Health inspection·April 11, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to report an injury of unknown origin to the state agency (Illinois Department of Public Health) in the required two hour time frame. This failure affects one resident (R1) out of three reviewed for injuries on the sample list of three. Findings include: On 4/10/25 at 11:24 AM, R1 was lying in bed and did not make any verbal responses to a greeting by name and made no verbal responses to questions. R1's Census Detail dated 4/10/24 documents R1 was admitted to the facility 1/14/25, with a subsequent admission 3/7/25. R1's Diagnoses List dated 4/10/25 documents R1 had surgical repair of a right trochanter (hip) fracture which was present on R1's admission of 1/14/25, and surgical repair of a displaced spiral fracture of the right distal femur (knee area) present on R1's admission of 3/7/25. R1's Minimum Data Set, dated [DATE] documents R1 received a score of 4 out of a possible 15 during a brief interview for mental status, indicating severe cognitive impairment, inattention, and disorganized thinking. This same Minimum Data Set documents R1 is dependent on staff for toileting, lower body dressing, putting on footwear, all bed mobility, and transfers. R1's Progress Notes dated 2/20/25 documented a facility nurse (V6, Registered Nurse) contacted R1's Power of Attorney (V22) with notification that R1's right leg was shortened and rotated, and that the Nurse Practitioner (V21) had ordered x-rays. R1's Progress Note dated 2/20/25 documents V21, Nurse Practitioner, had assessed R1 at 9:35 AM due to a report from the facility nursing staff that R1 was experiencing a shortened and rotated right leg, wouldn't allow staff to move her leg, and screamed out in pain when V21 manipulated R1's leg. V21 included in this note that R1 had not experienced any falls or trauma and did have the previous surgery of the right hip. V21 also documented she had ordered x-rays for R1. R1's radiological (x-ray) report dated 2/20/25 documents the facility had been informed of the x-ray results at 2:41 PM on 2/20/25. This report documents R1 had experienced a new comminuted (broken pieces) fracture of the distal (by the knee) femur, and that the prior hip fracture was stable and the hip repair hardware intact. R1's Diagnoses List (4/10/25) and hospital Discharge Report (3/7/25) further document this new fracture was a displaced spiral fracture. This hospital Discharge Report documents R1 was at the hospital for surgical repair of the new fracture from 2/21/25 through 3/7/25. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 145243 Printed: 05/15/2026 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 145243 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Accolade Healthcare Danville 801 North Logan Avenue Danville, IL 61832 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)