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Azria Health Park Place: Lift Transfer Safety Failures - IA
The September 2025 inspection, triggered by a complaint, captured the transfer on observation....
Latest reports, citations, and penalties from CMS data
The September 2025 inspection, triggered by a complaint, captured the transfer on observation....
The resident, identified in inspection records only as R1, required staff assistance with all of his daily activities....
Eight separate complaints triggered the inspection....
The incident happened on August 27, 2025....
The Villas at New Brighton, a nursing facility at 825 First Avenue Northwest, never reported any of this to the state....
By the time a federal inspector sat down with the facility's attending physician on September 4, the doctor had no idea any of this had happened....
The resident had an order for hydrocodone/acetaminophen, but the order was never entered into the electronic medical record....
The administrator said the contract with that pharmacy runs through November....
The inspection at Integrity HC of Herrin took place on September 11, 2025, and what surveyors documented that morning was not a complicated sequence of events....
The violation falls under F0689, the federal tag covering accident hazards and supervision failures....
The deficiency was tagged at the actual harm level, meaning inspectors determined residents were hurt, not merely placed at risk....
The resident, identified in inspection records as R4, filed a grievance on August 11 with the facility's Social Services Director about another resident....
She turned around and drove back....
The inspection at Allure of Galesburg, on Frank Street, was completed September 11, 2025....
According to a licensed practical nurse interviewed that day, he would do it spontaneously and not tell staff....
Federal inspectors documented the lapse during a complaint inspection completed September 11, 2025....
R2 asked that the medications be placed in her hand instead....
The inspection was completed September 11, 2025....
The resident, identified in inspection records only as R1, had gone to a clinic appointment on August 28....
The patient, identified in inspection records only as R1, had her own medication schedule at Helia Healthcare of Energy....