Health inspection·November 19, 2025

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to answer call lights and provide care in a timely manner for 2 (R1, R2) of 4 residents reviewed for resident rights in a sample of 4. 1.) R1's admission Record documents R1 was admitted to the facility on [DATE] and has a diagnosis of Epilepsy, Parkinson's Disease without Dyskinesia, Essential Tremor, Chronic Obstructive Pulmonary Disease, Fibromyalgia, Chronic Kidney Disease, Lack of Coordination, Generalized Anxiety Disorder, Hypothyroidism, and Major Depressive Disorder.R1's Minimum Data Set (MDS) dated [DATE] documents R1 is cognitively intact, is dependent on staff for toileting hygiene, showering/bating, and needs substantial/maximal assistance for personal hygiene.R1's Care Plan Date Initiated 6/27/2025 documents the resident has an Activities of Daily Living (ADL) self-care performance deficit related to epilepsy, tremors, Parkinson's, lack of coordination, muscle wasting and atrophy.On 11/19/2025 at 8:00 AM R1 stated she has had to wait over an hour or more for her call light to be answered for staff to help her to the restroom or provide care. R1 stated when her call light isn't answered in a timely fashion, she feels like she does not matter to staff and it takes away her dignity, self-respect, and self-worth. R1 stated staff rush to get any task done when they do answer her call light, including bathing and cleaning up her and that makes her feel dirty.2.) R2's admission Record documents R2 was originally admitted to the facility on [DATE] and has a diagnosis of Chronic Kidney Disease, Chronic Obstructive Pulmonary Disease, Type 2 Diabetes Mellitus, Morbid (Severe) Obesity, Major Depressive Disorder, Generalized Anxiety Disorder, Lack of Coordination, Heart Failure, and Hypertension.R2's MDS dated [DATE] documents R2 is cognitively intact, needs supervision or touching assistance with toileting hygiene, partial/moderate assistance with showering/bathing and personal hygiene, and occasionally incontinent of bladder and bowel.R2's Care Plan Date Initiated 12/15/2023 documents the resident has an ADL self-care performance deficit related to obesity, pain, difficulty walking.On 11/19/2025 at 8:21 R2 stated she has waited over an hour to have her call light answered and care provided. R2 stated when she has had to wait a long time for her call light to be answered it makes her feel awful and like her needs don't matter. R2 stated the facility has trouble with answering call lights in a timely fashion and this issue has been brought up to the Administration with nothing done about it. On 11/19/2025 at 10:15 AM V10, Certified Nursing Assistant (CNA), stated he knows residents have waited an hour or more for their call lights to be answered and residents do not always receive timely care. On 11/19/2025 at 11:11 AM V3, Assistant Director of Nursing (ADON), V3 stated all staff answer call lights and if a housekeeper or other staff member answer the light and cannot help the resident, they will inform the proper staff member. V3 stated she excepts staff to answer call lights promptly, usually within 3 minutes unless staff are in another resident's room or providing care to a resident.The Facility's Resident Council Minutes dated 9/4/2025 documents Old Business (concerns) [NAME] call light response time is still slow. Nursing: Follow up from August: Residents discussed this again [NAME] Page 1 of 2 145136 145136 11/19/2025 Arcadia Care Auburn 304 Maple Avenue Auburn, IL 62615

F 0557 Level of Harm - Minimal harm or potential for actual harm call light response time is still slow and said they see some improvement again depending on who was working the hall. The Facility's Resident Council minutes dated 10/2/2025 documents Old Business (concerns) [NAME] call light response time is still slow.The Facility's Call Light Policy Last Revised 01/2022 documents Purpose: To respond to residents' requests and needs in a timely and courteous manner. Residents Affected - Few 145136 Page 2 of 2