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Resident Bleeds To Death At Pearl Pavilion in Freeport

IDPH has cited and fined Pearl Pavilion nursing home in Freeport after a resident died when his wound vac machine became disconnected, resulting in him bleeding to death. The resident at issue was...

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Resident Suffers Rotator Cuff Tear Due To Improper Use Of Lift By Staff...

IDPH has cited and fined Allure of Pinecrest nursing home in Mount Morris after a resident suffered a torn rotator cuff and long-term impairment of her arm when a CNA improperly transferred the...

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Resident Dies Of Sepsis As Leg Infection Goes Untreated For A Week At...

IDPH has cited and fined Belleville Healthcare Center after the staff failed to order an antibiotic to treat a leg infection for over a week . . . and neglected to inform the resident’s doctor of the...

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Resident Checks Out Of Facility, Goes Missing for Nearly A Day Before Nursing...

IDPH has cited and fined Bria of Alton after a resident wandered from the facility and suffered a fractured knee. The resident in question had diagnosed schizophrenia, hallucinations, and a prior...

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Resident Dropped From Lift Then Staff Neglects To Assess and Supply Pain Meds...

IDPH has cited and fined Sandwich Rehabilitation & Health Care Center after a resident was initially dropped from a mechanical lift and then the facility neglected to ensure the resident was...

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Failure To Use Gait Belt Properly Results In Fall And Subdural Hematoma At...

IDPH has cited and fined Marigold Rehabilitation & Health Care Center after a resident there fell and suffered a laceration and subdural hematoma due to the failure of an certified nursing...

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Resident Suffers Split in Penis As Catheter Care Goes Neglected At Caseyville...

IDPH has cited and fined Caseyville Nursing & Rehab Center after a resident there suffered a slit in his penis due to poor catheter care. The use of catheters is discouraged under federal...

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Resident Dies After Fall At Macomb Post Acute Care Center

IDPH has cited and fined Macomb Post Acute Care Center after a resident there died from complications of a fall. The resident in question fell when trying to stand from her recliner and reaching for...

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Resident Dies After Facility Neglects to Recharge A Critical Heart Pump At...

IDPH has cited and fined Ignite Medical Resorts McHenry when a resident died after the staff failed to recharge the resident’s left ventricular assist device. The resident in question was admitted to...

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Facility Fails To Remove Knee Immobilizer Resulting In Stage 4 Pressure Wound...

IDPH has cited and fined The Village At Victory Lakes when the facility failed to periodically remove and check for pressure wounds underneath a resident’s knee immobilizer, resulting in a serious...

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Resident Dies After Facility Is Unable To Assure That Airway With...

IDPH has cited and fined Aliya of Palos Park when a resident died after the facility failed to assure that the airway with a tracheostomy was free of obstruction during CPR attempts. The resident in...

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Resident Dies When Facility Failed To Properly Assess Condition, Takes Over 4...

IDPH has cited and fined Continental Nursing & Rehab Center when a resident died after it took over four hours for the resident to be transported to an emergency room. The resident in question had...

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Resident Sexually Assaults His Roommate At West Chicago Terrace Nursing Home

IDPH has cited and fined West Chicago Terrace when a resident sexually assaulted his roommate, resulting in the resident / aggressor being arrested and charged with two counts of domestic battery. The...

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Significant Delay In Providing Care Leads To Pain, Suffering and Death At...

IDPH has cited and fined Arcadia Care Auburn when the facility failed to schedule a vascular consultation promptly, resulting in a deterioration of the resident’s condition and a delay in critical...

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Failure To Monitor Urinary Output Results In Sepsis For Resident At Hickory...

IDPH has cited and fined Hickory Point Christian Village when the facility failed to properly monitor a resident’s urinary output and address his urinary retention after his catheter was removed, which...

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Resident Urinates On Phone Charger In Bed, Smoke And Sparks Fly, Receives...

IDPH has cited and fined Allure of Knox County when a resident, after urinating in bed, received an electrical burn on his backside when the urine entered into the charger and the charger started to...

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Resident Neglected After Hip Surgery, Pain Meds Not Dispensed For Severe Pain...

IDPH has cited and fined Addolorata Villa when the facility failed to follow physician’s orders and adequately manage the resident’s post-surgical pain, resulting in the resident experiencing extreme...

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Resident Falls In Bathroom When CNA Leaves Towel On Floor To Soak Up Water...

IDPH has cited and fined Dixon Rehab & Health Care Center when a resident there tripped and fell over a towel left on the bathroom floor, resulting in a fractured nose and brain hemorrhage. When a...

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Facility Fails to Prevent Residents From Engaging In Inappropriate Sexual...

IDPH has cited and fined Bria Of Elmwood Park when the facility failed to adequately monitor and supervise two residents who have dementia and a history of wandering. This failure resulted in an...

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Two Residents Assaulted at Mayfield Care & Rehab, Resulting In A Black Eye...

IDPH has cited and fined Mayfield Care and Rehab when the facility failed to ensure that residents were free from physical abuse. In this case, one resident assaulted two other residents, leaving one...

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Resident Dies After Facility Fails To Properly Care For Pressure Wound

IDPH has cited and fined Alden Debes Rehab & HCC when the facility failed to identify, reassess, document changes, and notify a care provider about a declining pressure wound. These failures led to...

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Resident Hospitalized After Suffering For 9 Days Without UTI Medication At...

IDPH has cited and fined Tri-Stae Village Nursing & Rehab when a resident did not receive UTI medication for approximately nine days due to a lack of communication and follow-through by the...

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Resident Chokes To Death On Food When Left Alone In Room To Eat At Aperion...

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....

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Resident Dies From Respiratory Distress When Facility Fails To Realize...

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...

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Facility Neglects To Monitor Resident For Bed Sores, Resulting In An...

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,...

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