The Illinois Department of Health has cited and fined Aperion Care Dekalb when staff failed to follow a wound specialist’s orders for daily wound packing on a resident’s infected surgical site, instead providing care only three times per week. The facility’s negligence allowed a serious infection to develop into osteomyelitis and an abscess, requiring emergency […]
Aperion Care Dekalb Fails to Follow Daily Wound Care Orders Leading to Amputation and Life-Threatening Infection
Fall Assessment Errors Lead to Resident’s Broken Neck at The Admiral At The Lake
The Illinois Department of Health has cited and fined The Admiral at the Lake when staff incorrectly assessed a 90-year-old resident with multiple health conditions as “low risk” for falling despite his extensive fall history, leading to a devastating fall that broke his neck in three places. The facility failed to implement proper safety measures […]
Blood Test Failure Nearly Kills Resident on Blood Thinner at Sunrise Skilled Nursing & Rehab
The Illinois Department of Health has cited and fined Sunrise Skilled Nursing & Rehab when staff failed to perform required weekly blood tests for a resident taking the blood thinner Warfarin, causing his blood to become dangerously thin and resulting in life-threatening internal bleeding. The resident’s INR level reached greater than 10 when it should […]
Resident Left Unsupervised, Falls and Suffers Double Fracture at Shelbyville Manor
The Illinois Department of Health has cited and fined Shelbyville Manor when a resident with dementia and a documented history of falls was allowed to walk unsupervised to the bathroom despite requiring substantial assistance with transfers, resulting in a devastating fall that broke both his hip and shoulder. The facility failed to provide adequate supervision […]
Faulty Chair Alarm Leads to Fatal Fall and Hip Fracture at Prairieview Lutheran Home
The Illinois Department of Health has cited and fined Prairieview Lutheran Home when a severely cognitively impaired resident with a history of falls died after her chair alarm failed to alert staff when she attempted to get out of her electric lift chair, resulting in a fatal fall and hip fracture. The facility failed to […]
Pleasant View Luther Home Resident Suffers Neck Fracture After Tripping Over Wheelchair in Cramped Dining Room
The Illinois Department of Health has cited and fined Pleasant View Luther Home when an 82-year-old resident with Alzheimer’s disease and a history of multiple falls suffered a serious neck fracture after tripping over another resident’s oversized wheelchair in a poorly arranged dining room. The facility failed to provide adequate space for the high fall […]
Failure To Implement Fall Prevention Measures Leads to Resident’s Broken Hip and Head Injury at Goldwater Care Danville
The Illinois Department of Health has cited and fined Goldwater Care Danville when staff failed to implement required fall prevention measures for a severely cognitively impaired resident, resulting in a devastating fall that broke his hip and caused a head laceration requiring five staples. The facility’s Medical Director confirmed the fall was preventable and stated […]
Cognitively Impaired Resident Found 2.2 Miles Away After Nursing Home Staff Ignored Exit Alarm
The Illinois Department of Health has cited and fined Fondulac Rehabilitation and Health Care Center when a cognitively impaired resident with dementia walked out of the facility undetected and was found 2.2 miles away standing on a concrete median in the dark. The facility failed to follow its own safety protocols when staff dismissed a […]
Evercare at University Staff Ignored Resident’s Breathing Crisis, Calling It a ‘Panic Attack’
The Illinois Department of Health has cited and fined Evercare at University when nursing staff dismissed a 95-year-old resident’s severe breathing distress as a “panic attack” and failed to seek immediate medical attention despite dangerously low oxygen levels. The resident was eventually hospitalized on a ventilator after her family called 911, with emergency responders finding […]
Resident Suffers Hip Fracture After Being Over-Sedated to Prevent Wandering At Duquoin Nursing & Rehab
The Illinois Department of Health has cited and fined Duquoin Nursing & Rehab when a 92-year-old resident with severe dementia was given excessive doses of sedating psychiatric medications to prevent her from wandering, causing her to become unsteady and fall. The resident suffered a hip fracture requiring surgery after facility staff increased her anti-anxiety medication […]
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