Sunny Hill Nursing Home of Will County

In the surveyor’s words

From the most serious findings on record at Sunny Hill Nursing Home of Will County, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 27, 2026

  Based on interview and record review, the facility failed to follow the care plan interventions of two-person care and as a result, R1 fell from the bed during personal care and sustained a fracture. This applies to 1 of 3 residents (R1) reviewed for accidents. The findings include:The facility's 06/05/26 Initial Report to the State Agency showed Resident-R1 had a fall incident this morning, complained of pain to left hip and right knee. She (R1) was sent out to the hospital and was admitted with bilateral distal femoral fractures. Full report to follow. On 06/27/26 at 9:30 AM, R1 was in bed. R1 had a left-hand contracture. R1 stated a few weeks ago, she was receiving a bed bath, being done by V4 (CNA/Certified Nursing Assistant). […]

• Actual harm, isolatedF689Aug 22, 2023

  Based on observation, interview and record review the facility failed to use safe transfer technique during a mechanical lift transfer. This applies to 1 of 3 residents (R1) reviewed for mechanical lift transfers in a sample of 3. This failure resulted in R1 incurring a laceration of her lip requiring sutures. Findings include: R1's Admission Record dated 8/21/2023 documents R1 with diagnoses to include Anxiety, Ataxia, Stroke, Paralytic Syndrome, and Blind left eye. On 8/21/2023 at 11:20 AM R1 was transferred by facility staff from an adaptive reclining chair to her bed using a mechanical lift. R1 was noted with a healed wound to her upper left lip, both legs were contracted with her knees drawn up and with spastic movements to her upper body. […]

• Actual harm, isolatedF689Apr 26, 2022

  Based on observation, interview, and record review the facility staff failed to follow their policy to ensure a safe resident transfer using a total body mechanical lift. This failure resulted in the total body mechanical lift falling during use and the resident sustaining a Left Femur Fracture requiring surgery. This applies to 1 of 3 (R1) reviewed for transfers with a mechanical lift in the sample of 3. The findings include: According to the Electronic Health Record (EHR) R1 had diagnoses including Displaced Comminuted Fracture of Left Femur Shaft, [CONDITION(S)], Acute [CONDITION(S)], [CONDITION(S)], Polyneuropathy, history of falling, Amputation of Toes, Non-Pressure Chronic Ulcer of Left Lower Leg, Diabetes, [CONDITION(S)] and [CONDITION(S)], [CONDITION(S)], [CONDITION(S)],… […]

• No harm, potential for more than minimal, widespreadF880Aug 23, 2025

  Based on observation, interview and record review, the facility failed to follow guidance from the State and local health authority to control the spread of a respiratory infection. This has the potential to affect all 142 residents living in the facility. The findings include:On 8/21/2025 at 12:37 PM, V5 (CNA-Certified Nurse Assistant) was observed going into R9's room, wearing only a surgical mask and gloves. R9 was on contact and droplet precaution. V5 said she is only serving lunch and is not providing direct care, so she does not need to wear a gown. She said if she provides care, she will wear a gown.On 8/22/2025, V10 (Rehab Nurse) was observed walking down the hallway of the wing where the majority of the cases of respiratory infection were, without a mask. […]

• No harm, potential for more than minimal, widespreadF812Jan 31, 2025

  Based on observation, interview, and record review, the facility failed to properly label/date/store food items, remove expired items, and wear hair restraints in the facility kitchen. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen. Findings include: The facility's Long-Term Care Facility Application for Medicare and Medicaid (Form CMS-Centers for Medicare and Medicaid Services-671) dated [DATE] documents the total census was 142 residents. On [DATE] at 10:20 AM, V12 (Dietician/Dietary Manager) said there are 2 NPO (Nothing by Mouth) resident; all other residents eat from the facility kitchen. On [DATE] starting at 9:31 AM, the facility kitchen was toured in the presence of V12 (Dietician/Dietary Manager). […]