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 […]
Hallmark Healthcare of Pekin Resident Suffers Severe Medical Neglect Leading to ICU Hospitalization
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 […]
Blood Test Failure Nearly Kills Resident on Blood Thinner at Sunrise Skilled Nursing & Rehab
The Illinois Department of Health has cited and fined Sunrise Skilled Nursing & Rehab when staff failed to perform required weekly blood tests for a resident taking the blood thinner Warfarin, causing his blood to become dangerously thin and resulting in life-threatening internal bleeding. The resident’s INR level reached greater than 10 when it should […]
Resident Left Unsupervised, Falls and Suffers Double Fracture at Shelbyville Manor
The Illinois Department of Health has cited and fined Shelbyville Manor when a resident with dementia and a documented history of falls was allowed to walk unsupervised to the bathroom despite requiring substantial assistance with transfers, resulting in a devastating fall that broke both his hip and shoulder. The facility failed to provide adequate supervision […]
Faulty Chair Alarm Leads to Fatal Fall and Hip Fracture at Prairieview Lutheran Home
The Illinois Department of Health has cited and fined Prairieview Lutheran Home when a severely cognitively impaired resident with a history of falls died after her chair alarm failed to alert staff when she attempted to get out of her electric lift chair, resulting in a fatal fall and hip fracture. The facility failed to […]
Pleasant View Luther Home Resident Suffers Neck Fracture After Tripping Over Wheelchair in Cramped Dining Room
The Illinois Department of Health has cited and fined Pleasant View Luther Home when an 82-year-old resident with Alzheimer’s disease and a history of multiple falls suffered a serious neck fracture after tripping over another resident’s oversized wheelchair in a poorly arranged dining room. The facility failed to provide adequate space for the high fall […]
Failure To Implement Fall Prevention Measures Leads to Resident’s Broken Hip and Head Injury at Goldwater Care Danville
The Illinois Department of Health has cited and fined Goldwater Care Danville when staff failed to implement required fall prevention measures for a severely cognitively impaired resident, resulting in a devastating fall that broke his hip and caused a head laceration requiring five staples. The facility’s Medical Director confirmed the fall was preventable and stated […]
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