IDPH has cited and fined Glenwood Healthcare & Rehab after a resident there choked to death despite being on aspiration precautions. Incredibly, this is the second choking incident at Glenwood in a year where the nursing home has been cited and fined by IDPH. One of the base level commitments that nursing homes make to […]
Glenwood Healthcare & Rehab resident chokes to death
Cumberland Rehab resident suffers brain bleed in fall from toilet
IDPH has cited and fined Cumberland Rehab in Greenup after a resident fell from the toilet suffering a brain bleed as a result. The resident at issue was assessed as having moderate cognitive impairments, and needed extensive assistance with transfers and toileting. The resident was assessed as being at high risk for falls and was […]
Fall resulting in brain bleed at Good Samaritan Home in Quincy
IDPH has cited and fined the Good Samaritan Home in Quincy after a resident there experienced ten (!) falls in less than 2 weeks, the last resuting in a brain bleed which led to the resident being placed on hospice care. One of the truisms regarding nursing home falls is that the occurrence of one […]
Resident wanders from Alden Long Grove
IDPH has cited and fined Alden Long Grove nursing home after a resident wandered from the facility on March 7 only to be discovered over two miles away walking through a busy intersection during the pre-dawn hours. The resident at issue suffered from Huntington’s Disease which caused him to experience delusions. He also suffered from […]
Resident fractures leg in improper transfer at Woodbridge Nursing Pavilion
IDPH has cited and fined Woodbridge Nursing Pavilion nursing home in Chicago after a resident suffered a broken leg during an unsafe transfer. The citation that was issued in connection with this incident was eye-opening because it showed how little the staff knew about how to properly care for this resident. The injury to this […]
Short-staffing results in fall at Manorcare of Libertyville
IDPH has cited and find Manorcare of Libertyville nursing home after a resident fell from bed and suffered a broken leg. There are certain residents who require the assist of two with bed mobility – meaning being rolled onto their side, usually for incontience care as part of assuring the dignity of residents and preventing […]
Medication error at Palm Terrace leads to hospitalization
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 […]
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 […]
Call lights not being answered at Aperion of Mascoutah
IDPH has cited and fined Aperion Care of Mascoutah for repeatedly not answering call lights. The issue raised in the complaint at first blush seems like it may be a trivial one. A resident who needed help getting on a bed pan to go to the bathroom was not getting a response when she sounded […]
Fall results in fractured hip at Villa of South Holland
IDPH has cited and fined the Villa at South Holland nursing home after a resident sustained a fractured hip as a result of a fall. When we review potential nursing home cases, especially those that involve the kinds of events that happen frequently in a nursing home setting such as nursing home falls, bed sores, […]
Niles Nursing & Rehab resident wanders, suffers fractures
Niles Nursing & Rehabilitation Center was cited and fined by IDPH after a resident wandered from the facility. He fell while he was gone sustaining multiple facial fractures. The resident was 90 years old and suffered from dementia. He had multiple orthopaedic issues but walked well. The incident happened on the first day that the […]
Resident sexually assaulted by fellow resident at Dixon Rehab
IDPH has cited and fined Dixon Rehabilitation & Healthcare Center after a resident there was sexually assaulted by a fellow resident. Nursing homes in Illinois serve residents with a variety of issues. Some are in for short term rehab after a surgery; some have chronic long term medical issues which leave them too frail to […]
Fall from edge of bed at Integrity of Alton
IDPH has cited and fined Integrity Healthcare of Alton after a resident was injured in a fall from the edge of her bed. The resident at issue had severely impaired cognition, had poor balance, and required extensive assist from the staff with her activities of daily living. She was known to have musculoskeletal weakness and […]
Failure to notify doctor of abnormal labs at Champaign Urbana Nursing & Rehab
IDPH has cited and fined Champaign Urbana Nursing & Rehabilitation located in Savoy after the nursing staff failed to notify the doctor of abnormal lab results leading to the hospitalization of the resident for hyperosmolar hyperglycemia coma due to diabetes mellitus. This long-term resident was a diabetic but had never been on diabetes medications while […]
Injury from catheter placement at Marigold Rehab
IDPH has cited and fined Marigold Rehabilitation & Healthcare Center in Galesburg after a resident suffered a urinary tract injury due to improper insertion of an indwelling urinary catheter. The resident at issue had an indwelling catheter. An indwelling catheter is a tube which goes up the urethra to the bladder. Once the tip reaches […]
Brain bleed from fall at Gibson Community Hospital Annex
IDPH has cited and fined the Gibson Community Hospital Annex nursing home after a resident of that nursing home suffered a brain bleed in a fall. The Annex is a separate wing of the hospital which is licensed as a nursing home. The resident at issue suffered from Parkinson’s Disease and dementia. She also suffered […]
Rosewood of Elgin resident dies due to fall from wheelchair
IDPH has cited and fined Rosewood of Elgin nursing home after a resident there suffered fatal injuries in a fall from his wheelchair. The resident at issue suffered from dementia and required extensive assistance with his activities of daily living and required the assistance of two staff members for transfers with a mechanical lift. He […]
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