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Pearl of St Charles: Foot Care Deficiency Found - IL
The nurse practitioner, identified in the inspection report as V7, described the buildup as preventable....
Latest reports, citations, and penalties from CMS data
The nurse practitioner, identified in the inspection report as V7, described the buildup as preventable....
The complaint inspection, completed January 29, 2026, found the violations caused actual harm to residents....
He had been admitted to the facility and discharged on June 25, 2025, the same day police arrived and an ambulance took him away on a gurney....
with her right foot pressing against the footboard....
Federal inspectors observed the nurse fail to clean the scissors after completing care on one resident....
It also meant nothing in the facility's system flagged that he needed help eating his meals....
Both were discovered at Cypress Creek Rehabilitation and Healthcare Center on the morning of January 30, 2026, during a federal complaint inspection....
The facility violated requirements for meal delivery verification....
The aides are identified in inspection records only by employee number, E13, E15, E16, E17, and E18....
That is where the inspection record begins....
The Minimum Data Set serves as the foundation for nursing home care planning and determines Medicare reimbursement rates....
The substance lined the walls below the rinse shelf....
The medical record also reflected a physician's order for a colonoscopy and a plan to add magnesium citrate for intermittent flare-ups....
The victim, identified in inspection records only as R2, closed her eyes shortly after it happened and showed no visible distress....
The resident she stole from had dementia, paranoid schizophrenia, chronic pain, and anxiety....
The order was specific: pureed texture diet, with moderately thick liquids described as honey consistency....
He was fully cognitively intact, according to a federally mandated assessment completed in December 2025....
A complaint inspection completed January 30, 2026 resulted in a citation against Prairie Estates for failures tied to its care planning process....
Inspectors classified the deficiency as "widespread," indicating the problems affected multiple areas of food service operations....
The admission came during a complaint inspection completed January 30, 2026....