IDPH has cited and fined Center Home Hispanic Elderly when the facility failed to provide emergency treatment and care to a resident, resulting in a nearly six hour delay in the administration of oxygen. A staff member mistakenly believed that “if a person has a DNR there are no interventions that should be provided.” The […]
Nurse Believes “Do Not Resuscitate” Means “Do Not Administer Care” At Center Home Hispanic Elderly
Resident Falls From Bed When Facility Fails To Follow Care Plan At Aliya of Homewood
IDPH has cited and fined Aliya of Homewood when the facility failed to follow the instructions of the resident’s care plan, which called for a 2 person assist during bed turning and hygiene activities. As a result, a single caregiver was unable to stop the resident from falling from her bed onto the hard floor […]
Fall Matt Not In Place When Resident Tumbles From Bed, Suffers Hematoma And Ultimately Dies At Bridgeway Senior Living
IDPH has cited and fined Bridgeway Senior Living when the facility failed to implement adequate fall prevention interventions for a resident at high risk for falls. This failure led to the resident falling out of bed onto a hard floor, sustaining a subdural hematoma, and ultimately passing away approximately two weeks later. The resident in […]
Staff Elusive, Refuse To Answer Questions When Asked About Fall That Sent Resident To Hospital With Fractured Hip
IDPH has cited and fined Aperion Care Midlothian when the nursing home failed to ensure the safe transfer of a resident using a mechanical lift, as required by the resident’s care plan and the facility’s transfer policy. This failure resulted in the resident being transferred to the local hospital and treated for a fractured right […]
Resident Develops Stage 4 Bedsore When Facility Neglects To Conduct Skin Assessments For 4 Weeks At Allure of Zion
IDPH has cited and fined Allure of Zion for neglecting to conduct regular skin assessments of its residents for a period of 4 weeks. This lapse in care allowed a resident’s bed sore to get worse and worse, progressing from to Stage 3 in just 5 days, and ultimately deteriorating to Stage 4, exposing the […]
Failure To Call 911 In Place Of Local Ambulance Service Results In Patient Death at Alden of Waterford
IDPH has cited and fined Alden of Waterford when the facility failed to recognize the severity of a critically low potassium level. In place of calling 911, a RN called the local ambulance service, which took nearly two hours to arrive, only to find the resident in cardiac arrest, requiring CPR, and subsequently passing away […]
Resident Attacked Getting On To Elevator, Breaks Hip At Mayfield Care And Rehab
IDPH has cited and fined Mayfield Care and Rehab when the nursing home failed to adequately supervise two residents despite knowing that the aggressor had a history of behavioral issues. This lack of oversight led to a severe altercation in which one resident pushed the other, causing the resident to suffer a left hip fracture […]
Facility Neglects To Monitor Resident For Bed Sores, Resulting In An Unstageable, Necrotic Sore At Crestwood Rehabilitation Center
IDPH has cited and fined Crestwood Rehabilitation Center for negligence in identifying, assessing, and treating a change in the resident’s skin condition that led to the development of an unstageable, necrotic (meaning death of an area of living tissue) pressure ulcer, causing unnecessary pain, suffering, and hospitalization for the resident. Despite the resident’s care plan […]
Resident Dies From Respiratory Distress When Facility Fails To Realize Urgency Of Situation At Bria Of Elmwood Park
IDPH has cited and fined Bria of Elmwood Park when the facility failed to respond urgently and quickly to a resident’s respiratory distress and need for suctioning, resulting in a delay of care and ultimately the resident’s death. Around 9:00 AM on the morning of the incident, a LPN (Licensed Practical Nurse) noticed the resident […]
Resident Chokes To Death On Food When Left Alone In Room To Eat At Aperion Care West Chicago
IDPH has cited and fined Aperion Care West Chicago when the facility failed to ensure that a resident was adequately supervised while eating. This failure resulted in the choking death of the resident. The resident in question had multiple serious diagnoses. Her MDS showed that she was rarely/never understood, had severe cognitive impairment, and required […]
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