The Illinois Department of Health has cited and fined The Arc at Streator when staff failed to implement appropriate interventions for a high-fall-risk resident who experienced four falls within a month, resulting in a hip fracture requiring surgical repair. According to the facility’s Fall Prevention Program, the facility is responsible for “assur[ing] the safety of […]
Resident At The Arc At Streator Suffers Hip Fracture Following Fourth Unwitnessed Fall
Resident At Aliya Of Homewood Falls and Suffers Head Injury Due to Lack of Required Toileting Assistance
The Illinois Department of Health has cited and fined Aliya of Homewood when staff failed to provide proper toileting assistance to a high-risk resident with dementia, resulting in two falls with the second causing a head injury requiring hospitalization. The resident in question suffers from diagnoses including history of falling, altered mental status, unspecified dementia, […]
Unsupervised Walk Leads to Fall & Brain Hemorrhage At Serenity Estates Of Lincolnshire
The Illinois Department of Health has cited and fined Serenity Estates of Lincolnshire when staff failed to supervise a resident with dementia walking to their room after dinner, resulting in an unwitnessed fall that caused severe brain bleeding. The resident, who had a documented history of falls and required supervision for walking, was found on […]
Failure to Use Gait Belt Results in Resident’s Severe Leg Fractures At Rushville Nursing & Rehab
The Illinois Department of Health has cited and fined Rushville Nursing & Rehab Center when staff failed to use a required gait belt while helping a legally blind resident walk, resulting in a fall that caused multiple severe fractures and required surgery. The resident in question had a history of muscle weakness and osteoporosis and […]
Catastrophic Fall: Unsecured Van Ramp Sends Oakview Nursing & Rehab Resident Plummeting to Concrete
The Illinois Department of Health has cited and fined Oakview Nursing & Rehab when staff improperly unloaded a resident from a transport van, causing the resident to fall three feet backward onto concrete because the wheelchair ramp was not properly engaged with the van. The fall resulted in two broken vertebrae, with hospital scans showing […]
Unauthorized Drugs and Neglected Care Lead to Patient’s Severe Decline At Integrity Healthcare of Carbondale
The Illinois Department of Health has cited and fined Integrity Healthcare of Carbondale when a resident developed 15 new wounds and severe oral deterioration after staff continued administering medications that doctors had specifically ordered to be discontinued. The unauthorized medications caused extreme drowsiness, leading to the resident’s decline and eventual hospitalization for sepsis. The resident […]
Dementia Patient On Pureed Diet Dies After Eating Turkey Sandwich At City View Multicare Center
The Illinois Department Of Health has cited and fined City View Multicare Center when a resident with dementia on a pureed-food diet died after choking on an unauthorized turkey sandwich. The incident exposed serious gaps in the facility’s dietary safety protocols, as staff failed to prevent the cognitively impaired resident from accessing regular food during […]
Death by Neglect: How Skipped Catheter Care Led to a Resident’s Death at AU Well Care Home of Maryville
IDPH has cited and fined AU Well Care Home of Maryville when a cognitively aware patient with Parkinson’s disease and kidney problems developed an infection and died after his basic catheter care was repeatedly overlooked. Early warning signs of problems appeared when staff noted the resident was having difficulties with his catheter. Progress notes documented […]
Neglected for 11 Days: The Shocking Story of a Patient Left to Manage His Own Surgical Drain At Alden Long Grove Rehab & Health Care Center
IDPH has cited and fined Alden Long Grove Rehab & Health Care Center when surveyors discovered a patient managing his own post-surgical drain care – a task that should have been performed by trained medical staff. The patient in question had recently had gallbladder surgery and had a Jackson Pratt (JP) drain, a tube with […]
Broken Hip Goes Untreated for 24 Hours Due to Failure to Check X-Rays At Elevate Care Waukegan
The Illinois Department Of Health has cited and fined Elevate Care Waukegan when a resident suffered a significant delay in treatment after experiencing a fall that resulted in a broken hip. The incident in question began when a nursing supervisor found the resident lying on the floor beside their bed. Although the resident was experiencing […]
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