Heritage Manor was fined $60,000 for failure to comply with its plan of correction from the August 2005 survey by failing to ensure that its policies and procedures to notify the doctor about significant changes of a resident’s condition. Specifically, the facility failed to notify the doctor that a resident sustained a head injury after a fall. Failure to notify the doctor and to fully monitor the resident resulted in a delay in treatment for the worsening head injury. The resident later died at the hospital, as a result of the fall.
The Illinois Department of Health produces quarterly reports on nursing home violators.