(Photo Caption: A feeding tube error at the Momence Meadows Nursing Home cost a male resident his life.)
During the night of September 19, 2011, a nurse at the Momence Meadows Nursing & Rehab Center in Momence, IL made a fatal mistake. Instead of inserting a feeding tube into a resident’s stomach, the nurse inserted a catheter. The nursing error caused the patient to go into septic shock, and to die in a hospital early the next morning.
While a one-time error might be ultimately pardoned (after, of course, termination and severe reprimanding), the circumstances leading up to “Resident #1’s” death are hardly forgivable. An Illinois Health Department survey conducted on October 18, 2011 noted that “Resident #1’s” feeding tube had come out twice already in two months. And that the nurse who inserted the catheter fell asleep after her mistake.
The night shift nurse inserted a urinary catheter…but reported the wrong resident’s name,” the survey said. The facility discharged the nurse for sleeping on the job and for poor quality of work.
The survey went on to report that the no one bothered to describe why the tube had dislodged on either of the two previous occasions.
All three times when the resident’s tube came out, there was no documentation to indicate what time and why the tube come out or how long it took for its re-insertion, the survey said.
The home’s failure to implement a comprehensive feeding tube policy was one of a multitude of federal violations accrued over the past three years. According to surveys, Momence Meadows also failed to:
- Properly treat residents’ late-stage bed sores
- Keep timely medical records
- Assist residents with basic needs of daily living
- Control infections and enforce hand-washing procedures among staff
- Report suspicious bruises on a 78-year-old resident suffering from Alzheimer’s
Momence Meadows earned just one out of five possible stars on Medicare’s “Nursing Home Compare” Web site. It was particularly lagging in the area of staffing, where it was also given just one star. Momence Meadows logged just 20 minutes of RN time per resident, per day; versus the national and stage averages of 42 minutes.
The smiling seniors on Momence Meadows’ Web site seem bitterly at odds with the daily reality of residents at this troubled home.
Please note: A Nursing Homes Abuse Blog investigation revealed that the owners of Momence Meadows, Michael Blisko and Moishe Gubin, have been linked to several other out-of-compliance nursing homes in the Chicago area. They include:
- Ambassador Nursing & Rehab Center – Chicago, IL
- Belhaven Nursing & Rehab Center – Chicago, IL
- Central Nursing & Rehab Center – Chicago, IL
- Continental Nursing & Rehab Center – Chicago, IL
- Niles Nursing & Rehab Center – Niles, IL
- Northlake Nursing & Rehab Center – Merrillville, IN
- Parkshore Estates Nursing & Rehab Center – Chicago, IL
- Southpoint Nursing & Rehab Center – Chicago, IL
- West Suburban Nursing & Rehab Center – Chicago, IL
If you have a family member at Momence Meadows or any of the other Illinois Nursing homes discussed in this entry and are concerned about their care, we invite you to speak to out nursing home lawyers for a free legal consultation without charge or obligation.
Related Nursing Homes Abuse Blog Entries: