The woman, identified only as Resident 3, complained of itching all over her body.
Nursing Home News — Page 348
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The September 2 complaint inspection resulted in the most serious level of citation possible under federal nursing home regulations.
The licensed nurse on duty contacted the hospice agency after the resident passed away, but failed to notify family members directly.
Federal inspectors found the resident sitting beside a bed covered in dried blood, coffee stains, and food spills during a September complaint investigation.
The August 28 inspection revealed a facility-wide breakdown in food safety.
The program required nursing assistants to escort specific residents to and from the dining room for every meal.
Federal inspectors found the facility violated the resident's right to have his chosen representative exercise his rights.
The resident's care plan specifically required two-person assistance for all transfers and toileting due to these limitations.
"This made her feel dirty," she said.
The facility never reported the exploitation allegation to Adult Protective Services.
The wound care nurse at Alden Estates of Naperville discovered the problem during her August 30 assessment.
The facility only submitted required abuse reports to state health authorities on August 30, nearly three weeks after the first incident occurred on August 11.