F0689

G

Failure to Prevent Falls and Remove Hazards Leads to Multiple Resident Injuries

Clinton, Illinois Survey Completed on 02-18-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to maintain an environment free from accident hazards and to provide adequate supervision and fall prevention interventions for multiple residents, contrary to its Fall Prevention Program policy. The policy requires assessment of fall risk, implementation of appropriate interventions, adherence to professional standards and manufacturer recommendations, and completion of fall risk assessments after any fall. For one resident with moderate cognitive impairment, Parkinsonism, and dementia, the MDS documented an inability to safely ambulate ten feet and a care plan identifying a risk for falls with interventions including frequent checks and increased supervision during mealtimes. Despite this, the resident was left in the dining room without staff present, attempted to stand and sweep with a broom, lost balance, and fell, sustaining a head laceration and an acute distal clavicle fracture while on anticoagulant therapy. Staff interviews confirmed that this resident requires very close, often constant, supervision and that there should always be staff present in the dining room, but staff acknowledged that the resident was left unsupervised at the time of the fall.

Another deficiency involved a resident with multiple sclerosis, demyelinating disease of the CNS, muscle wasting and atrophy, polyneuropathy, and abnormal posture, who was dependent on staff for all mobility and required substantial to maximal assistance with bathing. This resident was transferred to a shower chair using a mechanical lift by a CNA and an LPN, and the mechanical lift sling was left under the resident. The CNA then attempted to move the shower chair without removing the sling or securing the sling straps, which became caught in the wheels, causing the chair to stop abruptly and the resident to begin sliding forward. The CNA tried to hold the resident in the chair and called for help; the LPN and another CNA responded, but before they could use the lift to reposition the resident, the resident slid or was dropped to the floor and was later diagnosed with a new angulation at the sacrococcygeal junction consistent with a broken tailbone. Staff interviews confirmed that leaving the sling under the resident was common practice and that only one staff member typically assisted with the resident’s bath, despite the resident’s total dependence for ADLs.

A further deficiency concerned a resident with dementia, syncope, difficulty walking, muscle wasting and atrophy, pain, cognitive communication deficit, depression, and anxiety, who had severely impaired cognition and required substantial to maximal assistance for transfers. This resident had a documented fall risk and a prior unwitnessed fall, and later experienced a fall in the bathroom when a CNA turned away after assisting from the toilet to a wheelchair. While the CNA turned to back the wheelchair out, the resident rose from the wheelchair, reached for a towel bar located above and to the right of the grab bar, and fell into it, causing a facial laceration, swelling, and a hematoma extending from the cheek to the neck, requiring emergency department evaluation, CT imaging, and adhesive skin closures. The fall investigation and staff interviews confirmed that the CNA had turned away from the resident, that the towel bar at head height remained in place and was loose and dislodged, and that the towel bar was recognized as a safety hazard. The resident’s care plan was not revised with a targeted intervention after this fall, and no post-fall risk assessment or 72-hour follow-up charting was documented, despite facility policy requiring a fall risk assessment after any fall and care plan updates addressing each fall.

Additional deficiencies involved failures to implement existing fall-prevention care plan interventions for other residents. One resident’s fall prevention care plan required floor mats on each side of the bed when the resident was in bed, but observations on two occasions showed the resident in bed with no fall mat on one side and a mat leaning against the wall instead. Another resident, identified as high risk for falls, had care plan interventions for a concave mattress, non-skid strips by the bed, and provision of working tasks as activities. Observations showed the resident lying on a regular mattress without a concave mattress or non-skid strips in place, and later sitting in a television room without any working task activity. A CNA who regularly cared for this resident reported never seeing a concave mattress or non-skid strips in use, and the activity aide stated she was not familiar with the working task intervention and that such interventions were not always communicated to her. The administrator confirmed that the concave mattress and non-skid strips should have been implemented and that the working task intervention was unclear and not conveyed to activity staff.