IDPH has cited and fined Gardenview Manor nursing home in Danville after a resident there ended up in intensive care due to being given another resident’s medications. One of the basic functions that a nurse carries out day to day in a nursing home is passing of medications. When a nurse passes medications, there are […]
Critical medication error at Gardenview Manor
Resident falls from bed at Spring Creek
IDPH has cited and fined Spring Creek nursing home in Joliet after a resident there suffered a fractured femur in a fall from bed. Care planning is one of the fundamental building blocks for the delivery of care in a nursing home setting. In the care planning process, the resident’s needs are assessed, a series […]
Resident falls from lift at Oregon Living & Rehab
IDPH has cited and fined Oregon Living & Rehabilitation Center after a resident there suffered a broken leg after falling from the sling of a mechanical lift. Done properly, a mechanical lift is a safe way to transfer residents who are unable to participate in moving from a bed to wheelchair, wheelchair to chair or […]
Resident chokes to death at Rosewood of St. Charles
IDPH has cited and fined Rosewood of St. Charles nursing home after a resident there choked to death during dinner. One of the fundamenentals of delivering care in a nursing home is that when there are steps identified in the resident care plan that have to be taken to assure the safety and well-being of […]
Resident bleeds to death at Aperion of Forest Park
IDPH has cited and fined Aperion Care of Forest Park after a resident there bled to death following the removal of a wound vac device. Many nursing home residents take anticoagulant (or blood thinner) medications to prevent serious medical issues such as a stroke, heart attack, or pulmonary embolism, all of which can be fatal […]
Generations at Rock Island fails to provide care for pressure ulcers
IDPH has cited and fined Generations at Rock Island nursing home after an inspection there found that two residents were not receiving treatment for bed sores as ordered. Bed sores are a major issue in the nursing home industry. Once a resident develops a bed sore, whether it started in the nursing home or not, […]
Grove of Berwyn fails to treat bed sore
IDPH has cited and fined the Grove of Berwyn nursing home after the staff there failed to treat a resident who developed a pressure ulcer. The resident at issue was admitted to the nursing home on March 21 without any bed sores present. The resident was sent back to the hospital and was readmitted on […]
Resident develops bed sores on both heels at Eden Village
IDPH has cited and fined Eden Village Care Center nursing home in Glen Carbon after a resident there developed bed sores on both heels. Federal regulations provide that when a resident is admitted to a nursing home without bed sores that they receive care consistent with professional standards of practice to prevent bed sores and […]
Failure to train staff leads to broken hip and death at Heritage Health in Jacksonville
IDPH has cited and fined Heritage Health nursing home in Jacksonville after a resident fell forward out of specialized postural positioning chair, suffered a fractured hip, and died. One of the factors that contributes to fall risk in residents who are bedbound or chairfast is poor trunk control. Lack of having even minimal core strength […]
Resident fractures hip in fall at Caseyville Nursing & Rehab
IDPH has cited and fined Caseyville Nursing & Rehab after a resident fell and fractured a hip while going to the bathroom unattended. The fact pattern which is described in this citation is a distressingly familiar one: a resident with musculoskeletal issues and impaired safety judgment attempts to go to the bathroom unattended and falls, […]
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