Inspection Reports for
GreenFields of Geneva

Complaint 2620985/IL199762: Section 295.4010 d)e) cited.

The establishment failed to update service plans and implement interventions for an impulsive resident, resulting in two residents falling and one sustaining a hip fracture. The facility's policy requires service plans to be revised based on reassessments and monitoring.

Complaint Investigation IL00198669 - No Violations.

The establishment was cited for deficiencies in physician assessments, service plans, and Alzheimer's/dementia program staff training. The facility failed to ensure physician assessments were completed and signed by a physician for 7 of 8 residents, service plans were not properly developed or signed for 8 of 8 residents, and one employee lacked required dementia-specific training.

The establishment failed to update resident service plans with current information, failed to implement fall prevention interventions, and failed to provide increased staff monitoring for a high fall risk resident. These failures have the substantial probability to cause harm to residents.

The facility failed to ensure a comprehensive physician assessment was completed annually for one resident and failed to ensure service plans addressed activities of daily living, medication administration, and signatures for three residents.

The facility committed to corrective actions including completion of physician certifications, updating service plans for residents R1, R4, and R6, conducting audits to ensure timely certifications, and implementing tracking forms and quality assurance plans to prevent recurrence of deficiencies.

The facility was found to have a deficiency related to failure to ensure safe resident transfers using gait belts, resulting in a fall incident involving one resident.

The facility was found to have multiple deficiencies including unsafe medication storage, medication administration errors, improper food storage and handling, and failure to discontinue unnecessary antibiotics.

The facility was found to have multiple deficiencies including failure to provide appropriate pressure ulcer care, inadequate safety assessment for motorized wheelchair use, improper peri care leading to cross contamination risk, lack of physician orders for oxygen administration, inaccurate narcotic medication counts, medication administration delays, improper medication storage, failure to provide evening snacks to residents, and poor food storage and sanitation practices.

The facility failed to supervise a resident (R1) who fell while attempting to self-transfer from the commode to her wheelchair, resulting in a displaced fracture of the left distal femoral shaft requiring surgery. R1 is cognitively impaired and at high risk for falls, with multiple prior falls noted in the last 12 months.

The facility was found to have multiple deficiencies including failure to provide adequate incontinence care, pressure ulcer prevention and treatment, range of motion exercises, safe resident transfers, and proper food handling practices.