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Nursing Home Complaint Regarding Contractures

A contracture is the shortening of the muscles. It results in a reduction of the range of motion and causes significant pain. It also predisposes nursing home residents to developing a number of other additional problems.

Contractures (483.25(e))
         (e) Range of motion. Based on the comprehensive assessment of a 
      resident, the facility must ensure that--
          (1) A resident who enters the facility without a limited range
      of motion does not experience reduction in range of motion unless
      the resident's clinical condition demonstrates that a reduction in
      range of motion is unavoidable; and
          (2) A resident with a limited range of motion receives 
      appropriate treatment and services to increase range of motion 
      and/or to prevent further decrease in range of motion.

The regulation requires the nursing home to prevent loss of range of motion unless it is clinically unavoidable. This is a very high standard for the nursing home to meet, and one of the main causes of the development of contractures in nursing home residents is the failure of the staff to do active and passive range of motion exercises ordered by the resident's doctor.

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The submission process was easy to use and very straightforward. After submitting my complaint, I received confirmation from the Illinois Dept. of Public Health that they had received my complaint and would be investigating the nursing home.

-S.B., Filed nursing home complaint about Provena McAuley Manor in Aurora Illinois

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