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Orchard View Post Acute: Resident Abuse Violations - ID
A nurse had heard yelling from down the hallway and walked in just in time to watch it happen....
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A nurse had heard yelling from down the hallway and walked in just in time to watch it happen....
The inspectors didn't find a partial compliance problem....
The inspection, completed August 14, 2025, was prompted by a complaint....
The resident, identified in inspection records only as R2, had been admitted to the facility with a diagnosis that includes muscle weakness as a core symptom....
Inspectors reviewed the clinical records of both residents and found the same problem in each file....
It was not the first time something like this had happened....
The August 13 search at Rock River Health Care came to light during a complaint inspection on August 19, 2025....
The missed doses were documented in a nursing note written at 6:03 a.m....
Every record told the same story: no discharge plan, from admission through the day each person walked out the door....
Immediate jeopardy means inspectors determined that the facility's failures had placed residents in a situation likely to cause serious injury, harm, or death....
The complaint inspection resulted in a deficiency citation under F0689, the federal tag covering accident hazards and supervision....
"I don't know I don't know I don't know," she told inspectors....
That was the incident that finally opened an investigation....
Inspectors found them on August 13....
Nothing specific to the resident....
The inspection, triggered by a complaint, was completed August 19, 2025....
Some people use foul language on a regular basis, it's just how they talk." The inspector had asked a straightforward question....
The inspection at Evergreen Health Services, conducted August 20, 2025, was triggered by a complaint....
By morning, inspectors would eventually determine the facility had failed to protect its residents from abuse....
The inspection report doesn't say whether anyone noticed....