V4, Maintenance Supervisor) is trying to reach out to corporate and get a solution for the air conditioner drip problem. It's been an issue for close to

a month. When it is hot, the vents will drip onto the floor. The rooms on [NAME] Lane are the ones affected.

V2 confirmed the dark gray speckled areas around the smoke detector in Resident R1 and Resident R8's room and the dark black speckled area on Resident R4's ceiling. V2 stated the damage appears to be from water or moisture in the ceiling. On 8/27/25 at 11:20 AM, V4 (Maintenance Supervisor) Confirmed there he has had work orders for

the water dripping in [NAME] Lane rooms. V4 stated I believe the room for the work order was room [ROOM NUMBER] or 9 (Resident R14 or Resident R15 and Resident R16's rooms). We had fans blowing constantly in the ceiling. That pulls warm air from the outside and it meets the cool air which causes the moisture. Resident R4 confirmed Resident R17's room has a large black speckled area on the ceiling and over Resident R4's bed there are gray scattered areas on the wallpaper and ceiling. V4 stated There is a vent directly above (Resident R4's) bed and the moisture could be coming from the vents blowing through to the other side of the building. V4 stated he was made aware of the moisture problem, and he has been in contact with (V14, Corporate [NAME] President of Maintenance) for about a month regarding the moisture around air vents, but nothing has been finalized yet to correct the ongoing issue. The facility's (undated) Room Roster provided by V1 (Administrator in Training) on 8/26/25, documents Resident R1, Resident R3 and Resident R5-Resident R16 all reside in the facility's [NAME] Lane hallway.

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📋 Inspection Summary

SUNNY ACRES NURSING HOME in PETERSBURG, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 PETERSBURG, 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 SUNNY ACRES NURSING HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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