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Glenshire Nursing Rehabilitation Centre Ratings & Violations


Glenshire Nursing and Rehabilitation Center is a Medicare facility that provides independent patient care and assistance to the senior citizens of Cook County, IL. It is a 152 bed facility located at:

Glenshire Nursing & Rehab Centre
22660 South Cicero Avenue
Richton Park, IL 60471

According to the information available in the state nursing home data files, its health care facilities and personnel are equipped to handle patients admitted for the following primary health related problems:

  • Alzheimer Disease
  • Neoplasms
  • Endocrine/Metabolic
  • Blood Disorders
  • Developmental Disability
  • Nervous System
  • Mental Illness
  • Circulatory System
  • Respiratory System
  • Digestive System
  • Genitourinary System Disorders
  • Skin Disorders
  • Musculo-Skeletal Disorders
  • Other Medical Conditions

Concerning Findings Regarding Patient Care at Glenshire Nursing & Rehab Centre

Surveys conducted by the Illinois Department of Health and other professional inspection agencies, noted that there were some irregularities in the handling of patients which led to repeated patient falls during their stay at the Glenshire Nursing and Rehabilitation Center. The nature of this health care irregularities received by some patients, can be construed as nursing home abuse. Some of the irregularities include:

  • Failure to investigate and review conditions related to falls: “R10 is a [AGE] year old resident that was readmitted to the facility September 11, 2009. R10 has a history of high and low blood sugars and refusing to have his blood sugars checked and taking prescribed insulin. On October 4, 2009 according to nursing notes, R10 reported to social services that he had fallen the previous night. The nursing notes of October 4, 2009 at 10:00am state, “resident reported to social services that he fell last night on the 3 to 11 shift. Observed resident with hematoma noted above the right eye. Resident complained of headache. Vital signs are stable and blood sugar is 321mg. Supervisor made aware and physician paged to inform, awaiting return call. At 11:00am the physician made aware of fall and hematoma, orders to send resident to the hospital.” The resident was admitted to the hospital for Syncope and Blunt Head Trauma. Upon review of the blood sugar monitoring record, it was noted that R10’s blood sugar on October 4, 2009 at 6:00am was 46mg/dl. The nurse (no longer employed by the facility) gave R10 Glucagon (medication to increase the blood sugar) and Orange Juice. There is no evidence that the nurse checked R10’s blood sugar again or noted evidence of a fall. The resident’s plan of care was not updated for falls or potential for falls related to R10’s Diabetic condition. The facility failed to follow up and investigate a fall that resulted in hospitalization and failed to address this issue in the plan of care upon readmission.”
  • Failure to follow physician recommendations to prevent the development of pressure sores: “Z2 (Wound Physician) assessed R4 on October 6, 2009 and gave the following directions, “chair limit to one to two hours on a cushioned
    surface. Daily skin checks specially pressure point. Keep watch on food and water intake and report.” During the observation of October 23, 2009, R4 was noted seated upright on an adult reclining chair for over 2 hours. Direct care staff were not aware of Z2’s directions to allow only 1 hour of chair time. E10 (Nursing Supervisor) and E2 were advised of R4 being seated in her chair for extended times and then R4 was placed in her room and in bed at 1:40pm.”
  • Failure to adequately investigate the cause of a fall: “According to the facility’s incident report, R12 fell during a self-transfer on September 8, 2009 and sustained a fracture of the left hip. R12 was hospitalized. A review of the incident report indicates that the facility did not completely investigate and determine the cause of the fall. R12’s MDS (Minimum Data Set) assessment dated [DATE] codes R12 as having a history of falls and impaired cognitive status. In addition, R12 also used several Antipsychotics and Antidepressant medications that place R12 at risk for falls. R12’s plan of care had not been updated with new interventions since May 4, 2009.”
  • Failure to provide physician ordered pain medication: “On 10/7/10 at 10:00am R1 said that she was admitted to the facility on [DATE] after surgery to reverse a [MEDICAL CONDITION]. R1 said that when she was admitted she had an order for [REDACTED]’t relieve her pain. R1 said that she went for four or five days without the pain medication. According to the physician orders [REDACTED]. According to the controlled substance proof of use denotes that R1 received her first dose of [MEDICATION NAME] on 9/6/10 at 10:15am. The pharmacy filled the order with 15 tablets, and R1 required all 15 tablets last used on 9/12/10. On 10/7/10 at 1:44pm Z2 (assistant pharmacy director), said that the pharmacy received the order for R1’s [MEDICATION NAME] on 8/31/10 at 3:00am. Z2 said that the facility didn’t send a signed prescription, needed to fill the order for [MEDICATION NAME] (schedule III narcotic). Z2 said that the pharmacy
    contacted the facility the morning of 8/31/10 to inform them that the physician needed to re-fax the prescription to fill the order for R1’s [MEDICATION NAME]. Z2 said that the pharmacy finally received the prescription on 9/4/10 after numerous calls to the facility requesting the prescription. Z2 said that the order was filled and the facility received the [MEDICATION NAME] tablets on the morning of 9/5/10.”
  • Failure to prevent significant medication errors: “During medication pass with E11 (Registered Nurse) on 3/9/11 at 12:45 PM, medications were dispensed to R7 per gastrostomy tube. When the surveyor checked the POS (physician’s order [REDACTED]. Later, when E11 was questioned about this, E11 said that it was a very busy morning but she had called the physician about the late medication pass at 1:15 PM. On 3/9/11, 4:00 PM, E1 (Administrator) and E2 (Director of Nursing) were informed that there were two significant medication errors involving the timing of administration of [MEDICATION NAME] (anti [MEDICAL CONDITION] medication) and [MEDICATION NAME] (anti-hypertensive medication). Both medications are recommended to be taken as scheduled to minimize the potential of increased complications.”

Richton Park, IL Nursing Home Attorneys

Rosenfeld Injury Lawyers LLC is an organization with the reputation of putting families first. Our team of experienced nursing home lawyers has brought the spark back to the eyes of many individuals and families who have had health care issues with different Patient icare facilities. Most of the lawsuits we have successfully handled fall into the following situations:

Concerned about a loved one? Take the first step today.

If your loved one has been abused or neglected during an admission to Glenshire Nursing & Rehab Centre, or a different skilled nursing facility in Illinois, you should contact an attorney to determine your legal rights. Our nursing home lawyers have experience getting superior results for all types of cases. Put our team to work for your family and get the results that you deserve. All of our initial consultations are free and we never charge a fee without a recovery for you. Talk to an experienced attorney today (888) 424-5757.

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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