The Illinois Department of Health has cited and fined Fairhaven Christian Retirement Center when staff served a resident with swallowing difficulties the wrong diet and failed to properly supervise her during mealtime, resulting in the resident choking and subsequently dying. Despite a recent order changing the resident’s diet to mechanical soft due to a previous […]
Resident Chokes to Death After Being Served Wrong Diet and Left Unsupervised at Fairhaven Christian Retirement Center
Recent Amputee Fractures Remaining Leg After Being Left Unattended in Bed at Bella Terra Streamwood
The Illinois Department of Health has cited and fined Bella Terra Streamwood when staff left an 84-year-old resident with dementia and a recent leg amputation unattended on a bed, resulting in a fall and femur fracture that required surgical repair. The facility failed to provide adequate supervision and implement appropriate fall prevention measures for a […]
Staff Fails to Assess and Treat Pressure Ulcer, Leading to Severe Wound Deterioration at St. Anthony Rehab & Nursing Center
The Illinois Department of Health has cited and fined Saint Anthony Rehabilitation & Nursing Center when staff failed to complete a skin assessment upon a resident’s admission, delayed wound care treatment for a week, and did not update the care plan as a pressure ulcer severely deteriorated. The resident, who entered the facility with a […]
Failure to Monitor Vital Signs Leads to Resident’s Hospitalization for Septic Shock at Aliya of Glenwood
The Illinois Department of Health has cited and fined Aliya of Glenwood when nursing staff failed to regularly monitor vital signs, blood sugar levels, and follow treatment protocols for a resident with multiple chronic conditions who eventually developed respiratory distress and had to be hospitalized with septic shock and pneumonia. The facility’s staff missed critical […]
Resident Falls Out of Bed and Suffers Multiple Fractures When Staff Failed to Use Required Two-Person Assistance at Ascension Saint Joseph Village
The Illinois Department of Health has cited and fined Ascension Saint Joseph Village when a Certified Nursing Assistant attempted to reposition a physically impaired resident on a specialized air mattress without obtaining required assistance from a second staff member, resulting in the resident falling from the bed and sustaining multiple serious fractures. The facility acknowledged […]
AU Well Care Home Failed To Both Protect Residents And Investigate Multiple Abuse Incidents Including Staff Biting Resident
The Illinois Department of Health has cited and fined AU Well Care Home when staff failed to properly protect residents from multiple incidents of abuse, including staff-to-resident abuse and numerous resident-to-resident altercations. The facility administrator failed to thoroughly investigate abuse allegations, properly document incidents, report them to authorities within required timeframes, or implement effective protection […]
Resident Fractures Femur in Fall During Improper Transfer at Sharon Health Care Elms
The Illinois Department of Health has cited and fined Sharon Health Care Elms when nursing staff twice attempted to manually transfer a resident with left-sided paralysis without using the required mechanical lift or proper assistance, resulting in the resident falling and suffering a distal femur fracture. The resident, who had a documented history of cerebral […]
Resident Falls from Mechanical Lift During Improper Transfer at Piatt County Nursing Home
The Illinois Department of Health has cited and fined Piatt County Nursing Home when staff members failed to follow proper safety protocols while using a mechanical lift to transfer a severely cognitively impaired resident, resulting in the resident falling to the floor and sustaining a fractured clavicle and a scalp laceration requiring staples. The resident, […]
Neglect Leads to Severe Pressure Ulcers with Bone Exposure at Loft Rehab of Decatur
The Illinois Department of Health has cited and fined Loft Rehab of Decatur when nursing staff failed to provide proper wound care and timely incontinence assistance to a cognitively intact resident, resulting in multiple severe pressure injuries including a Stage IV pressure ulcer with bone and muscle exposure. The facility also failed to notify physicians […]
Failure To Assess Falls Leads to Suffering and a Delayed Hip Fracture Diagnosis at Jerseyville Nursing & Rehab Center
The Illinois Department of Health has cited and fined Jerseyville Nursing & Rehab Center when staff failed to properly assess, document, and implement new interventions following multiple falls of a severely cognitively impaired resident, resulting in a delay in diagnosing and treating the resident’s broken hip. The resident suffered for five days with an undiagnosed […]
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