Landmark of Cicero: Fall Care Plan Failures After Fracture - IL
The resident, identified in inspection records only as R1, had been living at the facility since at least March 2025....
Latest reports, citations, and penalties from CMS data
The resident, identified in inspection records only as R1, had been living at the facility since at least March 2025....
At some point after admission, a care order for the dressing was entered into the facility's system....
The inspection, completed October 29, 2025, was triggered by a formal complaint....
The fall caused actual harm, according to the inspection report filed under deficiency tag F0689, which covers the prevention of accidents....
It said nothing about incontinence briefs....
The resident she was about to treat had chronic wounds and a Foley catheter, the kind of combination that makes infection specialists nervous....
The finding was classified as minimal harm or potential for actual harm, and it affected few residents....
That is what inspectors found at Wheaton Franciscan Health Care, the Terrace at St....
The finding came from a complaint inspection at Life Care Center of Michigan City, conducted October 27 and 28, 2025....
Federal inspectors found that Yuba City Post Acute wasn't getting those plans done....
The deficiency was one of 13 cited that day....
The deficiency was classified as widespread, meaning the problem was not isolated to one shift, one unit, or one corner of the building....
The citation fell under a category of resident rights violations, a classification that carries specific weight....
The facility has not filed a plan of correction....
The citation against Waters of Castleton Skilled Nursing Facility was issued October 28, 2025, following a complaint investigation....
The citation, recorded October 28, 2025, fell under pharmacy service deficiencies....
She had been a resident at the facility before being discharged to a hospital on August 18, 2025....
The admission came during a complaint inspection conducted on October 28, 2025....
She was discharged from the emergency room directly to the ICU at a higher-level care hospital....
Inspectors who arrived October 28, 2025 found the facility wasn't keeping that promise....