Metropolis Rehab: Wound Care Failures Cause Actual Harm - IL
The resident, identified in inspection records as R7, had open wounds on her legs that required dressing changes and ace wraps....
Latest reports, citations, and penalties from CMS data
The resident, identified in inspection records as R7, had open wounds on her legs that required dressing changes and ace wraps....
That gap, documented during a November 2025 complaint inspection, preceded a resident's transfer to the hospital....
What makes the finding notable is not just what the facility failed to do, but how directly its own staff described the failure....
The facility's social services staff confirmed as much to inspectors on September 23, 2025....
The resident said it plainly: staff have not been doing the treatments every shift the way the doctor ordered....
The inspection, conducted November 14, 2025, stemmed from a complaint....
The citation against Villages Healthcare and Rehabilitation Center came out of a complaint investigation conducted November 13, 2025....
The inspection was completed November 17, 2025, following a complaint at the facility at 3645 Cook Avenue....
Inspectors cited Enterprise Estates Nursing Center, at 602 Crestview Drive, for violations related to bed rail safety under federal tag F0700....
No documentation that staff had even offered either one....
The violation was first cited at the facility on November 15, 2024....
Inspectors cited the home under F0677, which covers personal hygiene and grooming, and recorded the harm level as minimal, with few residents affected....
Inspectors rated it a Level D violation, meaning the lapse was isolated and no actual harm was recorded....
Federal inspectors cited the facility for actual harm following a complaint inspection completed November 17, 2025....
The November 2025 complaint inspection turned up 14 separate deficiencies at the 501-person town's only nursing home....
The citation, issued on November 19, 2025, fell under a category of resident rights deficiencies....
The citation, issued November 17, 2025, fell under the pharmacy services category....
At Sarcoxie Health Care Center, federal inspectors found that residents could not count on that....
The Director of Nursing is not a peripheral figure in a nursing home....
The inspection record includes a facility-generated Timeline of Events form that was not dated....