IDPH has cited and fined Sandwich Rehab & HCC when a resident experienced a life-threatening choking episode due to the facility’s failure to provide an appropriate diet. The resident in question was admitted with various diagnoses including oropharyngeal phase dysphagia, which affects swallowing. After a speech therapy session a physician ordered a diet downgrade to […]
Disregard Of Dietary Needs Leads To Choking Incident At Sandwich Rehab & HCC
Lack Of Supervision Results In Two Serious Falls At Bloomington Rehab & HCC
IDPH has cited and fined Bloomington Rehab & HCC when two serious incidents occurred involving residents falling and sustaining injuries due to inadequate supervision and safety measures. One resident passed away shortly after the fall and the other sustained a broken left foot. The resident in question had a history of falls and was on […]
Inconsistent Treatment Of Pressure Ulcer Leads To Serious Infection And Stage 4 Wound At Aperion Care Westchester
IDPH has cited and fined Aperion Care Westchester when the facility failed to perform pressure ulcer dressing changes as ordered by the physician. This failure resulted in the resident developing an infected right heel pressure wound. The resident in question was admitted to the facility with an unstageable pressure ulcer on her right heel, measuring […]
Staff At Parkshore Estates Fail To Treat Hepatitis C Infection, Resulting In Untreatable Cancer And Hospice Care For Resident
IDPH has cited and fined Parkshore Estates Nursing & Rehab when the facility failed to treat a resident’s Hepatitis C infection over a period of eight months, despite multiple orders for treatment being written by healthcare professionals. This systemic failure in the facility’s care led to the resident’s Hepatitis C remaining untreated, ultimately resulting in […]
Resident At Illini Restorative Care Suffers Leg Fracture After Sliding Out Of Wheelchair
IDPH has cited and fined Illini Restorative Care when a resident suffered a fracture of her left leg when she slid out of her wheelchair. This was directly due to improper positioning and handling of the resident in her wheelchair by the staff. The resident in question, who suffered from severe cognitive impairment and multiple […]
Resident At Pleasant View Lutheran Falls When CNA Is Talking On Phone And Fails To Use Gait Belt
IDPH has cited and fined Pleasant View Lutheran when a resident, who should have been wearing a gait belt, suffered a fall that resulted in a fractured femur. The fracture ultimately contributed to the resident’s decline and death a short period after the fall. Use of a gait belt is a fundamental fall prevention strategy. […]
Resident At Symphony Northwoods Develops Severe Pressure Ulcer That Went Unnoticed Until It Became Necrotic And Unstageable
IDPH has cited and fined Symphony Northwoods when a resident developed a severe pressure ulcer on his right heel that went unnoticed until it became necrotic and unstageable. The resident in question was admitted to the facility with various diagnoses including Type 2 Diabetes, Atrial Fibrillation, Cellulitis of the Left Lower Limb, Lymphedema, Muscle Weakness, […]
Resident Fractures Leg At Dobson Plaza When Facility Fails To Provide Proper Feeding Supervision
IDPH has cited and fined Dobson Plaza when the facility failed to provide proper feeding supervision and assistance as required by the resident’s care plan, resulting in the resident suffering a fall and leg fracture during what should have been a routine breakfast service. The resident in question had a history of mild cognitive impairment, […]
Resident’s Dies From Fall At Alden Lakeland Rehab & HCC
IDPH has cited and fined Alden Lakeland Rehabilitation & Health Care Center when the facility failed to promptly recognize the severity of a resident’s head injury, neglected to follow their own head injury protocol by not calling 911 immediately, inadequately assessed and communicated the resident’s deteriorating condition, and significantly delayed critical medical intervention. These failures […]
Resident Wanders From Mercer Manor Rehab, Falls and Fractures Jaw And Spine
IDPH has cited and fined Mercer Manor Rehabilitation when the facility failed to follow their elopement policies and failed to provide adequate supervision of a resident that eloped from the facility. As a result, the resident that eloped suffered a severe fall in the parking lot and was later transferred to the hospital where he […]
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