The Illinois Department of Health has cited and fined Plymouth Place when staff failed to properly assess, document, and report a resident’s worsening toe wounds for over three months, resulting in gangrene that required a full above-knee amputation of the resident’s left leg just one day after being transferred to another facility. The resident in […]
Plymouth Place Neglects To Treat and Report Resident’s Toe Wounds Leading To Gangrene And Leg Amputation
Failure to Maintain Working Fall Alarms Leads to Resident’s Hip Fracture & Subsequent Death At Nature Trail Health & Rehab
The Illinois Department of Health has cited and fined Nature Trail Health & Rehab when staff failed to properly implement fall prevention interventions for a high-risk resident with dementia, resulting in two falls within six days of admission that caused a hip fracture requiring surgery, after which the resident never returned to the facility and […]
Failure to Perform Skin Checks Leads to Severe Infected Pressure Ulcers At Generations At Applewood
The Illinois Department of Health has cited and fined Generations At Applewood when staff failed to perform required weekly skin assessments on a dependent resident who developed multiple severe pressure ulcers while in their care, ultimately resulting in a stage 4 sacral wound with necrotic tissue that became infected and required hospitalization and six weeks […]
Two-Month Delay In Treating Diabetic Resident’s Toe Wound Leads To Leg Amputation At Breese Nursing Home
The Illinois Department of Health has cited and fined Breese Nursing Home when staff failed to properly assess, document, and treat a diabetic resident’s toe wound for nearly two months, resulting in bone infection that ultimately required an above-knee amputation. The resident in question suffered from several serious health conditions—diabetes, chronic lung disease, and morbid […]
Safety Belt Missing, Truth Stretched: How a Simple Transfer Led to Serious Injury At Bethany Rehab & HCC
The Illinois Department of Health has cited and fined Bethany Rehab & Health Care Center when a staff member failed to properly assist a resident during a transfer from wheelchair to bed, resulting in a fall that caused multiple fractures to the resident’s knee and changed her mobility status. The resident in question had been […]
Alden Lakeland’s Failure to Administer Critical Antibiotics Leads to Resident’s Life-Threatening Sepsis
The Illinois Department of Health has cited and fined Alden Lakeland Rehab & Health Care Center when staff failed to administer two out of three prescribed antibiotics to a resident returning from hospitalization, resulting in the resident developing life-threatening sepsis that required emergency rehospitalization. The resident in question was returning from a hospital stay. The […]
Aperion Care Niles Resident Suffers Brain Hemorrhage After Being Left Unsupervised And Falling
The Illinois Department of Health has cited and fined Aperion Care Niles when staff failed to provide proper supervision and safety measures for a fall-risk resident who was left alone in her room without proper footwear and with her walker out of reach, resulting in a fall that caused a subdural hematoma requiring hospitalization. The […]
Paralyzed Resident’s Pleas Ignored Before Dangerous Fall from Nursing Home Bed At Aperion Care Burbank
The Illinois Department of Health has cited and fined Aperion Care Burbank when a staff member attempted to turn a paralyzed resident alone instead of with the required two-person assistance, resulting in the resident falling to the floor and sustaining a head injury that required a trip to the ER. The resident in question had […]
Resident At The Arc At Streator Suffers Hip Fracture Following Fourth Unwitnessed Fall
The Illinois Department of Health has cited and fined The Arc at Streator when staff failed to implement appropriate interventions for a high-fall-risk resident who experienced four falls within a month, resulting in a hip fracture requiring surgical repair. According to the facility’s Fall Prevention Program, the facility is responsible for “assur[ing] the safety of […]
Resident At Aliya Of Homewood Falls and Suffers Head Injury Due to Lack of Required Toileting Assistance
The Illinois Department of Health has cited and fined Aliya of Homewood when staff failed to provide proper toileting assistance to a high-risk resident with dementia, resulting in two falls with the second causing a head injury requiring hospitalization. The resident in question suffers from diagnoses including history of falling, altered mental status, unspecified dementia, […]
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