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Flora Gardens Care Center Ratings & Violations

Flora Gardens Care CenterState and federal nursing home regulatory agencies have strict guidelines that must be followed by the nursing staff to eliminate the potential spread of infection. These procedures and protocols include providing quality care to residents with indwelling urinary catheters and blood glucose testing where different residents share equipment. Unfortunately, not every facility follows established policies when providing standards of care, which can be detrimental to the patient health. Rosenfeld Injury Lawyers LLC provide legal representation to mistreated residents of Illinois skilled nursing homes like Flora Gardens Care Center who have suffered needlessly from preventable infections.

Flora Gardens Care Center

This Center is a ‘for profit’ 97-certified-bed Nursing Home providing cares and services to residents of Flora and Clay County, Illinois. The Medicare/Medicaid-accepted facility is located at:

701 Shadwell Avenue
Flora, Il 62839
(618) 662-8361

As a part of the Peterson Health Care System, Flora Gardens Care Center provides Alzheimer’s care, memory care, skilled nursing care and the Peterson Pathways Rehabilitation Program.

Flora Nursing Home Resident Safety Concerns

The Federal government and Illinois nursing home regulatory agencies routinely update the nursing home database system containing the complete list of every safety concern, health violation, filed complaint and opened investigation. This information can be found on numerous websites including

Currently, Flora Gardens Care Center maintains an overall one out of five available star rating in the Medicare national comparison analysis star rating system. This includes three out of five stars for staffing concerns and one out of five stars for both health inspections and quality measures. The Clay County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have found numerous safety concerns, health violations and deficiencies at this nursing facility that include:

  • Failure to Provide Cares and Services during Catheter Cleaning to Prevent Infections

    In a summary statement of deficiencies dated 01/28/2016, a notation was made during an annual licensure and certification survey by a state investigator concerning the facility's failure to "follow their Catheter Care Policy regarding catheter cleaning and prevention of infections."

    The deficient practice was first noted in the state investigator’s findings after an observation was made of a resident at approximately noon on 01/25/2016 who “was lying in bed and the catheter bag was lying on the floor with the spigot of the catheter bag touching the floor.”

    The following day at 10:05 AM, two Certified Nursing Assistants (CNAs) providing catheter care to the resident. The CNAs “donned gloves, positioned the resident and [a CNA] opened the cleansing wipe and cleansed [the resident’s] catheter tubing from the urinary meatus outward and repeated cleansing and the tubing with the same cleansing wipe, cross contaminating the catheter tubing."

    The state investigator noted that the CNA improperly washed the female resident’s genital area and never “rinsed or dried the resident during the procedure." It was noted that the actions by the nursing staff failed to follow the facility’s 12/08/2010 policy titled Catheter Care under Procedures: Females that reads in part:

    “… Wash perineal area with warm soapy water and cleansing product; wash from front to back… Wash the catheter tubing from the opening of the urethra outward four inches or farther if needed. Do not pull the catheter; rinse and dry the area well.”

  • Failure to Follow Procedures and Protocols to Minimize the Spread of Infection throughout the Facility

    In a summary statement of deficiencies dated 01/20/2016, the state investigator noted the facility’s failure “to follow appropriate infection control practices for resident care equipment, medications, and linens."

    An observation was made by the state investigator on the morning of 01/25/2016 when a Licensed Practical Nurse (LPN) “donned a pair of gloves and took the blood sugar monitoring device to the dining room.” The LPN set the blood sugar monitoring device onto the dining room table without a barrier, then checked [the resident’s] blood sugar.” The LPN “did not wipe down the blood sugar monitoring device with disinfectant wipes and put the soiled blood sugar monitoring device into the medication cart drawer, on top of other equipment. “

    The state investigator noted that the actions of the LPN violate the facility’s May 2007 policy titled Infection Control that reads in part:

    “The blood glucose meters will be clean between each resident test to avoid cross-contamination issues.”

    In a separate incident, two Certified Nursing Assistants were observed on the morning of 01/26/2016 providing catheter care to a resident. After a CNA “performed the catheter care, she dropped the blood tinged washcloth on the floor, picked the washcloth up off the floor and placed it on [the resident’s] bedside table. The staff failed to clean her disinfect the bedside table after removing the blood contaminated washcloth.

Flora Illinois Nursing Home Abuse Lawyers

If you suspect your loved one is being abused while residing at Flora Gardens Care Center, call the Rosenfeld Injury Lawyers LLC law offices now. Our reputable Flora skilled attorneys can provide legal assistance to your family to successfully resolve your financial recompense claim against all those who caused your loved one’s harm.

We encourage you to contact our Clay County elder abuse law office today by calling (888) 424-5757 to schedule your appointment for an initial case review at no charge to you. Additionally, there is no need to make an upfront payment 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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