January 7, 1998

SPRINGFIELD, IL — For the second time within a year, Danville Manor, 1215 Holiday Drive, has been disciplined for failing to meet the nursing needs of its residents.

This time the 51-bed intermediate care facility for the developmentally disabled was fined $30,000 by the Illinois Department of Public Health. In February 1997, Danville Manor had been fined $10,000.

Responding to complaints, Department surveyors found instances where the facility did not provide residents with nursing services in accordance with their needs, did not notify physicians of a change in a resident's condition and did not maintain nurses notes on progress toward, or regression from, each resident's health goals. In addition, a Department imposed plan of correction to address similar deficiencies noted in February was not followed.

Examples of deficiencies found in the most recent investigation include:

• A 28-year-old male resident, unable to talk or walk, had a long history of constipation, but no documentation was kept on the effectiveness of medications prescribed by the resident's physician to relieve the problem. His physician was not notified when the resident did not have bowel movements for several days. The man eventually had to be hospitalized due to vomiting and seizures and hospital staff determined the man's problems were due to impacted bowels.

• Staff did not notify the physician of a 40-year-old female resident that she had not had a menstrual period for six months. Staff also failed to monitor her after she had an abnormal pap test.

• Another female resident with an abnormal pap test was to be seen by a gynecologist, but two appointments were canceled and never rescheduled.

• Surveyors noted a resident was not wearing a brace that had been prescribed by her physical therapist for an habitual dislocated knee. Staff admitted the brace had been missing for some time.

• Staff did not recommend assessment of a resident for vitamin supplements because public aid would not pay for the supplements.

• The facility did not develop a care plan for each resident to prevent bed sores.

Danville Manor had been fined in February 1997 and ordered to provide residents with nursing services in accordance with their needs and to notify a resident's physician of changes in condition. In addition, the facility was to have written policies and procedures in place to govern services provided and to make them available to staff, residents and the public.

The Department again has ordered Danville Manor to correct these deficiencies.

The facility has requested a hearing on the Department's action. No hearing date has been scheduled.

Illinois Department of Public Health 535 West Jefferson Street Springfield, Illinois 62761 Phone 217-782-4977 Fax 217-782-3987 TTY 800-547-0466 Questions or Comments