The Illinois Department of Public Health has fined two area nursing homes $25,000 each over licensure violations related to resident care.
IDPH’s 2022 fourth quarter report details the Type A violations for Monmouth Nursing Home, 117 S. I St. in Monmouth, and Countryview Care Center, 400 W. Grant St. in Macomb.
Type A violations are for incidents with substantial probability of death or serious mental or physical harm.
This round of violations comes after the facilities were also fined $25,000 each for Type A violations the previous quarter.
Monmouth Nursing Home
The most recent Type A violation for Monmouth Nursing Home stems from several residents with cognitive impairments leaving the facility unattended in August 2022.
A resident with dementia who was also a fall risk left the facility and walked to a family member’s home without a walker amid sweltering afternoon temperatures.
Another resident with Alzheimer’s briefly walked out the front door.
A third resident, who has dementia and a traumatic brain injury, exited through the building’s back door and was found in the parking lot, preparing to cross the street.
All three residents were previously known to be at risk of wandering, according to the investigation.
IDPH determined the facility failed to perform weekly door alarm tests, respond promptly to door alarms, or implement a door monitoring system for patients at high risk.
The facility also failed to ensure electronic monitoring bracelets for such residents were working properly or ensure staff did not prop open doors.
The nursing home is licensed to Community Care Center of Monmouth.
Note: This article previously stated a resident exited the facility through a kitchen door, but that was inaccurate. The article has been corrected and we apologize for the error.
Countryview Care Center
The most recent Type A violation for Countryview Care Center stems from several residents not being properly treated for bedsores and wounds in September 2022.
As a result, one resident’s bedsores increased in size and depth to the point he required hospitalization due to necrosis and was treated for septic shock.
Per the Nursing Home Care Act, facilities are required to have regular programs in place to prevent bedsores from developing, prevent infection, and promote healing.
But IDPH investigation showed staff were not performing wound care as ordered.
There was also lack of documentation regarding wound treatments for two other residents.
Countryview Care Center is licensed to Petersen Health Properties LLC.
Tri States Public Radio produced this story. TSPR relies on financial support from our readers and listeners in order to provide coverage of the issues that matter to west central Illinois, southeast Iowa, and northeast Missouri. As someone who values the content created by TSPR's news department please consider making a financial contribution.
