Radford Green: Resident Fracture During Bed Care - IL
The fall happened on March 4, 2026, at Radford Green in Lincolnshire. The resident, identified in inspection records only as R1, was readmitted to the facility with diagnoses that included hemiplegia and hemiparesis affecting her right dominant side, lack of coordination, and abnormal gait and mobility. She needed partial to substantial help with turning in bed, bathing, toileting, dressing, and personal hygiene.
The CNA performing the care, identified as V14, told inspectors she had finished cleaning R1's front and then asked R1 to turn onto her side. R1 turned to her right. Her legs went over the edge. She fell.
V14 did not say whether she had checked R1's position in the bed before asking her to turn. A second CNA, interviewed separately, explained exactly what that step is supposed to look like: before turning a resident or asking them to turn, you make sure they are in the middle of the bed, so they do not go too far and fall out. That CNA was not the one in the room when R1 fell.
The registered nurse who responded, V8, said V14 came to find her and said R1 had fallen during cleanup. V8 assessed R1 and got her back into bed. When V8 asked R1 if she was in pain, R1 nodded. R1 was sent to the hospital of her choosing, at the request of her power of attorney.
The nurse practitioner on staff, V17, told inspectors she had seen R1 up in her wheelchair around 8:15 that morning, before the fall. R1 showed no signs of pain at that point. It was only when V17 pressed on R1's right hip and thigh that R1 reacted. V17 called the fall unusual. "It was unusual to have a resident fall out of bed during peri-cares," she said.
Hospital records faxed to inspectors on March 31 confirmed R1 had been admitted with an intertrochanteric right femur fracture, a break at the top end of the large leg bone. She was transferred to a second hospital to receive surgery.
The facility's medical director, V3, reviewed the case and told inspectors that an intertrochanteric fracture is associated with a traumatic event.
Federal inspectors cited the fall as causing actual harm to R1. The inspection was triggered by a complaint and conducted on March 30 and 31, 2026. The sample reviewed for safety included four residents; R1 was the only one whose case produced a citation.
Radford Green is disputing the citation.
R1's power of attorney made the call to send her to the hospital. The fracture required not one hospital stay but two, the second for the surgery to repair what the fall had done to her.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Radford Green from 2026-03-31 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 17, 2026 · Our methodology
RADFORD GREEN in LINCOLNSHIRE, IL was cited for violations during a health inspection on March 31, 2026.
The fall happened on March 4, 2026, at Radford Green in Lincolnshire.
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 RADFORD GREEN?
- The fall happened on March 4, 2026, at Radford Green in Lincolnshire.
- 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 LINCOLNSHIRE, 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 RADFORD GREEN 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 146136.
- Has this facility had violations before?
- To check RADFORD GREEN'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.