September 12, 2007

Nursing Home Violations For The Month Of March

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

The statement of violation for each facility can be obtained by clicking on the name of the facility.

Alden Park Strathmoor, a 189-bed skilled care facility located at 5668 Strathmoor Drive, Rockford, has been fined $27,500 for failure to recognize a change in the a resident’s condition and did not notify the physician of the change in condition until after the family alerted staff the resident was having difficulty breathing. The resident was transferred to the hospital and later died. The facility has requested a hearing on the Department’s action. The matter is set for a status conference October 23.

Barton W. Stone Home, a 209- bed skilled and sheltered care facility located at 873 Grove Street, Jacksonville, has been fined $20,000 for failure to develop a plan of care and to provide adequate supervision and assistance devices to prevent falls. These failures resulted in a resident falling and injuring both hips. The facility did not adequately monitor the change in condition of the resident, who was later taken to the hospital and died days later. The facility has requested a hearing on the Department’s action. The matter is set for a status conference October 15.

Belmont Nursing Home, a 61-bed intermediate care facility located at 1936 W. Belmont, Chicago, has been fined $5,000 for failure to supervise a resident identified as an elopement risk. The resident left the facility without staff knowledge. Police later found and took the resident to the hospital as a routine measure. The facility has requested a hearing on the Department’s action. The matter is set for a status conference September 26.

Bethesda Lutheran Home-Aurora, a 45-bed intermediate care facility for the developmentally disabled, located at 1480 Reckinger Road, Aurora, has been fined $10,000 for failure to implement policies and procedures to identify and investigate abuse. A resident indicated being punched and kicked by a staff person. Up until being suspended 11 days later, the staff person was allowed to continue working, which put other residents at risk. The facility requested a hearing on the Department’s action. A status in the matter will be set for a date in October.

Eastview Terrace, a 63-bed skilled care facility located at 100 Eastview Place, Sullivan, has been fined $50,000 for failure to do initial and follow up neurological status checks on a resident who experienced head trauma after a fall. Staff also failed to report the fall to changing shift staff, emergency medical personnel and to hospital emergency staff. The failure delayed treatment for the resident, who died at the hospital. The facility has requested a hearing on the Department’s action. The matter is set for a status conference September 12.

Finnie Good Shepherd Nursing Home, a 73-bed skilled care facility located at 400 S. Maincross Street, Galatia, has been fined $5,000 for failure to provide adequate supervision to prevent a resident from leaving the facility without staff knowledge. The resident was found by passersby who assisted the resident back to the facility. The facility has not requested a hearing on the Department’s action.

Friendship Manor Healthcare, a 230-bed skilled care facility located at 485 S. Friendship Drive, Nashville, has been fined $5,000 for failure to follow policy to protect residents from abuse by employing a person with a finding of resident abuse on the State Nurse Aide Registry. The facility also failed to follow policy for pre-employment screening by not checking the registry (now known as the Health Care Worker Registry.) The facility has not requested a hearing on the Department’s action.

Golfview Development Center, a 135-bed intermediate care facility for the developmentally disabled located at 9555 W. Golf Road, Des Plaines, has been fined $20,000 for failure to develop and implement policies and procedures to prevent neglect when they: (1) failed to ensure the medication cart was under continual observation, and (2) failed to ensure a procedure was developed for investigation of missing medications. As a result, a resident who took medications for another resident was hospitalized for a multiple drug overdose. The facility has requested a hearing on the Department’s action. A status in the matter will be set for a date in October.

Lewis Memorial Christian Village, a 155-bed skilled care facility located at 3400 W. Washington, Springfield, has been fined $20,000 for failure to notify the physician when a dosage of medication was give to a patient without a physician’s dosage order. The facility also failed to notify the hospital of the all dosages given. As a result, treatment was delayed and the resident was admitted to the hospital intensive care unit. The facility has requested a hearing on the Department’s action. The matter is set for a status conference October 29.

Manor Court of Clinton, a 134-bed skilled care facility located at 1 Park Lane West, Clinton, has been fined $5,000 for failure to provide safe hot water temperatures at all locations in the building. In some areas of the facility, hot water temperatures measured between 116 to 143 degrees Fahrenheit (F), but should measure 100 to 110 degrees. No resident were reported injured due to excessive hot water temps. The facility has requested a hearing on the Department’s action. The matter is set for a status conference October 1.

Mt. Vernon Healthcare Center, a 106-bed intermediate care facility located at #5 Doctor’s Park Road, Mt. Vernon, has been fined $5,000 for failure to provide adequate supervision to prevent a resident from leaving the facility. An employee failed to check and clear an exit door alarm, resulting in the resident leaving the facility without staff knowledge. The resident was later found unharmed. The facility has requested a hearing on the Department’s action. The matter is set for a status conference September 12.

Park Lawn Center, a 41-bed intermediate care facility for the developmentally disabled located at 5831 West 115th Street, Alsip, has been fined $10,000 for failure to: (1) have evidence a resident’s guardian was notified following a fall down a stairway, (2) implement policy to prohibit neglect when the resident was left in a wheelchair unsupervised and found injured from the fall, and (3) report the incident to the facility administrator and the Illinois Department of Public Health. The facility has requested a hearing on the Department’s action. The matter is set for a status conference October 31.

Regal Health and Rehab Center, a 143-bed skilled and intermediate care facility located at 9525 S. Mayfield, Oak Lawn, has been fined $40,000 for failure to: (1) provide dialysis and medications for a resident who later died, and (2) provide supervision and monitoring for an impaired resident who removed the trach tube and died. The facility has requested a hearing on the Department’s action. A status in the matter will be set for a date in October.

Richland Care and Rehab, a 118-bed skilled care facility located 410 E. Mack, Olney, has been fined $10,000 for failure to provide an environment free of abuse for a resident who was physically and verbally abused by a staff member. Other employees failed to promptly report this abuse, which put residents at risk while the staffer continued to have direct contact with residents during shifts over three days. The facility has requested a hearing on the Department’s action. The matter is set for a status conference October 29.

South Haven Home, a 16-bed intermediate care facility for the developmentally disabled located at 500 S. Reed, Robinson, has been fined $10,000 for failure to provide necessary supervision to prevent a patient from repeatedly leaving the facility. The resident, who had a history of eloping, left the facility without staff knowledge. The facility has requested a hearing on the Department’s action. A status in the matter will be set for a date in October.

The Westwood Manor, a 115-bed skilled and intermediate care facility located at 2444 W. Touhy Avenue, Chicago, has been fined for $30,000 for failure to provide timely medical evaluation and treatment to a resident who sustained second and third degree burns as a result of being submerged in a tub of extremely hot water. The resident’s wounds were not evaluated by a physician for more than 16 days after burns to the resident’s lower extremities. The resident underwent amputations to both legs as a result of the burn wounds. The facility has requested a hearing on the Department’s action. A status in the matter will be set for a date in October.

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