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Edwardsville Care Center Illinois: COVID-19 Summary

covid-19 in edwardsville nursing home

Edwardsville Care Center releases COVID-19 statistics showing 94 COVID infections and 22 deaths.  Levin & Perconti, Illinois nursing home lawyers launch investigation into gross negligence in preventing the spread of COVID-19

On June 15, 2020, Edwardsville Care Center, located in Edwardsville, Illinois, released long term care outbreak data reporting of laboratory confirmed COVID-19 outbreak cases.  These statics confirm that 94 infections and 22 deaths have occurred at the facility during the COVID-19 outbreak.

Quarterly Violations

Based on the Illinois Department of Public Health’s Quarterly Reports of Nursing Home Violations, Edwardsville Care Center was found to be in violation of several policies and procedures prescribed by the Illinois Department of Public Health.

In Quarter 4 of 2016 (October – December) a survey conducted on September 21, 2016, found Edwardsville Care Center to have committed a Type A Violation, including sections of the Code: 300.610(a), 300.1210(b), 300.1210(b)(3), 300.1210(d)(3), 300.1220(b)(2)(3), and 300.3240(a). Specifically, Edwardsville Care Center was found to have failed to provide appropriate monitoring and assessment for potential urinary retention following the removal of a urinary tract catheter, and further failed to provide services required of such catheter care. The survey explains this failure resulted in a resident being hospitalized due to urinary retention resulting in acute renal insufficiency and metabolic acidosis.

In Quarter 2 of 2018 (April – June) a survey conducted on April 19, 208 found Edwardsville Care Center to have committed a Type B Violation, including sections of the Code: 300.610(a), 300.1210(b), and 300.3240(a). Specifically, the survey found the facility failed to provide a safe environment for residents and further failed to protect certain residents from abuse. This failure resulted in one resident suffering from psychosocial harm, which is defined as a reasonable person reacting to such a situation with feelings of anxiety, distress, fearfulness, and humiliation.

In Quarter 3 of 2018 (July – September) a survey conducted on May 5, 2018, found Edwardsville Care Center to have committed a Type B Violation, including sections of the Code: 300.610(a), 300.1210(a), 300.1210(b)(5), 300.1210(c), 300.1210(d)(3), 300.1210(d)(6), and 300.3240(a). Specifically, the survey found the facility failed to provide for: supervision, reassessment, and monitor the effectiveness of interventions in place to prevent falls for certain residents. The survey explains this failure resulted in one resident falling on multiple occasions and eventually sustaining a left clavicle fracture, multiple hematomas to the head, and several other bruises and skin tears around the body.

Moreover, Edwardsville was found to have committed another violation during this same quarter, another survey conducted on July 3, 2018, found the facility to have committed a Type B Violation, including sections of the Code: 300.610(a), 300.1010(h), 300.1210(a), 300.1210(b)(4)(5), 300.1210(d)(3)(6), and 300.3240(a). This survey observed the facility to have failed in providing ongoing assessments and monitoring to identify condition changes to notify the relevant physicians for certain residents. The survey explains this failure resulted in the hospitalization and diagnosis of gangrene in the resident’s toe which was subsequently amputated.

In Quarter 2 of 2019 (April – June) a survey conducted on April 25, 2019, found Edwardsville Care Center to have committed a Type B Violation, including sections of the Code: 300.610(a), 300.1210(a), 300.1210(b), 300.1210(c), 300.1210(d)(2)(4)(A)(5), and 300.3240(a). Specifically, the facility was found to have failed to timely reposition residents documented with pressure ulcers, including one instance in which this failure resulted in a resident acquiring an open area pressure ulcer to his genital area.

Regulatory History

The Illinois Department of Public Health conducts yearly recertification procedures in which nursing homes are subjected to a review of their regulatory history and any violations occurring at the home. Furthermore, during the recertification process, when a nursing home has been found to have committed a regulatory violation, the facility is subsequently required to submit a plan of correction for how it will remedy the violation or prevent similar violations from occurring in the future.

The 2016 recertification survey conducted on January 29, 2016, found Edwardsville Care Center to have failed to ensure food was stored in a manner which prevents potential bacteria growth and contamination, a failure which the survey notes has the potential to affect all residents in the facility. The 2016 recertification survey documented several other failures on the part of Edwardsville Care Center, including: failure to maintain the walk-in refrigerator in the main kitchen in safe operating condition; and failure to maintain residents’ highest physical well-being by not following Physician’s orders.

Additionally, the facility was found to have failed to maintain and sufficiently implement its Infection Control Program. Specifically, the survey documented the facility as failing to properly sanitize a stethoscope being used to treat a resident who had been diagnosed with MRSA. Another instance in which staff at the facility where found to have failed to follow the facility’s policy and accepted standards of practice for handwashing and isolation precautions to prevent the spread of infections, yet another failure that the survey explains has the potential to affect all residents of the facility. Failures of this nature are especially alarming with the current COVID-19 pandemic in mind as having an effective infection control program that is followed by all staff at the facility has never been more imperative to the well-being of residents, staff, and the general public.

The 2017 recertification survey conducted on March 10, 2017, found Edwardsville Care Center to have failed to adequately identify, assess, and monitor residents for skin breakdowns, including one resident whose care plan expressly provided for such assistance which was documented to have not been performed resulting in the development and deterioration of skin wounds. Moreover, the facility was found to have failed to provide residents with certain diets prescribed by physicians, and another instance in which the facility failed to provide a reasonable justification for using a psychoactive medication.

Similar to the 2016 recertification survey, the 2017 recertification survey also documented the facility as failing to maintain and follow its Infection Control Program. Specifically, one occurrence in which a staff member failed to remove a pair of dirty gloves while carrying treatment supplies that was used shortly thereafter on a resident. The fact that this failure has now been observed in consecutive recertification surveys demonstrates Edwardsville Care Center’s inability to implement and follow its plan of correction from the previous year. Furthermore, the overall failure to follow the Infection Control Program and practices prescribed by it raises serious concerns as to whether the facility is equipped to combat and prevent the spread of the COVID-19 virus.

The 2018 recertification survey conducted on May 4, 2018, found Edwardsville Care Center again failed to follow physician’s orders, this time in regard to providing pressure relief to treat a resident’s pressure ulcer. The care plan specifying the need to provide heel protectors to further prevent the development and deterioration of pressure ulcers was noted as not being satisfied and exposing the resident to greater risk of suffering from pressure ulcers. Additionally, the facility failed to provide supervision, reassess, and monitor the effectiveness of interventions as needed to prevent falls for residents designated as high fall risks. Similar to previous recertification surveys, the 2018 recertification survey also found the facility to have failed to prepare, store, and handle food in a sanitary manner, which has the potential to affect all residents living in the facility.

The Illinois Department of Public Health conducted another recertification survey for the year 2018, this time on July 6, 2018, where Edwardsville Care Center was found to have failed to provide adequate supervision and further failed to implement appropriate interventions following one resident’s repeated falls. The survey explains this failure resulted in the resident suffering from fractured femur following four different falls that occurred within a sixteen-hour time period. Nearly an identical failure that was noted in the previous 2018 recertification survey. The fact that this same failure was documented just a few months apart demonstrates the facility’s overall inability to implement and follow its plan of correction and effectuate the necessary changes to conduct that has been deemed inadequate and insufficient.

The 2019 recertification survey conducted on April 25, 2019, found Edwardsville Care Center to have failed to ensure proper treatment was provided to residents in accordance with professional standards of care, resulting in one resident suffering on-going psychological harm due to the delayed treatment. The facility was also found to have failed to safely transfer residents using a mechanical lift, and further failed to provide range of motion exercises to multiple residents who required such care pursuant to their activities with daily living plans. Additionally, the facility was documented as failing to provide proper incontinent care for several residents who were treated by staff wearing dirty gloves.

Lastly, and similarly to previous recertification surveys, Edwardsville Care Center was again found to have failed to follow its Infection Control Program, this time in regard to maintaining infection control practices for multiple residents. As previously mentioned, the facility’s continued failure in providing sufficient infection control practices demonstrates its inability to implement and follow its plans of correction, and further conveys legitimate questions as to whether the facility can handle the outbreak of a deadly virus.

Founding partner Steven M. Levin described these outbreaks in many Illinois Nursing Homes: “for many years prior to this outbreak, Edwardsville Care Center operated with insufficient staff and with a lack of adherence to recognized infection control protocols.  It is not surprising that they were ill equipped to handle this outbreak.”

Levin & Perconti: Illinois Attorneys at Law

As experienced advocates for long-term care residents and their families, our firm is ready to help ensure that your loved ones stay safe and healthy during this unprecedented time. Please use our resources to help you stay connected and know that if you find yourself concerned about a resident’s well-being, you can call us at 312-332-2872 or toll-free at 877-374-1417 to request our help during a free consultation.

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As COVID-19 continues to spread, it has also magnified systemic breakdowns within Illinois’ long-term care facilities, nursing homes, or assisted living centers. After this latest release of reported data by IDPH, more than half of the COVID-19-related fatalities in Illinois have now occurred at these facilities.

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