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Inspections of Illinois’ Worst Nursing Homes Show Abuse & Neglect

inspecting illinois nursing homes

Nursing Homes Cited for Mistreatment Are Flagged with Special Icon on Government Website

In 2019, the Centers for Medicare and Medicaid Service’s (CMS) Five-Star Quality Rating System via The Nursing Home Compare website added a new tool to help better identify elder-care facilities with extreme and troublesome care failures. When visiting the site, the most troubled homes, many with only a one-star rating, also display a red circle with a white hand inside. The stop-sign-like icon can be used as a way to warn families of long-term care facilities currently in non-compliance and those with a documented struggle to meet Federal and state quality care measures.

These facilities meet the following criteria:

  • Facilities cited for abuse where residents were found to be harmed (Scope/Severity of G or higher) on the most recent standard survey, or a complaint survey within the past 12 months.

OR

  • Facilities cited for abuse where residents were found to be potentially harmed (Scope/Severity of D or higher) on the most recent standard survey or a complaint survey within the past 12 months, and on the previous (i.e., second most recent) standard survey or a complaint survey in the prior 12 months (i.e., from 24 months ago to 12 months ago).

The data comes from government investigators’ reports that document evidence about the harm or potential harm of a resident. Nursing home inspection reports are public. Anyone can search for these facilities, review marked deficiencies, and read full inspection reports and citations simply by visiting the Nursing Home Compare website.

2019-2020 List of Illinois Homes Flagged for Abuse or Neglect

According to the state’s 2019 and 2020 inspection reports, facility profiles accompanied with the new red icon also show detailed complaint logs, dated investigation summaries, and the most up-to-date listing of the resulting citations. The average number of health citations Illinois long-term care facilities have is 9.6, while the U.S. average is 8.3. However, several of the homes and health care centers listed below have received significantly more.

Accolade Healthcare of Pontiac

300 West Lowell
Pontiac, IL 61764

Example of inspection report findings:

“Based on observation, interview, and record review, the facility failed to safely transfer residents pursuant to the plan of care, resulting in falls … and one resident sustaining a displaced femur, which required surgical intervention.” 

Total number of health citations from the most recent inspection: 15

Alden Long Grove Rehabilitation & Healthcare Center

2308 Old Hicks Road
Long Grove, IL 60047

Example of inspection report findings:

“Based on observation, interview, and record review, the facility failed to ensure urine collection bags were secured at the correct level to reduce the potential of acquiring a urinary tract infection.” 

Total number of health citations from the most recent inspection: 18

Alden Terrace of McHenry Rehabilitation

803 Royal Drive
McHenry, IL 60050

Example of inspection report findings:

“Based on observation, interview, and record review, the facility failed to advocate on a resident’s behalf to reinstate Social Security income and provide medically-related social services.” 

Total number of health citations from the most recent inspection: 15

Aperion Care Cairo

2001 Cedar Street
Cairo, IL 62914

Example of inspection report findings:

“Based on record, review, and interview, the facility failed to meet professional standards of practice by not checking blood sugar levels before administering insulin and holding insulin without a physician’s order.” 

Total number of health citations from the most recent inspection: 44

Aperion Care Jacksonville

1021 North Church Street
Jacksonville, IL 62650

Example of inspection report findings:

“Based on observation, interview, and record review, the facility failed to perform hand hygiene; conduct wound care and glucose monitoring and isolation procedures in a manner which prevents the potential spread of infection.”

Total number of health citations from the most recent inspection: 32

Bloomington Rehabilitation & Healthcare Center

1925 South Main Street
Bloomington, IL 61701

Example of inspection report findings:

“Based on interview and record review, the facility failed to ensure residents were free from physical abuse, and the facility failed to operationalize their abuse
prevention policy.”

Total number of health citations from the most recent inspection: 33

Bria of Belleville

150 North 27th Street
Belleville, IL 62226

Example of inspection report findings:

“Based on observation, interview, and record review, the facility failed to provide timely turning and repositioning for residents reviewed for pressure
ulcers, resulting in residents developing new deep tissue injuries.” 

Total number of health citations from the most recent inspection: 35

City View Multicare Center

5825 West Cermark Road
Cicero, IL 60804

Example of inspection report findings:

“Based on observation, interview, and record review, the facility failed to assess a need for an adaptive eating device for one resident, which resulted in the resident not being able to consume meals and having significant weight loss.”

Total number of health citations from the most recent inspection: 18

Forest River Rehabilitation and Nursing Home

321 Arnold Avenue
Rockford, IL 61108

Example of inspection report findings:

“Based on observation, interview, and record review, the facility failed to ensure potentially hazardous foods were cooled following HACCP (Hazard Analysis Critical Control Point) guidelines and failed to ensure dishes washed in the 3-compartment sink were rinsed prior to sanitation. This has the potential to affect all residents consuming food in the facility.” 

Total number of health citations from the most recent inspection: 11

Lakeside Rehabilitation and Healthcare

900 East Centennial Drive
East Peoria, IL 61611

Example of inspection report findings:

“Based on interview, record, and review, the facility failed to notify the resident or
resident’s representative, in writing, of
the reason for the transfer. This failure has the potential to affect all residents residing in the facility.” 

Total number of health citations from the most recent inspection: 28

Little Village Nursing & Rehabilitation Center

2320 South Lawndale
Chicago, IL 60623

Example of inspection report findings:

“Based on observation, interview, and record review, the facility failed to account, and accurately reconcile, to determine that drug records are in order to account for all controlled drugs on medication carts. These failures have the potential to affect all residents living in the facility.” 

Total number of health citations from the most recent inspection: 10

Oak Park Oasis

625 North Harlem
Oak Park, IL 60302

Example of inspection report findings:

“Based on observation, interview, and record review, the facility failed to supervise, monitor and follow the physician recommendations for treatment, for a resident identified by facility staff at high risk for unpredictable and unprovoked aggressive behaviors; and failed to follow their abuse policy and procedure for one resident involved in resident-to-resident physical altercations.”

Total number of health citations from the most recent inspection: 17

Symphony of Bronzeville

3400 South Indiana
Chicago, IL 60616

Example of inspection report findings:

“Based on record, review, and interview, the facility failed to follow its policy for implementing an immunization program that ensured protection against influenza and pneumococcal disease for several residents; and failed to provide education regarding the risks and benefits of immunization; and failed to develop policies and procedures in identification and tracking and monitoring of all facility residents’ vaccination status in a sample of 54 residents. This deficient practice has the potential to affect all 274 residents residing in the facility.”

Total number of health citations from the most recent inspection: 25

Warren Barr North Shore

2773 Skokie Valley Road
Highland Park, IL 60035

Example of inspection report findings:

“Based on observation, interview, and record review, the facility failed to ensure supervision during meals, failed to safely transfer a resident, and failed to ensure a resident’s bed was in a locked position to prevent a fall.”

Total number of health citations from most recent inspection: 38

Willow Rose Rehabilitation and Health

410 Fletcher
Jerseyville, IL 62052

Example of inspection report findings:

“Based on interview, observation, and record review, the facility failed to provide showers for several residents reviewed for assistance with activities of
daily living.” 

Total number of health citations from the most recent inspection: 32

This is only a random sampling of Illinois homes that have repeatedly violated care standards. Unfortunately, there are several more. To find out the CMS quality rating of your loved one’s nursing home visit Nursing Home Compare or review Illinois’ most recent nursing home violations list (through the Illinois Department of Public Health or IDPH).

Schedule a Free Consultation with an Illinois Nursing Home Attorney at Levin & Perconti 

If you suspect mistreatment of a nursing home resident as the cause of their illness, injury, or untimely death, please contact Levin & Perconti, one of the nation’s most recognized and respected leaders in the areas of elder abuse and nursing home negligence litigation.

Our experienced legal team represents people throughout the greater Chicago area, the state of Illinois and nationwide, winning major lawsuits involving nursing home abuse and neglect. Please, contact us now for a FREE consultation at 312-332-2872 in Chicago, toll-free at 1-877-374-1417.

Also read: How To Read a Nursing Home Inspection Report For Violations

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