Eastview Healthcare: Resident's Hand Broken During Care - IL
The incident occurred July 5th at Eastview Healthcare & Senior Living when CNA V9 was cleaning up a resident who had soiled herself. The patient, identified as R2, was pushing back against being turned when her body suddenly relaxed and rolled forward onto her right hand.
V9 heard an audible pop.
The resident's pinky finger was pointing in the wrong direction. Hospital x-rays revealed a minimally displaced fracture of the fifth proximal phalanx. R2 returned to the facility wearing a soft cast.
The 85-year-old patient has severe cognitive impairment from dementia and depends on staff for all care. She is nonverbal and has a history of diabetes, heart disease, anxiety, and depression.
According to the inspection report, V9 told investigators that R2 "was being combative with cares after having a bowel movement." He left the room to let her calm down, then returned to clean her up.
"R2 grabbed the side of the bed and was pushing against being turned but needed cleaned up," V9 explained to inspectors. As he tried to turn her, "R2 relaxed R2's body moved forward onto R2 right hand."
The nursing assistant made a crucial admission during questioning. Another agency CNA was working in the building that day and could have assisted with the difficult care situation.
V9 chose not to ask for help.
His reasoning: "V9 could have asked her for help but did not want to scare her off on her first time working in the facility by asking her to help with a difficult resident so he chose to proceed on his own."
The decision to work alone with a combative resident led directly to the injury. LPN V8 confirmed the sequence of events, telling inspectors that V9 was "pushing R2 over onto R2's side and R2 was pushing back."
When the resident's body relaxed, "R2's body moved forward on to R2's right hand and V9 heard an audible pop," the nurse reported. V9 immediately noticed "the right 5th digit was pointed in the wrong direction" and got the nurse.
Hospital records from that night document the severity of the injury. Emergency department staff noted "audible pop and subsequent swelling and bruising noted to the right little finger and hand" after the resident's "right hand became caught underneath her in bed."
The resident has lived at Eastview Healthcare since September 2019. Her care plan lists multiple diagnoses including unspecified dementia, requiring total assistance with daily activities.
Federal inspectors classified the incident as causing "actual harm" to the resident. The investigation, completed in August, found the facility failed to ensure residents received proper care and services.
The case highlights a troubling priority: protecting a new employee's comfort over resident safety. V9's admission that he "did not want to scare her off" reveals how staffing concerns can override basic safety protocols.
The injured resident remains at the facility with her fractured finger. Her family could not be reached when inspectors attempted contact during their investigation.
Nobody was available to explain why a nursing assistant's desire to protect a new worker's feelings took precedence over preventing injury to a vulnerable dementia patient who cannot speak for herself.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Eastview Healthcare & Senior Living from 2025-08-27 including all violations, facility responses, and corrective action plans.
Additional Resources
- View all inspection reports for Eastview Healthcare & Senior Living
- Browse all IL nursing home inspections
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 13, 2026 · Our methodology
EASTVIEW HEALTHCARE & SENIOR LIVING in SULLIVAN, IL was cited for violations during a health inspection on August 27, 2025.
The incident occurred July 5th at Eastview Healthcare & Senior Living when CNA V9 was cleaning up a resident who had soiled herself.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.
Frequently Asked Questions
- What happened at EASTVIEW HEALTHCARE & SENIOR LIVING?
- The incident occurred July 5th at Eastview Healthcare & Senior Living when CNA V9 was cleaning up a resident who had soiled herself.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in SULLIVAN, IL, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from EASTVIEW HEALTHCARE & SENIOR LIVING or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 146039.
- Has this facility had violations before?
- To check EASTVIEW HEALTHCARE & SENIOR LIVING's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.