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 […]
Nursing Assistant at Bridgeway Senior Living in Bensenville Trapped Resident in Bed With Mat, Leading to Hip Fracture
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 […]
Meadowbrook Manor – Naperville Cited After Resident Had Ninth Unwitnessed Fall Leading to Brain Injury
The Illinois Department of Health has cited and fined Meadowbrook Manor – Naperville when a resident with severe cognitive impairment and eight previous unwitnessed falls in his room had a ninth unwitnessed fall that caused a brain injury, massive seizure, and ultimately his death. Despite the resident’s care plan requiring increased supervision and monitoring to […]
Newman Rehab & Health Care Center Cited After Resident Broke Hip Trying to Get to Bathroom When No One Answered Call Light
The Illinois Department of Health has cited and fined Newman Rehab & Health Care Center when a resident who required assistance with all mobility fell and broke her hip while attempting to take herself to the bathroom because no nursing assistant was available to answer her call light. The facility left an entire hallway without […]
Allure of Moline Cited After Resident on Pureed Diet Choked to Death on Hot Dogs
The Illinois Department of Health has cited and fined Allure of Moline when a resident who required a pureed diet and constant supervision due to choking risk was allowed to leave the dining room unsupervised, grabbed hot dogs and buns from another resident’s plate, and choked to death. The facility had no procedures in place […]
Bria of Godfrey Cited After Repeatedly Failing to Follow Wound Care Orders for Diabetic Foot Ulcer Patient
The Illinois Department of Health has cited and fined Bria of Godfrey when staff repeatedly failed to follow physician’s wound care orders for a resident with a severe diabetic foot ulcer and bone infection, leaving him without treatment for extended periods and missing critical antibiotic doses. The facility’s failures resulted in the resident’s wound worsening […]
Highlight Healthcare of Aurora Cited After Maggots Found in Resident’s Surgical Wound Following Missed Dressing Changes
The Illinois Department of Health has cited and fined Highlight Healthcare of Aurora when staff failed to perform ordered dressing changes on a resident’s surgical amputation site for five days, resulting in the wound becoming infected and infested with maggots. The resident required emergency hospitalization, critical care treatment, intravenous antibiotics, and surgical debridement under general […]
Friendship Manor Health Care Cited After Small Wound Became Two Severe Infected Ulcers Requiring Debridement
The Illinois Department of Health has cited and fined Friendship Manor Health Care when staff failed to properly treat a small open wound on a resident’s buttock, allowing it to deteriorate over two months into two severe unstageable pressure ulcers that became infected and required debridement. The facility’s failure to assess, monitor, and provide treatment […]
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