That was the situation on March 22, according to a CNA who has worked the 11 p.m.
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The resident, identified in inspection records only as Resident D, lives at Greencroft Healthcare on Greencroft Drive in Goshen.
The complaint inspection was conducted on March 27, 2026.
The resident at the center of the finding is identified in inspection records only as Resident 8.
That explanation was wrong, and the facility's own paperwork made it wrong in writing.
The inspection, completed December 23, 2025, was triggered by a complaint.
The inspection, conducted on March 27, 2026, followed a complaint.
The resident, identified only as Resident 10, was admitted to the facility with quadriplegia, high blood pressure, and depression.
The attack at West Chicago Living and Rehab Center on the night of March 6, 2026 was not a surprise that arrived without warning.
The call light was not within reach.
Nobody moved it for at least four minutes.
In both cases, staff skipped required protective gear while providing direct care to high-risk residents.