Cass County Senior Living & Rehabilitation Llc
Inspection Findings
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
help me. But since it's been cold, I just use the sink and a cold washcloth. I don't know why the water is cold, but I don't want to use the community shower.On 11/24/25 at 10:35 AM, V10 (Certified Nursing Assistant) stated I know the 100-hall has been without hot water for around six months. The 200 and 300 halls could be hit or miss if they have hot water each day, but now they are both also without hot water. It has been an issue that everyone (staff) has known about for a while. Residents in private rooms can't use their showers which has made those residents and their families upset. On 11/24/25 at 10:52 AM, V11 (Certified Nursing Assistant) stated There is no hot water in the 100-hall. I have worked here about three months and there hasn't been any since I started. The 300-hall also is without hot water. The 200-hall had it but has been without for about a month now. Resident showers must be done in the shower room, sometimes those aren't very warm either. (Resident R2) complains about not being able to shower in her room. (Resident R2) refused to go to the shower room and didn't want me to heat her up water the other day, she just used a cold washcloth to get cleaned up at her sink.On 11/24/25 at 11:15 AM, V14 (Certified Nursing Assistant) stated In the two months I have worked here, the facility has been without hot water the whole time. (Resident R2) complains because she can't use the water in her room on the hot setting. The water being cold in resident rooms is not fair to the residents who have private rooms. They are unable to use their shower and need to use the community showers, but many choose not to or don't want to go to that shower, and I don't blame them. This is supposed to be their home, and the issue hasn't been fixed for a long time.On 11/24/25 at 11:30 AM, V5 (Maintenance Director) confirmed the facility is having issues with the hot water. V5 stated Sometimes the water heater works and other times it isn't working. We have had a company in here to fix
the water heater. The company was told what parts are needed and I am not able to make the decisions to order or hire the work.On 11/25/25 at 10:50 AM, V5 toured facility and checked multiple temperatures of hot water. After allowing the hot water to run for several minutes, V5 checked the temperature of the facility's Shower Room two and stated it was 90 degrees Fahrenheit (F). V5 confirmed that 90 degrees F, is less than a person's body temperature and is not considered to be hot. During these water temperature checks at 11:00 AM, V5 checked the hot water temperature in Resident R2's bathroom. After allowing the water to run for several minutes, V5 stated the hot water temperature in Resident 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 Resident R3's bathroom. After allowing the water to run for several minutes, V5 stated the hot water temperature in Resident R3's shower and sink was 65 degrees F. At this time, V5 confirmed that Resident R2 and Resident 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.
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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
11/26/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Cass County Senior Living & Rehabilitation LLC
530 East Beardstown Street Virginia, IL 62691
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)
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 (Resident 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.Resident R1's Minimum Data Set assessment, dated 10/16/26, documents Resident R1 requires assistance of one staff to transfer and has an upper body impairment on one side.Resident R1's Care Plan, dated 10/11/25, documents Resident 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.Resident 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 (Resident R1) on the commode. As we assisted her off the commode we did not realize (Resident 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 (Resident 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. (Resident 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 Resident 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.
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CASS COUNTY SENIOR LIVING & REHABILITATION LLC in VIRGINIA, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.