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 […]
The Clayberg Cited After Director of Nursing Instructed Staff Not to Notify Physician of Resident’s Change in Condition, Resident Later Died of Sepsis
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 […]
Aliya of Glenwood Cited After Resident Rolls Off Bed During Incontinence Care, Sustaining Orbital and Cervical Spine Fractures
The Illinois Department of Health has cited and fined Aliya of Glenwood when, according to state investigators and facility records, a resident identified as high risk for falls with impaired mobility and poor safety awareness was not safely positioned on his bed while a certified nursing aide provided incontinence care, and he rolled off the […]
Aliya of Crestwood Cited at Immediate Jeopardy Level After Resident Left on Floor for Prolonged Period Following Unwitnessed Fall, Later Dying from Fall and Complications of Spinal Injuries
The Illinois Department of Health has cited and fined Aliya of Crestwood when, according to state investigators and facility records, an 88-year-old resident at high risk for falls suffered an unwitnessed fall in his room and remained on the floor for a prolonged period before staff discovered him, despite his roommate activating the call light […]
Lakeside Health & Rehab Center Cited After Resident’s Fall Went Unreported, Resulting in Delayed Assessment Before Pelvic Fractures Were Diagnosed
The Illinois Department of Health has cited and fined Lakeside Health & Rehab Center in Carlinville, Illinois when, according to state investigators and facility records, a certified nursing aide found a resident on the floor after a fall, assisted her from the floor before a nurse could assess her, and did not immediately report the […]
Evercare of Breese Cited After Two Residents Sustain Fractures Following Falls Involving Staff Assistance
The Illinois Department of Health has cited and fined Evercare of Breese when, according to state investigators and facility records, two residents sustained fractures after the facility failed to properly transfer them during incidents involving staff assistance — one when a wheelchair moved during a one-person transfer and the resident fell to the floor, sustaining […]
Axiom Healthcare of West Frankfort Cited After Resident with Repeated Falls Suffers Facial Fractures Following Failure to Consistently Implement Fall Prevention Plan
The Illinois Department of Health has cited and fined Axiom Healthcare of West Frankfort when, according to state investigators and facility records, a resident with Parkinson’s disease and a long history of falls sustained a closed fracture of the left orbit and left maxilla after the facility failed to consistently implement the fall prevention interventions […]
Arcadia Care On The Hill Cited After Delayed Scheduling of Resident’s Urgent Foot Surgery Allegedly Contributed to Greater Amputation Due to Spreading Infection
The Illinois Department of Health has cited and fined Arcadia Care On The Hill in Springfield, Illinois when, according to state investigators and facility records, the resident’s podiatrist reported that the facility failed to return his repeated calls over the course of approximately a week as he attempted to schedule an urgent foot surgery for […]
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