Tuesday, October 28, 2008

Ambassador Nursing Center Fined for Inadequate Supervision

4900 N. Bernard St. in Chicago
FINED- June 23, 2004
Ambassador Nursing Center was fined $5,000 for
failure to prevent a resident from leaving the
facility unsupervised.
Responding to a complaint, Department surveyors
learned a resident left the facility unnoticed and was
found about 4.5 miles away outside a hospital
emergency department. The temperature at the time was
10 degrees Fahrenheit and the resident was only
wearing a T-shirt, pants and sandals with no socks.
The resident was treated for frostbite.
When staff realized the resident was missing, they
began a search of the building. About 50 minutes
later, a police officer called the facility and
informed staff that the resident was at the hospital.
The resident, who was fitted with an electronic
monitoring device, told surveyors she left the
facility by walking through the front door. Staff said
they did not hear a door alarm at the time of the
A Department-ordered plan of correction required the
facility to provide adequate supervision and to train
staff on appropriate actions and interventions to
prevent a resident from leaving the facility

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