Effingham Healthcare & Senior Living
EFFINGHAM HEALTHCARE & SENIOR LIVING in EFFINGHAM, IL — inspection on December 24, 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
(Director of Nursing/DON) stated she had been working the day R1 had fallen with the mechanical lift.
via mechanical lift the lift had tipped over with R1 in the sling causing a laceration to the top left side
transfer causing the mechanical lift to tip over. On 12/23/2025 at 11:50 AM, V1 (Administrator) stated she had been notified by V2 that V3 and V4 had been in the process of transferring R1 from a shower chair to her bed via mechanical lift and the lift had tipped over with R1 elevated in the sling causing the lift to hit the top left side of R1's head. V1 stated the investigation determined that R1's weight became unbalanced during the transfer during repositioning and motion of lift and caused the mechanical lift to tip over. On 12/23/2025 at 12:05 PM, V5 (Physical Therapy Assistant/PTA) stated, the mechanical lift could tip over if R1's weight had become unbalanced outside the base center of the mechanical lift during transfer. R1's Progress Note dated 11/26/2025 at 5:55 PM documented R1 was transferring with 2 staff members from shower chair to bed.
Resident sustained a fall.
Laceration noted to left top of head.
Resident sent to ER (emergency room) for evaluation and treat. R1's Progress Note dated 11/26/2025 at 6:30 PM documented R1 returned to facility from local hospital in ambulance accompanied. R1 had new orders to remove staples from laceration in 7 days. R1's after visit hospital summary dated 11/26/2025 documented under history of present illness.mechanical lift flipped over, patient landed on her bottom, mechanical lift struck her in the left side of head, laceration to scalp and under physical exam weight of 437 pounds.
This same document under laceration repair dated 11/26/2025 at 4:34 PM performed by V15 (emergency room Physician) to the left parietal scalp area, 2.5 centimeters (cm) in length, repair method of 2 staples.
The facility's incident investigation report dated 11/26/2025 documented R1 had been in the process of being transferred via mechanical lift by V3 (LPN) and V4 (CNA). R1 had been being pushed toward the bed when the mechanical lift became unbalanced with resident still elevated in sling. R1 did experience a fall and sustained a laceration to the left top of head.
Resident was sent to the local emergency room (ER) for evaluation and treatment.
Resident returned from the ER with two staples and orders to remove in 7 days.
The facility policy titled Lifting Machine, Using a Mechanical Lift (undated) documented under Purpose The purpose of this procedure is to establish the general principles of safe lifting using a mechanical lifting device. It is not a substitute for manufacturer's training or instructions.
Steps in Procedure 16.
Gently support the resident as he or she is moved, but do NOT support any weight. On 12/23/25 at 11:50 AM, V1 (Administrator) provided their QAPI (Quality Assurance Performance Improvement) Ad Hoc Form outlining the actions taken by the facility prior to the survey date to correct the noncompliance.
Prior to the survey date, the facility took the following actions to correct the non-compliance: 1. A Quality Assurance and Performance Improvement meeting was held on 12/1/25. In attendance - V1, V2, V3, V12 (Regional Director), and V13 (LPN/MDSC - Minimum Data Set Coordinator). 2.
Process/Steps to identify others having the potential to be impacted by the same deficient practice: All residents that are transferred per mechanical lift. 3.
Measures put into place/systematic changes to ensure the deficient practice does not recur: V2 and V15 (ADON) provided in-service to nursing staff on mechanical lift/safe transfers and return demonstration on use of mechanical lift.
Completed on 12/1/25.
All beds checked and ensured they are locked. 4.
Plan to monitor performance to ensure solutions are sustained: V2 (DON) will complete observations of 3 lift transfers weekly for 6 weeks.
Should any concerns be identified, during transfer, V2 will immediately intervene and provide additional education with return demonstrations.
The first complete facility audit was completed on 12/1/2025 by V2.
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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.