Coulterville Rehabilitation and Health Care Center

This Center is a 75-certified-bed ‘for-profit’ nursing home providing care and services to residents of Coulterville and Randolph County, Illinois. The Medicaid/Medicare-approved facility is located at:

13138 State Route 13
Coulterville, Il 62237
(618) 758-2256

Coulterville Nursing Home Resident Safety Concerns

To be fully informed on the level of care nursing homes provide, families routinely research the database system for a complete list of filed complaints, opened investigations, health violations, and safety concerns. This information provides valuable content to make a well-informed decision of where to place a loved one who requires a high level of health care and hygiene assistance.

Currently, Coulterville Rehabilitation and Health Care Center maintains an overall three out of five available star rating in the Medicare national comparison analysis rating system. This includes four out of five stars for quality measures and three out of five stars for staffing concerns and health inspections. The Randolph County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have found many health violations, safety concerns and deficiencies at this nursing home including:

  • Failure to Provide Every Resident an Environment of Unauthorized Physical Restraints In a summary statement of deficiencies dated 08/19/2016, a complaint investigation against the facility was opened for its failure to “ensure physical restraints are not used for convenience.” The deficient practice by the nursing staff involved a severely cognitively impaired resident diagnosed with age-related cognitive decline, anxiety disorder, and Alzheimer’s disease.

    A review of the resident’s 07/17/2016 Progress Notes document that the resident “was combative when the nurse was trying to get Risperidone [an antipsychotic medication, while] staff felt by holding her hands down during administration, but the resident just spit it back out.”

    A Licensed Practical Nurse stated on the morning of 08/17/2016, that the resident “gets upset frequently and is easily agitated and when she gets like that, just give her space and then re-approach. She usually only needs two minutes then she is good.”

    The state investigator noted that the use of restraining the resident’s hands without authorization violates the facility’s February 2014 Use of Restraint Policy that reads in part:

    “Restraint shall only be used for the safety and well-being of the resident and only after other alternatives have been tried unsuccessfully. Restraint shall only be used to treat the resident’s medical symptoms and never for discipline or staff convenience, or for the prevention of falls.”

  • Failure to Provide Every Resident an Environment Free of Accident Hazards and Provide Adequate Supervision to Avoid Injury In a summary statement of deficiencies dated 08/19/2016, a notation was made by a state surveyor during an annual licensure and certification survey involving the facility’s failure to “prevent falls and provide safe transfer for [a resident] reviewed for falls and transfers.” The failure involved a resident diagnosed with general muscle weakness, hemiplegia, aphasia and Alzheimer’s disease.

    The resident’s 02/19/2016 and 05/21/2016 MDS (Minimum Data Sets) revealed that the resident “is severely impaired with cognition, has unsteady sitting balance and requires extensive assistance with bed mobility, transfers and all ADLs (activities of daily living).” In addition, the resident’s 02/12/2016 Fall Risk Assessment revealed that the resident “is at risk for falls.”

    The resident was observed in bed on the morning of 08/16/2016 on “an alternating low air loss mattress. There were no side rails on the bed. The resident had right-sided hemiplegia and was nonverbal.” A family member at the resident’s bedside stated “one time they [the staff] caught his right middle toenail and tore it off. The resident had to be removed.” The resident also reported that the resident “is transferred with a mechanical lift. The toenail was missing from [the resident’s] right second toe” and at one time, [the resident] “had a fall from bed.”

    The investigator noted that the actions of the nursing staff failed to follow the facility’ is December 2007 Falls and Fall Risk, Managing Policy that reads in part:

    “The staff will identify interventions related to the resident specific risks and causes to try to prevent the resident from falling, try to minimize complications from falling.”

Coulterville Illinois Nursing Home Abuse Lawyers

If your parent, grandparent or spouse has suffered injury or died prematurely while a patient at Coulterville Rehabilitation and Health Care Center, call Rosenfeld Injury Lawyers LLC now. Our Coulterville nursing home attorneys have successfully resolved many financial compensation claims for victims of abuse, mistreatment, and neglect in Illinois nursing facilities.

We encourage you to contact our Randolph County elder abuse law offices by calling (888) 424-5757 today to schedule your free, initial case evaluation. No upfront retainers or fees are required because we accept every wrongful death lawsuit, personal injury case and nursing home abuse/neglect claim for compensation on contingency. This means we are paid for our fees only after we have negotiated an out of court settlement on your behalf or have won your case at trial.


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Jonathan did a great job helping my family navigate through a lengthy lawsuit involving my grandmother's death in a nursing home. Through every step of the case, Jonathan kept my family informed of the progression of the case. Although our case eventually settled at a mediation, I really was impressed at how well prepared Jonathan was to take the case to trial.

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