Loft Rehab of Peoria, The

In the surveyor’s words

From the most serious findings on record at Loft Rehab of Peoria, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 11, 2024

  Based on interview and record review, the facility failed to provide adequate supervision, failed to develop a care plan and implement interventions for residents at risk for wandering/elopement, and failed to ensure the front door was alarmed for one of three residents (R1) reviewed for elopement risk in the sample of 17. These failures resulted in a cognitively impaired resident (R1) with a known history of wandering, exiting the facility without staff knowledge for 40 minutes until the resident tried to reenter the facility, falling in the mud, and complaining of head and back pain. The facility is located close to a four-lane road that has high activity of traffic. […]

• Immediate jeopardy, isolatedF755May 11, 2024

  Based on interview and record review, the facility failed to obtain scheduled medications from the pharmacy for two of three residents (R2 and R9) reviewed for pharmacy services in the sample of 17. This failure resulted in R9 abruptly stopping and missing his scheduled seizure medication for a minimum of two days resulting in R9 experiencing weakness, seizure, and a fall breaking three ribs. These failures resulted in an Immediate Jeopardy. While the immediacy was removed on 5-7-24, the facility remains out of compliance at a severity Level II as additional time is needed to evaluate the implementation and effectiveness of their removal plan and quality assurance program. […]

• Actual harm, isolatedF600Jun 18, 2026

  Based on interviews and record reviews, the facility failed to implement a comprehensive care plan with interventions for one (R2) resident in five residents reviewed for care plans and failed to prevent abuse for one resident (R1) of four residents reviewed for abuse. This failure resulted in R1 being physically abused with a cane causing a bruise to her neck, nightmares, and exacerbating R1's PTSD (Post Traumatic Stress Disorder) and anxiety. This past noncompliance, which involved R1 and R2, occurred from 5/20/2026 to 5/28/26. […]

• Actual harm, isolatedF689Jun 12, 2026

  Based on observation, interview, and record review, the facility failed to ensure adequate supervision was provided and to implement individualized fall prevention interventions for two of three (R1 and R2) reviewed for falls in a sample of three. This failure resulted in R1 sustaining a displaced transcervical left femoral neck fracture, a left iliopsoas hematoma, and a Lumbar 3 vertebral body fracture, and being admitted to the hospital requiring surgical intervention. This failure also resulted in R2 being admitted to the hospital with a subdural hematoma. Findings include: The facility's Accidents and Supervision policy, reviewed 1/25/26, documents the resident environment will remain as free of accident hazards as is possible. […]

• Actual harm, isolatedF600Dec 30, 2025

  Based on observation, record review, and interview, the facility failed to protect one resident(R2) from abuse of 5 residents reviewed for abuse, in a total sample of five residents. This failure resulted in R1 pulling out his penis and placing his penis on R2's lips. A reasonable person would feel intimidated, stressed, and humiliated.FINDINGS INCLUDE:The facility policy, entitled Abuse, Neglect, and Exploitation, date reviewed/revised 2/11/2025, documents, Sexual Abuse is non-consensual sexual contact of any type with a resident; and B. Prospective residents will be screened to determine whether the facility has the capability and capacity to provide the necessary care and services for each resident admitted to the facility. 1. […]