Inspection Reports for
Resthave Home of Whiteside

The establishment failed to ensure physician assessments were completed by a physician for one resident. The facility also failed to ensure service plans were signed, revised immediately after a fall, and updated after significant changes, resulting in a resident's fall and death.

Complaint 2611932 / IL200221 and Complaint 2611998 / IL200226: Investigation unable to be completed due to subjects of the both complaints did not reside at the establishment.

The survey found deficiencies in physician assessments and service plans for residents. The establishment failed to ensure physician-completed assessments and did not adequately address residents' service needs and preferences in service plans.

Facility Reported Investigation IL199026

The facility failed to develop and update an individualized service plan for resident R1, who was identified as high risk for falls, resulting in multiple falls including one causing a subdural hematoma. The facility neglected to address R1's decline in condition and need for increased assistance with activities of daily living and mobility.

Complaint investigation 2510267/ IL 184250: Unsubstantiated. Complaint investigation 2510240/ IL 184114: Unsubstantiated. Facility Reported Incident of 9/4/25, IL 197386: Substantiated.

The facility failed to ensure that one admitted resident was appropriate for admission, resulting in elopement and injury. The facility also failed to comply with the NFPA Life Safety Code, risking locking all residents after wander guard activation.

The facility committed to retrain staff on ongoing training requirements and to monitor staff compliance through a Quality Assurance Project. The facility also committed to ensure Resident service plans are updated promptly with changes in condition and integration of outside services, monitored through monthly Quality Assurance meetings.

The survey identified three deficiencies related to feeding tube measurement and antibiotic use and monitoring.

The facility failed to ensure safe transfers using a mechanical stand lift, resulting in a resident fall due to insufficient staff assistance and improper use of the lift. The facility's policy requires two staff for mechanical lift transfers.

The facility failed to protect a resident from abuse. A staff nurse was observed yelling at and forcibly moving a resident in a wheelchair, resulting in the nurse's suspension and termination after investigation.

The facility was found to have multiple deficiencies including failure to ensure resident dignity, medication management issues, nutritional inadequacies, infection control lapses, and immunization deficiencies.

The facility failed to immediately notify a resident's Power of Attorney after a fall and skin tear, failed to ensure adequate fall interventions and supervision for a resident with a history of falls, and failed to properly assess and document falls. The facility's policies on family notification and fall management were inadequate or not followed.

The facility was found to have failed to protect a resident from abuse, with one deficiency cited involving inappropriate sexual behavior by one resident toward another.

The facility failed to protect a resident from verbal abuse by a staff member, who was terminated following substantiation of the abuse.

The facility was found to have multiple deficiencies including failure to notify the dietitian and provide weekly weights for a resident with significant weight loss, failure to provide timely diagnostic services for a resident with symptoms of a blood clot, and failure to maintain proper food handling and kitchen cleanliness.

The survey found multiple deficiencies related to pressure ulcer care, fall prevention, and catheter care affecting several residents.

The facility failed to administer the correct medications to one resident, resulting in hospitalization in an intensive care unit due to hypotension secondary to accidental overdose.

The facility was found to have multiple deficiencies related to resident privacy, pressure ulcer care, catheter care, respiratory care, infection prevention, and control practices.