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Complaint Investigation

Cass County Senior Living & Rehabilitation Llc

November 26, 2025 · Virginia, IL · 530 East Beardstown Street
Citations 2
CMS Rating 2/5
Beds 71
Provider ID 146100
Healthcare Facility
Cass County Senior Living & Rehabilitation Llc
Virginia, IL  ·  View full profile →
Inspection Summary

CASS COUNTY SENIOR LIVING & REHABILITATION LLC in VIRGINIA, IL — inspection on November 26, 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

FF0584
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During these water temperature checks at 11:00 AM, V5 checked the hot water temperature in R2's bathroom.

After allowing the water to run for several minutes, V5 stated the hot water temperature in R2's shower and sink was 65 degrees F. V5 stated That's almost lower than the cold-water temp and that's the hot water setting. At 11:07 AM, V5 checked the hot water temperature in R3's bathroom.

After allowing the water to run for several minutes, V5 stated the hot water temperature in R3's shower and sink was 65 degrees F. At this time, V5 confirmed that R2 and R3 showers in their rooms, are not heating at all. V5 stated I understand why residents and families would be upset.

This is their home, and it should feel comfortable and be in working order.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/26/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Cass County Senior Living & Rehabilitation LLC

530 East Beardstown Street Virginia, IL 62691

SUMMARY STATEMENT OF DEFICIENCIES

Based on interview and record review, the facility failed to ensure a resident with a diagnosis of hemiplegia, was transferred safely to prevent skin tear injury to their affected arm, for one of three residents (R1) reviewed for injury in the sample of four.Findings include:The facility's Safe Lifting and movement of Residents policy, dated 7/2017, documents In order to protect the safety and well-being of staff and residents, and to promote quality care, this facility uses appropriate techniques and devices to lift and move residents to reduce the risk of injury where possible.

Resident safety, dignity, self-initiated movement during transfer, comfort and medical condition will be incorporated into goals and decisions regarding the safe lifting and moving of residents.R1's Minimum Data Set assessment, dated 10/16/26, documents R1 requires assistance of one staff to transfer and has an upper body impairment on one side.R1's Care Plan, dated 10/11/25, documents R1 has diagnoses of dizziness, reduced mobility, traumatic hemorrhage of right cerebrum without loss of consciousness, hemiplegia affecting left dominant side, and muscle weakness.

This care plan documents Self-care deficit.

Assist with ambulation, transfers, and locomotion on and unit as needed.

This same care plan also documents Actual alteration in skin integrity.

Skin tear times two to left antecubital forearm.

Interventions: 10/14/25, (gripped arm covering) to left arm at all times due to risk of skin injury related to left side hemiplegia.R1's New Skin injury form statement, dated 11/7/25 and written by V11 (Certified Nursing Assistant), documents (V12, Licensed Practical Nurse) and I had placed (R1) on the commode. As we assisted her off the commode we did not realize (R2's) left arm had slipped under the armrest of the commode and as we lifted her, her arm stayed under the rail causing skin tears.On 11/24/25 at 10:52 AM, V11 stated When (R1) had her injury to her left arm I was assisting her along with a nurse (V12), to get transferred from the commode to her chair. (R2's) arm that is weaker, was under the commode rest and it got caught as we went to stand her. We realized it right away, but she did have a flap of skin that tore during the transfer. V11 confirmed that R1 had less control over that arm and needed staff to ensure it was in a safe position to avoid it being injured during a transfer.

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 VIRGINIA, 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 CASS COUNTY SENIOR LIVING & REHABILITATION LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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