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Forest View Rehab: 15-Hour Food Gap Violations - IL
The facility serves dinner starting at 4:45 PM and doesn't begin breakfast until 7:45 AM the next morning....
Latest reports, citations, and penalties from CMS data
The facility serves dinner starting at 4:45 PM and doesn't begin breakfast until 7:45 AM the next morning....
R13 wanted whole milk with his breakfast....
A staff member passing out trays from the food cart complained about the equipment: "They only give plastic plates in the evening....
She told inspectors she never took the ring off and was very upset when she discovered it missing....
Instead, Licensed Nurse 1 administered a 20-milligram tablet that belonged to a different resident....
"She forgot to sanitize the glucometer, and it should have been done after using the glucometer," the nurse told inspectors when confronted about the lapse....
Moderate pain registers 4-6, while severe pain spans 7-10....
The Director of Staff Development was observed standing over Resident 1 during lunch on November 20, 2025, at 12:47 p.m....
Mirage Post Acute failed to develop person-centered care for Resident 7, who refused to leave her room despite the ongoing ceiling leak....
The facility's own dietary manager acknowledged the violation could lead to cross-contamination and pest control problems....
Her care plan specifically noted swallowing problems and nutritional risks related to being underweight....
Resident 7's room had developed leaks severe enough that staff placed containers throughout the space to catch dripping water....
Patient 1 had been admitted in September with Type 2 diabetes and was identified as an elopement risk from day one....
Resident 3, who has major depressive disorder, told inspectors he simply asked his roommate to be quieter....
The oversight could have denied the resident the right to return to the facility after her hospital stay....
The woman, identified in the inspection report as a family friend of the resident, discovered the confused man around 8:30 a.m....
Federal inspectors found Estates at Shavano Park operating without a policy for assessing nurse competencies during a complaint investigation in November....
The Social Worker acknowledged during an October 28 interview that she had addressed the family's previous concern about the call light placement....
The injuries were located close to the dialysis access site, raising concerns about potential complications....
Federal inspectors found that nursing assistants #4 and #5 abandoned their duties after the resident became upset and used curse words while requesting help....