Inspection·February 11, 2025

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review the facility failed to maintain the privacy of residents' health information for six of six residents (R5, R11, R40-R43) reviewed for confidentiality/privacy in a sample of 43. Residents Affected - Some Findings include: The undated Residents' Rights for People in Long-Term Care Facilities documents Your rights to privacy and confidentiality - You have a right to privacy and confidentiality of your personal and medical records. Your medical and personal care are private. The facility's undated Employee Handbook Acknowledgment Form includes but is not limited to the following: 507 - Non-Disclosure of Resident or Community Information: HIPAA (Health Insurance Portability and Accountability Act of 1996) grants significant privacy rights to our residents concerning the use or disclosure of their medical information. It is the policy of the Community to protect the privacy of Protected Health Information (PHI), and to ensure that such information is used and disclosed appropriately and in accordance with all applicable laws and regulations. PHI (Protected Health Information) is all individually-identifiable health information, including demographic information, collected from the resident or created or received by a health care provider a health plan, the resident's employer, or a health care clearinghouse and that relates to (i) the resident's past, present, or future physical or mental health or condition; (ii) the provision of health care to the resident; or (iii) the past, present, or future payment for the provision of health care to the resident. This information can be received and stored by the Community in many forms including faxes, e-mails, and all other electronic communications. It is important to remember that not every team member or resident's family has the right to access PHI. An anonymous undated group phone text message that was included in the complaint to State Agency documents a snapshot of six residents' dietary information cards. The residents' identified on these cards are R5, R11, R40, R41, R42, and R43 displaying their first and last names, room numbers and diet information. This phone text message documents the group involves 16 people. On 2/5/25 at 1:30PM, V1 Administrator stated, I termed a CNA/Certified Nursing Assistant (V22) for not creating a good work environment. V1 stated staff had text messages with names indicated but could not provide any proof; V1 gave an in-service to staff on 1/29/25 about HIPAA. I told staff if there was a group text messaging going around, they needed to delete it if they have names or health information because that was a HIPAA violation, but I was unable to find any proof of that. I also told staff they would be terminated if found. On 2/5/25 at 3:05pm, V1 Administrator stated (V22) said she had text messages but was never able to (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 4 Event ID: 146097 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 146097 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE El Paso Rehabilitation and Health Care Center 850 East Second Street El Paso, IL 61738 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)