Thursday, September 17, 2009

McAllister Nursing Home of Tinley Park Fined for Inadequate Prevention of Bed Sores

Tinley Park

McAllister Nursing Home
18300 S Lavergne Ave, Tinley Park
Fined- August 21, 2008
McAllister Nursing Home was fined $30,000 for failure to follow through on facility policy regarding prevention of and treatment for pressure sores. The facility also demonstrated a failure to implement prevention policy for residents identified as high risk for falls.
Upon investigation, surveyors found that staff did not provide appropriate treatment for pressure sores- as surveyors asked to see documented wounds, they observed that wounds were bare and often exposed to fouled diapers. Few skin care charts could be located, and those that were located were out of date.
In addition, the facility failed to prevent falls among high risk residents. Two residents suffered falls so severe they required hospitalization; two others experienced falls which was not reflected in an updated care of plan laid out by the facility.

McAllister Nursing Home Cited for Failing to Protect Residents from Abuse

Tinley Park

McAllister Nursing Home
18300 S Lavergne Ave, Tinley Park
Fined- February 19, 2008
McAllister Nursing Home was fined $10,000 for failure to protect residents and ensure they are free from abuse.
Acting against policy, the facility failed to ensure that allegations of abuse and injuries of unknown origin are investigated. Administrators also failed to remove employees accused of abuse from resident contact pending the outcome of an abuse investigation.
In one incident, a resident identified as having no memory recall difficulties stated that a nursing assistant had kicked him in the knee. According to the resident, three nursing assistants as well as the Director of Admissions for the facility were present at the time. Despite the resident’s requests for help, staff directed him to report his complaint to the Nursing Supervisor. The accused nursing assistants remained at the facility in the interim, as well as after an investigation was launched.
In another incident, a resident’s leg became caught between the footboard and the mattress. Despite the resident’s screams for help, nurses did not come to the resident’s aid until a surveyor at the facility prompted them. Upon examination, the resident’s knee appeared swollen. No documentation was made of the incident, and staff later confirmed that no abuse investigation had been initiated.

Rest Haven of South Holland Fined for Failing to Supervise Patient at Risk for Falling

South Holland

Rest Haven South Nursing Home
16300 Wausau Street, South Holland
Fined- April 2, 2008
Rest Haven South Nursing Home was fined $20,000 for failure to provide supervision for residents identified as high risk for falls.
Two residents at the facility sustained falls that resulted in treatment for fractures. Both residents had been identified as high risk for falls (one of them already had a history of multiple falls). In one case, a staff member did not consult the resident’s chart before allowing her to walk; in the other case, facility staff did not adapt the resident’s care plan after each fall to prevent additional falls.