The incident, which took place on June 21, 2025, became the subject of a complaint inspection completed August 23.
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When inspectors returned on August 21, the medications were still being administered late.
These are the findings from an August 26 complaint inspection at Eventide Jamestown, a nursing home at 1300 2nd Place NE.
The August 22 inspection found problems with both crash carts on the facility's nursing stations.
"They would tell me something I don't want to hear." What inspectors found when they asked staff was not reassurance.
That finding sits at the center of a complaint inspection completed August 22, 2025, at Aliya of Glenwood, a nursing facility in suburban Chicago.
Inspectors watched the entire thing.
The resident, identified in inspection records only as Resident #41, was not cleaned up for at least another 30 minutes after that.
Federal inspectors documented the incident during a complaint inspection completed August 21, 2025.
The family member, identified as RR #1, first called the social worker around 10:00 AM on August 4.
The incident happened on August 15, 2025, during dinner.
When a second aide, identified as V6, entered the room and warned against lifting by hand, the first aide, V5, had already started.