F 0550
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or
her rights.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review the facility failed to protect a resident's right for dignity and respect. This failure
affected one of three residents (R3) reviewed for Abuse on the sample of five. Findings Include: The
Resident's Rights for People in Long Term Care Facilities pamphlet dated November 2018 documents the
facility must treat residents with dignity and respect and must care for residents in a manner that promotes
their quality of life. The State Report dated 12/8/25 documents R3 alleged a staff member (later identified
as V11 Certified Nurse Assistant CNA) was rude to her and threw the container of sanitary wipes at her
and told her she needed to clean someone else's feces off of the toilet seat before she used the bathroom.
R1's Minimum Data Set, dated [DATE] documents R3 is cognitively intact and requires partial/moderate
assistance for toileting hygiene and toilet transfers. On 1/14/26 at 3:00 PM R3 stated she was being helped
to the bathroom by V11 CNA when V11 noticed another resident's feces was on the toilet seat. V11 told R3
to use the wipes and clean off the toilet seat before sitting down to use the toilet. R3 stated it was not her
own feces on the toilet seat and V11 told R3 she couldn't help her to the bathroom until R3 cleaned it up.
V11 threw the container of wipes towards R3 and waited until R3 did as she asked. R3 stated it made her
feel upset, embarrassed and disrespected and no one had ever treated her that way before. On 1/14/26 at
3:20 PM V1 Administrator confirmed V11 CNA did not treat R3 with dignity and was terminated due to her
behavior in regards to the incident.
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:
145965
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
145965
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/14/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Loft Rehab of Decatur
500 West McKinley Avenue
Decatur, IL 62526
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)
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 protect the resident's right to be free from misappropriation
of property. This failure affected one of three residents (R4) reviewed for Abuse on the sample of five.
Findings Include: The facility's Abuse, Neglect, and Exploitation policy dated 2/11/25 documents the facility
develops and implements policies and procedures that prohibit and prevent abuse and misappropriation of
resident property. The State Report Investigation dated 1/12/26 documents a staff member (later identified
as V15 Certified Nurse Assistant) had taken a check from R4's check book without permission and had
used the check to pay her rent. V15 had written the check and signed R4's name. The total amount was for
$975.00. R4's Minimum Data Set, dated [DATE] documents R4 is cognitively intact. On 1/14/26 at 3:07 PM,
R4 confirmed a staff member had stolen a check from her check book which she had kept in her room and
had used it to pay their rent unbeknownst to her. R4 stated her son (V18) noticed and alerted the facility.
The Employee Disciplinary Form dated 1/9/26 documented V15 CNA was terminated due to theft. On
1/14/26 at 3:20 PM V1 Administrator confirmed V15 CNA had taken a check from R4's checkbook and used
the check to pay her rent. V15 was terminated due to theft.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145965
If continuation sheet
Page 2 of 2
