Central Nursing Home: Missed Antibiotic Doses, Eye Drops - IL
Federal inspectors cited Central Nursing Home following a complaint inspection completed January 2, 2026, finding that two residents had gone without prescribed medications during the fall of 2025.
One resident, a woman with glaucoma, anxiety disorder, and major depressive disorder, was ordered to receive brimonidine tartrate eye drops in both eyes every eight hours. The drops manage eye pressure. She told an inspector by phone on December 23 that she had not received all of her required doses twice in September. Her medication administration record confirmed it: the drops were not given on the morning of September 12 and the night of September 13.
The nurse who worked both of those days acknowledged the record. She told the surveyor she did not know why she had not signed off on the eye drops either time. When a medication administration record goes unsigned, the facility's own staff explained, it means the medication was not given. The potential consequence of skipping doses of brimonidine tartrate, according to the inspection report, is increased pressure in the eye.
The second resident's situation was more complicated, and more serious. The man had been admitted with cellulitis of the left finger, an open wound of the left thumb, and a confirmed MRSA infection. He had a cardiac and vascular implant. He was also listed as experiencing homelessness. His physician ordered daptomycin, a powerful IV antibiotic, once daily beginning September 26, continuing through October 29.
He did not receive it on September 28, October 1, or October 2.
The assistant director of nursing reviewed his medication record with the inspector on December 30 and confirmed the missed doses. She said he should not miss his antibiotic to ensure proper treatment of the infection.
The nurse practitioner who had been treating the resident since June 2024 offered a partial explanation. On September 29, the pharmacy sent a memo stating that the resident's insurance would not cover daptomycin without prior authorization. She completed the authorization that same day. It was not approved. She said she was not told the authorization had been denied until October 2, at which point she ordered vancomycin as an alternative. That left a gap: the resident went without any antibiotic on September 28, October 1, and October 2. The nurse practitioner told inspectors he should not miss his antibiotic because it could worsen his infection.
The inspection report notes that the resident was later transferred to the hospital, though the date was redacted.
The registered nurse who had worked at the facility for eighteen years described the standard clearly. Nurses are supposed to follow the doctor's order. The medication administration record gets signed once the medication is given. If it is not signed, the medication was not given. She said it about the eye drops. The same logic applied to the antibiotic.
Central Nursing Home is disputing the citation.
The woman with glaucoma said it herself, over the phone, three months after it happened: twice in September, she did not get all of her eye drops.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Central Nursing Home from 2026-01-02 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
CENTRAL NURSING HOME in CHICAGO, IL was cited for violations during a health inspection on January 2, 2026.
She told an inspector by phone on December 23 that she had not received all of her required doses twice in September.
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.