IDPH has cited and fined Piatt County Nursing Home after a resident there suffered a split in his penis from the tip to the scrotum due to poor catheter care. The use of catheters is discouraged under federal regulations for nursing homes, in large part due to the risk of the development of urinary tract […]
Split penis the result of poor catheter care at Piatt County Nursing Home
Southgate Health Care Center Resident Dies When Brought To Shower Without Supplemental Oxygen
The Centers for Medicare and Medicaid Services have cited Southgate Healthcare Center of Illinois with violations after interviews and records uncovered that the facility failed to provide prescribed oxygen therapy during a resident’s shower, leading to the residents death. Noncompliance in following prescribed orders is an all-too-common reason for nursing home error. (See here, here, and […]
Bella Terra Elmhurst resident fractures hip, dislocates knee in fall
IDPH has cited Bella terra Elmhurst nursing home after a resident there suffered a fractured femur and dislocated knee in a fall. One of the well-worn paths for injury to nursing home residents is having one person do a two-person job (see here, here, here, here, and here for examples). Most often, this occurs because […]
Violation of care plan at Generations Oakton Pavillion leads to fall and fracture
IDPH has cited and fined Generations Oakton Pavillion after a resident there suffered a fractured leg in a fall which occurred due to staff attempting to manually transfer her from wheelchair to bed without using a lift, in violation of the resident’s care plan. Much of the routine care that residents receive in a nursing […]
Fairhaven Christian Retirement Center resident dropped from lift, breaks hip
IDPH has cited and fined Fairhaven Christian Retirement Center nursing home in Rockford after a resident there suffered a fractured hip when she was dropped from a lift during a transfer. Used properly, a mechanical lift is a great tool for providing care for nursing home residents with severe mobility deficits. They allow residents to […]
Use of improper lift at Sunset Home leads to intensive care unit admission
IDPH has cited and fined Sunset Home nursing home in Quincy after a resident there had to be admitted to the intensive care unit at the hospital due to internal bleeding caused by the use of an improper lift by staff. There were three key variables in this incident: use of blood thinner medication, a […]
Bethany Rehab resident suffers brain bleed and seizures due to medication error
IDPH has cited and fined Bethany Rehabilitation and Health Care Center nursing home in DeKalb after a resident there suffered a brain bleed and seizures due to a medication error regarding the administration of his coumadin. Many nursing home residents take anticoagulant or “blood thinner” medications. Used for a variety of purposes such as a […]
Newman Rehab resident suffers burns to leg from radiator
IDPH has cited and fined Newman Rehab & Health Care Center after a resident there suffered burns to his right lower leg and both feet due to his bed being placed directly against a hot electric baseboard heater. The resident at issue suffered from multiple conditions, including dementia, Parkinson’s, myofascial pain, lumbar radiculopathy, and history […]
Resident dropped from lift due to use of improper sling at Carlinville Rehab
IDPH has cited and fined Carlinville Rehabilitation & Health Care Center nursing home after a resident there suffered a fractured humerus after being dropped from a lift because the staff used a sling which should not have been used with that lift – in violation of manufacturer’s specs. Used properly, a mechanical lift is a […]
Michaelsen Health Center resident rolled from bed, suffers brain bleed
IDPH has cited and fined Michaelsen Health Center nursing home in Batavia after a resident there suffered a brain bleed after being rolled out of bed. In the nursing home industry, the term “bed mobility” refers to the ability of a resident to change and maintain position in bed. Bed mobility is one of the […]
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