Health inspection·January 20, 2026

F 0602 Protect each resident from the wrongful use of the resident's belongings or money. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure a resident was free from misappropriation of property for one resident (R1) of three residents reviewed for misappropriation in the sample of 3. Findings include:R1's admission Record documented an admission Date of 11/26/24 and listed Diagnoses including Chronic Obstructive Pulmonary Disease, Arteriosclerotic Heart Disease, Atrial Fibrillation, and Diabetes Type 2. R1's Minimum Data Set, dated [DATE] documented that R1 has minimal deficits in cognition. R1's Care Plan dated 12/3/25 documented a problem area, Resident has potential to gift money to the staff.A Police Department Call Detail Report dated 12/4/25 at 3:11pm documented, (V1) called from the facility to let us know that (R1) whom is hospitalized at this time, a family member was alerted by card services that some money had been taken from his debit card that was at the facility. An IDPH Initial Report dated 12/4/25 documented, (R1) Alleged abuse: Misappropriation of property.An IDPH Final Report dated 12/11/25 documented, Power of Attorney (POA) called (12/3/25) and stated she received a text message that RI 's debit card was used. Investigation initiated. (V7, Social Services Designee) spoke to POA and asked her to call the bank and ask if they can tell us a location and exact time the debit card was used. (Local) Police department was notified of the investigation. Interviews with the staff conducted. Interview with resident cannot be conducted at this time because he is in the hospital. Facility often has POA pick up ordered items that are delivered to the facility by the resident and staff are aware not to accept any gifts from resident as he often tries to give items to staff. Staff (are to) immediately report all of these incidents. Two housekeepers stated they had cleaned the room a few days before and placed a few cards in his top drawer. (V7) located the debit card and a credit card in the top drawer of his nightstand and returned it to family. After interviews were conducted with all staff on the hall at the time of the transactions, only one person was seen entering the resident's room and that was the housekeeper, she is required to enter the room twice a day to check the refrigerator temperature. She denies using or seeing any card. One other Certified Nursing Assistant (CNA) states she went into the room to get an attend from the closet and denies seeing or using any card, she admits to seeing cards laying around at other times but not the day in question. No residents seen in resident room although there is no video surveillance. At the time of the call from the POA, the card was immediately found in the resident top drawer where housekeeping had placed it a few days earlier. The POA discussed with bank and this facility discussed with vending machine vendor requesting investigation to a confined time and date of the cards use for the investigation. The vending machine company cannot confirm nor deny the exact date and time of use as charges are not exact. Administrator will follow up with resident when he returns from the hospital.A 12/3/25 screenshot copy from V5, R1's Power of Attorneys phone, documented V5 received alerts on that date at 11:49am and 1:13pm that a charge of $1.35 and a $5.00 account hold for each purchase was taken from R1's account. On 1/15/26 at 2pm, V5, R1's Power of Attorney, stated R1 is a very generous Residents Affected - Few Page 1 of 3 145267 145267 01/20/2026 Pana Health and Rehab Center 1000 East Sixth Street Road Pana, IL 62557

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few person whom, when he lived independently, had issues with giving away his money, and has tried to offer facility staff money. V5 stated R1 was in the hospital on [DATE] when she got an alert on her phone that his debit card, which he had left at the facility, had been used twice on that date for $1.35 for each purchase on the vending machines in the facility, and additionally a $5 hold charge for each transaction. V5 stated she alerted V7, Social Services Designee, via text on 12/3/25 about the charges. V5 stated V7 confirmed that the debit card was still in R1's nightstand. V5 stated thinking back, there had been a few other random alerts about the card being used in the facility's vending machine at different times since his admission, but R1 was in the building when they occurred. V5 stated it is possible staff were using the card to buy snacks for R1 at his request but looking back she finds it odd as she visits R1 weekly and brings large amounts of his favorite snacks and drinks. V5 stated she deactivated the card and R1's bank reimbursed him for all the charges including the 2 $5 account holds. V5 stated she is not sure if the facility offered to reimburse R1, but if they did he would probably refuse it.On 1/16/26 at 8:15am, R1 was alert to person and place, but not time, stating it was ‘The end of January 2026, it's almost February. R1 confirmed his debit card was used for the facility vending machine, While he was in the hospital in December, (2025), and he does not know who used it. R1 stated, There is no reason for you to investigate this, it isn't worth your time, I would have given whoever used it the money, I don't care about it. R1 denied ever having given money or property to staff, and stated staff have never asked him for anything. R1 stated he has offered money to staff at times, but he has been told it's against facility policy for them to take it. R1 stated no staff member has ever asked him for money nor has he ever given any. R1 stated staff have never used his debit card at the vending machine to buy snacks for him. R1 stated the facility offered to reimburse him the money, but he refused to accept it.On 1/16/26 at 9:30am, V6, Licensed Practical Nurse, stated she had observed R1 leaving his debit card laying around, including in the floor, and she told R1 they needed to lock it up, but he refused. V6 stated R1 is always trying to give staff money, and they have to remind him they can't take it. V6 stated V1 told her about the debit card being used but she cannot remember the exact date she discussed this with V1. V6 stated she told V1 that on 12/3/25 as she was passing medications, she saw V4, Housekeeper going in and out of the room a couple of times.On 1/16/26 at 10:10am, V4 stated R1 has a history of offering staff money, but it is against their policy to accept it. V4 stated she and V3 were cleaning R1's room on 12/3/25 while R1 was in the hospital, and V4 did see bank cards in his room while cleaning. V4 stated R1 never asked her to use his card, nor did she ever use it for any reason, and she does not know who did. V4 stated, At some point after, V1 told her the card had been used, and asked her if she had seen the card while cleaning or used it, and V4 confirmed she had seen some cards but did not use any of them. V1 told V4 that V4 had been witnessed coming out of R1's room a couple times, which V4 confirmed and stated once she had checked the temperature of R1's mini fridge, and on the other she had been cleaning with V3. On 1/16/26 at 11:10am, V8, CNA, stated R1 has a history of offering staff money, and it is against policy to accept money from residents. V8 stated she has seen R1 leave his debit card laying around as well as in the bed and on the floor. V8 stated on 12/3/25 she had a resident in the bathroom that adjoins R1's room. V8 stated there are often briefs on the chair in R1's room and she needed one, so she opened the door into the room, saw there were no briefs, and closed the door without entering the room. V8 stated she did not use R1's debit card and does not know who did.On 1/16/26 at 12:15pm, V7 stated on 12/3/25 V5 texted her to let her know R1's card had been used, and V7 and V1 went to R1's room and found the card and brought it to V1's office for V5 to pick up. V7 stated R1 has a habit of offering staff money.On 1/16/26 at 1pm, V1 stated on 12/3/25 V7 got a 145267 Page 2 of 3 145267 01/20/2026 Pana Health and Rehab Center 1000 East Sixth Street Road Pana, IL 62557

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few text from V5 about the card being used. V1 stated V7 went to the room and brought back 3 cards, 2 credit cards and a debit card. V1 stated the only vending machines in the building are in the employee lounge, which is unlocked and accessible to staff, residents, and visitors. V1 stated there are no surveillance cameras anywhere in the building. V1 stated her first interview was V6 on 12/3/25 whom she had recalled seeing close to R1's room on 12/3/25, who stated she had seen V4 going into the room. V1 stated she found out V3 and V4 were cleaning R1's room on 12/3/25 and questioned both, who both denied using the card. V1 stated when R1 returned from the hospital on [DATE] she interviewed him and he did not know who might have used the card. V1 stated the investigation has concluded and it is undetermined who used the card. V1 stated she tried to reimburse R1 the money, but he refused. R1 stated she gave R1 a lockbox for his valuables, which he refuses to use. On 1/20/26 at 8:30am, V3 stated it is against facility policy to take money or property from residents even if it is offered, and it should be immediately reported to V1. V3 stated R1 has previously offered her money which she refused. V3 stated R1 has never given her money or his debit card to use on the vending machine for him. V3 stated on 12/3/25, R1 was in the hospital so she and V4 were deep cleaning his room. V3 stated V4 was cleaning in the drawers and V3 did not see any bank or credit cards and stated she never has seen cash or cards in his room. V3 stated she did not use the card, and she does not know who did. The facility's Abuse Policy dated December 2025 documented, Purpose: To provide guidance and procedures to the facility and staff to assure the residents remain to be free from abuse, neglect, exploitation, misappropriation of property, deprivation of goods and services by staff or mistreatment. Responsibility: The Administrator and/or designee is the facility Abuse Coordinator for the facility. It is the responsibility of the facility staff to assure that all residents remain to be free from abuse, including injuries of unknown origin, neglect, exploitation, misappropriation of property, deprivation of goods and services by staff, or mistreatment. Procedure: (will be implemented by) Immediately protecting residents involved in identified reports of possible abuse, neglect, exploitation, mistreatment, and misappropriation of property; Implementing systems to promptly and aggressively investigate all reports and allegations of abuse, neglect, exploitation, misappropriation of property and mistreatment, and making the necessary changes to prevent future occurrences. Any staff member or person suspected of abuse will be escorted by staff out of the facility and will be notified that they are not permitted back into the facility until the investigation has been complete. The facility will report all allegations of abuse immediately to the Administrator and timely to the proper authorities to include IDPH (The Illinois Department of Public Health) Ombudsman, local police department, Power of Attorney, MD (Medical Doctor), in a timely manner. The facility immediately and thoroughly investigates all allegations of abuse to include but not limited to interviews or (sic) residents and staff, visitors, (and) vendors. Definitions: Misappropriation of resident property means the deliberate misplacement, exploitation, or wrongful temporary or permanent use of a residents belongings or money without the residents consent. 145267 Page 3 of 3