Eastview Healthcare & Senior Living
EASTVIEW HEALTHCARE & SENIOR LIVING in SULLIVAN, IL — inspection on August 27, 2025.
Found 5 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
Based on interview and record review the facility failed to protect residents rights to be free from resident to resident physical abuse.
This failure affects four of four residents (R3, R4, R5, R6) reviewed for abuse in the sample list of 13.
Findings Include:Abuse, Neglect, Exploitation and Misappropriation Prevention Program dated April 2021 documents: Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation.
This includes but is not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse, and physical or chemical restraint not required to treat the resident's symptoms.The facility reported incident final investigation dated July 25th, 2025, documents on July 18th, 2025, at 4:50pm was reported by R4 that R3 made contact with R4's right forearm.
The same document documents: After a thorough investigation the facility has determined that the incident did occur.The facility reported incident final investigation dated August 13th, 2025, documents on August 7th, 2025, at 11:30pm it was reported to Nurse that R3 went into R4's room on the evening of the 6th. R3 entered R4's room through their adjoining bathrooms. R3 was going through R4's' things and R4 yelled to make R3 stop. R4 then reported on the morning of the 7th that R3 made contact with R4's hand.The facility reported incident final investigation dated July 29th, 2025, documents on July 26th, 2025, at 3:00pm it was reported to the Nurse that R3 made contact with R6's right wrist.
The CNA reported to Nurse that R3 walked up to other residents playing cards.
The other residents playing cards started yelling at R3 to get away. R3 then made contact with R6's right wrist.The facility reported incident final investigation dated August 12th, 2025, documents on August 6th, 2025, at 10:00am staff witnessed a resident-to-resident incident. As V12 License Practical Nurse (LPN), was doing a one-to-one with R3 when R3 made contact with the top of R6's hand.
After a thorough investigation it was determined that R3 wanted the book that R6 had and R6 stopped her from taking it causing R3 to react.The facility reported incident final investigation dated July 29th, 2025, documents on July 26th, 2025, at 07:30am it was reported that R3 made contact with R5.
The facility has determined that the incident did occur.On 8/25/25 at 1:20pm, V12 LPN, stated that R3 did make contact with R6 on 8/6/25 while V12 was providing one-to-one cares to R3.On 8/26/25 at 12:20pm, V1 Administrator confirmed that R3 has been investigated and had been involved in multiple incidents involving R4, R5, and R6 on various dates in which R3 has abused the other residents.On 8/26/25 at 1:04pm, V3 LPN confirmed that R3 has been investigated and known to make contact with R4, R5, and R6 on various dates.
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 REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/27/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Eastview Healthcare & Senior Living
100 Eastview Place Sullivan, IL 61951
SUMMARY STATEMENT OF DEFICIENCIES
Investigation dated July 9th, 2025, documents on July 5th, 2025, R2 was pushing on bed during care and rolled onto her right hand.
Staff stated that as he (CNA) rolled R2 over to change her, R2 put her right hand down on the mattress and R2 rolled on top of R2's right hand. R2 was transferred to the ER for evaluation and the x-ray revealed a minimally displaced fracture involving the fifth proximal phalanx. R2 returned to the facility with a soft cast in place.Review of R2's hospital records dated 7/5/25 at 11:22 PM documents This is an [AGE] year-old female NHR (Nursing Home Resident) with a history of dementia who is nonverbal at baseline brought to the ED (Emergency Department) by EMS after her right hand became caught underneath her in bed with audible pop and subsequent swelling and bruising noted to the right little finger and hand. IMPRESSION: Obliquely oriented minimally displaced fracture involving the fifth proximal phalanx.R2's undated care plan documents diagnosis of: Unspecified Dementia; Type 2 Diabetes; Hypertensive Heart Disease; Generalized Anxiety Disorder; Major Depressive Disorder; and Cognitive Communication Deficit.
The same document has an admission date 09/09/2019.R2's MDS (Minimum Data Set) dated 8/8/25 documents R2 as severely cognitively impaired.
The same MDS documents R2 as dependent on staff for all cares.On 8/25/25 at 11:49am, call placed to V13, R2's Family, unanswered, Voicemail left.On 8/25/25 at 11:56am, V8 LPN stated V9 CNA was providing cares for R2 by pushing R2 over onto R2's side and R2 was pushing back.
When R2 relaxed R2's body moved forward on to R2's right hand and V9 heard an audible pop. V9 noted the right 5th digit was pointed in the wrong direction so V9 came and got the nurse.On 8/25/25 at 12:50pm, V9 CNA stated R2 was being combative with cares after having a bowel movement. V9 stated V9 left the room to allow R2 to calm down and returned a few minutes later. V9 stated that R2 grabbed the side of the bed and was pushing against being turned but needed cleaned up. V9 was trying to clean R2 up when R2 relaxed R2's body moved forward onto R2 right hand. V9 stated he heard a pop and looked at R2 noting R2's pinky appeared dislocated and V9 got the nurse. V9 stated there was another agency CNA in the building and V9 could have asked her for help but did not want to scare her off on her first time working in the facility by asking her to help with a difficult resident so he chose to proceed on his own.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/27/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Eastview Healthcare & Senior Living
100 Eastview Place Sullivan, IL 61951
SUMMARY STATEMENT OF DEFICIENCIES
Based on interview and record review, the facility failed to designate and maintain a full-time Director of Nursing (DON).
This deficiency has the potential to affect all 50 residents in the facility by compromising the oversight and coordination of nursing services.
Findings Include:Review of staffing schedules from 7/25/25 thru 8/25/25 confirmed that no licensed nurse was designated as Director of Nursing (DON) and no interim appointment was made.On 8/25/25 at 1:20pm, V12 Licensed Practical Nurse (LPN), confirmed there is no DON at this time and stated we haven't had a DON for a few weeks now.On 8/26/25 at 12:20pm, V1 Administrator stated, We've been trying to hire a Director of Nursing (DON), but we haven't been able to find anyone. We do have an interim DON starting soon.On 8/27/25 at 1:35pm, V2 Corporate Nurse stated the facility does not have a DON at this time, but we do have an interim DON starting soon.The Facility Census dated 8/21/25 documents there are 50 residents currently in the facility.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/27/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Eastview Healthcare & Senior Living
100 Eastview Place Sullivan, IL 61951
SUMMARY STATEMENT OF DEFICIENCIES
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Based upon interview and record review, the facility failed to employee a certified dietary manager for food services.
This failure has the potential to affect all 50 residents currently residing in facility.Findings include:Facility Census dated 8/21/25 documents there are 50 residents currently residing in the facility.Dietary Services food certifications reviewed on 8/21/25.
Certifications include food safety for all dietary staff.
Certifications do not include Dietary Manager Certification.On 8/21/25 at 1:00pm, V4 Dietary Manager (DM) stated she is not certified for dietary management.On 8/27/25 at 11:57am, V5 Registered Dietician (RD), stated she consults for facility and primarily approves menus and completes dietary recommendations for residents. V5 stated V5 is at facility on average approximately 16 hours a month. V5 confirms the facility has a newer dietary manager that is not certified at this time. On 8/27/25 at 12:50pm, V1 Administrator and V2 Regional Nurse confirmed that V4 DM is not a certified dietary manager and that V4 is not currently enrolled in any certification courses.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/27/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Eastview Healthcare & Senior Living
100 Eastview Place Sullivan, IL 61951
SUMMARY STATEMENT OF DEFICIENCIES
available included turkey burger and mashed potatoes. At 12:20pm, V4 was asked to perform temperature checks on hot food. No thermometer was available.
This surveyor provided thermometer.
Turkey burgers that were being held in steam table had internal temp of 117 degrees F, and mashed potatoes temped at 177 degrees F. 8/25/25 at 12:30pm, R11 stated the chips are stale, there never seems to be enough to eat, and they don't offer seconds anymore.8/25/25 at 12:35pm, V6 R1's spouse stated the chips are stale and you can't see the meat inside the bun. 8/26/25 at 1:35pm, R12 stated that often the meals provided contain meat that seems overcooked. R12 stated meat is rubbery and tough. R12 also stated that potato items such as tater tots and French fries are very undercooked.On 8/27/25 at 1:30pm, V4 Dietary Manager (DM) stated she has not been provided any education since the first day of employment and neither has the dietary aides. V4 stated that currently the left side of the oven doesn't get to temp, the flat top griddle is slow to warm and the steam table that is utilized to hold food during meal service does not regulate temperatures. V4 confirmed staff does not always check food temperatures and is unclear if they know what unsafe food temps are.Facility policy titled Food Preparation and Service dated November 2022 documents proper hot and cold temperatures are maintained during food distribution and service and any food held in the danger zone of 41 degrees F to 135 degrees F must be discarded after 4 hours.
Any food held in steam table for service must be temped often.Facility policy titled Monitoring Food Temperatures dated 2020 documents all hot foods should temp no lower than 120 degrees F at point of service for palatability.
Facility ID: