Law enforcement and EMS were called, and R1 was transported to a hospital for psychiatric care.
Nursing Home News — Page 218
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The resident, identified in inspection records only as R1, required staff assistance with all of his daily activities.
The Villas at New Brighton, a nursing facility at 825 First Avenue Northwest, never reported any of this to the state.
By the time a federal inspector sat down with the facility's attending physician on September 4, the doctor had no idea any of this had happened.
The administrator said the contract with that pharmacy runs through November.
The inspection at Integrity HC of Herrin took place on September 11, 2025, and what surveyors documented that morning was not a complicated sequence of events.
The violation falls under F0689, the federal tag covering accident hazards and supervision failures.
The inspection at Allure of Galesburg, on Frank Street, was completed September 11, 2025.
According to a licensed practical nurse interviewed that day, he would do it spontaneously and not tell staff.
Federal inspectors documented the lapse during a complaint inspection completed September 11, 2025.
R2 asked that the medications be placed in her hand instead.
The resident, identified in inspection records only as R1, had gone to a clinic appointment on August 28.