IDPH has cited and fined Alden of Waterford when the facility failed to recognize the severity of a critically low potassium level. In place of calling 911, a RN called the local ambulance service, which took nearly two hours to arrive, only to find the resident in cardiac arrest, requiring CPR, and subsequently passing away […]
Failure To Call 911 In Place Of Local Ambulance Service Results In Patient Death at Alden of Waterford
Resident Attacked Getting On To Elevator, Breaks Hip At Mayfield Care And Rehab
IDPH has cited and fined Mayfield Care and Rehab when the nursing home failed to adequately supervise two residents despite knowing that the aggressor had a history of behavioral issues. This lack of oversight led to a severe altercation in which one resident pushed the other, causing the resident to suffer a left hip fracture […]
Facility Neglects To Monitor Resident For Bed Sores, Resulting In An Unstageable, Necrotic Sore At Crestwood Rehabilitation Center
IDPH has cited and fined Crestwood Rehabilitation Center for negligence in identifying, assessing, and treating a change in the resident’s skin condition that led to the development of an unstageable, necrotic (meaning death of an area of living tissue) pressure ulcer, causing unnecessary pain, suffering, and hospitalization for the resident. Despite the resident’s care plan […]
Resident Dies From Respiratory Distress When Facility Fails To Realize Urgency Of Situation At Bria Of Elmwood Park
IDPH has cited and fined Bria of Elmwood Park when the facility failed to respond urgently and quickly to a resident’s respiratory distress and need for suctioning, resulting in a delay of care and ultimately the resident’s death. Around 9:00 AM on the morning of the incident, a LPN (Licensed Practical Nurse) noticed the resident […]
Resident Chokes To Death On Food When Left Alone In Room To Eat At Aperion Care West Chicago
IDPH has cited and fined Aperion Care West Chicago when the facility failed to ensure that a resident was adequately supervised while eating. This failure resulted in the choking death of the resident. The resident in question had multiple serious diagnoses. Her MDS showed that she was rarely/never understood, had severe cognitive impairment, and required […]
Resident Hospitalized After Suffering For 9 Days Without UTI Medication At Tri-State Nursing & Rehab
IDPH has cited and fined Tri-Stae Village Nursing & Rehab when a resident did not receive UTI medication for approximately nine days due to a lack of communication and follow-through by the facility staff. The resident in question, a female with a diagnosis of dementia, had a urine analysis which showed positive nitrites and a […]
Resident Dies After Facility Fails To Properly Care For Pressure Wound
IDPH has cited and fined Alden Debes Rehab & HCC when the facility failed to identify, reassess, document changes, and notify a care provider about a declining pressure wound. These failures led to an unstaged coccyx pressure injury worsening into a larger unstageable pressure injury, requiring hospitalization and extensive surgical debridement. The resident in question […]
Two Residents Assaulted at Mayfield Care & Rehab, Resulting In A Black Eye and A Fractured Hip
IDPH has cited and fined Mayfield Care and Rehab when the facility failed to ensure that residents were free from physical abuse. In this case, one resident assaulted two other residents, leaving one with a hip fracture and the other with a black eye. The staff of a nursing home has an obligation to protect […]
Facility Fails to Prevent Residents From Engaging In Inappropriate Sexual Behavior At Bria Of Elmwood Park
IDPH has cited and fined Bria Of Elmwood Park when the facility failed to adequately monitor and supervise two residents who have dementia and a history of wandering. This failure resulted in an incident where the female was found in the male’s room with the male inappropriately touching and groping the female while exposing her […]
Resident Falls In Bathroom When CNA Leaves Towel On Floor To Soak Up Water From Leaky Shower At Dixon Rehab & HCC
IDPH has cited and fined Dixon Rehab & Health Care Center when a resident there tripped and fell over a towel left on the bathroom floor, resulting in a fractured nose and brain hemorrhage. When a nursing home agrees to accept a resident, they are agreeing that they will meet the care needs of the […]
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