Greek American Rehab Care CTR

In the surveyor’s words

From the most serious findings on record at Greek American Rehab Care CTR, in the surveyor’s own words.

• Actual harm, isolatedF686Jan 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure preventive measures were in place to prevent developing of new skin impairment and deterioration of current pressure ulcer, and failed to follow physician orders in wound management. These failures affect one (R144) residents in the sample of 31 reviewed for Pressure Ulcer/Wound Care Management, and resulted in R144 all developing a Stage 3 Sacral Pressure ulcer, with R144's wound needing debridement.Findings include:1.R144 was re-admitted on [DATE], with diagnoses listed in part but not limited to Alzheimer's disease, Dementia, History of falling, Pressure ulcer of sacral region stage 3.Active physician order sheet indicated: Bilateral heel suspension boots for offloading every shift. Low air loss mattress. […]

• Actual harm, isolatedF689Aug 25, 2023

  Based on interview and record review the facility failed to ensure a resident at risk for falls with a history of falls was supervised in the bathroom. This failure resulted in R1 falling from the toilet and sustaining a right hip fracture requiring surgical intervention. This applies to 1 of 3 residents (R1) reviewed for falls in the sample of 6. The findings include: R1's face sheet shows she is a [AGE] year old female and has diagnoses including: history of falls, unsteadiness on her feet, pain in right hip and a nondisplaced intertrochanteric right femur fracture. R1's 6/2/23 facility assessment shows she has a moderate cognitive impairment and requires staff assistance with toileting and transfers. […]

• Actual harm, isolatedF684Nov 4, 2022

  Based on interviews and record reviews, this facility failed to thoroughly assess and determine an acute change in condition leading to respiratory distress and failed to notify the physician immediately notify the physician of a fracture. These failures affected 2 of 3 residents (R4, R1) reviewed for quality of care. These failures resulted in R4 having a change in respiratory condition and not immediately transported to the hospital for over 90 minutes where R4 was admitted with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: 1. R4: On [DATE] at 330pm, V16 (nurse supervisor) stated that V16 was called by the nurse in charge and informed that she was going to send R4 to the hospital. […]

• Actual harm, isolatedF689Nov 4, 2022

  Based on interviews and record reviews, the facility failed to use the mechanical lift and safely transfer a resident one resident to prevent an avoidable accident. This failure affected one of three (R1) residents reviewed for safe transfer. This failure resulted in R1 being transferred without the use of the mechanical lift resulting in R1 sustaining an acute comminuted left [CONDITION(S)] with impaction requiring transport to the local hospital. Findings include: On 11/1/22 at 10:47am, V19 (R1's family member) stated that V19 was present on 8/26/22 when V21 CNA (certified nurse aide) transferred R1 from reclining wheelchair to bed. V19 stated that V21 CNA grabbed R1's arms, V19 asked about mechanical lift device, V21 CNA responded 'I can lift her myself'. […]

• Actual harm, isolatedF689Sep 2, 2022

  Based on interviews and records reviewed, the facility failed to follow policy and procedures, failed to provide a safe transfer and failed to follow resident's Care Plan to prevent an avoidable accident. This affected 1 of 3 residents R1 reviewed for safety during care. This failure resulted in R1 falling to the floor suffering a left femoral intertrochanteric [CONDITION(S)]. Findings include: Facility incident report dated 7/30/2022 documents the following sent to IDPH and another received from facility: IDPH incident report: conclusion: resident attempted to self transfer from bed to wheelchair although she was aware that staff was on their way to assist her. […]