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Citadel Care Center Kankakee Ratings & Violations

Citadel Care Center – KankakeeMany families place their loved one in a nursing facility to ensure they receive a high level of care in a safe and secure environment. In certain circumstances, the patient requires an extra level of security because of their propensity to wander away or elope from the nursing home. Unfortunately, not all facilities take appropriate measures and provide adequate supervision and ongoing monitoring to ensure that the resident does not wander off and become injured or killed. Rosenfeld Injury Lawyers LLC represent nursing home residents who have wandered away while a patient in Illinois skilled nursing facilities like Citadel Care Center – Kankakee.

Citadel Care Center – Kankakee

This Center is a 107-certified-bed ‘for-profit’ Medicaid/Medicare-accepted facility providing nursing services to residents of Kankakee and Kankakee County, Illinois. The nursing home is located at:

900 W. River Place
Kankakee, IL 60901
(815) 933-1711

In addition to providing short-term and long-term skilled nursing care, the facility also offers independent living options and memory care for individuals suffering from memory loss, dementia, and Alzheimer’s disease.

Kankakee Nursing Home Resident Safety Concerns

Families can visit to obtain a historical list of all opened investigations, safety concerns, filed complaints and health violations of every facility nationwide. The information can be used to determine the level of health and hygiene care every community nursing home provides its residents.

Currently, Citadel Care Center – Kankakee maintains an overall two out of five available star rating in the Medicare star rating summary system compared to all other facilities in the United States. This includes four out of five stars for staffing concerns, two out of five stars for health inspections and one out of five stars for quality measures. The Kankakee County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have found serious deficiencies and safety concerns at this facility that include:

  • Failure to Provide Adequate Supervision and Monitoring to Ensure a Resident Does Not Wander Away from the Facility

    In a summary statement of deficiencies dated 03/30/2016, a complaint investigation was opened against the facility for its failure to "provide supervision for one confuse resident with dementia and [a failure to] provide monitoring/supervision of an unlocked door. These failures resulted in one resident leaving the building without the facility’s knowledge and walking to a four-lane highway where he fell, sustained bruises and an abrasion.”

    The deficient practice was first noted in investigators’ findings that involve an 84-year-old male resident admitted to the facility in September 2015 “would numerous medical diagnoses including malignant neuroleptic syndrome and dementia.” The resident’s Admission Nursing Assessment documented that the resident is “moderately impaired cognitive skills for daily decision-making [...and] has poor decision making and requires cues and supervision.” The Admission Records also indicate under Exit Seeking that the resident has “a history of wandering [...and] was also noted to have a history of falls and urinary incontinence.”

    The resident’s 09/30/2015, 6:30 PM Incident Report states that “the facility received a telephone call from the local police stating that they have found a resident several blocks away [...and] he had been injured and the police were taking him to the hospital. This incident report documents the notification of [the resident’s] family and attending physician.”

    The investigator conducted an interview just after noon on 03/29/2016 with the facility’s Administrator and Director of Nursing who stated that “just after dinner, [the resident] (who had periods of confusion) walked out of the facility [...and the resident] just decided to leave in the facility investigation determined he had most likely walked out of the main entrance of the facility.”

    The Director of Nursing admitted that “although [the resident] had a documented history of wandering and periods of confusion, [the resident] had not exhibited exit seeking behaviors since admission. At the time of the occurrence, the main entrance was not being monitored by staff or by cameras.”

  • Failure to Provide Every Resident an Environment Free of Accident Hazards and Provide Adequate Assistance to Avoid Injury

    In a summary statement of deficiencies dated 10/08/2015, a complaint investigation against the facility was opened for its failure to "transfer a resident with the assistive device outlined in the resident’s Care Plan. This applies to [one resident] reviewed for injury of unknown origin.”

    The deficient practice was first noted in the investigator's findings noting that the resident “is the subject of an investigation.” It was noted that the resident had displayed “a large red/purple bruise on the left thigh and gray bruise covering the knee.” The cognitively impaired resident “did not exhibit any signs of pain” but was “transported by ambulance at 4:30 PM to the local emergency room for medical evaluation of the facility’s assessment of [the resident’s] bruised areas.”

Kankakee Illinois Nursing Home Abuse Lawyers

If you and your family believe that your loved one has suffered injury or harm while the patient at Citadel Care Center – Kankakee, call Rosenfeld Injury Lawyers LLC now. Our Illinois nursing home attorneys can take immediate legal action to ensure your loved one receives the highest level of security care and monitoring. In addition, our law firm can handle your claim for financial compensation against all those who caused your loved one harm.

Schedule your free, no obligation full case review today by calling our Kankakee County elder abuse law offices at 888 424-5757. No upfront fees are required.


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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