Nursing Home Violations for 2016 Fourth Quarter

SPRINGFIELD - The Illinois Department of Public Health (IDPH) today announced the following type “AA” and “A” violations of the Nursing Home Care Act processed during the fourth quarter of 2016. An “AA” violation is cited when there is a condition or occurrence at the facility that proximately caused a resident’s death. An “A” violation pertains to a condition in which there is a substantial probability that death or serious mental or physical harm will result, or has resulted.

The Quarterly Report of Nursing Home Violators can be found on IDPH’s website and contains additional information about the violations.

October 2016

Cumberland Rehab & Health CC, a 54-bed skilled care facility located at 300 North Marietta Street, Greenup, has been cited with an “A” violation and fined $25,000 for delaying physician notification and treatment of a resident suffering chest pain due to a heart attack, resulting in heart damage. The facility waived its right to a hearing and paid $16,250.

Gardenview Manor, a 213-bed skilled and intermediate care facility located at 14792 Catlin-Tilton Road, Danville, has been cited with an “A” violation and fined $25,000 for failure to report the pain and bruising of a resident who suffered a broken leg. The facility requested a hearing.

Glen Bridge N & Rehab Centre, a 302-bed skilled care facility located at 8333 West Golf Road, Niles, has been cited with an “A” violation and fined $25,000 for failure to develop and implement a plan to prevent a resident from eloping from the facility, resulting in the resident exiting the facility from a fifth floor window and later dying. The facility requested a hearing.

Meadows, a 99-bed intermediate care facility for the developmentally disabled located at 3250 South Plum Grove Road, Rolling Meadows, has been cited with an “A” violation and fined $10,000 for failure to follow a physician ordered diet for a resident, which resulted in the resident choking. The facility requested a hearing.

Meadows Mennonite Home, a 159-bed skilled, intermediate, and shelter care facility located at 24588 Church Street, Chenoa, has been cited with an “A” violation and fined $25,000 for failure to assess new pressure ulcers and treat. The facility requested a hearing.

Parkview Home-Freeport, a 73-bed skilled and shelter care facility located at 1234 South Park Boulevard, Freeport, has been cited with an “A” violation and fined $25,000 for failure to implement measures to protect residents at risk from falls. The facility requested a hearing.

Pleasant View Luther Home, a 90-bed skilled care facility located at 505 College Avenue, Ottawa, has been cited with an “A” violation and fined $25,000 for failure to protect two residents from verbal and physical abuse by staff. The facility requested a hearing.

Pontiac Healthcare and Rehab, a 97-bed skilled and intermediate care facility located at 300 West Lowell, Pontiac, has been cited with an “A” violation and fined $25,000 for failure to monitor and care for the placement of a catheter in a resident. The facility requested a hearing.

Rosewood Care Center East Peoria, a 120-bed skilled care facility located at 900 Centennial Drive, East Peoria, has been cited with an “A” violation and fined $25,000 for failure to safely transfer a resident to a wheelchair, which resulted in injuries to the resident. The facility requested a hearing.

Timbercreek Rehab &Health Care Center, a 202-bed skilled care facility located at 2220 State Street, Pekin, has been cited with an “A” violation and fined $25,000 for failure to prevent and care for a pressure ulcer resulting in a resident’s hospitalization. The facility waived its right to a hearing and paid $16,250.

November 2016

Jerseyville Nursing and Rehab, a 111-bed skilled care facility located at 1001 South State Street, Jerseyville, has been cited with an “A” violation and fined $25,000 for failure to prevent a fall resulting in the resident suffering a fracture. The facility waived its right to a hearing and paid $16,250.

Lincoln Manor, a 140-bed skilled care facility located at 2650 North Monroe Street, Decatur, has been cited with an “AA” violation and fined $50,000 for failure to assess, treat, and provide services to a resident with an abdominal wound, resulting in septic shock and death. The facility requested a hearing.

North Adams Home, a 92-bed skilled care facility located at 2259 East 1100th Street, Mendon, has been cited with an “AA” violation and fined $50,000 for failure to supervise a resident at risk for sliding in bed, resulting in the resident hanging from the bed with a gown around the resident’s throat. The facility requested a hearing.

Prairie House, a 16-bed intermediate care facility for the developmentally disabled located at 1770 Sauk Trail, Sauk Village, has been cited with an “A” violation and fined $6,250 for failure to implement written policy and procedures to ensure supervision is provided to residents who are physically aggressive toward others, and to ensure individuals’ rights are not restricted in order to accommodate maladaptive behavior by a single resident.

Rock River Gardens, a 70-bed intermediate care facility located at 3601 Sixteenth Avenue, Sterling, has been cited with an “A” violation and fined $25,000 for failure to assess and seek treatment for a resident experiencing pain resulting in a delay in treatment and an increased need for assistance.

Rose Angela Hall, an 80-bed intermediate care facility for the developmentally disabled located at 4200 North Austin, Chicago, has been cited with an “A” violation and fined $10,000 for failure to ensure a resident who fell was assessed for pain and injuries, and physical changes were reported to the resident’s physician.

Sharon Health Care Woods, a 152-bed intermediate care facility located at 3223 West Richwoods Boulevard, Peoria, has been cited with an “A” violation and fined $25,000 for failure to complete new employee orientation, check new employee references, and prevent verbal and physical abuse of three residents by staff. The facility requested a hearing.

Taylorville Care Center, a 98-bed skilled care facility located at 600 South Huston, Taylorville, has been cited with an “A” violation and fined $25,000 for failure to properly use a mechanical lift resulting in injury to a resident. The facility waived its right to a hearing and paid $16,250.

December 2016

Bellwood Developmental Center, an 82-bed intermediate care facility for the developmentally disabled located at 105 Eastern Avenue, Bellwood, has been cited with an “A” violation and fined $10,000 for failure to supervise and prevent a resident from ingesting objects, and failure to provide adequate health care resulting in the resident becoming severely malnourished.

Clearbrook West, a 16-bed intermediate care facility for the developmentally disabled located at 3980 Fairfax, Rolling Meadows, has been cited with an “A” violation and fined $6,250 for failure to follow a resident’s prescribed diet and supervise while eating, resulting in the resident choking.

Countryside Nursing and Rehab Center, a 197-bed skilled and intermediate care facility located at 1635 East 154th Street, Dolton, has been cited with an “A” violation and fined $25,000 for failure to monitor and supervise a resident who wanders, resulting in the resident being physically assaulted. The facility requested a hearing.

Edwardsville Nursing and Rehab Center, a 120-bed skilled care facility located at 401 St. Mary Drive, Edwardsville, has been cited with an “A” violation and fined $25,000 for failure to appropriately monitor and assess one resident, resulting in hospitalization. The facility waived its right to a hearing and paid $16,250.

Gardenview Manor, a 213-bed skilled and intermediate care facility located at 14792 Catlin-Tilton Road, Danville, has been cited with an “A” violation and fined $25,000 for failure to supervise a severely cognitively impaired resident who left the facility and was found half a mile away.

Heddington Oaks, a 214-bed skilled care facility located at 2223 West Heading Avenue, Peoria, has been cited with an “A” violation and fined $25,000 for failure to safely reposition a resident who rolled off the bed and sustained injuries.

Manorcare of Palos Heights West, a 130-bed skilled care facility located at 11860 Southwest Highway, Palos Heights, has been cited with an “A” violation and fined $25,000 for failure to apply appropriate interventions for one resident and supervise another resident, both of whom fell.

Parents and Friends of the Specialized Living Center, a 100-bed intermediate care facility for the developmentally disabled, located at 1450 Caseyville Avenue, Swansea, has been cited with an “A” violation and fined $12,500 for failure to prevent neglect leading to the death of a resident due to respiratory failure.

Park Pointe Healthcare and Rehab, a 142-bed skilled care facility located at 1223 Edgewater Drive, Morris, has been cited with an “A” violation and fined $25,000 for failure to implement individualized supervision plans resulting in two residents falling.

Pontiac Healthcare and Rehab, a 97-bed skilled and intermediate care facility located at 300 West Lowell, Pontiac, has been cited with an “A” violation and fined $25,000 for failure to provide proper catheter care resulting in a resident being hospitalized. The facility requested a hearing.

Prairie House, a 16-bed intermediate care facility for the developmentally disabled, located at 1770 Sauk Trail, Sauk Village, has been cited with an “A” violation and fined $6,250 for failure to provide guidance and procedures to supervise residents who are aggressive in order to prevent resident-on-resident abuse.

Westchester Health and Rehab Center, a 120-bed skilled care facility located at 2901 South Wolf Road, Westchester, has been cited with an “A” violation and fined $25,000 for failure to properly administer medication for one resident, resulting in the resident having a seizure.