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Manor Court of Freeport: Unsafe Resident Lift - IL
The resident had been admitted with osteopenia, a femur fracture, and gait abnormalities....
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The resident had been admitted with osteopenia, a femur fracture, and gait abnormalities....
The incident involved Resident #7, who had a documented allergy but was prescribed methylprednisolone anyway....
Staff only discovered the wound after the resident fell on September 27, initially misidentifying it as a skin tear from the fall....
The problems began when Resident #1 needed vancomycin and cefepime, two powerful antibiotics typically used for serious bacterial infections....
CNA #413 confirmed to inspectors that she left Resident #6's room between providing catheter care and incontinence care with only one glove removed....
Federal inspectors found the facility in immediate jeopardy on October 14, 2025, after discovering the nursing home failed to protect residents from abuse....
Resident #60, who suffers from pancreatic cancer, diabetes, acute kidney failure, and malnutrition concerns, complained on October 8 at 3:11 p.m....
The antibiotic, commonly used for serious bacterial infections, requires precise IV delivery....
Neither the resident nor any staff member was present....
Federal inspectors observed the breach on December 10, 2025, at 10:53 a.m....
The same problem existed in the 100-wing spa room....
Federal inspectors found Staff A had removed narcotic pills on multiple occasions while failing to record the medications as administered to residents....
A mental status assessment on September 26th scored the resident at 9 points, indicating moderate cognitive impairment....
Federal inspectors documented the medication errors during a complaint investigation completed in October....
Federal inspectors found the facility failed to immediately report the abuse allegation to state authorities....
The mix-up left the actual decision-maker uninformed about multiple falls and the resident's declining health....
The security breach occurred between 7:20 p.m....
The daughter learned about her mother's fall that afternoon from her aunt, who had visited the resident and heard about the incident directly....
Resident #51 made the allegation on April 9, 2025, while hospitalized....
The resident had barricaded his door with his bed that morning, forcing staff to crawl through an adjoining bathroom to offer him breakfast....