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Lutheran Hillside Village: Fall Goes Undocumented - IL
No clinical note recorded that she had fallen....
Latest reports, citations, and penalties from CMS data
No clinical note recorded that she had fallen....
Ambulation was listed as impossible....
A PICC line, a peripherally inserted central catheter, runs from a vein in the arm directly toward the heart....
The resident, identified in inspection records only as R1, had asked to complete a new power of attorney document....
The inspection, triggered by a complaint, cited the facility on Sarno Road for a deficiency affecting a small number of residents....
The violation, cited under federal tag F0686, was classified as causing minimal harm or potential for actual harm and affected a small number of residents....
Inspectors documented the deficiency as having potential for more than minimal harm....
The deficiency was cited under F0880, with inspectors determining the lapse created potential for actual harm to some residents....
The error came to light during a complaint inspection completed October 8, 2025....
The resident, identified in inspection records only as Resident 1, had become shaky....
Inspectors rated the harm level as minimal or potential for actual harm, and noted that few residents were affected....
Staff and feeding assistants were instructed to feed those residents needing full assistance within â nothing....
That is what federal inspectors found at Potomac Valley Rehabilitation and Healthcare, a nursing home at 1235 Potomac Valley Road in Rockville....
The citation, issued October 3, 2025, stemmed from a complaint investigation....
The violation, recorded under a category covering quality of life and care, documented that the facility was not ensuring residents received dental services....
The aide, identified in inspection records only as CNA #717, described her routine during a complaint inspection completed October 8, 2025....
When an inspector pointed to a blank space on Resident 1's record and asked what it meant, the director of nursing said it meant the medication was not given....
That finding sits at the center of a complaint inspection conducted October 7, 2025, at the Avoca, Iowa facility....
That admission came from a certified nursing assistant who was present....
The citation, issued October 7, 2025, fell under the category of pharmacy service deficiencies....