Mclean County Nursing Home

Penalties

• Aug 14, 2024 — IDPH fine (Nursing Home Care Act) ($500)

Inspection findings

1. Aug 13, 2025 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Aug 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Sep 3, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 3, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Sep 3, 2025 · CMS health inspection

2. May 12, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected May 30, 2025 · CMS health inspection

3. Dec 23, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jan 17, 2025 · CMS health inspection

4. Aug 14, 2024 Health · 8 findings
   • Not serious Scope/severity D

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Sep 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care 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.

     Corrected Sep 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Sep 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Sep 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Sep 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Sep 5, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 5, 2024 · CMS health inspection

   • Not serious Scope/severity C

     Type C Illinois Nursing Home Care Act violation

     Type C: less than minimal harm (1-132). Sections of the Illinois Administrative Code cited: 300.690a), 300.690b), and 300.690c). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.690).

     Statement of deficiencies (PDF)

5. Jun 7, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Jun 27, 2024 · CMS health inspection

6. Aug 30, 2023 Fire Safety · 16 findings
   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Sep 19, 2023 · CMS fire safety

   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0554 Resident Rights Deficiencies

     Allow residents to self-administer drugs if determined clinically appropriate.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care 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.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0698 Quality of Life and Care Deficiencies

     Provide safe, appropriate dialysis care/services for a resident who requires such services.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0801 Nutrition and Dietary 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.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0881 Infection Control Deficiencies

     Implement a program that monitors antibiotic use.

     Corrected Sep 22, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BOLSTER, KIMBERLY — adp of the snf, NOT APPLICABLE, since 06/15/2020
• BOLSTER, KIMBERLY — operational/managerial control, NOT APPLICABLE, since 06/15/2020
• BONNELL, CHELSEY — operational/managerial control, NOT APPLICABLE, since 02/07/2022
• BONNELL, CHELSEY — adp of the snf, NOT APPLICABLE, since 02/07/2022
• BOUNDS, SHARON — operational/managerial control, NOT APPLICABLE, since 12/28/2015
• BOUNDS, SHARON — adp of the snf, NOT APPLICABLE, since 11/01/2021
• COCHRANE, LISA — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/05/2025
• CROWLEY, RHONDA — operational/managerial control, NOT APPLICABLE, since 01/09/2017
• CROWLEY, RHONDA — adp of the snf, NOT APPLICABLE, since 01/09/2017
• FISHEL, BROOK — adp of the snf, NOT APPLICABLE, since 11/01/2021
• FITSCHEN, KANDI — operational/managerial control, NOT APPLICABLE, since 12/06/2021
• FITSCHEN, KANDI — adp of the snf, NOT APPLICABLE, since 12/06/2021
• HOCHSTATTER, JULIE — operational/managerial control, NOT APPLICABLE, since 04/03/1996
• HOCHSTATTER, JULIE — adp of the snf, NOT APPLICABLE, since 04/03/1996
• INGALSBE, STEVEN — adp of the snf, NOT APPLICABLE, since 04/01/2020
• INGALSBE, STEVEN — operational/managerial control, NOT APPLICABLE, since 04/01/2020
• MATTER, STEVEN — adp of the snf, NOT APPLICABLE, since 06/18/2021
• MATTER, STEVEN — operational/managerial control, NOT APPLICABLE, since 06/18/2021
• OUTLAW, SARAH — adp of the snf, NOT APPLICABLE, since 06/22/2022
• OUTLAW, SARAH — operational/managerial control, NOT APPLICABLE, since 06/22/2022
• RUNGE, BRIAN — operational/managerial control, NOT APPLICABLE, since 12/16/2003
• RUNGE, BRIAN — adp of the snf, NOT APPLICABLE, since 12/16/2003
• TINSLEY, RONALD — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/05/2025
• WILEY, TIMOTHY — adp of the snf, NOT APPLICABLE, since 11/01/2021
• WILEY, TIMOTHY — operational/managerial control, NOT APPLICABLE, since 11/01/2021
• ARGENT TRUST COMPANY — adp of the snf, NOT APPLICABLE, since 11/01/2021
• ARGENT TRUST COMPANY — operational/managerial control, NOT APPLICABLE, since 11/01/2021
• COUNTY OF MCLEAN — adp of the snf, NOT APPLICABLE, since 01/01/1974
• COUNTY OF MCLEAN — 5% or greater direct ownership interest, 100%, since 01/01/1974
• COUNTY OF MCLEAN — operational/managerial control, NOT APPLICABLE, since 01/01/1974
• ELEVATE THERAPY CONSULTING GROUP, LLC — adp of the snf, NOT APPLICABLE, since 01/01/2022
• TEMPLIN HEALTHCARE ACCOUNTING SERVICES — adp of the snf, NOT APPLICABLE, since 01/16/2025