Jerseyville Manor
JERSEYVILLE MANOR in JERSEYVILLE, IL — inspection on September 2, 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
residents, then he was moved to the 200 hallway, where he didn't know the staff or other residents. V8 stated R1 wasn't confused, he wasn't always able to fully understand different scenarios or situations. V8 stated R1 also had a history of UTIs. V8 stated she had never observed R1 being aggressive, his emotions would fluctuate, he would be happy/sad/tearful at times. V8 stated she worked with R1 for a long time and didn't see any anger or aggression with him. V8 stated she has not seen R1 since he was moved to the 200 hallway, they were waiting on more visits to be approved prior to R1 being sent to the hospital.On 9/2/25 at 10:13 AM, V10, LPN (Licensed Practical Nurse) stated she was passing medications on 8/24/25, when she heard R2 yelling, upon entering the room, R1 was agitated, she was unsure why and R2 was unable to explain what had happened or what was wrong. V10 stated R1 stood up from his bed and attempted to go towards R2, they attempted to redirect R1 but were unable to, so they moved R2 to a room on the 300 hallway and once R2 was moved from the room, R1 calmed down and R2 was calm and okay in the other room. V8 stated prior to this incident, she had seen R1, he wasn't agitated, aggressive, or irritable, he seemed fine but was growling and rolling his eyes.
She talked with him briefly, then left the room, and about an hour later was when the incident with R1 and R2 in their room happened. V8 stated the next morning, R1 found R2, pushed him to the ground, R1 was also kicking/hitting at staff when they were trying to intervene. V8 stated they were able to deescalate the situation and R1 was placed on 1:1 observation.On 9/2/25 at 10:25 AM, V11, CNA, stated she was charting and heard R2 yelling, she thought he had crawled onto the floor, which he frequently did. V11 stated she entered the room and found that R2 had spilled his Jello and was upset. V11 stated she helped R2 clean it up, while doing this R1 ripped the curtain back and looked like he was going to hit R2, she tried to get R1 to calm down, but he wasn't listening. V11 stated R1 was trying to rip through them to get to R2. V11 stated they finally got R1 to sit down on the bed, but that didn't help, he began kicking V10, LPN, and twisted her (V11's) arm. V11 stated they were keeping R1 away from R2 and moved R2 to another hallway. V11 stated once R2 left the room, R1 calmed down. V11 stated she was not aware of any prior incidents with R1 or R2.
The Abuse Prohibition and Reporting Policy, dated 11/1999, documents the following: The facility actively prohibits resident abuse including neglect, corporal punishment, involuntary seclusion, misappropriation of property, injuries of unknown source, exploitation, and use of any physical or chemical restraint not required to treat resident symptoms.
Special attention will be given to identifying behavior that increases the residents potential for abusing self or others or being the victim of abuse, These behaviors would include residents with a history of aggressive behaviors, residents who have behaviors such as: entering other residents rooms, residents with self-injurious behaviors, residents with communication disorders, and those who require heavy nursing care and/or are totally dependent on staff.
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