IDPH cited and fined Glenwood Healthcare & Rehabilitation Center after a resident choked to death. The resident was 59 years old and had a diagnosed swallowing disorder and suffered from severe mental impairments. There was a physician order in place for a mechanical soft diet. A mechanical soft diet is provided to nursing home residents […]
Resident chokes to death at Glenwood nursing home
Wheelchair accident at Generations at Lincoln
IDPH cited and fined Generations at Lincoln nursing home in Lincoln after a resident suffered a torn meniscus when his leg got caught underneath his wheelchair. The resident had been admitted to the nursing home for rehab after breaking his fibulea in a fall at home. He was wearing a heavy boot to stabilize the […]
Diabetes care mismanaged at Aperion Care Capitol
IDPH cited and fined Aperion Care Capitol after its staff mismanaged the diabetes care of a resident which resulted in the wrongful death of the resident. The resident was a 73 year old man who was a long-time diabetic who was cognitively intact and had a good understanding of how his diabetes should be managed. […]
Fall in shower at Champaign County Nursing Home
The Champaign County Nursing Home was cited and fined by IDPH after a resident suffered multiple facial fractures and a dislocated jaw as a result of a nursing home fall while getting a shower. The resident had severe cognitive impairments and required the assistance of two for bathing due to generalized weakness and immobility. However, […]
Brain injury after being rolled from bed at Bria of Palos Hills
IDPH cited and fined Bria of Palos Hills nursing home after a resident was rolled out of bed during care and suffered a brain injury. Compounding the neglect on the part of the staff, they failed to timely summon EMS to take the resident to the hospital. The resident suffered from a variety of conditions, […]
Unsafe Transfer at Alden Town Manor Results in Broken Hip
Alden Town Manor nursing home in Cicero was cited by IDPH after a resident suffered a broken hip during a transfer that was being performed by a single aide rather than the required two aides. The resident at issue had been properly evaluated as a fall risk with need to extensive assist for mobility and […]
Infection from skin tear at Eldorado Rehab
Eldorado Rehab and Healthcare in Eldorado was cited and fined by IDPH after a resident developed an infection due to improper treatment of a skin tear. The initial injury occurred when the when the legs to the resident’s wheelchair were being moved. It was a significant skin tear measuring 12 cm, or just under 5 […]
Maggots discovered in bed sore at Manor Court of Clinton
IDPH has cited and fined Manor Court of Clinton nursing home after a resident developed heel and hip pressure ulcers. The resident was admitted to the nursing home for a short-term rehab stay. This means that whatever long-term chronic conditions he suffered from, there was an expectation that he would return home and whatever long-term […]
Fall from toilet at Leroy Manor
The Illinois Department of Public Health cited and fined Leroy Manor in Le Roy after a resident sustained a head injury in a fall from the toilet. The underlying facts leading to the nursing home fall which injured this resident are simple enough: the resident was cognitively impaired and requires extensive assist of two with […]
Fall from wheelchair at Hillcrest Retirement Village
The Illinois Department of Public Health cited and fined Hillcrest Retirement Village in Round Lake Beach after a resident there fell forward from her wheelchair and suffered a broken neck. The resident at issue was a stroke survivor with right sided hemiplegia. During the care planning process, she was assessed as being a high fall […]
Aperion Care Capitol fails to obtain equipment to treat bed sore
Aperion Care Capitol nursing home was cited and fined by IDPH after it failed to obtain the medical equipment needed to carry out a doctor’s order to treat a resident suffering from a bed sore. The resident at issue was admitted to the nursing home on July 10 with a Stage IV bed sore to […]
Park Pointe resident suffocates as a result of fall
Park Pointe Healthcare & Rehab was cited and fined by IDPH after a resident suffocated after falling from bed at the nursing home and being trapped in between the wall and the bed. The resident at issue had limited mobility die to a recent hip fracture and significant musculoskeletal weakness and needed assistance with bed […]
Unsafe Transfer at Alden Estates of Orland Park
Alden Estates of Orland Park nursing home was cited and fined by IDPH after a resident suffered a broken leg during an improper transfer. The resident at issue was one for who extensive assists with transfer was necessary and the nursing staff had in fact identified that the resident was most safely transferred using a […]
Resident chokes at Grove at the Lake
The Grove at the Lake nursing home in Zion was cited and fined by IDPH after a resident choked on a hot dog. The resident at issue had a diagnosis of dysphagia, or difficulty with swallowing, and a history of choking. This diagnosis and the history of choking demonstrated that she was at risk for […]
Wheelchair transport accident at Heartland of Galesburg
Heartland of Galesburg nursing home was cited and fined by IDPH after a resident suffered a broken neck in a fall involving the facility’s transport van. The resident was a long-term resident who was known as being impulsive and having poor safety awareness. A staff member was taking him to the local hospital for a […]
Two Serious Falls at Holy Family Villa
Holy Family Villa in Palos Park has been cited again by IDPH, this time for two serious nursing home falls. One caused a brain bleed with resulted in the wrongful death of the nursing home resident. The other caused a fractured hip. In the first fall, the resident was assessed as a fall risk and […]
Wheelchair accident at Avanti Wellness
Avanti Wellness & Rehab was cited and fined by IDPH after a resident suffered a brain bleed due to a fall from a wheelchair. The resident was wheelchair-bound but self-propelled at times. “Self-propelling” for residents in wheelchairs means that they use their feet to pull their chair forward. It is a good thing for them […]
Improper use of lift at Danville Care Center
Danville Care Center has been cited by IDPH for improper use of a mechanical lift which resulted in a resident suffering a broken leg. Sadly, this is not the first time Danville Care Center has been cited by IDPH for issues involving unsafe transfers of residents. The resident at issue had a care plan which […]
Failure to follow care plan at Tower Hill Healthcare
IDPH issued a citation and fined Tower Hill Healthcare Center in South Elgin after a resident suffered a fractured femur during an improper transfer. The resident in question had lower extremity contractures and as a result, her care plan called for to be transferred from bed to her wheelchair using a mechanical lift with an […]
Resident Rolled Out of Bed at Warren Barr – Lincolnshire
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 […]
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 […]
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