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 […]
Montgomery Place Cited After Resident Suffers Femoral Fracture During Solo Sit-to-Stand Lift Transfer
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 […]
Landmark of Oak Lawn Cited at Immediate Jeopardy Level Following Resident’s Severe Pressure Wound and Hospitalization for Sepsis and Necrotizing Fasciitis
The Illinois Department of Health has cited and fined Landmark of Oak Lawn Rehab and Nursing Center when, according to state investigators and facility records, a resident admitted to the facility with no documented wounds later developed a severe pressure wound on her sacrum and was hospitalized weeks later with sepsis, an unstageable decubitus ulcer, […]
Heartland Senior Living Resident Falls in Bathroom After Call Light Goes Unanswered
The Illinois Department of Health has cited and fined Heartland Senior Living in Neoga, Illinois when a resident’s bathroom call light was not promptly answered while one staff member stood at the nurses’ station and was not paying attention to the call light panel and another assumed someone else would respond. The resident, who had […]
Goldwater Care Peoria Heights Cited at Immediate Jeopardy Level After Two Residents With Severe Pressure Ulcers Were Hospitalized for Sepsis
The Illinois Department of Health has cited and fined Goldwater Care Peoria Heights in Peoria Heights, Illinois when the facility failed to identify, assess, treat, and prevent the worsening of pressure ulcers for two bedbound residents — one who developed a Stage 4 pressure wound under the facility’s care that progressed to suspected bone infection, […]
Fair Oaks Health Care Center Cited After Resident Falls from Mechanical Lift Due to Improperly Attached Sling, Sustaining Brain Bleed
The Illinois Department of Health has cited and fined Fair Oaks Health Care Center in Crystal Lake, Illinois when two certified nursing aides improperly attached a mechanical lift sling, causing the sling to come loose mid-transfer and the resident to fall to the floor, sustaining a subdural hematoma — a bleed on the brain — […]
Fair Havens Senior Living Resident Slides Out of Wheelchair in Transport Van, Suffering Multiple Fractures and Severe Lacerations
The Illinois Department of Health has cited and fined Fair Havens Senior Living in Decatur, Illinois when a resident’s wheelchair was improperly secured in the facility’s transport van by a driver who had not been adequately trained on the manufacturer’s wheelchair securement system, causing the resident’s wheelchair to flip forward and the resident to slide […]
Evercare at Edwardsville Cited After Two Residents Injured During Transfers Due to Missing Gait Belt and Improperly Secured Mechanical Lift
The Illinois Department of Health has cited and fined Evercare at Edwardsville when two residents were injured during transfers — one because a certified nursing aide transferred her without the required gait belt, causing her to fall and fracture her left upper arm, and a second because a mechanical lift sling hook was not properly […]
Elevate Care Country Club Hills Cited After Resident Fractures Ankle When Staff Ignores Two-Person Transfer Requirement
The Illinois Department of Health has cited and fined Elevate Care Country Club Hills when a certified nursing aide transferred a resident who required two-person assist for all transfers without a second staff member present, causing the resident to slide to the floor and sustain a fractured left ankle requiring hospitalization. The resident’s care plan […]
Eastview Healthcare & Senior Living Cited After Resident’s Ordered Nutritional Supplements Go Unprovided, Contributing to Severe Weight Loss and Stage 4 Wound
The Illinois Department of Health has cited and fined Eastview Healthcare & Senior Living when the facility failed to provide a resident with physician-ordered nutritional supplements needed to support wound healing and maintain her weight, contributing to a significant weight loss of nearly 15 percent in one month and the progression of a pressure wound […]
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