Lakeside Health & Rehab Center
LAKESIDE HEALTH & REHAB CENTER in CARLINVILLE, IL — inspection on November 13, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Issue Type Bruise.
Wound Description Base Color red Wound description: resident has reddish bruising / discoloration noted to bilateral hands with small skin tear present on top of left hand.
Injuries Type Bruise Location Left Hand Date / Time 9/3/25 7:00 AM Details red discoloration / bruising noted with small skin tear on top of left hand.
Bruise location Right Hand Date / Time 9/3/25 7:00 AM Details red bruising / discoloration present to top of hand.
Investigate.
Conclusion: investigation reveals that CNA likely transferred the resident with one instead of 2. CNA denies. CNA working her last shift at (facility) on this day and no longer works her.
Marked in her file that she is ineligible for re-hire.On 9/29/25 at 3:13 PM, V19, R16's Husband, stated he comes every day and sits with R6 all day. He stated that when he came in this morning R6's elbow was bleeding a little bit, and he let the facility know. He said she must have bumped it.
V19 was questioned if he had concerns about abuse or R6's safety, V19 stated no but about a month ago both of her wrists were bruised it looked like she was pulled. I am not sure what they did about that.On 10/2/25 at 9:29 AM, V2, Director of Nurses, stated I did do an investigation into R6's hands. I determined the CNA V18 transferred R6 by herself. R6 requires 2 staff members and a gait belt for a safe transfer.
This happened on V18's last night shift.
She had already turned in her notice of quitting.
The bruising was reported to me at 7:00 AM after V18 had already clocked out and went home. I let V16 know that it V18 did not work her anymore because when she clocked out at 6:00 AM her employment was finished.On 10/2/25 at 10:45 AM, V6, CNA, stated R6 transfers with 2 staff members and a gait belt.On 10/2/25 at 1:05 PM, V20, Licensed Practical Nurse, stated I was told about R6's wrists and hands.
They were just kind of red, the left had a skin tear, and I think the right wrist was the worse one.
She was not complaining of pain and there was no swelling. I let V2 and V17 know about it.The transfer Policy, dated 7/1/23, documents, Procedure: 1.
Explain to resident what task you are going to be performing.
Enlist his / her assistance with the task if he / she can prove it. 2.
The transfer technique used for the resident will be evaluated and determined by the nurse or directed by therapy. It continues, 7.
Follow Plan of Care to ensure the use of proper transfer technique.
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