IDPH has cited and fined Palm Terrace nursing home in Mattoon after a medication error resulted in the hospitalization of a resident there. One of the basic tasks that a nurse does in a nursing home is pass medications. Generally, the “med pass” is done by the nurse stocking a medication cart with the medications […]
Medication error at Palm Terrace leads to hospitalization
Care plan violation at Central Nursing Home
IDPH has cited and fined Central Nursing Home in Chicago after a resident was rolled out of bed by an aide and suffered a fractured elbow. The resident at issue had a number of diagnoses, including a history of stroke, quadraplegia, and epilepsy. She was assessed as being a high fall risk and required the […]
Resident at Lexington of Streamwood suffers femur fracture due to unsafe transfer
IDPH has cited and fined Lexington of Streamwood nursing home after a resident there suffered a fractured leg as a result of an improper transfer involving a mechanical lift. The resident at issue was 92 years old and suffered from advanced dementia with mobility and strength deficits. He was wheelchair bound and required transfers to […]
Fractured hip in fall at Heartland of Casey
IDPH has cited and fined Heartland Nursing & Rehabilitation in Casey after a resident there suffered a fractured hip due to falling from the commode as a nurse was attempting to care for two residents at the same time. Juggling is a skill I very much admire, but if you are juggling something like fine […]
Failure to use gait belt during transfer at Jacksonville Skilled Nursing & Rehab
IDPH has cited and fined Jacksonville Skilled Nursing & Rehab after a resident was injured due to an aide attempting to transfer her without a gait belt. The resident at issue was receiving both physical and occuptional therapy. She required stand-by or contact guard assist with ambulation and minimal to moderate assist rising from a […]
Resident suffers broken hip in unsafe transfer at Pearl of Rolling Meadows
IDPH has cited and fined the Pearl of Rolling Meadows nursing home after a resident suffered a broken hip as a result of an unsafe transfer while being transferred to the toilet. The resident at issue had weakness and limitations in range of motion such that she could not fully bear weight on her lower […]
Resident rolled from bed at South Holland Manor
IDPH has cited and fined South Holland Manor after a resident there suffered a fractured femur due to being rolled out of bed by a staff member. The resident at issue suffered from multiple health conditions, was morbidly obese, and was largely bed-bound. Her assessment showed that she required the extensive assist of two with […]
Resident burned by hot pack at University Nursing & Rehab
IDPH has cited and fined University Nursing & Rehab in Edwardsville after a resident was burned by a hot pack applied by a CNA. The resident at issue suffered from multiple medical conditions including Parkinson’s, fibromyalgia, and lower back pain. There was an order entered to administer hot packs to her lower back three times […]
Resident’s third fall at Bria of Chicago Heights nets brain bleed
IDPH has cited and fined Bria of Chicago Heights nursing home after a resident suffered her third fall in eight days, the last one causing a brain bleed. The first of these occurred on July 7. The resident was discovered laying on the floor by a nurse who did not treat the incident as a […]
Third degree burns from fall at Sauk Valley Senior Living
IDPH has cited and fined Sauk Valley Senior Living in Rock Falls after a resident there fell and suffered third-degree burns after landing against a heater. The resident at issue lived in a room which did not get heated adequately by the boiler for the building, so the facility bought a series of electric baseboard […]
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