August 5, 2005
NURSING HOME VIOLATIONS FOR THE MONTH OF JULY
SPRINGFIELD, Ill. – The Illinois Department of Public Health today announced the following type “A” violations of the Nursing Home Care Act were cited during the month of July. 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.
Casey Care Center, a 106-bed intermediate care facility located at 5 Doctors Park in Mount Vernon, has been fined $5,000 (Statement of Violation) for failure to prevent a resident from leaving the facility unnoticed. Staff were unaware of the resident’s disappearance until notified by a local hospital that she was wandering around the emergency department. The facility has not yet requested a hearing, but is still within the allotted time to do so.
Heritage Manor – Peru, a 129-bed skilled care center located at 1301 21 st St. in Peru, has been fined $10,000 (Statement of Violation) for failure to have an effective system in place to assess, treat and monitor pain; to administer pain medication as ordered for two residents exhibiting signs of pain; and to ensure that effective nursing measures were developed and implemented to relieve pain for four additional residents. The facility has not yet requested a hearing, but is still within the allotted time to do so.
Iona Glos Specialized Living Center , a 100-bed intermediate care facility for the developmentally disabled located at 50 S. Fairbank St. in Addison, has been fined $50,000 (Statement of Violation) for failure to ensure staff implement policies and procedures to prevent neglect to a resident. An employee mistakenly gave a resident, who was on a pureed diet, a peanut butter and jelly sandwich. The resident choked, went into respiratory/cardiac arrest and subsequently died. The day before his death, the resident had stolen a peanut butter sandwich from another individual and choked. The facility has requested a hearing. No hearing date has been scheduled.
Mar Ka Nursing Home , a 76-bed skilled and intermediate care facility located at 201 S. 10 th St. in Mascoutah, has been fined $5,000 (Statement of Violation) for failure to prevent a resident from leaving the facility unsupervised. A nurse arriving for work saw the resident exiting the facility and brought her back inside. Staff on duty did not hear a door alarm sound and were unaware the resident had left.
Raintree Terrace , a 16-bed intermediate care facility for the developmentally disabled located at 501 E. Chestnut St. in Carbondale, has been fined $10,000 (Statement of Violation) for failure to investigate an allegation of physical abuse of a resident by an employee and for allowing the employee to continue working after becoming aware of the allegation. A resident alleged that an employee drug her by the arm down the hall, blew smoke in her face and said inappropriate things. A workshop staff member notified the facility of the resident’s allegations after taking pictures of the abrasions and bruises on the resident’s back and was told the allegations were “absolutely absurd.” No incident report or other follow-up was done. The facility has requested a hearing. No hearing date has been scheduled.
Rehab and Care Center – Jackson County , a 202-bed skilled care facility located at 1441 N. 14 th St. in Murphysboro, has been fined $5,000 (Statement of Violation) for failure to provide adequate supervision to prevent a resident from leaving the facility unnoticed. The resident, who had a history of wandering, was found walking down the road about three and a half blocks from the facility. The resident was wearing an electronic monitoring device, but staff did not hear an alarm sound. The resident’s device did not sound an alarm at the exit door staff believes he left through. The facility has requested a hearing. No hearing date has been scheduled.
River View Manor , a 54-bed skilled care facility located at 6131 Park Ridge Road in Loves Park, has been fined $20,000 (Statement of Violation) for failure to provide adequate nursing care to meet the needs of residents. A nurse did not provide diabetic care, including providing a source of glucose and repeating glucose tests, for a resident whose blood sugar was low. Instead, she gave the diabetic resident sugar-free orange juice, which would not improve his condition, and his physician was not notified. Another resident received insulin twice within a week even though she is not a diabetic and had to be hospitalized both times for hypoglycemic reactions. In addition, a Department surveyor reviewed the records of seven other diabetic residents and found problems with their care. The facility has requested a hearing on the Department’s action. No hearing date has been set.
of Public Health
535 West Jefferson Street
Springfield, Illinois 62761
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