The Haven of Farmer City

In the surveyor’s words

From the most serious findings on record at The Haven of Farmer City, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Nov 13, 2023

  Based on observation, interview, and record review the facility failed to identify repeated episodes of verbal abuse of R28 by V11 (R28's Spouse) and failed to protect the resident's right to be free from verbal, mental, and physical abuse by V11. These failures resulted in V11 being allowed unsupervised visits with R28, subjecting R28 to repeated incidents of verbal and mental abuse by V11, and R28 being hit in the mouth by V11 resulting in psychosocial harm. R28 is one of five residents reviewed for abuse in the sample list of 33. The Immediate Jeopardy began on 10/26/23 at 6:50 PM when V11 was witnessed hitting R28 in the mouth. V1 (Administrator) was notified of the Immediate Jeopardy on 11/8/23 at 9:30 AM. […]

• Actual harm, patternF609Nov 13, 2023

  Based on interview and record review the facility failed to ensure repetitive allegations of verbal and mental abuse and an injury of unknown origin were reported to the administrator, and timely report an allegation of abuse to the state survey agency. These failures affect two (R28, R45) of five residents reviewed for abuse in the sample list of 33. These failures resulted in R28 being subjected to repeated incidents of verbal/mental abuse, and physical abuse by V11 (R28's Spouse) resulting in psychosocial harm for R28. […]

• Actual harm, isolatedF689Aug 22, 2025

  Based on interview and record review, the facility failed to safely transfer a resident (R1) from the bed to the wheelchair. This failure resulted in R1 sustaining a broken arm requiring emergency evaluation and treatment at the hospital. R1 is one of three residents reviewed for accidents in the sample list of four. This past non-compliance occurred from 8/13/25 to 8/14/25. Findings Include: The facility Safe Lifting and Movement of Residents Policy (revised August 2008) documents the following: In order to protect the safety and well-being of staff and residents, and to promote quality of care, this facility uses mechanical lifting devices for the lifting and movement of residents. Mechanical lifting devices shall be used for any resident needing a two person assist. […]

• Actual harm, isolatedF689Aug 9, 2022

  Based on observation, interview, and record review, the facility failed to assess a resident's fall risk and ensure positioning safety measures were in place to prevent a fall for one of three residents (R1) reviewed for falls on the sample list of four. This failure resulted in R1 falling out of R1's wheelchair, hitting R1's head on the ground, and sustaining a laceration to the forehead requiring six sutures. Findings Include: 1. R1's IDPH (Illinois Department of Public Health) Notification Form dated 7/31/22 documents on 7/24/22, R1 was being assisted to supper in R1's wheelchair when R1 put R1's foot on the ground causing R1 to fall forward out of the wheelchair, hitting R1's head on the ground. R1 sustained a laceration to the middle of the forehead and bridge of the nose. […]

• Actual harm, isolatedF686Feb 10, 2021

  Based on observation, interview, and record review the facility failed to provide treatment and services to prevent the development of pressure ulcers for one (R3) of three residents reviewed for wounds in the sample list of six. This failure resulted in the development and deterioration of R3's left plantar Stage IV pressure ulcer, and the development of unstageable, necrotic pressure ulcers to the left ankle, medial and lateral left foot, and left heel. Findings include: R3's physician's orders [REDACTED]. R3's Pressure Ulcer Risk assessment dated [DATE] documents R3 is at high risk for developing pressure ulcers. […]