The violation was classified as causing actual harm and affected a dependent resident who relied entirely on staff for basic bodily care.
Nursing Home News — Page 157
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The first section showed a deferred adjudication, dated December 16, 1996.
In the first floor lounge, wallpaper had peeled away from the wall above the television, exposing a black area underneath.
The receptionist entered the code to disengage the alarm.
The therapist had evaluated the resident on April 10 and recommended a Sara Steady or sit-to-stand mechanical lift for all transfers.
The resident, identified in inspection records only as Resident 1, was transported to the emergency room for an evaluation.
Federal inspectors visited the facility on April 25 and watched the man's lunch tray arrive.
"There's medication issues every month," she said.
A nurse at the nursing station heard the screaming and came immediately.
All three incidents happened on the same morning at The Pearl of Evanston.
The resident, identified in inspection records only as Resident 1, had been flagged as an elopement risk from the moment he arrived.
The violation was classified as causing minimal harm or potential for actual harm, and inspectors noted that some residents were affected.