SPRINGFIELD, Ill. – The Illinois Department of Public Health today announced the following type “A” violations of the Nursing Home Care Act for the month of May 2005. An “A” violation, which is the most serious licensure violation levied by the state, creates a condition in which there is a substantial probability that death or serious mental of physical harm will result.

The statement of violation for each facility can be obtained by visiting the Department’s Web site at www.idph.state.il.us and clicking on the phrase “statement of violation” contained in the paragraph about the facility.

Alden Heather Rehab and Health Care Center , a 173-bed skilled care facility located at 15600 S. Honore St. in Harvey, has been fined $10,000 (Statement of Violation) for failure to promptly initiate cardiopulmonary resuscitation on a resident who was not breathing and did not have a pulse. The facility also failed to employ a qualified person as the director of food service and to provide food and diet consultation from a qualified dietician. The facility has not yet requested a hearing, but is still within the allotted time to do so.

Aspire on Eastern , an 82-bed intermediate care facility for the developmentally disabled located at 105 Eastern Ave. in Bellwood, has been fined $5,000 (Statement of Violation) for failure to provide adequate supervision to a resident. The resident twice left the facility unnoticed and, on one occasion, left a movie theater during an outing while staff went to get refreshments. The facility has requested a hearing. A hearing date has not been scheduled.

Glen Bridge Nursing and Rehabilitation Centre , a 302-bed skilled and intermediate care shelter located at 8333 W. Golf Road in Niles, has been fined $10,000 (Statement of Violation) for failure to provide adequate supervision to a resident who was an unsafe smoker. The resident left his secured unit unnoticed and went to the smoking room, where he obtained cigarettes and a box of matches. He returned to his room and lit a cigarette that started a fire, which burnt the mattress, bed, wall and bathroom door. The resident sustained third-degree burns to 25 percent of his body and had both his legs amputated at the knee. Glen Bridge has requested a hearing on the Department’s action. No hearing date has been set.

Glenshire Nursing and Rehabilitation Centre , a 294-bed skilled and intermediate care facility located at 22660 S. Cicero Ave. in Richton Park, has been fined $10,000 (Statement of Violation) for failure to adequately supervise a resident, which resulted in him stabbing another resident after an argument. The facility also did not ensure that the safety of other residents in the facility was protected by allowing the resident to return to the facility after the assault for 17 days without a care plan and interventions in place to address his physical aggression and alcohol abuse. Glenshire has requested a hearing. No hearing date has been set.

Good Samaritan Nursing Home – Knoxville, a 30-bed intermediate care facility located at 407 N. Hebard St. in Knoxville, has been fined $5,000 (Statement of Violation) for failure to prevent a resident from leaving the facility unsupervised. The facility did not realize the resident was missing until staff received a phone call notifying them that the woman was at a business about half mile away. The temperature at the time was in the teens and the resident was not wearing a coat. The facility also failed to have a system in place to monitor and supervise who enters and exits through outside doors. During the Department’s investigation, the resident was seen attempting to leave the facility twice through a laundry room exit. The facility has not yet requested a hearing, but is still within the allotted time to do so.

Hampton Plaza Nursing and Rehabilitation Center , a 304-bed skilled and intermediate care facility located at 9777 Greenwood Ave. in Niles, has been fined $5,000 (Statement of Violation) for failure to adequately supervise a resident who had a history of wandering and falls and to activate a stairwell alarm. The resident sustained cuts to her left leg when she entered a stairwell without staff knowledge and fell down the stairs in her wheelchair. The facility has requested a hearing. No hearing date has been scheduled.

Lakeview Living Center , a 145-bed intermediate care facility for the developmentally disabled, located at 7270 S. Shore Drive in Chicago, has been fined $5,000 (Statement of Violation) for staff’s failure to immediately report an incident of sexual abuse to the administrator. By waiting two days before reporting the incident and placing the resident on one-to-one monitoring, residents of the facility were left at risk for being sexually abused. Lakeview has requested a hearing on the Department’s action. No hearing date has been scheduled.

Lebanon Terrace , a 16-bed intermediate care facility for the developmentally disabled, located at 221 E. Third St. in Lebanon received two state violations in May. The facility was fined $5,000 (Statement of Violation) for failure to prevent a resident from leaving the facility unsupervised. The resident was discovered sitting in a van at a local business, approximately one-tenth of a mile from the facility. The facility also failed to implement its standard procedures for searching for missing individuals; to have evidence that the resident’s disappearance was thoroughly investigated; to report the results of the investigation to the Department within the required timeframe; to take corrective action; and to have sufficient direct care staff on the night the resident left. The facility has not yet requested a hearing, but is still within the allotted time frame to do so.

Lebanon Terrace was fined another $5,000 (Statement of Violation) for failure to prevent a different resident from leaving the facility unnoticed. The resident left the facility unnoticed after stating she was going to bed. She later appeared at a trailer park wearing nothing but underwear and a short-sleeve shirt in cold weather. Police were notified and the resident was taken to the hospital. Lebanon also failed to keep the facility’s door alarms on, to contact police about a missing resident and to provide evidence that the resident’s elopement was thoroughly investigated. The facility did not request a hearing.

Palos Hills Extended Care , a 203-bed skilled and intermediate care facility located at 10426 S. Roberts Road in Palos Hills, has been fined $5,000 (Statement of Violation) for failure to prevent a resident, who had a history of wandering, from leaving the facility unnoticed. The resident was returned unharmed after a nearby homeowner informed the facility the woman had knocked on the door. It was later discovered that a door alarm at the facility had been unplugged by a nurse aid because it was too noisy. The facility has requested a hearing. No hearing date has been set.

Pavillion of Forest Park, a 232-bed skilled care facility, located at 8200 W. Roosevelt Road in Forest Park,has been fined $20,000 (Statement of Violation) for failure to assess and treat a resident’s left knee pain and swelling for five days. When the resident first complained of pain, she was given medication. After still experiencing pain, she was given stronger medication but staff did not evaluate the pain or its origin. An X-Ray taken after three days showed the resident had a broken leg that later needed surgery. The facility did not investigate how or when the fracture occurred. The facility also failed to protect a cognitively-impaired resident from another resident who had a history of sexually inappropriate behavior (Statement of Violation) with her and to have a treatment plan in place to address this continued behavior. Pavillion of Forest Park has requested a hearing on the Department’s action. No hearing date has been scheduled.

Ponds of Wealshire , a 141-bed sheltered-care facility located at 170 Jamestown Lane in Lincolnshire, has been fined $5,000 (Statement of Violation) for failure to have sufficient staff to supervise and protect a resident who left the facility unnoticed. The man was spotted by a cab driver wandering down a major highway about three miles from the facility, wearing only a thin windbreaker in sub-zero weather. An employee heard the alarm sound when the resident exited and looked out the window and checked the stairwell, but did not check outside. The facility has requested a hearing on the Department’s action. No hearing date has been set.

Provena St. Anne Center , a 179-bed skilled care facility located at 4405 Highcrest Road in Rockford, has been fined $50,000 (Statement of Violation) for failure to ensure a dressing was applied to a resident’s incision to keep it clean, to document when the incision was soiled, to notify the physician of the resident’s frequent diarrhea and possible wound infection and to immediately call emergency services when her blood pressure was observed to be extremely low. The resident died due to septic shock related to a surgical site infection. The facility has requested a hearing. No hearing date has been scheduled.

Provena Cor Mariae Center , a 124-bed skilled and sheltered-care facility located at 3330 Maria Linden Drive in Rockford, has been fined $10,000 (Statement of Violation) for failure to initiate cardiopulmonary resuscitation on a resident who was found unresponsive, warm and without a pulse. The facility also did not conduct an orientation, including instruction on facility policy and procedure, for agency nurses. The facility has not yet requested a hearing, but is still within the allotted time to do so.

Shawnee Christian Nursing Center , a 159-bed skilled care facility located at 1901 13 th St. in Herrin, has been fined $10,000 (Statement of Violation) for failure to ensure a resident was safe from sexual abuse. An employee witnessed another employee behaving inappropriately with a resident and did not report it for three days. The employee said she had been trained in the abuse policies and knew she was to report it, but was afraid. During that time, the alleged perpetrator of abuse continued to work at the facility. After the witness reported the incident to her supervisor, the alleged perpetrator was suspended pending the outcome of the investigation. The employee later admitted to having fondled the resident. Shawnee Christian has requested a hearing on the Department’s action. No hearing date has been set.

Vermilion Manor Nursing Home , a 233-bed skilled and intermediate care facility located at 14792 Catlin-Tilton Road in Danville, has been fined $10,000 (Statement of Violation) for failure to provide adequate care to a resident with diabetes after a finger stick test revealed a low blood sugar level. The facility did not provide prompt and competent medical interventions; follow the facility protocol for hypoglycemic reactions; monitor blood glucose levels in a timely manner; recognize a hypoglycemic reaction and accurately report such a reaction to oncoming nursing staff and supervisor; and monitor meal intake. The resident was found unresponsive and paramedics were unable to resuscitate him. During the Department’s investigation, surveyors also found that an employee hired as a registered nurse was not licensed to practice nursing in the state of Illinois. The facility has not yet requested a hearing, but is still within the allotted time to do so.

West Chicago Terrace , a 120-bed intermediate care facility located at 928 Joliet Road in West Chicago, has been fined $25,000 (Statement of Violation) for failure to monitor and supervise five residents with histories of suicide attempts or ideations. One resident was found in the bushes in back of the facility with both arms cuts from wrists to elbows. Staff searched the building and grounds for the resident after she did not show up for her medications, but they did not notify police until four hours later. Another resident was hospitalized after attempting suicide by overdosing on alcohol and sleeping pills. The facility was not aware that the resident had been hiding pills or how he had obtained the alcohol. The facility has requested a hearing. No hearing date has been set.