The Haven Of Ridgeview
The Haven of Ridgeview in OBLONG, IL — inspection on November 16, 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
V8 (CNA) stated she had been working on 9/11/2025 when R1 had caught her left leg on her bed. V8 stated her and V7 (CNA) were in R1's room getting her ready for a transfer from her wheelchair to her bed with a mechanical lift. V8 stated she had been standing in front of the wheelchair and V7 had been standing behind the wheelchair. V8 stated V7 went to reposition R1 when her left leg made contact with the right side of her bed frame. V8 stated R1's bed frame on the right side did not have a black cap on the end of it and the edges were sharp. On 9/24/2025 at 1:56 PM, V2 (Director of Nursing/DON) stated she had been notified by V6 (LPN) via phone that R1 had been sent to the local emergency room for further evaluation because she had made contact with her left leg to her bed frame causing a laceration during a transfer. On 9/25/2025 at 9:49 AM, observed dressing change to R1 completed by V14 (Registered Nurse/RN) with assistance from V15 (RN) and V16 (Physical Therapy Assistant/PTA).
Observed left lower left leg laceration in the process of healing. On 9/25/2025 at 10:44 AM, V1 (Administrator) stated, she had been notified via phone by V6 (LPN) that R1 had been sent out to the local emergency room on the evening of 9/11/2025 because she had hit her leg on her bed frame. V1 stated the next day in the morning meeting it was discovered that there had been a black cap missing from the bed frame on R1's bed and it was replaced.
R1's Progress Note by V4 (Wound Nurse) dated 9/11/2025 at 7:18 PM documents R1 had been sent out to the local emergency room for a skin tear to left lower leg related to resident's lymphedema. R1's Local Emergency Physician Note dated 9/11/2025 documented R1's chief complaint as patient stated that leg got caught in bed at facility and suffered a significant skin tear laceration.
This same document under History of Present Illness documented wound was injected with lidocaine and epinephrine with successful cessation of bleeding and one stitch added to aid in trickle of bleeding.
Pain scale documented a score of 2.
The facility's Incident Report dated 9/11/2025 documented during transfer R1 was being repositioned for mechanical lift and her leg came into contact with the side of the bed.
The facility's Mechanical Lift policy (revised 11/1/2023) documented under PURPOSE: The purpose of this procedure is to establish the general principles of safe lifting using a mechanical lifting device.Under Steps in the Procedure.4.
Prepare the environment: b.
Ensure there is enough room to pivot.
Facility ID: