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Elizabeth Nursing Home Ratings & Violations

Elizabeth Nursing HomeAny facility-acquired bedsore in a nursing home has the potential to diminish the resident’s quality of life and place their medical condition in jeopardy. Because of that, the nursing staff is required to follow specific procedures and protocols when providing care, especially to patients who are at high risk for developing pressure wounds (bedsores; pressure sores; decubitus ulcers; pressure ulcers). Unfortunately, not all facilities follow the established procedures for skin care treatment, which is often to the detriment of the resident. Rosenfeld Injury Lawyers LLC provide legal representation, advice, and counsel to residents of Illinois nursing skill facilities like Elizabeth Nursing Home who have developed life-threatening facility-acquired bedsores.

Elizabeth Nursing Home

This facility is a 41-certified-bed ‘for-profit’ Medicaid-participating Nursing Facility providing care and services to residents of Elizabeth and Jo Daviess County, Illinois. The Home is located at:

540 Pleasant Street
Elizabeth, Il 61028
(815) 858-2275

For over four decades, the nursing facility has provided around-the-clock skilled nursing care to residents in private and semi-private rooms.

Elizabeth Nursing Home Resident Safety Concerns

Families can visit to obtain a complete list of all safety concerns, health violations, filed complaints and opened investigations that are routinely updated by the state of Illinois and the federal government. This information can be used to make a well-informed decision of which nursing facilities in the community by the highest level of care.

Currently, Elizabeth Nursing Home maintains an overall four out of five available star rating in the Medicare star rating summary system compared to all other nursing homes irn the US. This includes five out of five stars for health inspections, two out of five stars for staffing concerns and one out of five stars for quality measures. The Jo Daviess County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have found many health violations and deficiencies at this nursing home including:

  • Failure to Provide Adequate Treatment and Services to Prevent the Development of Pressure Sores or Allow Existing Pressure Sores to Heal

    In a summary statement of deficiencies dated 06/17/2016, a notation was made by a state investigator during an annual licensure and certification survey concerning the facility's failure to "implement pressure relieving interventions for a resident at high risk for pressure injury development.” The investigator also noted the facility’s failure “to ensure Weekly Skin Assessments were done on a resident at high risk for skin breakdowns.” There was also a facility failure “to ensure Weekly Assessments were completed on a Stage II pressure ulcer.”

    The state investigator observed a resident lying in bed “on her back on 06/14/2015” at specific intervals between 11:20 AM and 3:30 PM (more than four hours). The resident was again observed the next day on 06/15/2015 “lying on her back” at specific intervals between 8:25 AM and 3:40 PM. A review of the resident’s care plans revealed that there were “no Plan of Care to prevent pressure ulcers from developing and no interventions identified to relieve pressure.”

    An interview was conducted with a Registered Nurse on the morning of 06/15/2016 who stated that two other specific residents “are the only two residents that have open areas.” A Certified Nursing Assistant stated a few minutes later that the specific resident “does not have any open areas.”

    However, an observation was made of the resident at 10:25 AM on 06/15/2016 when the Certified Nursing Assistant assisted the resident “to turn on her side with [the RN] present. There was an open area to [the resident’s] right buttocks approximately 4.0 centimeters by 3.0 centimeters with the pale center.” Both the Registered Nurse and the CNA then confirmed “there is an open area to [the resident’s] right buttock.”

    The investigator interviewed the facility director of nursing at 8:30 AM on 06/17/2016 who said “if an issue a skin integrity was noted she would expect the staff to do follow-up assessments [...and] if a resident is identified as a high risk for pressure ulcer formation on admission, she would expect implementation of a Care Plan interventions to prevent skin breakdown.”

    The Director stated a few days earlier that “if a resident is at high risk for pressure ulcer formation she would expect the resident’s position to be changed frequently and frequent skin checks would be done [...and] said she expect staff to report any reddened or open skin areas to be reported to the nurse immediately. The nurse should perform an assessment of the area, reported to the physician and fill out an incident report.”

Elizabeth Illinois Nursing Home Abuse Lawyers

If you believe your parent, grandparent or spouse has been harmed or injured while residing at Elizabeth Nursing Home, call Rosenfeld Injury Lawyers LLC now. Our knowledgeable Elizabeth attorneys have years of experience in handling cases that involve mistreatment, neglect, and abuse occurring in nursing facilities throughout Illinois.

We encourage you to contact our Jo Daviess County area elder abuse law office today by calling (888) 424-5757 to schedule your no obligation, free full case review. You do not need to make any upfront payment for our legal services because we accept all nursing home abuse/neglect cases through contingency fee agreements. This means our fees are paid only after we have successfully resolved your claim for compensation by negotiating an acceptable out of court settlement or have won 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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