July 2, 1998
JERSEYVILLE NURSING HOME FINED
FOR INADEQUATE RESIDENT CARE
SPRINGFIELD, IL The Illinois Department of Public Health has fined
Jerseyville Manor $20,000 for failing to provide adequate care for residents.
The 76-bed skilled care facility is located at 1251 N. State St. in
Department surveyors, who were in the facility to conduct an annual
inspection and to investigate complaints, found staff failed to effectively
prevent and treat bed sores, to properly evaluate the bowel and bladder needs
of residents and to determine the causes of resident accidents.
- Employees failed to prevent bed sores by ensuring residents were not in
the same position for more than two hours, as required by facility policy,
including an 87- year-old male resident who sat in a wheelchair for nearly four
- An 80-year-old female resident who relies on facility employees to assist
her in moving was seen lying in the same position for more than two hours at a
time causing a bed sore that had previously been surgically closed to reopen.
In another incident, a portion of the woman's urine catheter tubing was seen
lying on the floor under her wheelchair despite a recent diagnosis of urinary
- Facility staff did not investigate the cause of frequent accidents for
four residents or develop a plan to prevent additional injuries including
incidents involving an 85-year-old female resident who fell five times in less
than a year and suffered a sprained shoulder, cut forehead and a broken hip. A
follow-up X-ray after hip repair surgery was not performed according to
- A resident who was in the facility for physical therapy fell four times in
a month. As part of her rehabilitation, the resident's physician ordered
facility staff to assist her in walking to all meals and to the restroom;
however, Department surveyors noted four meals where the resident arrived by
wheelchair. According to facility staff, the 75-year-old woman, who originally
was not expected to be in the facility long, is unsafe and will probably not go
- Surveyors learned residents who are dependent on facility staff are not
routinely assisted in using the restroom, sometimes waiting nearly an hour.
As part of a mandatory plan of correction, the Department ordered the
facility to train staff on methods to prevent and treat bed sores and urinary
tract infections. The facility also was ordered to review its policy regarding
safety precautions for residents who are at risk for falls.
Jerseyville Manor has requested a hearing on the Department's action. The
hearing is scheduled for Aug. 25.
of Public Health
535 West Jefferson Street
Springfield, Illinois 62761
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