Inspection·November 26, 2025

F 0692 Provide enough food/fluids to maintain a resident's health. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, observation and record review, the facility failed to provide nutritional supplements as ordered for 2 of 3 residents (R1 and R13) reviewed for nutrition in the sample of 17.Findings include:1. R1's admission record dated 11/25/25 documents an admission date of 10/18/21. The same admission record documents diagnosis including but not limited to muscle weakness, vitamin deficiency, vitamin D deficiency, constipation, thrombocytosis, hyperlipidemia, osteoporosis, reduced mobility, and unsteadiness on feet.R1's physician order sheet dated 11/25/25 documents the following current orders including but not limited to health shake to be administered one time per day at lunch with a start date of 12/11/24, power pudding at lunch and supper, and ice cream at lunch both with a start date of 7/31/25.R1's current care plan documents a focus area indicating R1 is at risk for weight loss dated 10/18/21. Interventions for that focus area include but are not limited to antidepression medication as ordered for appetite dated 7/29/25, and diet as ordered dated 10/18/21. Another focus area on the same care plan documents R1 is at risk for alteration in skin integrity dated 10/18/21. Interventions for this focus area include but aren't limited to provide supplements as ordered dated 10/18/21.R1's Minimum Data Set (MDS) dated [DATE] documents in section GG that R1 requires at least supervision or touching assistance for eating. R1's dietary notes by V6 on Nutritional Care Form dated 8/29/25 documents R1 should have a nutritional supplement of ice cream with lunch.R1's dietary notes by V6 on the Nutrition Care Report dated 11/19/25 documents R1's health shakes to be increased to three times daily with meals.On 11/24/25 at 1:06 P.M., observed R1's lunch tray not to contain her health shake and ice cream on tray that was ordered. R1's meal ticket lying on tray documents R1 was to have a health shake and ice cream at lunch with her regular meal.On 11/24/25 at 2:00 P.M., V17, Dietary Aide stated he would expect residents' ordered supplements to be on the residents' trays when they leave the kitchen. V17 stated the reason R1's ice cream supplement at lunch time wasn't on her tray was because the facility ran out of ice cream yesterday and haven't gotten any in lately. V17 stated the facility is supposed to get a shipment of ice cream in tomorrow. V17 stated the facility runs out of ice cream frequently due to using ice cream with fruit as a frequent dessert for meals. V17 stated he thought he had put R1's ordered health shake on her lunch tray but possibly could have forgotten. On 11/24/25 at 2:05 P.M., V12, CNA (Certified Nurse Aide) stated she does not remember seeing R1's ordered health shake on her tray at lunch time meal.On 11/25/25 at 1:04 P.M., V5, Dietary Manager stated any ordered nutritional supplements should go out with the meal tray they are ordered to be administered with. V5 stated there is no reason they should not be included on the meal tray. V5 stated the reason the ice cream supplement wasn't included on R1's tray yesterday was because the facility was out of ice cream. V5 stated the supplements reportedly missing from R1's tray was unacceptable. V5 stated all supplements should be on the trays when they leave the kitchen. 2. R13's admission record dated 11/25/25 documents an admission date of 1/15/18. R13's admission record documents diagnosis including but not limited to Residents Affected - Few (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 2 Event ID: 145890 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 145890 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Eldorado Rehab & Healthcare 1001 A Jefferson Street Eldorado, IL 62930 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)