The Illinois Department of Health has cited and fined Arc At Hickory Point when a certified nursing assistant transferred a severely cognitively impaired resident using a mechanical lift without the required second staff member present, resulting in the resident suffering a displaced fracture of the right femur. The improper transfer violated the facility’s own policy […]
Arc At Hickory Point Resident’s Femur Fractured During Improper Mechanical Lift Transfer
Resident Nearly Suffocates Due To Lack Of Critical Breathing Tube Equipment At Aperion Care Elgin
The Illinois Department of Health has cited and fined Aperion Care Elgin when they failed to maintain proper emergency tracheostomy supplies for a resident with a tracheostomy tube, resulting in delayed care during a respiratory emergency. The resident suffered from acute respiratory distress and had to be transferred to the hospital for treatment of acute […]
Resident Suffers Serious Burn When Foot Gets Trapped Under Room Radiator At Alden Park Strathmoor
The Illinois Department of Health has cited and fined Alden Park Strathmoor when a resident fell between her bed and wall-mounted radiator, causing her right foot to become trapped under the hot radiator. The resident suffered a second-degree burn to the top of her foot that required hospital treatment, including surgical debridement of the wound. […]
Staff Leaves High-Fall-Risk Resident Alone on Toilet, Resulting in Hip Fracture at Villa Health Care East
The Illinois Department of Health has cited and fined Villa Health Care East when staff left a resident with severe dementia and high fall risk alone on the toilet despite her inability to safely transfer herself or use a call light. The resident attempted to return to bed without assistance, fell, and suffered a left […]
Dark Day At Sunny Acres When Staff Fails to Treat Resident’s Urinary Catheter Problems Resulting in Life-Threatening Infection
The Illinois Department of Health has cited and fined Sunny Acres Nursing Home when nursing staff repeatedly failed to properly monitor, document, or seek treatment for a resident with urinary catheter problems showing clear signs of infection. The resident ultimately had to be hospitalized for intravenous antibiotics to treat a serious urinary tract infection and […]
Resident’s Medical Emergency Ignored for Hours Despite Clear Signs of Distress at Stearns Nursing & Rehab Center
The Illinois Department of Health has cited and fined Stearns Nursing & Rehab Center when staff failed to properly assess, monitor, and respond to a resident’s significant medical decline over several days, culminating in the resident being found unresponsive with foam coming from their mouth and nose. The resident suffered cardiac arrest during emergency transport […]
Plymouth Place Neglects To Treat and Report Resident’s Toe Wounds Leading To Gangrene And Leg Amputation
The Illinois Department of Health has cited and fined Plymouth Place when staff failed to properly assess, document, and report a resident’s worsening toe wounds for over three months, resulting in gangrene that required a full above-knee amputation of the resident’s left leg just one day after being transferred to another facility. The resident in […]
Failure to Maintain Working Fall Alarms Leads to Resident’s Hip Fracture & Subsequent Death At Nature Trail Health & Rehab
The Illinois Department of Health has cited and fined Nature Trail Health & Rehab when staff failed to properly implement fall prevention interventions for a high-risk resident with dementia, resulting in two falls within six days of admission that caused a hip fracture requiring surgery, after which the resident never returned to the facility and […]
Failure to Perform Skin Checks Leads to Severe Infected Pressure Ulcers At Generations At Applewood
The Illinois Department of Health has cited and fined Generations At Applewood when staff failed to perform required weekly skin assessments on a dependent resident who developed multiple severe pressure ulcers while in their care, ultimately resulting in a stage 4 sacral wound with necrotic tissue that became infected and required hospitalization and six weeks […]
Two-Month Delay In Treating Diabetic Resident’s Toe Wound Leads To Leg Amputation At Breese Nursing Home
The Illinois Department of Health has cited and fined Breese Nursing Home when staff failed to properly assess, document, and treat a diabetic resident’s toe wound for nearly two months, resulting in bone infection that ultimately required an above-knee amputation. The resident in question suffered from several serious health conditions—diabetes, chronic lung disease, and morbid […]
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