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Arcadia Care Kewanee

144 Junior Avenue, Kewanee, IL 61443 · Henry County · (309) 853-4429

84 certified beds, about 53 residents a day · For profit - Corporation · Medicare and Medicaid since 1998

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145968 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 6, 2026, inspectors cited 12 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 53 health citations since September 2023, 4 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $201,299 in the last three years; the largest was $201,299, and the latest is dated January 6, 2026.

Nurses and nurse aides worked 3.12 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.

31.1% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Arcadia Care, an affiliated group of 25 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 53 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
25D
5E
16F
Potential for minimal harm
0A
3B
0C
March 9, 2026Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure staff signed out controlled medications at the time of administration, failed to ensure medication administration records matched administration records for controlled medications, and failed to have accurate documentation of liquid morphine for 3 of 3 residents (R1, R2, & R3) reviewed for medications in the sample of 4.
January 6, 2026Standard inspection, Complaint inspection · 12 citations
  1. G
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident was provided with an appropriately sized wheelchair and appropriate equipment to receive showers for one of three residents (R57) reviewed for accommodation of needs in the sample of 35. This failure resulted in R57 being confined to her room, unable to access the shower room, receiving bed bathing in lieu of scheduled showers, and being required to sit on the side of the bed to eat, negatively impacting R57's safety, dignity, comfort, and quality of life.
  2. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on observation, record review, and interview the facility failed to provide Registered Nurse/RN services eight consecutive hours daily for 7 days a week and failed to employ a full-time DON (Director of Nursing) to oversee the operation of the Nursing Department and ensure quality of care. This failure has the potential to affect all 53 residents residing within the facility.
  3. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to label/date opened and prepared food items, ensure food items were not expired, maintain clean storage cabinets, repair damaged cabinet doors, and ensure cooking equipment was free of old food splatter. These failures have the potential to affect all 53 residents residing in the facility. Findings Include: The facility's Labeling and Dating Foods policy dated/revised 09/2023 documents, 2. Date marking for refrigerated storage food items. Once a case is opened, the individual, refrigerated food items are dated with the date the item was received into the facility and placed in/on the proper storage location utilizing the first in- first out method of rotation. [...]
  4. F
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on interview and record review, the facility failed to document and track employee COVID-19 education, vaccine administrations and vaccine refusals. This failure has the potential to affect all 53 residents residing in the facility. Findings Include: The facility's CMS (Centers for Medicare and Medicaid Services) Form 671 dated 1/5/26 and signed by V1 (Administrator) documents 53 residents reside within the facility. The facility's Interim COVID-19 Vaccination Guidelines-Residents and Employees dated 12/2025 documents, Purpose: To minimize the risk of residents acquiring, transmitting, or experiencing complications from (COVID-19). Guidelines: The facility shall provide pertinent information about the significant risks and benefits of the vaccine to residents (or resident's legal representative) and employees. [...]
  5. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure resident's electronic medical records, care plans, and physician order sheets matched their Physician's Order for Life-Sustaining Treatment (POLST) for scope of treatment for four of 24 residents (R2, R8, R34, R58) reviewed for Advanced Directives in the sample of 35.
  6. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on interview and record review, the facility failed to offer bedtime snacks to six of six residents (R17, R18, R27, R30, R38, and R52) reviewed for bedtime snacks in the sample of 35.
  7. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 17, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to document a diagnosis, identify behaviors and monitor for identified targeted behaviors to warrant the use of Risperidone (antipsychotic medication), and document a care plan to address behaviors and antipsychotic use for one of five residents (R9) reviewed for psychotropic medications in the sample of 35.
  8. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident with a diagnosis of Bipolar Disorder was provided a level two PASRR (Preadmission Screening and Resident Review) screen upon admission for one of three residents (R2) reviewed for PASARR screening in the sample of 35.
  9. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident was provided thorough skin assessments to monitor for pressure injury with the use of a CPAP (Continuous Positive Airway Pressure) device, identify a new pressure wound, and provide a proper treatment and care plan interventions for a pressure injury for one (R57) of three residents reviewed for pressure injury out of a sample list of 35.
  10. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure Oxygen tubing and a humidification bottle was changed weekly for one of two residents (R2) reviewed for oxygen therapy in the sample of 35. Findings Include: The facility's Oxygen and Respiratory Equipment- Changing/ Cleaning policy, dated 12/2025, documents Purpose: To ensure the safety of residents by providing maintenance of all disposable respiratory supplies. To minimize the risk of infection transmission. Nasal cannulas are to be changed once a week and PRN (as needed). Oxygen humidifiers should be changed weekly or as needed and will be dated when changed. R2's current Physician Order Sheet, dated 1/5/26, documents R2 has orders for Oxygen at two to four liters per nasal cannula as needed. [...]
  11. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident with a diagnosis of Diabetes Mellitus was administered physician ordered insulin and blood glucose monitoring for one (R57) of three residents reviewed for medication administration out of a sample of 35.
  12. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure greater than 80 square feet per resident in multiple resident rooms. This failure has the potential to effect 31 residents that could reside in these 31 rooms.
July 28, 2025Complaint inspection · 1 citation
  1. D
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow a resident's prescribed diet for 1 of 3 residents (R3) reviewed for prescribed diets in the sample of 6.
March 20, 2025Standard inspection · 5 citations
  1. F
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 25, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a multidose insulin pen injector and a multidose tuberculin vial were labeled and dated when opened. These failures have the potential to affect all 56 residents residing in the facility.
  2. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident with new diagnoses of mental illness after admission was referred to the state agency for a level II PASARR (Preadmission Screening and Resident Review) evaluation for one of one resident (R25) reviewed for PASARR screening in the sample of 35.
  3. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to complete hand hygiene prior to and during urinary catheter care for one of two residents (R38) reviewed for indwelling urinary catheters in the sample of 35.
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to obtain an order and follow a physician order for oxygen use and ensure an oxygen care plan was developed for two of three residents (R16 and R21) reviewed for oxygen in the sample of 35.
  5. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Waiver March 25, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure greater than 80 square feet per resident in multiple resident rooms. This failure has the potential to effect 31 residents that could reside in these 31 rooms.
December 13, 2024Complaint inspection · 2 citations
  1. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on interview and record review the facility failed to have funds available for 18 of 18 residents (R1-R18) reviewed for personal funds in the sample of 18. Findings Include: The Facility's Resident Funds policy dated 04/2019 documents This facility manages the personal funds of residents when such a request is made by the resident. Resident requests for access to their funds should be honored by facility staff as soon as possible but no later than: The same day for amounts less than $100 ($50 for Medicaid residents); Three banking days for amounts of $100 ($50 for Medicaid residents) or more. On 12/11/24 V3 (Licensed Practical Nurse/MDS Coordinator) provided a list of residents whose money is managed by the facility. This list included R1-R18. [...]
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 26, 2024
    Inspectors wroteBased on record review and interview the facility failed to notify the health care power of attorney of a change in condition for 2 residents (R5 and R19) of three reviewed for discharge in the sample of three. Findings Include: The Facility's Physician-Family Notification-Change in Condition policy dated 11/2018 documents the purpose of the policy to ensure that medical care problems are communicated to the attending physician or authorized designee and family/responsible party in a timely, efficient, and effective manner. The facility will inform the resident; consult with the resident's physician or authorized designee such as Nurse Practitioner, and if known, notify the resident's legal representative or an interested family member when there is B. [...]
September 12, 2024Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on record review and interview the facility failed to notify the physician and resident's representative promptly after a fall with an injury for one of three residents (R1) reviewed for notification of changes in condition in the sample of four.
July 27, 2024Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 17, 2024
    Inspectors wroteBased on interview, observation, and record review the facility failed to ensure physician ordered treatments, skin checks, and infection monitoring were completed for three of three residents (R1, R2, R3) reviewed for wounds in the sample of three.
June 5, 2024Standard inspection · 18 citations
  1. F
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide an ongoing program of a variety of activities for all residents. This failure has the potential to affect all 43 residents in the facility.
  2. F
    Ensure the activities program is directed by a qualified professional.
    F680 · Quality of Life and Care · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on interview and record review the facility failed to have a qualified Activities professional to direct the provision of activities to all residents. This failure has the potential to affect all 43 residents in the facility.
  3. F
    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
    F729 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on interview and record review the facility failed to perform registry verification for five Certified Nursing Assistants prior to hiring. These failures have the potential to affect all 43 residents residing in the facility.
  4. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on interview and record review, the facility failed to have qualified dietary staff. This has the potential to affect all 43 residents in the facility.
  5. F
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to have an alternatives or always available menu posted for residents during mealtimes. This has the potential to affect all 43 residents in the facility.
  6. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to serve palatable food at lunch time on 6/3/24. This failure has the potential to affect all 43 residents who currently reside in the facility. Findings Include: The Facility's Menu documents that on 6/3/24 for lunch a pork fritter with gravy, scalloped potatoes, green beans, and peaches was served. On 6/3/24 at 12:00 PM R18 stated This food is disgusting. I am just going to eat my snacks I have in here (in resident's room). The food here is usually awful. Sometimes if we get (a cook) who knows how to cook it can be ok. But this (pork fritter) is over cooked and tasteless. On 6/3/24 at 12:05 PM R3 stated The meat is rubbery and difficult to cut. I have drowned it in gravy, and it is barely edible. The food here is a constant problem. I think they (facility) buy the cheapest food available whether it has taste or not. [...]
  7. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to have a clean sanitary oven, failed to develop a cleaning schedule for the dietary department, and failed to have dishwasher detergent in the dish machine. This has the potential to affect all 43 residents in the facility.
  8. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 17, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to monitor active infections, failed to identify transmission-based precaution needs and failed to have Personal Protective Equipment (PPE) available to all staff. These failures have the potential to affect all 43 residents who reside in the facility.
  9. F
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 17, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure their Antibiotic Stewardship program was implemented. This failure has the potential to affect all 43 residents residing at the facility.
  10. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a working overhead light in the bathroom for one (R20) of sixteen residents reviewed for environment in a sample of 43 residing in the facility.
  11. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on record review and interview the facility failed to report an injury of unknown injury to the local state agency for one resident (R11) of four reviewed for accidents in a total sample of 44. Findings Include: The Facility's Abuse Prevention Program dated 11/28/2016 documents This facility affirms the right of our residents to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined below. This includes, but is not limited to, freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. This facility therefore prohibits mistreatment, exploitation, neglect, or abuse of its residents, and has attempted to establish a resident sensitive and resident secure environment. [...]
  12. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on interview and record review the facility failed to investigate an injury of unknown origin for one resident (R11) of four residents reviewed for accidents/injuries in a total sample of 44. Findings Include: The Facility's Abuse Prevention Program dated 11/28/2016 documents This facility affirms the right of our residents to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined below. This includes, but is not limited to, freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. This facility therefore prohibits mistreatment, exploitation, neglect or abuse of its residents, and has attempted to establish a resident sensitive and resident secure environment. [...]
  13. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to implement a restorative walking program for one resident (R43) of three residents reviewed for mobility in a total sample of 44. Findings Include: R43's Physical Therapy discharge date d 5/30/2024 Summary documents Functional Maintenance: Ambulation Program Established/Trained: Recommend for patient to participate in walk to dine program to prevent decline in function and mobility. Throughout the survey R43 was never observed walking with his walker at any time. On 6/2/24 R43 stated I never walk anymore. They don't have enough help to do it (assist resident to walk). On 6/4/24 at 10:25 AM V2 (Director of Nursing) stated I didn't even know (R43) was on a walking program. To my knowledge he does not walk to or from meals. [...]
  14. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 17, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure an indwelling urinary catheter tubing and collection bag were not placed on the floor to prevent infection for one (R40) of four residents reviewed for indwelling urinary catheter care in the sample of 44.
  15. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 17, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure oxygen was being infused correctly, ensure oxygen tubing was dated, and ensure oxygen tubing was not resting on the floor for one (R40) of two residents reviewed for respiratory care in a sample of 44.
  16. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to attempt non-pharmacological interventions prior to implementing psychotropic medications, failed to identify target behaviors for the use of antipsychotic medications, and failed to assess use psychotropic medications for two residents (R19, R39) of five residents reviewed for unnecessary medications in a sample list of 44.
  17. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a medication error rate of less than 5%. This failure affects two residents (R29, R35) of 10 residents reviewed for medication pass. This failure was the result of two medication errors out of 25 opportunities for a total medication error rate of 8%.
  18. B
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for minimal harm, pattern · Waiver June 23, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure greater than 80 square feet per resident in multiple resident rooms. This failure affects 16 residents (R3, R4, R6, R8, R15, R18, R21, R22, R25, R26, R27, R31, R32, R37, R39, R41) of 34 residents reviewed for resident rooms in the sample of 44.
March 4, 2024Complaint inspection · 8 citations
  1. J
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on interview and record review, the facility failed to adequately manage a resident's Coumadin (anticoagulant medication) dosage to ensure the medication was reaching therapeutic levels, develop a policy on anticoagulant medication management, and obtain treatment adjustment from the physician for a non-therapeutic INR (International Standardized Ratio for clotting in the blood) lab result for a resident with a history of a high risk blood clotting disorder for one of three residents (R3) reviewed for High Risk Medications. [...]
  2. G
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide an adequate amount of sit-to-stand mechanical lifts to transfer and toilet residents timely for nine of nine residents (R3-R11) reviewed for accommodation of needs in the sample of 12. These failures resulted in R3 soiling her brief and sitting in urine and feces for over an hour at a time on multiple occasions, causing R3 visible emotional distress, embarrassment, and anxiety, and resulted in R4 experiencing unwanted urinary incontinence and embarrassment.
  3. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assess resident surroundings for a safe environment and failed to develop and implement interventions to promote a safe environment for one of three residents (R2) reviewed for accidents in a sample of 12. These failures resulted in R2 sustaining a right shin wound from hitting her right shin on an exposed sharp bolt located on R2's bedframe on two separate occasions 27 days apart. The first occurrence resulted in R2's right shin wound becoming infected, and the second occurrence resulted in R2 requiring an emergency room visit to obtain three staples to close a right shin laceration.
  4. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide a sufficient amount of direct care staff to provide timely care to dependent residents. This failure has the potential to affect all 54 residents currently residing at the facility.
  5. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to allow a resident to use her personal motorized wheelchair for one of three residents (R2) reviewed for resident rights in a sample of 12.
  6. D
    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
    F573 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on record review and interview the facility failed to provide a resident's power of attorney health and medical records upon request for one of three residents (R3) reviewed for resident rights in the sample of 12. Findings Include: The Illinois Long-Term Care Ombudsman Program Resident's Rights for People in Long-term Care Facilities Resident Rights Handbook dated 11/2018 documents Your facility must allow you to see your records within 24 hours of your request (excluding weekends and holidays). You may purchase a copy of part or all of your records at a reasonable copy fee within two working days of your request. On 2/21/22 at 12:10 PM, V13 (R3's Power of Attorney) stated that R3 was hospitalized on [DATE] after suffering a stroke. V13 stated I have been talking to the facility about getting (R3's) records. They have not been helpful at getting me this information. [...]
  7. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on Interview and Record Review, the facility failed to notify a resident's physician of a new laboratory result for one of three residents (R3) reviewed for Physician Notification in the sampled of 12.
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 28, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure the interdisciplinary team and the residents' representatives were invited and attended care plan conferences for two of three residents (R1 and R2) reviewed for care planning in the sample of 12.
December 3, 2023Complaint inspection, Infection control · 1 citation
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) December 17, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain transmission-based precautions for two residents (R4 and R5) out of five residents reviewed for infection control during an outbreak of COVID-19. This failure has the potential affect four COVID-19 negative residents (R6, R7, R8 and R9) residing on the same hall.
October 3, 2023Complaint inspection · 2 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide sufficient staff to care for dependent residents. This failure has the potential to affect all 60 residents residing in the facility.
  2. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2023
    Inspectors wroteBased on observation and interview the facility failed to answer call lights in a timely manner for 5 of 11 residents (R3-R7) reviewed for call lights in the sample of 11.
September 12, 2023Complaint inspection · 1 citation
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 2, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to staff a full-time Director of Nursing/DON. This failure has the potential to affect all 60 Residents residing in the Facility.

Fire safety inspections

21 fire safety citations on file: 8 on March 20, 2025, 8 on June 5, 2024, 5 on March 30, 2023.

Every fire safety citation21 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 20, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 20, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 20, 2025 · Waiver
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 20, 2025 · Corrected (the home has a date of correction)
  5. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 20, 2025 · Corrected (the home has a date of correction)
  6. E
    Provide properly protected cooking facilities.
    K 324 · March 20, 2025 · Corrected (the home has a date of correction)
  7. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 20, 2025 · Corrected (the home has a date of correction)
  8. C
    Have simulated fire drills held at unexpected times.
    K 712 · March 20, 2025 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 5, 2024 · Corrected (the home has a date of correction)
  10. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 5, 2024 · Corrected (the home has a date of correction)
  11. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 5, 2024 · Corrected (the home has a date of correction)
  12. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 5, 2024 · Corrected (the home has a date of correction)
  13. E
    Have exits that are accessible at all times.
    K 271 · June 5, 2024 · Corrected (the home has a date of correction)
  14. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 5, 2024 · Corrected (the home has a date of correction)
  15. E
    Provide properly protected cooking facilities.
    K 324 · June 5, 2024 · Corrected (the home has a date of correction)
  16. E
    Install corridor and hallway doors that block smoke.
    K 363 · June 5, 2024 · Corrected (the home has a date of correction)
  17. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 30, 2023 · Corrected (the home has a date of correction)
  18. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 30, 2023 · Corrected (the home has a date of correction)
  19. E
    Install an approved automatic sprinkler system.
    K 351 · March 30, 2023 · Corrected (the home has a date of correction)
  20. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 30, 2023 · Corrected (the home has a date of correction)
  21. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · March 30, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 6, 2026Payment Denial 18 days from January 30, 2026
June 13, 2024Payment Denial 17 days from September 13, 2024
March 4, 2024Fine $201,299
March 4, 2024Payment Denial 36 days from April 2, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIllinoisUnited States
All nursing staff (RN, LPN and aides)3.123.453.86
Registered nurses0.300.720.69
All nursing staff on weekends2.823.073.42
Nurse aides1.85
Licensed practical nurses0.97
Nursing staff turnover (share who left in a year)31.1%44.5%45.8%
Registered nurse turnovernot reported41.8%42.9%
Administrators who left0

CMS expects 5.84 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.24 on weekdays and 2.82 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.04 in April to June 2025 to 3.12 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.120.303.242.82 11.6%14 of 9053
Oct to Dec 20253.210.183.302.96 7.0%7 of 9251
Jul to Sep 20252.980.283.082.73 4.2%2 of 9257
Apr to Jun 20253.040.283.182.70 6.4%0 of 9157
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Illinois, Jan to Mar 20263.260.653.402.925.4%0.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Illinois

JobMedianMiddle halfEmployed
Illinois, all employers
CNAs (nursing assistants)$22.10$18.95 to $23.2668,640
LPNs and LVNs$36.06$30.57 to $38.2517,440
Registered nurses$46.15$38.47 to $50.94138,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Arcadia Care Kewanee. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIllinoisUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
18.913.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.02.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
34.614.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.84.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.921.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
7.526.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.013.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.32.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.02.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Arcadia Care Kewanee's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

50.0% this home

No different from the national rate

US median of homes 51.5% · Illinois: 106 better, 85 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 42 eligible stays.

Potentially preventable readmissions

9.7% this home

No different from the national rate

US median of homes 10.7% · Illinois: 2 better, 14 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 60 eligible stays.

Infections that led to a hospital stay

6.1% this home

No different from the national rate

US median of homes 7.1% · Illinois: 3 better, 10 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 28 eligible stays.

Self-care and mobility at discharge

14.7% this home

Median of homes: Illinois50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 34 residents counted.

Falls with major injury

0.0% this home

Median of homes: Illinois0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 41 residents counted.

New or worsened pressure ulcers

1.9% this home

Median of homes: Illinois1.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 41 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 12 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ARCADIA CARE KEWANEE LLC. CMS links this home to Arcadia Care, a group of 25 nursing homes averaging 1.4 stars overall.

NameRoleTypeShareSince
Goldfarb, BrianDirect ownership interestIndividual12/01/2024
Seitler, DovidDirect ownership interestIndividual12/01/2024
Gronsky, AmandaManaging control - governing bodyIndividual12/01/2024
Holtschult, HeatherManaging control - governing bodyIndividual12/01/2024
McClure, MichelleCorporate officerIndividual12/01/2024
Spector, JenniferCorporate officerIndividual12/01/2024
Arcadia Care Management LLCOperational/managerial controlOrganization12/01/2024
Ahearn, MichaelOperational/managerial controlIndividual12/01/2024
Holtschult, HeatherOperational/managerial controlIndividual12/01/2024
McClure, MichelleOperational/managerial controlIndividual12/01/2024
Morgan, TeresaOperational/managerial controlIndividual12/01/2024
Seitler, DovidOperational/managerial controlIndividual12/01/2024
Spector, JenniferOperational/managerial controlIndividual12/01/2024
Turofsky, StevenOperational/managerial controlIndividual12/01/2024
Wilhelm, NaftaliOperational/managerial controlIndividual12/01/2024
Berkowitz, DavidIndividual is an owner, partner or trustee of any ADP of the SNFIndividual05/29/2025
Meystel, YosefIndividual is an owner, partner or trustee of any ADP of the SNFIndividual05/29/2025
Arcadia Care Management LLCAdp of the SNFOrganization05/28/2025
Curis Services LLCAdp of the SNFOrganization12/01/2024
Petersen SNF Holdings LLCAdp of the SNFOrganization05/28/2025
Ahearn, MichaelAdp of the SNFIndividual12/01/2024
Gronsky, AmandaAdp of the SNFIndividual12/01/2024
Holtschult, HeatherAdp of the SNFIndividual12/01/2024
McClure, MichelleAdp of the SNFIndividual12/01/2024
Morgan, TeresaAdp of the SNFIndividual12/01/2024
Seitler, DovidAdp of the SNFIndividual12/01/2024
Spector, JenniferAdp of the SNFIndividual12/01/2024
Turofsky, StevenAdp of the SNFIndividual12/01/2024
Wilhelm, NaftaliAdp of the SNFIndividual12/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on January 6, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on January 6, 2026: "Reasonably accommodate the needs and preferences of each resident."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on January 6, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on March 9, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.82 hours per resident per day, below the Illinois average of 3.07.

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.

Common questions

What is Arcadia Care Kewanee's Medicare star rating?
CMS rates Arcadia Care Kewanee 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Arcadia Care Kewanee get at its last inspection?
12 health deficiencies at the standard inspection on January 6, 2026. The Illinois average is 12.6.
Has Arcadia Care Kewanee been fined?
Yes. CMS lists 1 fine totaling $201,299 in the last three years.
Does Arcadia Care Kewanee accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Arcadia Care Kewanee?
CMS lists 29 owners and managers, and links the home to Arcadia Care. Legal business name: ARCADIA CARE KEWANEE LLC.

Sources

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