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Beardstown Terrace Ratings & Violations

To ensure that long-term care residents maintain their overall well-being and general medical health, it is imperative that the nursing staff follow procedures and protocols when administering medications. Unfortunately, not all facilities properly train their nursing staff members on how to administer drugs and then document and report any problems to the superiors. The abuse attorneys at Rosenfeld Injury Lawyers LLC have represented many individuals who have been neglected, mistreated and abused at Illinois long-term care (LTC) facilities like Beardstown Terrace.

Beardstown Terrace

This Nursing Home is a ‘for profit’ LTC Center providing services to residents of Beardstown and Cass County, Illinois. The 16-certified-bed facility is located at:

310 E. 8th St.
Beardstown, IL 62618
(217) 323-5554

Beardstown Long Term Care Home Resident Safety Concerns

The state of Illinois nursing a long-term care home regulatory agency regularly updates their statewide nursing facility database system. The Illinois Department of Public Health (IDPH - database contains a historical list of safety concerns, incident inquiries, health violations, filed complaints and opened investigations of every facility in each county.

The Cass County abuse and neglect attorneys at Rosenfeld Injury Lawyers LLC have found various deficiencies, violations and safety concerns at this long-term care home including:

  • Failure to Administer Drugs in Accordance with Physician’s Orders

    In a summary statement of deficiencies dated 09/06/2013, the state agency surveyor noted the facility’s deficient practice during an annual licensure and certification survey to “ensure that Medroxyprogesterone shots were administered as specified in [the resident’s] Physician Order Sheet (POS).” The injection was to be administered to a resident suffering from moderate mental retardation who “has an additional diagnosis of menses regulation.”

    The deficient practice was first noted in the state investigator’s findings after reviewing a resident’s facility records including their September 2013 Physician Order Sheet (POS) containing an order for Medroxyprogesterone (an injectable medication used only for the prevention of pregnancy) administered “once every three months for menses regulation.”

    A review of the resident’s 05/20/2013 Nursing Note revealed a document stating “received Medroxyprogesterone injection today left deltoid.” The resident’s May 2013 Medication Record “contains initials in the box dated 05/20/2013 recording the administration of Medroxyprogesterone on that date.”

    However, a review of the resident’s August 2013 Medication Record, in the place marked Medroxyprogesterone, contained “no marks to indicate that the medication was administered.” The resident’s “Nursing Notes for that month of August 2013 does not contain an entry stating that [the resident] had received the Medroxyprogesterone shot for that month.”

    On the morning of 09/06/2013, the state investigator interviewed the facility Quality Intellectual Disabilities Professional (QIDP) who was asked “if there was any evidence that [the resident] received the [medication] in August 2013. The QIDP Replied “No.” The staff member “checked with [a Registered Nurse] to see if the [resident’s medication injection] had been given in August 2013” which was verified that “it had not been given.

  • Failure to Administer Medications in Accordance with Physician’s Orders

    In a summary statement of deficiencies dated 08/06/2014, a formal complaint was opened against the facility by a state investigator for its failure to “report medication errors to the physician.” The deficient practice involved 64-year-old male resident diagnosed with hyperlipidemia and osteoarthritis “functions in the mild level of intellectual disability.”

    The deficient practice was first noted in the state investigator’s findings after reviewing the facility’s 03/11/2014 Medication Error Report, which revealed that “staff noticed that [the resident’s] pill was not signed off for the day before and the pill was still in the pack.” The medication to be administered to the resident was “Motrin 400 milligrams three times a day.” The state investigator documented that the notification of the physician line “was left blank.”

    A separate incident involved a 44-year-old female resident diagnosed with atrial fibrillation, psychosis, and hypothyroidism. The facility’s 03/11/2014 Medication Error Report revealed that “staff gave [the resident] her 6:00 AM medications and saw the pill from yesterday was still in the pack.” In addition, it was documented that the section titled “Notification: Physician,” line was left blank.

    The third incident involved another resident identified as a 42-year-old male diagnosed with autistic spectrum disorder and foot fungus functioning “in the moderate level of intellectual disability.” The facility’s 01/27/2014 Medication Error Report revealed “staff restocked creams on 01/26/2014 [in the evening] and on 01/27/2014 [in the evening] discovered that they (creams) had not been opened.” The resident’s records indicate “Notification: Physician” line was left blank.

Beardstown Illinois Nursing Home Abuse Lawyers

If you believe your loved one has suffered serious injuries, been harmed or died prematurely while a patient at Beardstown Terrace, contact the law offices of Rosenfeld Injury Lawyers LLC today. Our respected Illinois attorneys have represented clients who have been abused, mistreated or neglected by caregivers and other residents at their nursing facility.

We encourage you and your family to contact our Cass County elder abuse law office today by calling (888) 424-5757 to schedule your appointment for a complimentary recompense claim evaluation. You and your family are not required to make any upfront payment or retainer to receive immediate legal services. Our fees are paid only after we have successfully resolved your case by negotiating an out of court settlement on your behalf or winning your case at trial.


Disclaimer: The above inspection findings are take from public sources including the State Department of Health and from Medicare inspection conducted at the facility at least every fifteen months. Rosenfeld Injury Lawyers LLC cannot confirm that the content on this site is the most recent information related to the facilities mentions.

The inspection findings published are not complete. You may find the most up to date information here: or

The deficiencies/citations listed on this page may have been corrected or substantially corrected after the date of the inspection and date of publishing this material. This page is a legal advertisement and a resource of information for visitors. This material is not endorsed by the facility noted or by any governmental agency. Rosenfeld Injury Lawyers LLC does not have any affiliation with the facility.

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