Arc at el Paso
555 East Clay, El Paso, IL 61738 · Woodford County · 65 certified beds · avg 56 residents/day · certified since Aug 1, 1976
Abuse citation flag (CMS)
Part of chain: ARCADIA CARE (25 facilities, chain avg rating 1.3★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 10, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 10, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 28, 2026 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 29, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (36)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 1, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| May 28, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 28, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 28, 2026 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| May 28, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 28, 2026 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 28, 2026 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Sep 5, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Sep 5, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 5, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 19, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 9, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 26, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Mar 26, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 26, 2025 | F · Potential for harm, facility-wide | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Mar 26, 2025 | F · Potential for harm, facility-wide | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Mar 26, 2025 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 26, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 26, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Mar 26, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 26, 2025 | C · Minimal risk, facility-wide | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Jan 13, 2025 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Jan 13, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint |
| Nov 8, 2024 | F · Potential for harm, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint |
| Nov 8, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · from a complaint |
| Sep 16, 2024 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Sep 16, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Jul 28, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jul 10, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Oct 18, 2023 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2024 | 7 | 1 | J ▲ |
| 2025 | 16 | 0 | F |
| 2026 | 12 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,994.
| Date | Type | Amount / length |
|---|---|---|
| Jul 10, 2024 | Fine | $8,994 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.24 | 2.99 | 3.95 | bottom 19% in Illinois; bottom 2% in the U.S. |
| Registered Nurse hours | 0.40 | 0.63 | 0.69 | bottom 32% in Illinois; bottom 22% in the U.S. |
| Weekend total nurse staffing | 2.06 | 2.67 | 3.50 | bottom 24% in Illinois; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.56 | 0.48 | bottom 21% in Illinois; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 30.2 | 44.5 | 45.8 | top 15% in Illinois; top 14% in the U.S. |
| RN turnover (%) | 20.0 | 41.8 | 42.9 | top 15% in Illinois; top 13% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.87, RN 0.51, weekend 2.64. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| David a Berkowitz Delta Trust | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/2023 |
| Goldfarb, Brian | Individual | Direct Ownership Interest | NOT APPLICABLE | 07/01/2023 |
| Joshua Hoffman Trust | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/2023 |
| Seitler, Dovid | Individual | Direct Ownership Interest | NOT APPLICABLE | 07/01/2023 |
| Yosef Meystel Delta Trust | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/2023 |
| 555 E Clay St, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/03/2025 |
| Aperion Care Exec Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Arcadia Care Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Arcadia Care Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/25/2025 |
| Berkowitz, David | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/13/2025 |
| Brooks, Kendel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Brooks, Kendel | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Curis Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| David a Berkowitz Delta Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| David a Berkowitz Revoc Tr David Berkowitz Ttee | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Ingalsbe, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Ingalsbe, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| McClure, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| McClure, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Meystel, Yosef | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/13/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| El Paso Rehabilitation and Health Care Center | 0.5 mi | El Paso, IL | —/5 | abuseSFF | |
| Flanagan Rehabilitation and Health Care Center | 10.3 mi | Flanagan, IL | ★★☆☆☆ | 2/5 | |
| Apostolic Christian Home | 11.4 mi | Roanoke, IL | ★★★★★ | 4/5 | |
| Loft Rehabilitation & Nursing | 13.9 mi | Eureka, IL | ★☆☆☆☆ | 1/5 | abuse |
| McLean County Nursing Home | 14.6 mi | Normal, IL | ★★☆☆☆ | 2/5 | abuse |
| Arc at Normal | 15.2 mi | Normal, IL | ★☆☆☆☆ | 2/5 | abuse |
| Loft Rehab & Nursing of Normal | 15.8 mi | Normal, IL | ★★☆☆☆ | 1/5 | |
| Apostolic Christian Home of Eureka | 16.3 mi | Eureka, IL | ★★★★★ | 5/5 | |
| Arcadia Care Bloomington | 16.7 mi | Bloomington, IL | ★☆☆☆☆ | 1/5 | abuse |
| Goldwater Care Bloomington | 17.1 mi | Bloomington, IL | ★☆☆☆☆ | 1/5 | |
| Snyder Village | 18.3 mi | Metamora, IL | ★★★★★ | 4/5 | |
| Westminster Village | 18.6 mi | Bloomington, IL | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145319.