Nursing Home Violations For The Month Of August

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 August. 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 viewed by clicking on the facility's name.

Alden Town Manor Rehab & Health Care Center, a 249-bed skilled facility located at 6120 W. Ogden, Cicero,has been fined $20,000 for failure to ensure a resident received the appropriate care and medical treatment. This was evidenced by the fact the resident waited 29 days for evaluation of a pressure sore. The facility requested a hearing on the Department’s action. A status in the case was held May 5.

Calvin Johnson Care Center, a 180-bed skilled and intermediate care facility located at 727 North 17th Street, Belleville,has been fined for failure to monitor a resident who fell 5 times in six weeks. The facility also failed to initiate CPR after finding the resident unresponsive. The resident was revived at the hospital emergency room but later died. The facility requested a hearing on the Department’s action. A hearing was held and the facility paid $30,000.

Cardinal Hill Healthcare, a 90-bed skilled care facility located 400 E. Hillview Avenue, Greenville, has been fined $5,000 after a resident left the facility in a wheelchair without staff knowledge. The resident was found by a passerby who notified staff. The facility did not request a hearing on the Department’s action.

Carole Lane Terrace, a 16-bed intermediate care facility for the developmentally disabled located at 1641 Carole Lane, Sauk Village,has been fined $5,000 for failure to develop and implement policies and procedures to safeguard a resident’s health and safety during a medical emergency. A resident was not given an Epi-Pen injection to offset allergic reaction. The facility requested a hearing on the Department’s action. A status in the case is June 10.

The Clayberg, a 49-bed intermediate care facility located at East Monroe, Street, Cuba, has been fined for failure to prevent visitors from resetting the door alarm code. This failure resulted in a resident leaving the facility without staff knowledge. The resident was found unharmed down the street from the facility near a state highway. The facility requested a hearing on the Department’s action. A hearing was held and the facility paid $15,000.

Clearbrook Center, a 92-bed intermediate care facility for the developmentally disabled located at 3201 W. Campbell Street, Rolling Meadows, has been fined $50,000 for failure to prevent neglect regarding an incident in which a resident claims to have been pushed to the ground by another resident. The injured resident was sent to the hospital two times the week after the fall, diagnosed with a head injury and later died. The facility requested a hearing on the Department’s action. A status in the case is June 2.

Columbus Manor Residential Care Home, a 189-bed intermediate care facility located at 5107-21 W. Jackson, Chicago, has been fined $35,000 for failure to ensure the safety of resident by not providing adequate monitoring and supervision. The failure resulted in incidents of residents smoking in non-designated areas and an incident of sexual abuse involving two residents. The facility requested a hearing on the Department’s action.

Covenant Health Care Center, a 148-bed skilled and sheltered care facility located at 831 N. Batavia Avenue, Batavia, has been fined $50,000 for failure to monitor, supervise, update and implement interventions to prevent residents from sustaining fractures, bruises, head injuries, neck strains and skin tears during mechanical lift transfers and falls. The facility requested a hearing on the Department’s action. A status in the case is May 14.

Friendship Manor, a 107-bed skilled and sheltered care facility located at 1209 21 st Avenue, Rock Island, has been fined $25,000 failure to develop and implement a system to identify trends and minimize the risk for falls and injuries. As a result of this failure, several residents suffered falls. The facility requested a hearing on the Department’s action. A status in the case is May 16.

Hancock County Sheltered Care, a 45-bed sheltered care facility located at 97 Main Street, Augustana, has been fined for failure to provide adequate supervision. A resident left the facility 11 times in the past year. The facility also failed to keep exit doors alarmed when left unsupervised. The facility requested a hearing on the Department’s action. A hearing was held and the facility paid $5,000.

Manor Court of Peoria, a 50-bed skilled care facility located at 6900 N. Stalworth Drive, Peoria, has been fined $10,000 for failure to ensure that medications were administered as ordered by the pharmacist, that physician orders for medications were accurate, current and available to nursing staff and that lab procedures were completed as ordered. The facility requested a hearing on the Department’s action. A status in the case is May 15.

Mount Vernon Health Care Center, a 106-bed intermediate care facility located at #5 Doctor’s Park Road, Mt. Vernon, has been fined $15,000 for failure to provide adequate supervision for a resident identified at risk for elopement. The resident left the facility without staff knowledge. Staff initially thought the resident may have gone out visiting with family. The resident was later found unharmed near a drainage ditch. The facility requested a hearing on the Department’s action. A status in the case was held April 29.

Ninth Street Place, a 16-bed intermediate care facility for the developmentally disabled located at 2850 9th Street, Rock Island, has been fined $22,500 for failure implement its policy to prevent neglect. Staff failed to document a resident’s fall and implement recommendations in an internal investigation report regarding the resident’s fall. The facility also failed to obtain medical care for residents who were reporting pain and had a change in condition after falling. The facility requested a hearing on the Department’s action.

Pinnacle Health Care of LaGrange, a 131-bed skilled care facility located at 701 N. LaGrange Road, LaGrange, has been fined $5,000 for failure to ensure a comfortable and safe temperature level maintained during a 3-day period of extreme heat. The facility also failed to implement an effective hot weather policy, failed to monitor residents for heat exhaustion and failed to maintain the equipment and building to prevent excessive heat. The facility withdrew its initial request for a hearing on the Department’s action and paid the fine.

Rosewood Care Center of St. Charles, a 109-bed skilled care facility located at 850 Dunham Road, St. Charles, has been fined $22,500 for failure to ensure residents receive the correct medication as ordered by the physician. A resident was hospitalized after being given the wrong medication for 20-days. The facility requested a hearing on the Department’s action. A hearing is set for September 9.

Seguin RCA Harvey House, a 16-bed intermediate care facility for the developmentally disabled located at 3309 South Harvey Avenue, Berwyn, has been fined $30,000 and issued a notice of license revocation for failure to implement its policy to prevent neglect. The facility did not ensure a resident’s health care needs were met nor did they ensure a resident’s nourishment and fluid intake. A resident was hospitalized for weight loss and dehydration. The facility requested a hearing on the Department’s action. A status in the case was held May 5.

Sullivan Rehab & Health Care Center, a 123-bed skilled care facility located at 11 Hawthorne Lane, Sullivan, has been fined for failure to use a Continuous Pulse Oximetry Monitor to help oversee the respiratory status of a resident, in need of continuous oxygen saturation monitoring. When the resident’s respiratory status was compromised, staff was unaware this posed a life-threatening situation. The resident suffered respiratory arrest and died. The facility requested a hearing on the Department’s action. A hearing was held and the facility paid $19,500.

Swansea Rehab & Health Care Center, a 94-bed skilled care facility located at 1405 N. Second Street, Swansea, has been fined for failure to ensure the fill side bed rails did not leave a space between the rail and mattress that could entrap body parts causing injury or death. Twice, a resident’s legs became wedged in the side rails during a fall. The facility requested a hearing on the Department’s action. A hearing was held and the facility paid $1,000.

Vermillion Manor Nursing Home, a 237-bed skilled and intermediate care facility located at 14792 Catlin-Tilton Road, Danville, has been fined $30,000 for failure to have a policy in place to ensure staff monitor residents for side effects of an anticoagulant. The facility also neglected to implement existing policies on physician notification of resident’s change of condition which put residents at increased risk of death by hemorrhage. The facility did not request a hearing on the Department’s action.