BRIA of Wood River: Tracheostomy Care Immediate Jeopardy - IL
Immediate jeopardy means inspectors have determined that the failure is likely to cause serious injury or death if it isn't fixed....
Latest reports, citations, and penalties from CMS data
Immediate jeopardy means inspectors have determined that the failure is likely to cause serious injury or death if it isn't fixed....
Both incidents happened at The Springs at Rochester Hills Rehab and Nursing Center....
The jeopardy period ran from September 1 through September 3....
The chemical was not smuggled in....
A cognitive assessment conducted in August gave her a score of six out of 15, indicating severe impairment....
She did not investigate how long they had been missing or what residents in that room had experienced in the meantime....
The incident happened September 28, 2025 at Greenfield Rehab and Nursing Center....
That is what federal inspectors found when they visited the facility on October 3, 2025, responding to a complaint....
The incident happened during lunch service on October 1, 2025....
The first incident occurred during a Hoyer lift transfer....
The October 7 inspection found three of the facility's four treatment carts unlocked and unattended across two floors....
Inspectors observed the resident, identified in records as R9, on September 23, 2025....
The resident who was groped, identified in inspection records as Resident 105, was nonverbal....
Levothyroxine, a thyroid medication prescribed for a 6:00 a.m....
The physician on staff disagreed....
The resident's prescribed flow rate was 8 liters per minute, which requires a high-flow nasal cannula....
The heel injuries were being managed with heel protectors....
The inspection, completed October 1, 2025, was triggered by a complaint....
The altercation happened September 11, 2025....
Federal inspectors cited the facility for actual harm, isolated, the kind of citation that signals a real person was hurt, not a paperwork lapse....