Arcadia Care Watseka
ARCADIA CARE WATSEKA in WATSEKA, IL — inspection on April 29, 2026.
Found 1 citation. 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
the Maintenance Department was supposed to look at R3's bed.V6 stated: It is easy to see how R3's
leaving an approximately twelve-inch path where R3 presumably walked. V6 stated: This is where she
Nursing (DON), reviewed R3's incident report and confirmed V2 completed R3's fall investigation. V2 then walked to R3's room. R3 was seated on the side of her bed. V2 asked R3 if she could look at the footboard of the bed.R3 stated: I wish you would.
There was a guy that looked at it a day or two after I got here (4/1/26 admission). He said he would be back to fix my bed. He never came back. I have mentioned it at least a dozen times to the nursing staff. I also have told anyone that would listen. I don't want my bed up against this radiator thing on my wall. I can't walk past it. I feel there is no room there.
That is the side of the bed I am used to getting out of to go to the bathroom. Go ahead and look at the sharp edges on that (pointing to footboard).
Run your hand down the edge.
That is terribly sharp.V2 leaned down and confirmed the jagged plastic with sharp edges on the footboard of R3's bed. V2 then told R3 she would get the room rearranged to R3's liking and get her a different bed. R3 responded: Can I hold you to that, since you're a manager?V2 left R3's room and told this surveyor the intervention for R3's fall was to rearrange R3's room to create a safe path for R3 to walk. V2 stated: I am not sure why that did not happen.
Maintenance was aware R3's bed needed moved away from the wall.V2 also stated she did not evaluate the footboard of R3's bed when she assessed the room during her fall investigation. V2 stated the rough edges of the footboard were the most likely cause of R3's skin tear, as well as the path being too narrow for R3 to safely walk.On 4/29/26 at 1:55 p.m., V1, Regional Administrator, stated: We have a meeting every morning.
She had not been here very long when she fell.
She brought her request to us about her bed. We discussed the need for a different bed for R3 in morning meeting. V16, Maintenance Director, is off right now and is not available. He was in the daily meeting when R3's bed was discussed. We were aware R3's bed was in disrepair. I checked yesterday and could not find the work order in our system. We have a Regional Maintenance Director (V17) that would have addressed R3's bed had the work order been entered in our system, as it should have been.The facility policy, Fall Prevention Program, revised 01/2026, documents the following safety guidance: Purpose:To assure the safety of all residents in the facility, when possible.
The program will include measures which determine the individual needs of each resident by assessing the risk of falls and implementation of appropriate interventions to provide necessary supervision and assistive devices as necessary.
Quality Assurance Programs will monitor the program to assure ongoing effectiveness.The same policy documents: Identification of all risks/issues Addresses each fall Interventions are changed with each fall, as appropriate Preventative measuresThe same policy documents: Fall/safety interventions may include but are not limited to: The resident's environment will be kept clear of clutter which would affect ambulation and remove hazards.
Lighting will be appropriate for the time of day and in accordance with the resident's desire and the plan of care.
Residents will be observed approximately every two hours to ensure the resident is safely positioned in the bed or a chair and provided care as assigned in accordance with the plan of care.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.