Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Renaissance Care Center during CMS and state inspections, most recent first.
A resident with MS and impaired mobility, care planned for 2-person transfers with a mechanical lift, was being moved from bed to a wheelchair when a bottom sling strap broke, causing a fall that resulted in an acute intertrochanteric right femur fracture and hospital admission. Facility policies and manufacturer instructions required inspection of slings before each use and prohibited bleach and high-heat laundering, but staff interviews revealed that slings had been washed with bleach, laundered with sheets, and dried on a high-heat setting, with staff uncertain of exact temperatures. CNAs reported that the sling appeared intact before the transfer, and post-incident management determined the sling straps were dry-rotted, indicating deterioration associated with improper laundering and inadequate monitoring of sling condition.
A facility failed to store refrigerated vaccination units separately from food and beverages, violating their medication storage policy. A medication fridge labeled 'Medications Only' contained a plastic container of unlabeled food and an open hydration drink, stored directly on top of influenza vaccines. Staff confirmed that food and drinks should not be stored in the medication fridge, which is designated solely for medications. The facility houses 59 residents.
The facility did not complete required background checks for five residents within the mandated timeframe due to the absence of responsible staff. The checks, including criminal history and sex offender registry screenings, were delayed by three to five days, violating the facility's Abuse Prevention Program Policy.
The facility failed to assess and document the use of bed rails for seven residents, violating safety protocols. Despite the facility's policy requiring assessments, physician orders, and informed consent, these steps were not completed. Residents with various medical conditions and fall risks used bed rails without proper documentation, posing safety risks. The facility lacked an assessment form, and no assessments or consents were completed, indicating a systemic issue in compliance.
The facility failed to implement Enhanced Barrier Precautions (EBP) for several residents with conditions requiring such measures, including urostomies, colostomies, and indwelling urinary catheters. Staff did not consistently wear gowns or gloves during care, and EBP signage and PPE were often absent from residents' rooms. The Infection Control Preventionist acknowledged the oversight and lack of staff education on EBP protocols.
The facility failed to perform maintenance inspections of bed rails for entrapment risks for several residents. Observations showed residents using side rails or assist rails without documented inspections in their medical records. The Maintenance Assistant was unaware of any inspections being conducted, indicating a gap in safety procedures.
The facility failed to cover urinary drainage catheter bags for two residents, compromising their dignity. One resident with intact cognition and another with severe cognitive impairment were observed with uncovered catheter bags visible from the hallway. The DON confirmed that catheter bags should be covered to maintain dignity, highlighting a lapse in the facility's policy adherence.
A resident with bilateral above-the-knee amputations and arthritis did not receive the prescribed range of motion (ROM) exercises as per the facility's policy. The resident reported not receiving assistance with ROM exercises, and CNAs confirmed they did not perform these exercises. The Restorative Aide admitted to only conducting ROM exercises once a week, contrary to the daily requirement, indicating a failure in the facility's restorative care program.
A facility failed to obtain daily weights for a resident with Congestive Heart Failure (CHF) as ordered by the physician. The resident's care plan required daily weights starting from a specific date, but records show that weights were missed on ten occasions. The facility's policy assigns responsibility for obtaining weights to the CNA or designee, with oversight by the nurse management team. This deficiency was confirmed by the DON.
A resident with severe cognitive impairment was neglected in a LTC facility, remaining soiled and odorous for an extended period. Despite claims of aggressive behaviors preventing care, staff later changed the resident without issue. Video evidence and staff interviews revealed a failure to appropriately manage the resident's behaviors, leading to neglect.
A resident was improperly restrained in a reclining wheelchair with the footrest positioned over a couch, preventing movement. Multiple staff members observed and reported the incident, which violated the facility's restraint policy. A registered nurse was terminated for not understanding appropriate responses to resident behaviors and providing conflicting statements about the incident.
A facility failed to document medication administration properly, leading to double dosing for four residents. A night shift LPN did not sign the MAR after administering medications, causing the oncoming nurse and assisting staff to administer the medications again. The affected residents received a second dose of their morning medications.
The facility failed to prevent significant medication administration errors for three residents due to a nurse's failure to document administered medications, leading to double dosing. The errors were discovered when a supervisor noticed discrepancies in the narcotic book and MAR.
Mechanical Lift Sling Deterioration Leads to Resident Fall and Fracture
Penalty
Summary
The deficiency involves the facility’s failure to properly maintain and monitor mechanical lift slings, resulting in a sling strap breaking during a transfer and causing a resident to fall. Facility policy for hydraulic lifts required that all nursing staff be trained in proper use of mechanical lifts and that staff ensure sling straps are securely placed on the hooks of the carry bar prior to lifting. The manufacturer’s full body sling instructions warned that slings must be carefully inspected before each use for wear and damage, and that torn, cut, frayed, or otherwise deteriorated slings must be discarded. Additional facility guidelines for identifying deteriorated slings stated that bleach, high-temperature washing or drying, and harsh mechanical action can accelerate deterioration of sling materials, especially loop straps, and that such slings may appear intact while having compromised tensile strength. The resident involved had multiple sclerosis, muscle weakness, and an existing nondisplaced intertrochanteric fracture of the right femur at admission, and was care planned to require a mechanical lift with two staff assisting for transfers. During a transfer using a mechanical lift, two CNAs placed the sling under the resident, attached all four straps to the lift, and began lifting the resident from bed toward a wheelchair. Both CNAs reported that the sling and straps appeared intact prior to the lift. While the resident was suspended in the air and being guided toward the wheelchair, the bottom right sling strap broke. One CNA reported seeing the resident fall to the ground, and the other described the resident falling out of the sling, hitting the side of the bed, and landing on her right side. When the RN arrived, the resident was lying horizontally on her right side across the lift legs with her neck turned to the side near the nightstand. The emergency department record documented that the resident was transferred by ambulance for right hip and right arm pain after the mechanical lift sling broke during a transfer, causing her to fall onto the bed. Imaging showed an acute intertrochanteric right femur fracture and a normal humerus X-ray, and the resident was admitted to the medical-surgical floor for further treatment. Following the incident, facility staff, including CNAs and the DON, stated that management determined the sling straps were dry-rotted. Interviews with environmental and laundry staff revealed that, prior to the fall, mechanical lift slings had been bleached, washed together with sheets, and dried in a dryer with a single high-heat setting, contrary to the manufacturer’s instructions that prohibited bleach and high-temperature drying and recommended gentle laundering conditions. Staff also reported uncertainty about wash and dry temperatures and described a process in which slings were laundered and then visually checked for damage or fraying before being returned for use.
Improper Storage of Vaccines with Food in Medication Fridge
Penalty
Summary
The facility failed to ensure that refrigerated vaccination units were stored separately from food and beverages, which is a violation of their Storage of Medications policy. This policy, dated April 2016, mandates that all medications requiring refrigeration must be kept in a separate, securely fastened locked box within a refrigerator or a locked refrigerator, located at or near the nurse's station or in a refrigerator within a locked medication room. During an observation on January 9, 2025, at 11:40 AM, it was noted that the medication storage fridge on the facility's 100 hall, which was labeled 'Medications Only,' contained a plastic container of food without a label, sitting directly on top of two boxes of influenza vaccine. Additionally, an open bottle of a flavored hydration drink was found inside the same fridge. Interviews with V13, a Registered Nurse, and V19, a Licensed Practical Nurse, confirmed that food and drinks should not be stored in the medication room refrigerator, which is designated solely for medications. V13 speculated that the food, which appeared to be chili soup, might have been brought in for a resident by agency nurses who were unaware of the proper storage protocol. V16, the Infection Control Preventionist, confirmed that the influenza vaccines stored in the 100-hall medication room refrigerator could be administered to any resident in the building and reiterated that no food or open drinks should be kept in that refrigerator. The facility's Long Term Care Application for Medicare and Medicaid, dated January 7, 2025, and signed by V1, the Administrator, documents that 59 residents reside in the facility.
Failure to Conduct Timely Background Checks for New Admissions
Penalty
Summary
The facility failed to adhere to its Abuse Prevention Program Policy by not completing required background checks for five residents within the stipulated time frame. The policy mandates that a criminal history background check, Illinois Sex Offender Registry check, and Illinois Department of Corrections Registry check be conducted prior to or within 24 hours of a resident's admission. However, for residents R107, R108, R109, R110, and R157, these checks were completed three to five days after their admission, contrary to the facility's policy. The deficiency was attributed to the absence of the Admissions Coordinator and the Vice President of Operations, who were responsible for conducting these checks. Their absence during the admission of these residents resulted in the delay of the necessary background screenings. This oversight was confirmed through interviews, where it was acknowledged that the checks were not performed within the required timeframe due to the responsible personnel being off-duty during the admissions.
Failure to Assess and Document Bed Rail Use
Penalty
Summary
The facility failed to properly assess and document the use of bed rails for seven residents, leading to a deficiency in compliance with safety protocols. The facility's policy requires a thorough assessment of the need for side rails, including a risk assessment for entrapment, obtaining a physician's order, and securing informed consent from the resident or their representative. However, the facility did not complete these necessary steps for any of the seven residents reviewed, as confirmed by the Director of Nursing. Each of the seven residents had specific medical conditions and fall risks that necessitated careful consideration before the use of bed rails. For instance, one resident with chronic respiratory failure and diabetes was using 1/2 side rails for mobility and safety without a documented assessment or consent. Another resident with severe cognitive impairment and a high risk for falls was using an assist rail without the required documentation or physician's order. These omissions were consistent across all seven residents, indicating a systemic issue in the facility's adherence to its own policies. The observations and interviews conducted during the survey revealed that the facility did not have an assessment form for side rails, and no assessments or consents were completed for the residents using them. This lack of documentation and oversight poses a significant risk to resident safety, as the facility did not evaluate the potential for entrapment or other hazards associated with the use of bed rails. The deficiency highlights a critical gap in the facility's compliance with regulatory requirements for resident safety and care planning.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to Enhanced Barrier Precautions (EBP) for five residents, leading to deficiencies in infection prevention and control. The facility's Infection Control Policy mandates the use of Standard and Transmission-Based Precautions, including Enhanced Barrier Precautions for residents with certain conditions. However, observations revealed that staff did not consistently wear gowns or gloves when providing care to residents who required EBP due to conditions such as urostomies, colostomies, indwelling urinary catheters, and diabetic foot ulcers. For instance, one resident with a urostomy and colostomy reported that staff did not wear gowns or gloves during care, and there was no EBP signage or PPE available in the room. Another resident with an indwelling urinary catheter was not listed on the facility's EBP list, and staff confirmed that EBP precautions were not implemented as required. Additionally, a resident with a diabetic foot ulcer did not have EBP signage or PPE in their room, and staff did not wear the necessary protective equipment during care. The facility's Infection Control Preventionist acknowledged the oversight in implementing EBP for residents with conditions that could lead to infection. The Preventionist admitted that PPE was not available in every room and that staff were not fully educated on the need to wear gowns and gloves during close contact activities, such as transfers or incontinence care. This lack of adherence to EBP protocols resulted in a failure to adequately protect residents from potential infections.
Failure to Inspect Bed Rails for Entrapment Risks
Penalty
Summary
The facility failed to conduct maintenance inspections of side rails and assist rails for entrapment zones and risks for seven residents. Observations revealed that residents were using side rails or assist rails in various positions, but their medical records lacked documentation of maintenance inspections for these rails. This deficiency was noted for residents who were either lying in bed or sitting up with rails in the raised position, indicating a lack of routine safety checks. During an interview, the Maintenance Assistant admitted to not being aware of any inspections being conducted for side rails or assist rails to check for entrapment risks. The assistant stated that their role was limited to applying the rails and fixing them if they broke, highlighting a gap in the facility's maintenance procedures for ensuring the safety of bed rails and preventing potential entrapment hazards.
Failure to Cover Urinary Catheter Bags Compromises Resident Dignity
Penalty
Summary
The facility failed to maintain the dignity of two residents by not covering their urinary drainage catheter bags with privacy bags, as observed during a survey. Resident R4, who has an intact cognitive status with a BIMS score of 15/15, was found with an uncovered urinary drainage catheter bag visible from the hallway, containing amber-colored urine. This observation was made despite the facility's policy to ensure privacy and dignity for all residents. Similarly, Resident R48, who has severe cognitive impairment with a BIMS score of 2/15, was also found with an uncovered urinary drainage catheter bag visible from the hallway, containing yellow-colored urine. The Director of Nursing confirmed that the catheter bags should be covered to promote dignity, indicating a lapse in adherence to the facility's dignity and privacy policy.
Failure to Implement Restorative ROM Program
Penalty
Summary
The facility failed to implement a restorative range of motion (ROM) program for a resident identified as R20, who was reviewed for limitations in range of motion. The facility's policy required that all residents be assessed for risk factors for contractures and that a program be developed and included in the care plan. However, R20, who had bilateral above-the-knee amputations and limitations in raising his arms due to arthritis, reported not receiving the prescribed ROM exercises from staff. The resident expressed a desire for staff to assist with exercises, indicating a lack of adherence to the facility's policy. Observations and interviews revealed that the Certified Nursing Assistants (CNAs) responsible for R20's care did not perform the required ROM exercises. The Restorative Aide, V17, acknowledged that the resident's program required daily hand-over assistance for ROM exercises but admitted to only performing them once a week, with CNAs expected to cover the remaining days. This inconsistency in providing the necessary ROM exercises highlights a deficiency in the facility's implementation of its restorative care program.
Failure to Obtain Daily Weights for Resident with CHF
Penalty
Summary
The facility failed to ensure that physician-ordered daily weights were obtained for a resident with Congestive Heart Failure (CHF). The resident, identified as R31, had a physician order dated 1/08/25 for daily weights due to CHF, with the order starting on 10/24/2024. The facility's Weights policy, dated 9/1/19, outlines the responsibility of the Certified Nursing Assistant (C.N.A.) or designee to obtain weights monthly and as ordered, with the nurse management team responsible for monitoring timely completion. However, R31's Weights and Vitals Summary Logs from 10-24-24 through 1-8-25 show that the resident was not weighed daily as ordered on ten occasions. This deficiency was verified by the Director of Nursing (V2) on 01/07/25 at 12:15 PM.
Neglect of Resident Due to Mismanagement of Behaviors
Penalty
Summary
The facility failed to protect a resident from neglect, resulting in the resident being visibly soiled and having an odor. The resident, who is severely cognitively impaired and uses a reclining padded wheelchair for mobility, was found in a soiled state by a registered nurse (RN) at approximately 5:45 PM. The RN noted that the resident was wet and soiled, and had slid down in her wheelchair. Despite the resident's behaviors of aggression, the RN and a certified nurse aide (CNA) were able to change and clean the resident without any issues. The incident was reported by the resident's Health Care Power of Attorney, who noticed the resident's condition during a visit. The facility's investigation revealed that the resident had not been changed or toileted from the time she got up until she was attended to by the RN and CNA. The RN on duty at the time of the incident claimed that the resident's aggressive behaviors prevented staff from providing care, but this was contradicted by other staff members who stated that the resident was not exhibiting behaviors at the time care was provided. The facility's video footage confirmed that the resident remained in her wheelchair without being changed for an extended period. Interviews with staff members revealed a lack of understanding and appropriate response to the resident's behaviors, leading to the neglect. The RN responsible for the resident's care was found to have given instructions to leave the resident in her soiled state due to her behaviors, which was not consistent with the facility's policy on abuse and neglect.
Resident Restrained by Wheelchair Positioning
Penalty
Summary
The facility failed to ensure that a resident, identified as R1, was free from physical restraints, as required by their policy. The incident involved R1 being positioned in a reclining wheelchair with the footrest over the seat of a couch, which restricted her ability to move. This situation was observed by multiple staff members, including certified nurse aides and registered nurses, who reported that R1 was unable to get out of her chair due to the positioning of the footrest. The facility's policy on physical restraints, dated 9/23/15, does not clearly define situations that could be considered a physical restraint, but it does state that restraints should only be used when necessary and after all alternatives have been documented as ineffective. The incident occurred on 5/19/24, and several staff members provided written statements and interviews confirming the positioning of R1's wheelchair. The administrator on call reviewed video footage and confirmed the positioning of the wheelchair, which would have prevented R1 from lowering the footrest. A registered nurse, V3, was implicated in the incident, with conflicting statements about the positioning of R1's wheelchair. V3 was later terminated from employment after it was determined that she did not understand the appropriate response to resident behaviors and was not truthful about her instructions and responses regarding R1 on the day of the incident.
Medication Administration Documentation Failure
Penalty
Summary
The facility failed to follow proper procedures when documenting medication administration for four residents (R1, R2, R3, and R5). On the morning of 5/7/24, a day shift nurse called in sick, leading to a series of medication administration errors. The night shift nurse (V5) stayed over to pass medications but did not sign the Medication Administration Record (MAR) for several residents. As a result, the oncoming nurse (V14) and other assisting nurses administered medications again, leading to double dosing for some residents. R1, R2, and R5 received a second dose of their 8:00 AM medications because V5 did not document the initial administration. R1's medications included Amlodipine, Aspirin, Doxepin, Flonase, Loratadine, Protonix, Vitamin B Complex, Gabapentin, Oxybutynin, Polysaccharide Iron, Tizanidine, and Tylenol. R2's medications included Fluoxetine, Furosemide, Omeprazole, Apixaban, Carvedilol, Polysaccharide Iron Complex, Potassium Chloride, Pregabalin, and Umeclidinium-Vilanterol. R5's medications included Fluticasone Furoate Vilanterol, Fish Oil, Folic Acid, Furosemide, Lasix, Levothyroxine, Loratadine, Myrbetriq, Omeprazole, Primidone, Multivitamin with Mineral, Amino Acids Protein Hydrolysate, Tamsulosin, Colace, and Sodium Bicarbonate. The incident was discovered when V6, the Nursing Supervisor, noticed that R2's Lyrica had already been signed out in the narcotic book by V5. Upon further investigation, it was confirmed that V5 had administered medications to six residents but failed to document it in the MAR. This led to the oncoming nurse (V14) and other assisting nurses administering the medications again, resulting in double dosing for R1, R2, and R5. The facility's policies and procedures for medication administration were not followed, leading to these errors.
Significant Medication Administration Errors
Penalty
Summary
The facility failed to prevent significant medication administration errors for three residents (R1, R2, and R5) due to a series of actions and inactions by the nursing staff. On the morning of the incident, a day shift nurse called in sick, prompting the night shift nurse (V5) to stay over and assist with the medication pass. V5 administered medications to six residents but failed to document the administration in the Medication Administration Record (MAR). This oversight led to the oncoming nurse (V14) administering the same medications again to three of these residents (R1, R2, and R5), resulting in double dosing. The error was discovered when the nursing supervisor (V6) noticed that a medication had already been signed out in the narcotic book but not documented in the MAR. R1, who has a complex medical history including Type 2 Diabetes Mellitus, Hypertension, and Chronic Obstructive Pulmonary Disease, received a double dose of twelve different medications. Similarly, R2, who suffers from Chronic Heart Failure, Diabetes, and Chronic Kidney Disease, was given a double dose of nine medications. R5, diagnosed with Seizures, Crohn's Disease, and End Stage Renal Disease, received a double dose of fifteen medications. The nursing staff immediately assessed the residents and found no adverse reactions at the time. However, the failure to document medication administration as per the facility's policy led to these significant medication errors. Interviews with the involved staff revealed that V5 did not have a clear explanation for failing to document the medication administration, attributing it to being tired and hurried after working a 14-hour shift. The facility's policies and procedures clearly state that medications must be documented immediately after administration, a step that was neglected by V5. This lapse in following established protocols resulted in the medication errors, highlighting a critical deficiency in the facility's medication administration process.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Canton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunset Rehabilitation And Health Care | 1.5 mi | — | 3 | 0 |
| Graham Hospital | 1.8 mi | — | 9 | 0 |
| Loft Rehab & Nursing Of Canton | 2.7 mi | — | 1 | 0 |
| Farmington Village Nrsg | 8.9 mi | — | 0 | 0 |
| Clayberg, The | 10.9 mi | — | 0 | 0 |
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