Ascension Resurrection Life: Surgical Wound Missed at Admission - IL
The wound went unrecorded on the resident's initial skin assessment, completed the day she was admitted on August 25, 2025. It was a nurse's aide who eventually found it, pressing on the resident's stomach during a routine bath and watching fluid drain out of a slit tucked beneath an abdominal fold.
The aide, identified in the inspection report as V5, had stepped in to help with the resident's bath when she noticed something wrong. The registered nurse assigned to the resident, V4, had stepped out of the room. V5 pressed the resident's stomach and the slit opened. It was on the right side, draining liquid. She called V4 back in immediately.
The resident's family member, identified as V6, was in the room. According to V5, V6 was agitated, asking what was going on and what staff were doing.
The Director of Nursing, V2, said she received a call from V4 that afternoon, September 13, 2025, at 3:25 p.m. V4 told her there was fluid mixed with blood coming from the right side of the resident's abdomen. V2 went to assess the resident herself. What she found, she said, was a slit that appeared to be a surgical wound, open. The cut was clean. There were no sutures and no torn wound edges. Clear fluid mixed with blood was leaking from the resident's right side.
V2 said she understood the resident had recently had surgery on her ileostomy. She called the doctor. An ambulance came and transported the resident to the emergency room.
The hospital records from August 25, the day of admission, documented a transverse incision in the right lower quadrant. That incision did not appear anywhere on the resident's initial skin assessment, the form that is supposed to capture every wound, mark, and skin condition when a resident first arrives. V2 said she could not determine with certainty who had completed that assessment because it was handwritten and parts of it were illegible.
The nurse assigned to care for the resident during admission was V10. Inspectors tried to reach V10 on September 13 at 3:58 p.m. They left a voicemail. V10 had not called back by the time the report was written.
The missed wound was not the only concern inspectors documented.
Three weeks before the wound was discovered, the resident's family member had sent an email to the facility's administrator and its business development coordinator. The email, dated August 27, 2025, at 10:38 a.m., described the resident being left soiled for an hour and a half without anyone coming to change her.
V2 said she was never told about it. She said she was unaware of the email and unaware that the resident had waited that long for care. "It is not acceptable for any resident to have to wait an hour and a half to have care rendered," V2 told inspectors. She said she expects nursing and CNA staff to respond to residents' needs as soon as possible.
The email had been sent directly to the administrator. V2, the Director of Nursing, said no one had informed her.
The inspection, conducted as a complaint investigation, cited the facility under F0684, which covers the standard requiring residents to receive care consistent with professional standards. The level of harm was assessed as minimal harm or potential for actual harm.
What the report leaves unresolved is how long the surgical wound had been open and draining before the aide found it during that bath. The admission was August 25. The wound was discovered September 13. That is nineteen days. The family member had written to the administrator about inadequate care on August 27, two days after admission. V2 said she never saw that email.
The resident's family was in the room asking what was going on. Staff did not have an answer.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Ascension Resurrection Life from 2025-09-14 including all violations, facility responses, and corrective action plans.
Additional Resources
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 28, 2026 · Our methodology
ASCENSION RESURRECTION LIFE in CHICAGO, IL was cited for violations during a health inspection on September 14, 2025.
The wound went unrecorded on the resident's initial skin assessment, completed the day she was admitted on August 25, 2025.
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.