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Country Lane Gardens: LPN Illegally Removed IVs - OH
The violations came to light during a complaint investigation at Country Lane Gardens Rehab & Nursing Center....
Latest reports, citations, and penalties from CMS data
The violations came to light during a complaint investigation at Country Lane Gardens Rehab & Nursing Center....
In resident 15's room, the soap dispenser had been torn completely off the wall....
The moves affected residents with serious medical conditions including dementia, Parkinson's disease, and chronic kidney disease....
She had no walker or wheelchair with her....
Those orders were discontinued on October 7 when R1 returned to the facility from a hospital stay....
The resident felt the exercise was too aggressive and started pushing back....
The therapist later confirmed the objects were maggots....
Federal inspectors found the facility failed to complete the required care plan for Resident #2 within 21 days of her October 6 admission....
On October 22, inspectors observed Resident 43 sitting in dining room B at 12:15 PM, waiting for lunch trays that didn't arrive until 1:10 PM....
At least six residents developed severe itching rashes consistent with scabies infestation by mid-October....
The resident had called her son on September 1st asking him to bring a fly swatter because there were so many flies in her room....
On the day of inspection, 24 residents displayed "falling star" nameplates marking them as fall risks....
A January assessment showed the resident scored just 3 out of 15 on a standard cognitive test, indicating severely impaired mental status....
The theft occurred between August 9 and September 10, 2025, at Senatobia Healthcare & Rehab....
A certified nursing assistant on break spotted the resident near the driveway and parking lot....
The facility's own nurses and aides described feeling helpless to stop the attacks....
The resident, assessed as cognitively intact in quarterly evaluations, described the precarious system during an October 10 interview with inspectors....
The incident at Pavilion Of Waukegan occurred about two weeks before federal inspectors arrived for a complaint investigation in late October....
She had scheduled the visit specifically to address his healing progress after his left toe amputation....
The resident, identified in inspection records as Resident 1, had fallen at the facility on June 2 at 11:10 p.m....