We discussed Fox River Pavilion, a nursing home facility located in Aurora, Illinois, in a previous blog. On December 17, 2009, a fight between roommates resulted in the death of Randall Moons, a fifty-seven year old resident of the facility.
According to the Health Department report, Moons' fifty-four year old roommate told investigators that he was watching television when Moons began screaming profanities, jumped on his bed, and punched him in the face. The roommate screamed for help for "over 20 minutes" before another resident got a staff member. The staff member found Moons unconscious and not breathing. Moons died from a heart problem brought on by the stress from the fight. Moons' roommate sustained a broken kneecap and was bleeding from his nose, ears, and mouth.
Moons had only been a resident of Fox River since August 2009, coming to the facility with a history of "unpredictable aggressiveness". His diagnoses were paranoid schizophrenia, alcohol abuse, past drug use, and high blood pressure. He had received psychiatric treatment from February 2005 to September 2008 after he was found not fit to stand trial for obstructing a police officer after he violated a protection order.
Reportedly, Moons had been a problem at Fox River - refusing to take medication, exposing himself to female residents, was physically aggressive, and repeatedly attempted elopement. Just two days prior to his death, staff members found Moons completely dressed and sitting in an empty bathtub. He allegedly told staff members he just wanted someone to "shoot him in the head".
The facility was cited for failing to have a plan to protect both Moons and other residents in light of his increasing behavior problems. The facility had also been cited for numerous problems in the past, which included other resident assaults.
Fox River Pavilion officials have been informed that they will lose federal funding for the facility within thirty (30) days. The facility currently has a monitor in place and that monitor will assist residents desiring to move.