The Illinois Department of Health has cited and fined Lutheran Care Center when a hospice resident fell headfirst to the floor after a mechanical lift strap broke during transfer by a single nursing assistant instead of the required two staff members, causing a head injury and rapid decline that led to her death three days […]
Lutheran Care Center Resident Falls From Mechanical Lift And Dies When Strap Broke
Goldwater Care Danville Cited After Resident Developed 18 Pressure Sores
The Illinois Department of Health has cited and fined Goldwater Care Danville when a completely dependent resident developed 18 separate facility-acquired pressure sores over nine months, including five Stage 4 ulcers, due to staff failing to reposition him, provide basic care, follow treatment orders, and prevent infections. Staff repeatedly failed to turn the resident for […]
Elevate Care Northbrook Resident Dies After Choking on Whole Hot Dog Staff Failed to Cut Up
The Illinois Department of Health has cited and fined Elevate Care Northbrook when a resident with severe swallowing difficulties and strict aspiration precautions choked to death on a whole hot dog in a bun that staff failed to cut into small pieces. Staff reported the resident was alert and responsive when paramedics arrived, but the […]
Elevate Care Northbrook Resident Dies After Choking on Whole Hot Dog Staff Failed to Cut Up
The Illinois Department of Health has cited and fined Elevate Care Northbrook when a resident with severe swallowing difficulties and strict aspiration precautions choked to death on a whole hot dog in a bun that staff failed to cut into small pieces. Staff reported the resident was alert and responsive when paramedics arrived, but the […]
Bria of Wood River Cited After Staff Unable to Properly Resuscitate Two Residents With Tracheostomies
The Illinois Department of Health has cited and fined Bria of Wood River when staff failed to properly perform CPR on two residents with tracheostomies, placing breathing bags over their mouths instead of their tracheostomy tubes because they didn’t know how to attach the equipment and had never been trained. Both residents died after receiving […]
Accolade Healthcare of Savoy Cited After Staff Ignored Resident’s Worsening Kidney Failure Symptoms Ultimately Contributing to Death
The Illinois Department of Health has cited and fined Accolade Healthcare of Savoy when staff failed to monitor and report critical warning signs for a resident with heart and kidney disease, including dangerously low blood pressures, significant weight gain, and decreased urination, resulting in acute kidney failure that required dialysis and ultimately led to her […]
Nursing Assistant at Bridgeway Senior Living in Bensenville Trapped Resident in Bed With Mat, Leading to Hip Fracture
The Illinois Department of Health has cited and fined Bridgeway Senior Living in Bensenville when a nursing assistant propped a thick mat against one side of a severely cognitively impaired resident’s bed and positioned the other side against a wall heater to trap her in bed, causing the resident to crawl out over the footboard […]
Sunrise Skilled Nursing & Rehab Resident Falls, Suffers Multiple Leg Fractures After Being Left Alone on Side in Elevated Bed
The Illinois Department of Health has cited and fined Sunrise Skilled Nursing & Rehab when staff performing a wound treatment left a dependent resident alone on his side in a bed elevated 36 inches off the floor, telling him to hold onto the side rail while they retrieved supplies. The resident, who was completely dependent […]
Clark-Lindsey Village Resident Suffers Multiple Arm Fractures After Being Left Alone on Toilet
The Illinois Department of Health has cited and fined Clark-Lindsey Village when a certified nursing assistant left a high fall-risk resident unattended on the toilet to fix her bed, resulting in the resident falling and sustaining multiple acute fractures to her left arm. Despite facility policies requiring constant supervision during toileting for fall-risk residents, the […]
Manor Court of Rochelle Resident Suffers Hip Fracture After Unmonitored Fall and Lack of Medical Follow-Up
The Illinois Department of Health has cited and fined Manor Court of Rochelle when staff failed to properly monitor a resident with severe dementia after an unwitnessed fall at 3 a.m., neglecting to notify the physician or conduct required neurological checks. The resident remained in severe pain throughout the night without follow-up care, ultimately requiring […]
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