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Bourrbonnais Terrace Ratings & Violations

The use of antipsychotic medications in long-term care facilities can only be used in accordance with the law and after an informed consent has been obtained by the resident and/or legal guardian. Unfortunately, some long-term care homes use psychotropic medications to minimize the need of ongoing supervision and monitoring of residents suffering from behavioral problems. The elder abuse attorneys at Rosenfeld Injury Lawyers LLC provide legal services to patients residing at Illinois intermediate and long-term care Homes like Bourbonnais Terrace Nursing Home who were inappropriately given antipsychotic medications without informed consent or proper authorization.

Bourbonnais Terrace Nursing Home

This Nursing Center is a ‘for profit’ 97-certified-bed Home providing cares to residents of Bourbonnais and Kankakee County, Illinois. The Facility is located at:

133 Mohawk Drive
Bourbonnais Il 60914

Bourbonnais Long Term Care Home Resident Safety Concerns

To ensure families are fully informed of the services and care that nursing home offers in their community, the state of Illinois routinely updates their comprehensive list of safety concerns, health violations, filed complaints and opened investigations of Homes statewide. This data can be found on numerous websites including the Illinois Department of Public Health (IDPH – []) and used to make an informed decision before placing a loved one in a private or government-run facility.

The Kankakee County abuse and neglect attorneys at Rosenfeld Injury Lawyers LLC have found numerous safety concerns, violations and deficiencies at this long-term care facility that include:

  • Failure to Provide Cares and Services at a Level That Ensure the Resident Maintains Their Highest Well-Being

    In a summary statement of deficiencies dated 12/05/2014, an Illinois state surveyor performed an annual licensure and certification survey, noting the facility’s failure to “notify the physician and failed to monitor a high glucose level for a resident observed during a medication pass.” The deficient practice involved a resident diagnosed with diabetes type II.

    An observation was made of the resident on the morning of 12/03/2014 at 11:06 AM who “was standing in the clean utility room.” A nurse assisted the resident “to take the blood glucose level” with results indicating the resident glucose level was “436 milligrams per deciliter”, which is considered to be significantly high. At that time, the nurse assisted the resident “to inject a total of 20 units of [insulin medication] and assisted [the resident] to inject insulin into his abdomen.”

    When the resident left the clean utility room after receiving his injection, “the nurse did not assess/monitor [the resident] for symptoms in the physician was not notified.”

    Just over one hour later, the resident “was sitting in his room on the bed [...and] said, the nurse usually will come in and check him and call the doctor after a high glucose number is recorded, but nobody came to check on him today.”

    The nurse indicated that “she did not call the doctor or assess [the resident].” The nurse “then called the doctor and went to obtain another glucose level for [the resident].” Twelve minutes later, the resident’s “glucose level was 358 milligrams per deciliter” and the resident was “alert and oriented to person, place and time.”

    A few minutes later, the nurse said “this is all my fault, I got distracted, we have a procedure that we are supposed to follow. I did not follow it. I should have called the doctor right after the recording. The doctors coming to examine [the resident].”

    The investigator reviewed the facility Director of Nursing later that afternoon who said “the doctor should have been called immediately after [the resident] received a recording of 436 milligrams per deciliter.”

  • Failure to Obtain an Informed Consent Prior to Administering Antipsychotic Medications

    In a summary statement of deficiencies dated 12/05/2014, the state investigator noted the facility’s failure to “obtain a consent for the use of psychoactive medications prior to administration.” One failure involved a 62-year-old male resident with multiple diagnoses including paranoid schizophrenia whose physician ordered an antipsychotic medication to be given twice daily.

    The investigator then reviewed the resident’s 07/21/2014 psychiatric evaluation indicating that the psychotropic medication “is being used as one of the medications for behavior problems related to the above diagnoses.” However, the investigator noted that the resident’s documentation “has no evidence of a signed consent or education for the use of [psychotropic] medications.”

    The nurse providing cares to the resident indicated on 12/05/2014 that “psychoactive medications are supposed to be consented by the resident and/or legal guardians prior to the administration to ensure that they know the purpose and potential side effects of these medications.

Bourbonnais Illinois Nursing Home Abuse Lawyers

If your parent, grandparent or spouse was the victim of mistreatment, abuse or neglect while they resided at Bourbonnais Terrace Nursing Home, contact Rosenfeld Injury Lawyers LLC today. Our knowledgeable Bourbonnais attorneys can offer legal assistance on your behalf to ensure your case for financial compensation is successfully resolved against all parties who caused your loved one harm.

We encourage you and your family to contact our Kankakee County elder abuse law office today by calling (888) 424-5757 to schedule your appointment for a complimentary initial case evaluation. There is no need to make an upfront payment or retainer because we accept all nursing home claims for compensation on contingency.


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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