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 for the month of March 2005.

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 Naperville Rehabilitation and Health Care Center, a 203-bed skilled care facility located at 1525 S. Oxford Lane in Naperville, has been fined $15,000 (Statement of Violation) for failure to provide adequate supervision to prevent residents from leaving the facility unsupervised. The facility did not have a system to continually monitor the front exit door and did not implement care plans for at-risk residents nor implement the facility’s wanderers’ policy. These failures resulted in three residents leaving the facility undetected. Alden Naperville has not yet requested a hearing, but is still within the allotted time to do so.

Cahokia Nursing & Rehab Center, a 150-bed skilled care facility located at 2 Annable Court in Cahokia, has been fined $5,000 (Statement of Violation) for failure to prevent a resident from leaving the facility unnoticed. The resident, who was admitted to the facility the day before the incident, was assessed as being at risk for leaving the facility unsupervised and was fitted with an electronic monitoring. Staff did not recall hearing an alarm sound at the time the resident exited the facility and the device did not trigger the alarm when the resident was returned. He was fitted with a new device. The facility has requested a hearing. No hearing date has been scheduled.

Collinsville Care Center, a 115-bed skilled care facility located at 614 N. Summit Ave. in Collinsville, has been fined $10,000 (Statement of Violation) for failure to provide necessary care for a resident who was admitted to the facility for two weeks for respite care. The facility also failed to notify the resident’s family and physician of his complaints of foot and heel pain. Once the resident was home, his sock was removed and his toes were found to be bloody and black. He was taken to a local hospital and a week later had his leg amputated above the knee. The facility has not yet requested a hearing, but is still within the allotted time to do so.

LaHarpe-Davier Health Care Center, a 47-bed skilled care facility located at 101 B St. in LaHarpe, has been fined $10,000 (Statement of Violation) for failure to provide cardiopulmonary resuscitation; to follow physician’s orders to assess and monitor a resident; to react to a resident’s change in condition; to pursue alternative guardianship; to provide treatment to a resident known to have a drug problem; and to evaluate a resident’s safety when gone from the facility on home visits. A resident took her husband’s Valium while she was on a home visit. When she returned to the facility she was sweating profusely, her speech was slurred and she was extremely lethargic. The resident, who had a history of taking her husband’s medications, died the next morning of an overdose. The facility has requested a hearing. No hearing date has been set.

Mosaic Living Center , a 150-bed skilled care facility for persons younger than 22 years of age located at 7464 N. Sheridan Road in Chicago, has been fined $50,000 (Statement of Violation) for failure to adequately monitor residents by ensuring the apnea and oxygen monitor alarms were set to meet the individual respiratory and heart rate baselines of 24 residents, of whom two died. In addition, the volume of the oxygen monitors was turned down so low that the alarms could not always be heard by staff. Mosaic Living Center has not yet requested a hearing, but is still within the allotted time to do so.

Renaissance at Hillside , a 168-bed skilled care facility located at 4600 N. Frontage Road in Hillside, has been fined $10,000 (Statement of Violation) for failure to monitor a resident who was in respiratory distress and to perform cardiopulmonary resuscitation after the resident was found unresponsive. The resident was transferred to a hospital, where she was pronounced dead. The facility has requested a hearing. No hearing date has been set.

Riverview, A Senior Living Community, a 61-bed skilled care facility located at 500 Centennial Drive in East Peoria, has been fined $10,000 (Statement of Violation) for failure to ensure that a resident’s medications were accurately verified with the admitting physician. The facility’s pharmacy failed to identify and verify an unusually high dose of an anti-psychotic medication before dispensing it and five nurses failed to recognize they were giving 10 times the intended dose of medication on seven different occasions. The resident was hospitalized with an altered mental state and dehydration. The facility has requested a hearing. No hearing date has been set.

Snyders-Vaughn Haven , a 99-bed skilled and intermediate care facility located at 135 S. Morgan St. in Rushville, has been fined $5,000 (Statement of Violation) for failure to reapply a personal alarm bracelet to a resident, who was identified as a wanderer, after he was readmitted to the facility from a hospital. The facility also failed to have a system in place to monitor alarmed exit doors. The resident left the facility unnoticed. The facility has requested a hearing. No hearing date has been scheduled.

Wincrest Nursing Center , an 82-bed intermediate care facility located at 6326 N. Winthrop Ave. in Chicago, has been fined $5,000 (Statement of Violation) for failure to provide adequate supervision and to take all necessary precautions to ensure a resident’s environment remains as free of accident hazards as possible. A resident, who had a history of setting fires when he was upset with his wife, started a fire in his room. The facility took no safety precautions to safeguard and closely monitor the resident after he came back early from being out on a pass because of a personal problem with his wife. The facility also failed to check the resident for smoking materials upon his return. Wincrest has requested a hearing. No hearing date has been set.