Nursing Home News — Page 313

The resident, identified in inspection records only as R1, died at Accolade HC of Paxton on Pells on a morning when the clock read 11:52 AM.

The resident returned to the unit that day without any documented signs or symptoms of physical harm.

Her physician had entered an order specifying she was a Full Code and that staff should attempt CPR if needed.

Federal health inspectors arrived on September 27, 2025, to find out what that was.

The citation, issued September 26, 2025, covered a single area: the facility's failure to provide and implement an infection prevention and control program.

But they noted the potential for more than minimal harm existed.

The incident happened on August 10, 2025.

The deficiency, cited under a category covering resident assessment and care planning, was one of five violations inspectors documented during the visit.

The inspection was triggered by a complaint.

That is the phrase that appears in inspection records when investigators leave without a resident in a hospital bed they can point to.

No resident was documented as having been harmed.

The violation was cited as having minimal harm or potential for actual harm, and inspectors noted it affected many residents.