Jerseyville Nsg & Rehab Center
JERSEYVILLE NSG & REHAB CENTER in JERSEYVILLE, IL — inspection on November 12, 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
that on, otherwise we would have her more supervised and up at the nurse's station. V2 stated R2's only major health concern was that she didn't have fingers or toes, so we wanted to keep her safe. V2 stated the bed alarm was not an effective intervention for R2, the alarm was only effective when used in her wheelchair. V2 stated in agreement that R2 already had use of bed and chair alarms in place prior to her fall [DATE], it would not have been a new intervention. V2 stated in agreement that R2's bed had already been put in low position with a fall mat in place prior to her fall on [DATE] and that it wasn't added to her care plan interventions until after the fall. V2 stated maybe they could have put the alarm box inside R2's bedside table to keep her from turning it off.On [DATE] at 11:50 AM, V11 (Medical Director) stated his main concern for R2 was preventing falls. V11 stated he hadn't seen R2 yet but was scheduled to see her this month. V11 stated in his clinical expertise, a TSH (thyrotropin) level of 34 and having hypothyroidism would not have an effect on the risk of falls. V11 stated he would expect staff to be following the fall risk care plan interventions if they were able to do so. V11 stated he would expect interventions to be progressive and resident centered, if R2 was able to turn off the alarm, he would expect the facility to attempt to prevent her from being able to do so by hiding it. V11 stated if the fall risk interventions were not being followed and they were previously working, it could pose a higher risk for R2 to fall.On [DATE] at 2:18 PM, V2 (DON) stated the facility did not have an alarm policy but they did have guidelines for Personal Alarms.
The Personal Alarms guidelines (undated) documented bed exit alarms are often used as an intervention for fall reduction programs, but they are not always used effectively. It continued to document it is important that when placing an alarm to consider many reports describe patients deliberately deactivating their alarms and may not be appropriate.The facility's Falls Management Policy dated [DATE] documented it is the policy of the facility to assess and manage resident falls through prevention, investigation, and implementation and evaluation of interventions.
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