Miller Health Care Center
MILLER HEALTH CARE CENTER in KANKAKEE, IL — inspection on February 24, 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
prevent accidents.
interview and record review the facility failed to provide 2 assists for a full mechanical lift transfer in
transfer in the sample of 5.
The findings include:R1's EMR (Electronic Medical Record) showed R1 was admitted to the facility on [DATE], and discharged from the facility on February 14, 2026. R1 was admitted with multiple diagnoses including quadriplegia C6-C7 incomplete, post laminectomy syndrome, muscle wasting, chronic venous insufficiency, cellulitis of the right lower leg and stage 4 pressure ulcer of the sacral region. R1's MDS (Minimum Data Set) dated February 3, 2026, showed R1 was cognitively intact and required assistance with ADLs (Activities of Daily Living) including independent with eating, set up assistance with oral hygiene and personal hygiene, partial assistance with upper body dressing, substantial assistance with bathing and bed mobility and dependent on staff for lower body dressing, toileting and transfer. R1 had an indwelling urinary catheter and was incontinent of bowel.
The facility list of fall incident reports showed R1 had witnessed fall on February 6, 2026, at 11:40 AM.
The post fall huddle report, undated, showed during a transfer at R1's bedside, R1 had slid forward in the chair. V3's (Certified Nursing Assistant, CNA) written statement dated February 6, 2026, showed V3 transferred R1 to the motorized wheelchair and R1 started to slide out and V3 had to leave the room to get help. On February 20, 2026, at 10:42AM V8 (LPN) stated while walking in the hall outside of R1's room, V8 saw V3 (CNA) coming out of R1's room asking for assistance. V8 stated V8 and V3 went into R1's room and V8 saw R1 sliding out of the chair with her legs extended in front of R1 on the floor. V8 stated the mechanical lift was in the room. V8 reported the top part of the sling was attached to the lift hooks but the bottom part of the sling was not underneath R1 and not attached to the lift. V8 reported V3 stated she had transferred R1 from the bed to the chair using the full mechanical lift by herself (with only V3 as the assistant). V8 stated V3 had attempted to move R1 up in the chair herself with the sling when the sling came out from underneath R1. V8 stated later she and V3 were in the room with R1 and R1's two daughters and witnessed V3 tell the family that V3 could not find anyone to assist with the transfer. On February 19, 2026, at 3:40 PM, V4 (Restorative RN) stated V4 instructs new staff on transfer techniques and the policy of the facility is to have 2 assists when using the full mechanical lift. On February 19, 2026, at 4:00 PM, V2 (Interim DON) stated the expectation for staff when using the full mechanical lift is for 2 staff to provide assistance.
The facility's policy titled Lift-Mechanical dated January 2026, the policy statement showed Two staff members are required during a full body lift transfer.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE