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Palm Garden of Mattoon: Pharmacy Service Failures - IL
"You either must eat what is on the menu, or you get peanut butter and jelly," R2 said....
Latest reports, citations, and penalties from CMS data
"You either must eat what is on the menu, or you get peanut butter and jelly," R2 said....
Two days later, on October 4th, she provided a written witness statement to Unit Manager #1, who was acting as weekend supervisor....
The facility was found deficient in maintaining medical records in accordance with accepted professional standards....
The Level F classification is significant....
The resident had been admitted on Saturday, October 25....
The tag covers the obligation to keep residents free from accident hazards....
Federal inspectors observed the September 24 incident at Watertown Health Care Center during a complaint investigation....
The incidents exposed confusion among nursing staff about guardianship protocols and emergency notification procedures....
As of the most recent reporting, the facility has **not submitted a correction plan** for the identified problems....
The facility was cited under regulatory tag F0609 and, notably, has not submitted a plan of correction to address the deficiency....
Federal regulations require nursing facilities to maintain strict oversight of aide qualifications....
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm....
The facility has not submitted a plan of correction....
Accident hazard citations under F0689 cover a broad range of environmental and supervisory failures....
The resident council meeting took place on July 23, 2025....
The September incident at Mitchell-Hollingsworth Nursing & Rehabilitation unfolded around 11 a.m....
The breakdown affected some residents, according to the inspection report....
Resident #126 was admitted from the hospital with pneumonia and immediately placed on oxygen at 2 liters per minute through a nasal cannula....
that the resident was "quite sedated from trazodone" and nearly fell trying to reach the restroom....
A Level E designation means the problem was not an isolated incident....