Lakeside Health & Rehab: Infection Control Failures - IL
She was in her bed. Both nephrostomy tubes, the drainage tubes running directly from her kidneys through her back, were draining dark amber urine with a foul odor. A nurse noted the finding at 11:28 a.m. on May 13 and said she was waiting for the medical director to respond.
That call came back within the hour. A urinalysis was ordered. Two days later, on May 15, the medical director reviewed the culture results and started her on a new antibiotic, cefpodoxime, twice a day for seven days.
It was the third time in five months she had needed treatment for a urinary infection serious enough to reach her bloodstream.
Hospital records from January 6 through January 9 show R10 was admitted with a complicated urinary tract infection, hydronephrosis, nephrostomy tube failure, a subsequent urinary leak, and septic shock. She went home. Then, between January 17 and January 21, she was back, admitted again with a UTI, sepsis, and septic shock. The medical director, identified in the report as V24, told inspectors on May 22 that the pattern was a known one: R10's recurrent kidney stones caused her nephrostomy tubes to move and dislodge, triggering repeated infections. "R10 would be sent to the hospital, admitted for a urine infection or replacement of the nephrostomy tubes, then would be sent back to the hospital a day or two later with Sepsis," V24 said.
A resident cycling in and out of septic shock is not, on its own, a regulatory violation. What inspectors found at Lakeside Health & Rehab was something else: the infection control practices surrounding her care were not being followed.
The Director of Nurses, identified as V2, laid out exactly what those practices were supposed to look like. When a resident is on isolation, there is to be a special trashcan inside the room, next to the door. Staff are to wash their hands with soap and water before and after care, when moving from a soiled to a clean area, and between glove changes. V2 said she understood the stakes. "Improper hand hygiene can lead to resident's developing UTIs," she told inspectors on May 21. She added that whenever she sees a resident with a UTI, she follows up with staff on proper perineal care and infection control.
The facility's own nephrostomy tube care procedure spells out the hand hygiene requirements in granular detail. Perform hand hygiene. Open sterile drape. Create the sterile field. Remove gloves. Perform hand hygiene again. Put on sterile gloves. Cleanse the site. Remove gloves. Perform hand hygiene. For irrigation: start over. Perform hand hygiene. Put on sterile gloves. The procedure is listed as undated.
The inspection, a complaint survey completed May 26, cited the deficiency at the level of actual harm.
V24 told inspectors that every time R10 has her nephrostomy tubes changed, the urologist orders antibiotics. In January, when R10 was discharged after her first hospitalization, she came home on intravenous meropenem, two grams every twelve hours for three days, to treat the sepsis. She was back in the hospital within a week.
The nursing home is disputing the citation, according to a notation in the inspection record.
R10, by May, was still there. Still in bed. Still with both tubes draining. Still waiting, that Tuesday morning, for someone to call her back.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lakeside Health & Rehab Center from 2026-05-26 including all violations, facility responses, and corrective action plans.
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: August 16, 2026 · Our methodology
LAKESIDE HEALTH & REHAB CENTER in CARLINVILLE, IL was cited for violations during a health inspection on May 26, 2026.
Both nephrostomy tubes, the drainage tubes running directly from her kidneys through her back, were draining dark amber urine with a foul odor.
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.