Arc at Streator

In the surveyor’s words

From the most serious findings on record at Arc at Streator, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 20, 2026

  Based on interview and record review, the facility failed to safely transfer a resident from the bed to the wheelchair using a mechanical lift. This failure resulted in R1 falling out of the mechanical lift sling, landing on his head and left shoulder while his right leg was stuck in the sling still attached to the lift. R1 sustained a right distal femur fracture and multiple spinal compression fractures on 2/22/26. This applies to 1 of 3 residents (R1) reviewed for safety during mechanical lift transfers in the sample of 8. This past non-compliance occurred from 2/22/26 to 3/11/26. The findings include: R1's Incident Report dated 2/22/26 states, Alert resident, with some confusion per baseline was transferring with 2 person assist and the full mechanical lift. […]

• Actual harm, isolatedF689Dec 18, 2024

  Based on interview and record review the facility failed to provide supervision and implement fall interventions for a resident at risk for falls for one resident (R1) of three reviewed for falls in a sample of three. This failure resulted in R1 sustaining multiple falls and acquiring a displaced fracture of the left lesser trochanter. Findings include: The facility's Fall Prevention Program, dated 10/2024, documents the facility is to assure the safety of all residents in the facility, when possible. The program will include measures which determine the individual needs of each resident by assessing the risk of falls and implementation of appropriate interventions to provide necessary supervision and assistive devices are utilized as necessary. […]

• Actual harm, isolatedF689Mar 4, 2024

  Based on interview and record review the facility failed to ensure that a resident was assisted to the bathroom in a safe manner. This failure resulted in R2's legs giving out, requiring her to be lowered to the floor by staff and resulting in a right closed displaced spiral distal femoral shaft fracture on 1/14/24. This applies to 1 of 4 residents (R2) reviewed for safety in a sample of 4. The findings include: R2's Incident Report dated 1/14/24 at 6:40 AM states, Aide came to this nurse with report that while walking resident to the restroom- she stated legs/knees were giving out- aide stated she lowered resident to the floor. Upon my visual- resident lying in restroom on the floor, right side. Denies any new injury/pain. […]

• No harm, potential for more than minimal, widespreadF812Apr 25, 2025

  Based on observation, interview, and record review, the facility failed to ensure their dishware was safely sanitized per their policy. This failure has the potential to affect all residents who consume meals prepared by the facility with a current census of 96 residents. Findings include: Facility Resident Census Roster and Facility Matrix/802, dated 4/22/25, documents 96 residents reside in the facility. Facility Kitchen Sanitation Manual, dated 2/2022, documents Fixed equipment, utensils and equipment too large to be cleaned in sink compartments will be washed manually or cleaned with a pressure spray method, rinsed and then sanitized by spraying or swabbing with a chemical sanitizer. […]

• No harm, potential for more than minimal, widespreadF812May 31, 2024

  Based on observation, interview, and record review the facility failed to prepare food in a sanitary manner/environment for all residents residing in the facility. This failure has the potential to affect all 91 residents residing in the facility. Findings include: The Long-Term Care Facility Application for Medicare and Medicaid, form CMS (Central Management Services) 671, dated 5/28/24, documents there are currently 91 residents residing in the facility. The Facility Dietary Cleaning Schedule Policy, revised 9/2023, documents: there will be a written, comprehensive cleaning schedule posted and monitored to maintain the cleanliness and sanitation of the food service department; the Food Service Manager is responsible for developing a cleaning schedule for the Department and he/she will… […]