The Illinois Department of Health has cited and fined The Haven of Paris when a resident with severe dementia and Lewy Body disease fell and fractured his left hip after staff failed to provide the required supervision for high fall-risk residents. Despite facility policies requiring checks every 15 minutes for residents at high risk for […]
The Haven of Paris Resident Fractures Hip After Staff Fail to Provide Required Supervision
Prairieview Lutheran Home Resident Dies After Staff Fails to Properly Assess Fall Injuries and Mechanical Lift Use
The Illinois Department of Health has cited and fined Prairieview Lutheran Home when a resident died following staff’s failure to adequately assess her injuries after a fall and their improper use of a mechanical sit-to-stand lift. The facility’s neglect in monitoring the resident’s worsening bruising and bleeding, despite her being on blood thinners, resulted in […]
Odin Health & Rehab Resident Dies from Sepsis – Staff Fail to Notify Physician of Declining Condition
The Illinois Department of Health has cited and fined Odin Health & Rehab Center when nursing staff failed to notify the resident’s physician for days despite observing the resident was refusing to eat, had drastically decreased urine output, appeared lethargic, and had a worsening infected wound, resulting in her hospitalization for sepsis and death. The […]
Jerseyville Nursing & Rehab Resident Dies After Catastrophic Fall As Ineffective Fall Prevention Monitoring Cited As Contributing Factor
The Illinois Department of Health has cited and fined Jerseyville Nursing & Rehab Center when a cognitively impaired resident with a history of falls sustained catastrophic head injuries after falling from her bed, dying the next day in the hospital. The facility failed to evaluate, implement, and monitor the effectiveness of fall interventions, resulting in […]
Richland Nursing & Rehab Resident Fractures Arm and Elbow After Being Left Standing Unattended
The Illinois Department of Health has cited and fined Richland Nursing & Rehab in Olney when a cognitively impaired resident with severe mobility issues fractured his right arm and elbow after a nursing assistant left him standing alone in the hallway to retrieve his walker. The resident, who was admitted after previous fractures from a […]
Amputee’s Surgical Wound Reopens After Fall from Broken Bed at Autumn Meadows at Cahokia
The Illinois Department of Health has cited and fined Autumn Meadows of Cahokia when a recent amputee fell after his bed’s locking mechanism malfunctioned, causing his surgical wound to completely reopen and requiring emergency surgery. Despite the resident reporting that his bed wheels wouldn’t lock, the facility failed to repair or replace the bed, and […]
Arc at Hickory Point Resident Suffers Broken Ribs and Collapsed Lung After Fall Prevention Measures Ignored
The Illinois Department of Health has cited and fined Arc at Hickory Point in Forsyth, IL when a high-risk resident fell in the bathroom and suffered multiple broken ribs, internal bleeding, and a collapsed lung after the facility failed to implement fall prevention measures. Despite completing a fall risk assessment showing the resident was at […]
Aliya of Oak Lawn Resident Dies After Nursing Staff Fail to Monitor Heart Pump Battery
The Illinois Department of Health has cited and fined Aliya of Oak Lawn when a 71-year-old resident with a left ventricular assist device died after nursing staff failed to monitor and change the device’s batteries, causing the heart pump to stop. The resident was found unresponsive, transported to the emergency room in cardiac arrest, and […]
Alden Estates of Orland Park Resident Suffers Hip Fracture After Fall Due to Inadequate Supervision
The Illinois Department of Health has cited and fined Alden Estates of Orland Park when a 79-year-old resident with dementia and Alzheimer’s disease fell in the dining room while left unmonitored, suffering a fractured hip that required hospitalization. The facility failed to follow the resident’s care plan which specifically required visual supervision and removal from […]
Scott County Nursing Center Failed to Notify Doctor After Resident Choked, Leading to Second Choking Episode
The Illinois Department of Health has cited and fined Scott County Nursing Center when a resident choked twice within five days, but staff failed to notify the physician after the first incident or change her diet, contributing to a second choking episode that required the Heimlich maneuver. The facility’s failure to recognize warning signs and […]
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