The Illinois Department of Health has cited and fined Ascension Saint Joseph Village when a Certified Nursing Assistant attempted to reposition a physically impaired resident on a specialized air mattress without obtaining required assistance from a second staff member, resulting in the resident falling from the bed and sustaining multiple serious fractures. The facility acknowledged […]
Resident Falls Out of Bed and Suffers Multiple Fractures When Staff Failed to Use Required Two-Person Assistance at Ascension Saint Joseph Village
AU Well Care Home Failed To Both Protect Residents And Investigate Multiple Abuse Incidents Including Staff Biting Resident
The Illinois Department of Health has cited and fined AU Well Care Home when staff failed to properly protect residents from multiple incidents of abuse, including staff-to-resident abuse and numerous resident-to-resident altercations. The facility administrator failed to thoroughly investigate abuse allegations, properly document incidents, report them to authorities within required timeframes, or implement effective protection […]
Resident Fractures Femur in Fall During Improper Transfer at Sharon Health Care Elms
The Illinois Department of Health has cited and fined Sharon Health Care Elms when nursing staff twice attempted to manually transfer a resident with left-sided paralysis without using the required mechanical lift or proper assistance, resulting in the resident falling and suffering a distal femur fracture. The resident, who had a documented history of cerebral […]
Resident Falls from Mechanical Lift During Improper Transfer at Piatt County Nursing Home
The Illinois Department of Health has cited and fined Piatt County Nursing Home when staff members failed to follow proper safety protocols while using a mechanical lift to transfer a severely cognitively impaired resident, resulting in the resident falling to the floor and sustaining a fractured clavicle and a scalp laceration requiring staples. The resident, […]
Neglect Leads to Severe Pressure Ulcers with Bone Exposure at Loft Rehab of Decatur
The Illinois Department of Health has cited and fined Loft Rehab of Decatur when nursing staff failed to provide proper wound care and timely incontinence assistance to a cognitively intact resident, resulting in multiple severe pressure injuries including a Stage IV pressure ulcer with bone and muscle exposure. The facility also failed to notify physicians […]
Failure To Assess Falls Leads to Suffering and a Delayed Hip Fracture Diagnosis at Jerseyville Nursing & Rehab Center
The Illinois Department of Health has cited and fined Jerseyville Nursing & Rehab Center when staff failed to properly assess, document, and implement new interventions following multiple falls of a severely cognitively impaired resident, resulting in a delay in diagnosing and treating the resident’s broken hip. The resident suffered for five days with an undiagnosed […]
Resident Dies When Staff Fail to Perform CPR At Fair Oaks Rehab & Healthcare
The Illinois Department of Health has cited and fined Fair Oaks Rehab & Healthcare when a nurse discovered a resident without vital signs and failed to initiate cardiopulmonary resuscitation (CPR), despite the resident being designated as “full code.” Emergency responders who arrived approximately 40 minutes after the resident was found unresponsive were the first to […]
Resident Dies When Staff Fail to Perform CPR on Choking Resident At Bethany Rehab & Healthcare Center
The Illinois Department of Health has cited and fined Bethany Rehab & Healthcare Center when staff failed to initiate cardiopulmonary resuscitation (CPR) on a full-code resident who stopped breathing after choking on food. The delay in resuscitation efforts continued until emergency responders arrived approximately eight minutes later, despite facility policy requiring immediate CPR for residents […]
Resident Strangled to Death After Head Becomes Wedged Between Bed Rail and Mattress At Axiom Healthcare Of Mount Vernon
The Illinois Department of Health has cited and fined Axiom Healthcare Of Mount Vernon when a resident with dementia and Parkinson’s disease died from positional asphyxiation after his head became trapped between a bed rail and mattress. The facility failed to properly assess bed rail safety, obtain proper physician orders, or implement adequate monitoring for […]
Arc At Hickory Point Resident’s Femur Fractured During Improper Mechanical Lift Transfer
The Illinois Department of Health has cited and fined Arc At Hickory Point when a certified nursing assistant transferred a severely cognitively impaired resident using a mechanical lift without the required second staff member present, resulting in the resident suffering a displaced fracture of the right femur. The improper transfer violated the facility’s own policy […]
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