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Complaint Investigation

Eastview Healthcare & Senior Living

December 30, 2025 · Sullivan, IL · 100 Eastview Place
Citations 4
CMS Rating 1/5
Beds 63
Provider ID 146039
Healthcare Facility
Eastview Healthcare & Senior Living
Sullivan, IL  ·  View full profile →
Inspection Summary

EASTVIEW HEALTHCARE & SENIOR LIVING in SULLIVAN, IL — inspection on December 30, 2025.

Found 4 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

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure timely call light response for one of four residents (R6) reviewed for staffing in the sample list of eight residents.

Findings include: On 12/29/25 at 11:17 AM R6 stated there aren't enough Certified Nursing Assistants (CNAs) on second and third shifts, R6 waits an hour for R6's call light on these shifts while needing incontinence cares, causing R6 to be left in urine/feces.

R6 stated call lights are frequently brought up in resident council.

The Grievance/Complaint Report dated 11/10/25 documents unidentified residents complain that third shift isn't answering call lights fast enough so residents can be changed. R6's Minimum Data Set, dated [DATE] documents R6 as cognitively intact, is dependent on staff for toileting and R6 is frequently incontinent or urine and always incontinent of bowel.

On 12/29/25 at 1:06 PM, V9 Activity Director stated call lights were brought up in November's resident council meeting, but V9 could not recall which residents voiced the concerns. On 12/29/25 at 1:45 PM, V11 Certified Nursing Assistant (CNA) stated four CNAs is not enough for days/evenings, there are a lot of residents that require toileting assistance which affects call light response times.

The facility's Residents Call System policy dated September 2022 documents calls for assistance should be answered as soon as possible, but no later than five minutes, with urgent requests for assistance immediately addressed.

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

12/30/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Eastview Healthcare & Senior Living

100 Eastview Place Sullivan, IL 61951

SUMMARY STATEMENT OF DEFICIENCIES

Provide care and assistance to perform activities of daily living for any resident who is unable.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to provide showers as scheduled for one of four residents (R6) reviewed for staffing in the sample list of eight residents.

Findings include: The facility's Shower/Tub Bath policy dated February 2018 documents the purpose of this procedure is to promote cleanliness, provide comfort and monitor skin condition.

This policy documents to record if the resident refused showers/baths and notify the supervisor. On 12/29/25 at 11:17 AM, R6 stated R6 is supposed to get showers twice per week and R6 prefers to have them in the evenings after 7:00 PM. R6 stated her shower days used to be Mondays/Thursdays and then changed to Tuesdays/Fridays, and R6 goes two weeks without getting showers. R6's Grievance/Complaint Report dated 11/10/25 documents R6 stated R6 had not received a shower in two weeks. R6's Minimum Data Set, dated [DATE] documents R6 as cognitively intact and is dependent on staff for bathing. R6's active Care Plan documents R6 has activities of daily living self-care deficit related to above knee amputations and requires supervision/assistance to complete.

This care plan includes an intervention that R6 will receive showers twice weekly.The facility's undated shower schedule documents R6's showers are scheduled on Tuesdays and Fridays on second shift. R6's November and December 2025 shower documentation, provided by V2 Director of Nursing, documents showers given on 11/10/25, 11/20/25, 11/25/25, 12/17/25, 12/29/25 and 12/26/25. R6's Shower/Abnormal Skin Report dated 12/2/25 documents R6 did not know that R6's shower day was changed and R6 would wait until Friday.

R6's Response History for showers documents not applicable on 12/5/25. On 12/29/25 at 1:30 PM, V2 provided R6's shower documentation for November/December 2025. V2 stated that is all the documentation V2 was able to locate. V2 confirmed showers are scheduled twice per week and gaps in R6's shower documentation. V2 stated refusals would also be documented on the paper shower forms.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/30/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Eastview Healthcare & Senior Living

100 Eastview Place Sullivan, IL 61951

SUMMARY STATEMENT OF DEFICIENCIES

prior to the seizure. V20 verified the refusal of the seizure medication caused the seizure which caused the fall which caused the subdural hematoma and the laceration.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/30/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Eastview Healthcare & Senior Living

100 Eastview Place Sullivan, IL 61951

SUMMARY STATEMENT OF DEFICIENCIES

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to prevent cross contamination during incontinence care for one of four residents (R2) reviewed for incontinence in the sample list of eight residents.

Findings include: The facility's Perineal Care policy dated February 2018 documents for female perineal care wash/dry from front to back, washing the labia and perineum followed by the rectal area/buttocks. On 12/29/25 at 1:34 PM, R2 was lying in bed. V11 and V12 Certified Nursing Assistants applied gloves and gowns and entered R2's room. V11 pulled down R2's brief which was wet with urine and had a small amount of soft bowel movement. V11 used wash cloths to clean R2's vaginal area in a front to back motion and then turned R2 on her side to cleanse buttocks. V11 did not change gloves and applied a clean brief. V11 then turned R2 onto R2's back and cleaned R2's vaginal area again while wearing the same gloves used to wash R2's buttocks. At 1:45 PM, V11 confirmed V11 used the same contaminated gloves to wash R2's vaginal area after washing R2's buttocks. V11 confirmed V11 should have changed her gloves. R2's Minimum Data Set, dated [DATE] documents R2 has moderate cognitive impairment, R2 is always incontinent of bowel and bladder, and is dependent on staff for toileting hygiene. R2's urine culture dated 12/3/25 documents greater than 100,000 colony forming units per milliliter (CFU/ml) of Klebsiella Oxytoca ESBL (Extended Spectrum Beta Lactamase) and Escherichia Coli, (E.

Coli) indicating infection.

R2's Provider Note dated 12/8/2025 at 12:49 PM documents persistent UTI / ESBL to start Tobramycin 80 milligram injection three times daily for 10 days. R2's Nursing Note dated 12/27/2025 at 2:35 PM documents R2's urine culture returned with E.

Coli ESBL greater than 100,000 CFU/ml.

Orders were received for Meropenem intravenous three times daily for seven days and contact isolation were implemented. On 12/29/25 at 3:00 PM, V13 Resident Care Coordinator stated during female incontinence care staff should change gloves when moving from soiled to clean areas and should cleanse from front to back.

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 SULLIVAN, 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 EASTVIEW HEALTHCARE & SENIOR LIVING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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