The Illinois Department of Health has cited and fined Midway Neurological & Rehabilitation Center when staff failed to recognize critical signs of a traumatic brain injury and delayed emergency medical care for a resident who had fallen twice. The resident died two days later from a massive brain bleed that could have been detected earlier […]
Midway Neurological Staff Failed to Recognize Critical Brain Injury Signs, Leading to Resident’s Death
Resident Suffers Broken Leg When Foot Gets Caught in Wheelchair Wheel at The Loft Rehab of Peoria
The Illinois Department of Health has cited and fined The Loft Rehab of Peoria when staff failed to ensure required foot pedals were on a resident’s wheelchair during transport, resulting in the resident’s leg getting caught in the wheel. The incident caused a severe fracture requiring emergency surgery and hospitalization. The resident in question was […]
Resident Dies After Developing Severe Heel Ulcers That Progressed to Sepsis at Integrity Healthcare of Marion
The Illinois Department of Health has cited and fined Integrity Healthcare of Marion when a resident developed severe pressure ulcers on both heels that were inadequately treated, leading to sepsis, gangrene, and bone infection. The resident ultimately required emergency surgery to remove both Achilles tendons and heels before dying on hospice care. The resident in […]
Resident Suffers Broken Ankle After Staff Fails to Use Required Safety Belt at HealthBridge of Arlington Heights
The Illinois Department of Health has cited and fined HealthBridge of Arlington Heights when a Certified Nursing Assistant failed to use a required safety belt during a bathroom transfer, causing a 69-year-old resident to fall and injure her ankle. The resident ultimately required surgery to repair two fractures, which went undiagnosed for over a week […]
Harmony Palos Resident Suffers Hip Fracture After Fall During Care
The Illinois Department of Health has cited and fined Harmony Palos when staff failed to follow proper fall prevention procedures during routine care, resulting in a 94-year-old resident falling and sustaining a fractured hip. The facility also failed to accurately report the incident, with conflicting accounts from staff about whether the resident actually fell to […]
Hallmark Healthcare of Pekin Resident Suffers Severe Medical Neglect Leading to ICU Hospitalization
The Illinois Department of Health has cited and fined Hallmark Healthcare of Pekin when staff failed to notify the resident’s physician about a significant decline in condition, resulting in two weeks with minimal medical treatment. The resident was eventually hospitalized in the ICU with severe dehydration, sepsis, kidney failure, and multiple other life-threatening conditions. The […]
Caseyville Nursing & Rehab Resident Suffers Two Serious Falls
The Illinois Department of Health has cited and fined Caseyville Nursing & Rehab Center when a high-risk resident suffered two serious falls within weeks of each other, including one that resulted in a compound ankle fracture requiring hospitalization. Despite the resident’s documented history of falls and multiple risk factors, facility staff removed essential safety interventions […]
Beecher Manor Resident Suffers Fractures When Staff Fails to Follow Required Two-Person Care Protocol
The Illinois Department of Health has cited and fined Beecher Manor Nursing & Rehab Center when a resident with multiple sclerosis who required two-person assistance during care was left alone with a single staff member, causing her to slide out of bed and sustain multiple fractures. The facility’s own Nurse Practitioner confirmed that “if the […]
Ascension Saint Anne Resident Suffers Two Falls and Fractures Due to Inadequate Assistance
The Illinois Department of Health has cited and fined Ascension Saint Anne Place when a resident with maximum assistance needs for standing and toileting fell twice, resulting in hip and wrist fractures. Despite the resident’s documented need for staff help and his use of the call light system, he reports to have been left unattended […]
Fall Assessment Errors Lead to Resident’s Broken Neck at The Admiral At The Lake
The Illinois Department of Health has cited and fined The Admiral at the Lake when staff incorrectly assessed a 90-year-old resident with multiple health conditions as “low risk” for falling despite his extensive fall history, leading to a devastating fall that broke his neck in three places. The facility failed to implement proper safety measures […]
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