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Nexus at Columbia: Abuse Investigation Failures - IL
His care plan, last reviewed in February 2026, noted he was at risk for abuse and neglect....
Latest reports, citations, and penalties from CMS data
His care plan, last reviewed in February 2026, noted he was at risk for abuse and neglect....
The incident happened on March 14, 2026, at Berkeley Nursing & Rehab Center, a facility on the western edge of Chicago....
The inspection at Holy Spirit Retirement Home, completed April 30, 2026, was triggered by a complaint....
The resident, identified in federal records only as Resident #31, had a cognitive status score of 2 out of 15, placing her in the severely impaired range....
When inspectors arrived on April 29, the can held roughly an inch of standing water....
Sanitizer buckets were mixed with dish soap....
That distinction matters less than it might seem....
When inspectors arrived, the resident's blood sugar was 54....
Federal inspectors arrived at the facility at 605 East Church Street on April 30, 2026, responding to a complaint....
When inspectors document harm or the potential for harm involving residents who are cognitively intact, those residents can describe what they experienced....
The director of nursing and infection preventionist told inspectors the facility does not offer RSV or shingles vaccines at all....
The orders were explicit, documented, and dated from his first days at the facility....
Inspectors found it on the morning of April 27, 2026....
The violations were cited at the minimal harm level, though all three residents with breathing emergencies required hospitalization....
The citation came out of a complaint investigation completed on April 30, 2026....
Federal inspectors visiting Jackson Memorial Perdue Medical Center on April 27, 2026, found exactly that problem on the North Wing's Red Medication Cart....
After the crying stopped, the resident said the facility had not sent them out for evaluation after the attempt....
The April 30 complaint inspection identified three separate medication failures at the facility....
The April 2026 complaint inspection cited the facility for failing to ensure residents were properly assessed for their hydration status....
The lapse was observed by inspectors on April 27, 2026, at 12:50 p.m....