The root cause of the nursing home fall that resulted in this citation by IDPH to Warren Barr in Lincolnshire was the failure of a CNA to follow the resident’s care plan. The resident who was injured as a result of this incident was care planned for assist of two with bed mobility. This means […]
Resident Rolled Out of Bed at Warren Barr – Lincolnshire
Multiple fractures at Rolling Hills Manor
Rolling Hills Manor nursing home in Zion was cited by the IDPH after a resident suffered a fractured arm and hip while getting a shower. The resident suffered from advanced dementia. On the day that she was to be showered, she was transferred from bed to a wheelchair to be brought to the shower by […]
Surgical wound infection at Presence Villa Franciscan
The Presence Villa Franciscan nursing home in Joliet was cited and fined by the Illinois Department of Public Health after a resident admitted for rehab following a revascularization surgery developed a significant infection at the surgical site. The resident at issue had been admitted to the nursing home after undergoing a femoral-popliteal bypass surgery. There […]
Head injury in fall at Holy Family Villa
A nursing home fall resulting in a head injury with staples resulted in a citation by IDPH to Holy Family Villa nursing home in Palos Park. The incident at issue is an interesting one because it relates to the use of a toileting schedule as a fall prevention tool and the communication aspect of care […]
What Does a Grievance Officer Do?
Federal regulations regarding nursing homes were revised in 2016 to include a grievance process. The new regulations created a new set of rights which had not existed previously. How these are being implemented in practice is something that experience will teach. The new regulations provided that: Residents have a right to file grievances regarding resident’s […]
Failure to use mechanical lift results in ankle fracture
The Center Home for Hispanic Elderly was cited and fined by the Illinois Department of Public Health after a resident there was discovered to have a fractured ankle. The resident at issue had numerous long-term medical issues including muscular weakness and cognitive impairments. Due to these conditions, use of a mechanical lift with an assist […]
Resident Rolled Out of Bed at Village at Victory Lakes
The Illinois Department of Public Health issued a citation to Village at Victory Lakes nursing home in Lindenhurst after a resident suffered a broken leg in a nursing home fall when she was rolled out of bed by an aide. The resident in question was bed bound and had next to no movement on her […]
Resident Rolled Out of Bed by Staff at Generations of Applewood
The Illinois Department of Public Health issued a citation against the Generations at Applewood nursing home in Matteson. The resident suffered a fractured hip as a result which required surgery. The resident at issue had diagnoses which included muscle weakness and dementia. Her care plan called for assist of two with bed mobility. This means […]
Fall and Brain Bleed at Alpine Fireside
The Illinois Department of Public Health issued a citation and fined Alpine Fireside Health Center in Rockford after a resident had a fall from a wheelchair and experienced a brain bleed. This case is a classic example of a situation where things had been going wrong for weeks and everyone missed it. The resident had […]
Unsupervised resident falls from wheelchair, breaks hip at Meadowbrook Manor in Naperville
Meadowbrook Manor in Naperville was cited by IDPH and fined $25,000 after a resident suffered a nursing home fall while unsupervised in the dining room. The resident at issue suffered from dementia and was wheelchair-bound. She had a history of falls and had demonstrated frequent confusion. She also had a history of demonstrating impulsive behavior […]
