Hope Creek Nursing & Rehab
HOPE CREEK NURSING & REHAB in EAST MOLINE, IL — inspection on February 22, 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
mattress, heel protector boots. If she is bed bound, I don't think it would hurt her to wear hell
The facility's policy and procedure dated 5/20/23 showed, Guidelines for Preventative Skin Care.
Guideline: It is the intent of the facility to provide residents with preventative skin care. to keep them clean, comfortable, well groomed and free from pressure sores.
All residents will be provided a preventative pressure reducing mattress.
Further, residents will have the results of their Braden Scale scores and Weekly Skin Assessments used as an indicator as to their specific Preventative Skin Care needs.
Equipment: . 4) Heels Up or specialty order therapeutic boots.
Procedure: Positioning pillows and/or specialty devices may be used between two skin surfaces or to slightly elevate bony prominences/pressure areas off of the mattress.
Offloading must be provided as indicated to provide pressure relief.
Heels Up or specialty ordered therapeutic boots may be used to protect heels on those residents identified as being high risk for potential skin breakdown. NOTE: Should a caregiver notice any alteration in a resident's skin to include a scratch, skin tear, bruise or discolorations, redness, rash, any broken skin or any other unusual observation will be reported immediately to the Charge Nurse for assessment and appropriate follow up.
- On 2/22/26 at 11:13 AM, V6 (Wound Care Nurse) was at R4's bedside providing wound care to an
unstageable wound to his coccyx. R4 was on an air mattress that was set to firm. R4 had a pressure relief cushion in his wheelchair that was flattened and torn with the foam inside coming out. V6 confirmed the cushion was worn and stated she would replace it. V6 stated the cushion was for pressure relief. V6 was asked to check R4's mattress and she stated it was set too high; it was set on firm and should be set to his weight. V6 asked R4 if he liked his mattress hard or wanted it soft and he seemed confused by what she was asking.
On 2/22/26 at 1:00 PM, V2 Director of Nursing - DON stated if a resident has a pressure ulcer they will put a low air loss mattress, have a cushion to their wheelchair, and they may have boots to offload heels.
The low air loss mattresses go off the resident's weight. V2 stated the cushions for pressure relief are checked by the wound nurse The Weekly Wound Evaluation dated 2/16/26 for R4 showed an unstageable pressure injury to his sacrum; 5 cm x 2.8 cm x 0.1 cm; moderate serousanguinous drainage present with a strong odor.
Education was provided on the importance of off loading, verbalized understanding.
Wound location changed from right buttocks to sacrum due to wound exacerbation.
Low air loss mattress ordered.
The Weight Documentation dated 2/9/26 for R4 showed a weight of 197 pounds.
The Care Plan dated 1/19/26 for R4 showed the resident admitted with a pressure ulcer of the right buttock related to immobility.
The care plan did not show pressure ulcer preventative measures/pressure ulcer relieving devices in place.