Medina Nursing Center
MEDINA NURSING CENTER in DURAND, IL — inspection on May 26, 2026.
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
During the wound dressing change, R2 complained of increased pain to the toes on his left foot. V3 stated, His toes (on his left foot) were very swollen and red.
When I spread his first and second toes apart, I saw the wound with maggots in it. We immediately called the doctor. I am not sure how long he had the wound or maggots. On 5/26/26 at 1:15 PM, V4 RN stated she completed the wound assessment on R2 on 5/1/26. V4 stated the toes to R2's left foot appeared red and swollen at that time. V4 stated R2 also had a wound to the top of his first (big) toe on his left foot but stated, I thought he always had that. I didn't think it was new. V4 stated she couldn't recall if she had assessed or looked in between R2's toes during her assessment. V4 stated she did not notify R2's physician or nurse practitioner of R2's wounds on 5/1/26. R2's TAR dated 5/12/26 and 5/13/26 showed V7 RN completed R2's daily wound dressing changes to his lower extremities. On 5/26/26 at 12:25 PM, V7 stated, on 5/12/26 and 5/13/26, R2 did complain of pain to his left foot and toes during his dressing changes. V7 stated, I did look between all his toes (on his left foot) as much as I could, but it was painful when I touched them. I didn't see any maggots.
The skin between his toes was mushy and red but his skin always looked like this. V7 stated she did not notify a physician or nurse practitioner of R2's left foot pain. R2's progress note dated 5/10/26 showed R2 was seen and assessed by V5 Nurse Practitioner (NP). On 5/26/26 at 11:40 AM, V5 NP stated when she assessed R2 on 5/10/26, R2's left lower leg and foot were covered with a bandage. V5 stated she did not remove the bandage to assess R2's left leg or foot. V5 stated she was never notified that R2 was having left foot pain and/or that he had wounds to the toes on his left foot prior to 5/14/26. V5 stated, (R2's) toes and feet were usually swollen. He was noncompliant with offloading his feet and would refuse his meds. If (R2) was having increased pain to his foot, staff should have assessed his foot along with looking between his toes for a source.
Any new findings should have been reported to me immediately. We had been actively treating the cellulitis to his lower legs, but I wasn't aware of any wounds on his feet. V5 NP stated, on 5/14/26, the facility notified her R2 had new wounds between his toes on his left foot with maggots noted in the wounds. V5 stated she had no idea how long R2 had the wounds between his toes.The facility's Wound Care policy dated April 2026 showed, This policy pertains to wounds where the skin is broken-for example, but not limited to-skin tears, lacerations, pressure injuries.
When the nurse is aware of skin wound/breakdown, whether in-house or upon a resident's admission, area is assessed. If acquired in-house, the resident's PCP (primary care physician) is notified for further treatment orders.
The nurse that identifies the skin issue will notify the facility wound care nurse.
Documentation of open wound must occur upon identification and at least once a week.
The physician and/or facility wound care nurse is to be notified if no improvement is noted after a reasonable period of time, and/or upon signs of deterioration.The facility's Prevention and Intervention of Skin Breakdown policy (undated) showed all resident wounds will be assessed and measured at least once a week.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.