The Illinois Department of Health has cited and fined Aliya of Glenwood when, according to state investigators and facility records, a resident identified as high risk for falls with impaired mobility and poor safety awareness was not safely positioned on his bed while a certified nursing aide provided incontinence care, and he rolled off the […]
Aliya of Glenwood Cited After Resident Rolls Off Bed During Incontinence Care, Sustaining Orbital and Cervical Spine Fractures
Aliya of Crestwood Cited at Immediate Jeopardy Level After Resident Left on Floor for Prolonged Period Following Unwitnessed Fall, Later Dying from Fall and Complications of Spinal Injuries
The Illinois Department of Health has cited and fined Aliya of Crestwood when, according to state investigators and facility records, an 88-year-old resident at high risk for falls suffered an unwitnessed fall in his room and remained on the floor for a prolonged period before staff discovered him, despite his roommate activating the call light […]
Lakeside Health & Rehab Center Cited After Resident’s Fall Went Unreported, Resulting in Delayed Assessment Before Pelvic Fractures Were Diagnosed
The Illinois Department of Health has cited and fined Lakeside Health & Rehab Center in Carlinville, Illinois when, according to state investigators and facility records, a certified nursing aide found a resident on the floor after a fall, assisted her from the floor before a nurse could assess her, and did not immediately report the […]
Evercare of Breese Cited After Two Residents Sustain Fractures Following Falls Involving Staff Assistance
The Illinois Department of Health has cited and fined Evercare of Breese when, according to state investigators and facility records, two residents sustained fractures after the facility failed to properly transfer them during incidents involving staff assistance — one when a wheelchair moved during a one-person transfer and the resident fell to the floor, sustaining […]
Axiom Healthcare of West Frankfort Cited After Resident with Repeated Falls Suffers Facial Fractures Following Failure to Consistently Implement Fall Prevention Plan
The Illinois Department of Health has cited and fined Axiom Healthcare of West Frankfort when, according to state investigators and facility records, a resident with Parkinson’s disease and a long history of falls sustained a closed fracture of the left orbit and left maxilla after the facility failed to consistently implement the fall prevention interventions […]
Arcadia Care On The Hill Cited After Delayed Scheduling of Resident’s Urgent Foot Surgery Allegedly Contributed to Greater Amputation Due to Spreading Infection
The Illinois Department of Health has cited and fined Arcadia Care On The Hill in Springfield, Illinois when, according to state investigators and facility records, the resident’s podiatrist reported that the facility failed to return his repeated calls over the course of approximately a week as he attempted to schedule an urgent foot surgery for […]
Allure of Pinecrest Cited After Director of Nursing Replaces Resident’s Urinary Catheter Feeding Tube, Tube Later Migrates into Small Intestine Causing Bowel Obstruction and Pancreatitis
The Illinois Department of Health has cited and fined Allure of Pinecrest in Mount Morris, Illinois when, according to state investigators and facility records, the Director of Nursing replaced a urinary catheter that was being used as a temporary feeding tube without consulting the physician about the replacement, without a facility policy specifically governing the […]
Ahva Care of Stickney Cited at Immediate Jeopardy Level After Resident Found Unresponsive Did Not Receive Effective CPR Prior to Hospital Transfer
The Illinois Department of Health has cited and fined Ahva Care of Stickney when, according to state investigators and facility records, a newly admitted resident found unresponsive did not receive effective continuous cardiopulmonary resuscitation, and emergency medical services were not promptly called, contributing to what investigators described as a delayed and compromised emergency response before […]
Montgomery Place Cited After Resident Suffers Femoral Fracture During Solo Sit-to-Stand Lift Transfer
The Illinois Department of Health has cited and fined Montgomery Place, a nursing home in Chicago when, according to state investigators and facility records, a certified nursing aide performed a sit-to-stand mechanical lift transfer alone — without a second staff member present despite the resident being assessed as dependent for transfers requiring two or more […]
Mattoon Rehab & Health Care Center Cited After Resident’s Wound Dressings Went Unchanged for More Than Two Weeks, Resulting in Multidrug-Resistant Infection and Hospitalization
The Illinois Department of Health has cited and fined Mattoon Rehab & Health Care Center when, according to state investigators and facility records, a resident’s leg wound dressings went unchanged for more than two weeks, and her wounds deteriorated significantly with copious drainage and odor. The resident was hospitalized for cellulitis in both legs, a […]
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