Peoria Post Acute and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Peoria Post Acute and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Apr 5, 2024

  Based on clinical record reviews, staff interviews, review of policy and procedures, the CMS (Centers for Medicare and Medicaid Services) guidance, the facility failed to ensure two sampled residents (#365 and # 18) were placed on enhanced barrier precautions (EBP). The deficient practice could result in the transmission of multi-drug resistant organisms. Findings include: -Resident (#365) was admitted on [DATE] with diagnoses of chronic obstructive pulmonary disease (COPD) with acute exacerbation, acute kidney failure with tubular necrosis, dependence on renal dialysis. The care plan dated March 13, 2024 included that the resident had an indwelling catheter for neurogenic bladder. […]

• No harm, potential for more than minimal, isolatedF561Aug 7, 2026

  Based on interviews, clinical record review, and review of facility policies and procedures, the facility failed to promote and facilitate the right to self-determination for one (#78) of three sampled residents regarding choices and preferences related to his care, treatment and discharge/transfer planning. The deficient practice could result in the resident's choices and preferences not being honored and limit the resident's ability to participate in decisions regarding their care, treatment and discharge/transfer planning.Findings Include:Resident #78 was admitted to the facility on [DATE], with diagnoses including osteomyelitis of vertebra, stage 4 pressure ulcer of the sacral region, paraplegia, polyneuropathy, chronic pain syndrome, opioid dependence, major depressive disorder,… […]

• No harm, potential for more than minimal, isolatedF550Mar 20, 2026

  Based on observations, clinical record review, resident and staff interviews, and review of facility policy, the facility failed to ensure resident (#119) and was not being treated in a dignified manner of one ( #119) resident. The universe was 33 residents. The deficient practice could result in resident's not being treated with dignity and respect.Findings include: Resident #119 was admitted on [DATE] with diagnosis of acute respiratory failure with hypoxia, acute kidney failure, atrial fibrillation, dysphagia oropharyngeal phase, cognitive communication and deficit, depression and anxiety disorder. […]

• No harm, potential for more than minimal, isolatedF658Mar 20, 2026

  Based on clinical record review, staff interviews, review of facility documents, and review of facility policy, the facility failed to ensure that a physician's order to treat a low blood pressure for one resident (#160) out of 33 sampled residents was followed. The universe was 168. The deficient practice could place a resident health at risk for illnesses. Findings include:Resident #160 was admitted to the facility on [DATE] with diagnoses that included Orthostatic Hypotension (sudden drop in blood pressure), Paraplegia, Major Depressive Disorder, and Anxiety Disorder.A care plan for the Resident receiving a medication for hypotension was initiated on January 3, 2023. The goal was for the Resident to remain free of complications related to hypotension. […]

• No harm, potential for more than minimal, isolatedF761Mar 20, 2026

  Based on observation, interview, review of clinical record, and review of facility policy and procedure, the facility failed to ensure medications were administered and stored according to policy for one resident (Resident #16) out of 33 sampled. The universe was 168. The deficient practice could increase the likelihood of medication overdose and residents having unrestricted access to medications.Findings include: Resident #16 was re-admitted to facility on January 14, 2026 with diagnoses that included displaced supracondylar fracture with intracondylar extension of lower end of left femur, initial encounter for closed fracture, chronic obstructive pulmonary disease (COPD), unspecified, and a need for assistance with personal care. […]