The Illinois Department of Health has cited and fined Sunny Hill Nursing Home of Will County in Joliet, Illinois when a resident fell from her bed during a bed bath performed by a single aide and sustained fractures to both femurs. State investigators determined the facility failed to follow the care plan interventions requiring two-person […]
Resident Fractures Both Femurs in Fall From Bed During One-Person Bed Bath at Sunny Hill Nursing Home of Will County
Resident Suffers Brain Bleed in Fall From Wheelchair During Van Transport at Serenity Estates at Morris
The Illinois Department of Health has cited and fined Serenity Estates at Morris in Morris, Illinois when a resident fell backward out of his wheelchair while being transported in the facility’s van and sustained a subdural hematoma and a fracture. State investigators determined the facility failed to ensure the resident was properly secured in his […]
Resident Fractures Leg in Fall During Transfer Without Required Equipment or Staffing at Pearl of Orchard Valley
The Illinois Department of Health has cited and fined Pearl of Orchard Valley in Aurora, Illinois when a resident fractured her right tibia and fibula after falling during a transfer that did not use the mechanical lift and two-person assistance her care required. State investigators determined the facility failed to ensure the appropriate lift equipment […]
Miller Health Care Center Cited After Resident Suffers Two Fall-Related Fractures With Ordered Alarm Missing
Miller Health Care Center in Kankakee, Illinois Cited After Resident Suffers Two Fall-Related Fractures With Ordered Alarm Missing The Illinois Department of Health has cited and fined Miller Health Care Center in Kankakee, Illinois when a resident with a physician-ordered bed and chair alarm suffered two falls resulting in major injury after investigators found the […]
Goldwater Care Danville Cited After Resident Falls From Mechanical Lift When Sling Breaks During One-Person Transfer, Sustaining Shoulder Fracture
The Illinois Department of Health has cited and fined Goldwater Care Danville when, according to state investigators and facility records, a certified nursing aide performed a mechanical lift transfer by herself rather than with the two staff members required by facility policy, and without inspecting the lift sling beforehand as the manufacturer and the facility […]
Generations at Applewood Cited After Ten-Tooth Extraction Proceeds Without Notice to Resident’s Providers, Requiring Emergency Transfusions
The Illinois Department of Health has cited and fined Generations at Applewood in Matteson, Illinois when, according to state investigators and facility records, the facility failed to notify the resident’s attending physician and cardiology provider that an extensive dental extraction had been scheduled, and failed to communicate with those providers and obtain and implement appropriate […]
The Clayberg Cited After Director of Nursing Instructed Staff Not to Notify Physician of Resident’s Change in Condition, Resident Later Died of Sepsis
The Illinois Department of Health has cited and fined The Clayberg in Cuba, Illinois when, according to state investigators and facility records, a resident’s significant change in condition went unreported to her physician for eight days after staff first documented foul-smelling, discolored urine, with the Director of Nursing instructing staff not to notify the physician […]
Casey Rehab and Nursing Cited After Two Residents Fall While Unsupervised, One Fracturing Her Pelvis in the Shower
The Illinois Department of Health has cited and fined Casey Rehab and Nursing when, according to state investigators and facility records, a certified nursing aide showering a severely cognitively impaired resident turned her back to reach for a washcloth while the resident was covered in soap, and the resident leaned forward and slid out of […]
Avantara Park Ridge Cited After High-Fall-Risk Resident Falls and Fractures Hip While Assigned Aide Was Off Unit
The Illinois Department of Health has cited and fined Avantara Park Ridge when, according to state investigators and facility records, a 95-year-old resident documented as high risk for falls fell while trying to get out of bed on a morning when the aide assigned to her had left the unit for more than half an […]
Arc at Bradley Cited After Aide Transfers Resident Alone Without Required Mechanical Lift, Causing Spiral Fracture of the Upper Arm
The Illinois Department of Health has cited and fined Arc at Bradley when, according to state investigators and facility records, a certified nursing aide transferred a resident from his bed to his wheelchair by herself and without the mechanical lift his care plan required, resulting in an impacted spiral fracture of his left upper arm […]
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