Thrive Of Lake County
THRIVE OF LAKE COUNTY in MUNDELEIN, IL — inspection on November 19, 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
11/19/25 at 12:14 PM, V2, Director of Nursing (DON), said that during care, the CNA (V7) had R1 turned to her side and R1 kept shifting herself.
The CNA asked R1 to stay still so she could clean her, but the resident shifted again and started to slowly slide down the bed.
The CNA grabbed the sheet to keep the resident from falling, but couldn't stop the fall, so the CNA lowered R1 slowly to the floor. V2 said the ADON (V3 -Assistant Director of Nursing) spoke to R1 and they updated her care plan and added education on body position and alignment in bed.On 11/19/25 at 12:23 PM, V7 said she was changing R1 and had R1 turned to her right side, and she was behind her on the left side of the bed. V7 said R1 was scooting toward the edge of the bed, and she told R1 to stop scooting because she was going to fall, but R1 scooted a little and she could see R1's legs going over the edge of the bed.
She reached for R1 to keep her from falling, but couldn't get her stopped in time, so she grabbed her by the waist and eased her down towards the floor and R1 ended up on the floor. V7 said R1 can help turn her upper body but needs help crossing her (left) leg over to turn her lower body. V7 said if there were two people in the room, it would have prevented the fall. V7 said after R1 fell, she now uses two people to turn R1. On 11/19/25 at 2:38 PM, V6 said V7 yelled for help from R1's room.
When she entered R1's room, she noted R1 on the floor. V6 said V7 told her she was changing R1 and told R1 to roll over to her side, then her legs went too far over the side and R1 started to slide down, so V7 grabbed the sheet to stop the fall, but wasn't able to, so she guided R1 and the sheet to the floor.
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