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Vandalia Healthcare: Fall Prevention Failures Documented - IL
The resident, identified in inspection records only as R6, was admitted to the facility in May 2023....
Latest reports, citations, and penalties from CMS data
The resident, identified in inspection records only as R6, was admitted to the facility in May 2023....
The moves happened on August 8 and August 28, 2025....
A federal surveyor watched the whole thing happen at 8:05 a.m....
The manager only intervened after a federal inspector stopped the meal service and asked whether that was acceptable....
He was guarded during the physical assessment....
She was wearing a nasal cannula connected to an oxygen concentrator running at 2 liters per minute....
They came back a few days later and found her hand covered in purple and black bruising, fingers to palm, extending up her forearm....
Federal inspectors visited the 40-bed nursing home on September 3 and 4, 2025, following a complaint....
Compression stockings are prescribed to manage circulation problems, reduce swelling, and lower the risk of blood clots....
Combined tenure at the facility stretching back nearly three years....
Nobody saw how the injury occurred....
The resident scored a 4 on cognitive testing, indicating severe mental impairment....
The outdated plans created confusion about basic care needs and discharge planning....
State regulations permit nursing assistants to work only four months before passing their state certification exam....
The facility's Director of Nursing admitted he could not find evidence that any reduction had been attempted....
Haida Nursing and Rehab increased Resident 5's daily Seroquel dose from 250 milligrams to 350 milligrams over two separate medication changes in May 2025....
Without the phosphorus binder, the resident experienced nausea and diarrhea, with symptoms becoming more severe after meals....
The blue stuffed bird sat empty....
Video surveillance captured the entire theft at Golden Age Nursing Home....
Resident 3 was discovered dead at 9:30 AM on August 31st with no heartbeat or respirations, according to progress notes reviewed by inspectors....