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Glenwood Healthcare Rehabilitation Ratings & Violations

Glenwood Healthcare & Rehabilitation The Chicago nursing home injury attorneys at Rosenfeld Injury Lawyers LLC are committed to providing information about patient safety at Glenwood Healthcare & Rehabilitation Center. Our law firm believes that the more information you and your family has about nursing facilities enables you to make more informed decisions. Below you will find information on Glenwood Healthcare & Rehabilitation Center obtained via public records.

Should you wish to discuss a potential medical negligence case involved Glenwood Healthcare and & Rehabilitation Center, contact our office for a free review of your legal rights.

Glenwood Healthcare & Rehabilitation is a 184-certified bed Medicare/Medicaid-participating “for profit” nursing facility providing care and services to the residents of Cook County, Illinois. The facility is located at:

Glenwood Healthcare & Rehabilitation
19330 South Cottage Grove
Glenwood, IL 60425

The local hospital provides diverse specialties and services to the community that include:

  • Skilled nursing care that includes cardiac care
  • Pain management
  • Dementia care
  • Medication management
  • Drug administering including antibiotics and nebulizers
  • Physical, occupational and speech therapies
  • Rehabilitation
  • Respite short-term care
  • Hospice
  • Restorative nursing care
  • Stroke care

Every Illinois nursing facility must provide the highest level of care to ensure that residents remain safe in a clean environment. Unfortunately, the elder abuse attorneys at Rosenfeld Injury Lawyers have resolved many cases where our clients were injured, mistreated and abused while residing at Illinois long-term care nursing homes.

Nursing Home Patient Safety Concerns

To ensure that families are fully informed of the services and care provided at long-term care facility offers in their community, the state of Illinois routinely updates their comprehensive list of opened investigations, filed complaints, dangerous hazards, health violations, safety concerns, and incident inquiries of Homes statewide. Families use the publically available data found at Illinois Department of Public Health (IDPH – to make an informed decision before placing a loved one in a private or government-run facility.

Currently, this facility maintains a one out of five-star rating compared to all other facilities in the United States. This rating includes one of five stars for health inspections, two of five stars for staffing issues and two of five stars for quality measures. The Cook County Abuse and Neglect Attorneys at Rosenfeld Injury Lawyers reviewed serious deficiencies, violations, hazards and safety concerns at this long-term care home including:

Failure to Ensure That Every Resident Remained Free of Physical Restraints Unless Required for Medical Treatment

In a summary statement of deficiencies dated September 28, 2017, the state investigator documented that the facility failed to “follow the restraint policy and remove the restraint during mealtime.” The deficient practice involved two residents and the facility's failure “to obtain an informed consent for restraint,” failure to “complete Quarterly Restraint Assessments,” and failure to “properly assessed restraint usage that is medically contraindicated.”

State investigators observed a resident at 9:33 AM on September 26, 2017, in the A-Wing hallway “with hand mitts on.” The resident “also [there was] a soft waste enabler around the resident's waist, and the straps were tied to the bottom of the wheelchair.”

In the early afternoon of the same day at 12:15 PM, the investigator observed the resident “in the dining room with a soft enabler hanging on the back of the wheelchair.” A Certified Nursing Assistant/Quality Assurance Coordinator (QAC) was present and assisting the resident with the meal.” The QAC stated that the resident “uses hand mitts and a waist restraint, but they are not on right now because [the resident] is eating.” The QAC also stated that the resident “has had these restraints for a long time.”

The investigator then interviewed the facility Director of Nursing at 12:40 PM on September 26, 2017, regarding the resident's “soft waist enabler. The restraint list that the facility presented on September 26, 2017, lists [the resident] as only having Bilateral Hand Mitts.” The Director stated that “the soft waist enabler is not being used as a restraint.”

The surveyor requested the resident's Informed Consent for Restraint Use for review along with the resident's Quarterly Review for the Use of Restraint, Physician Orders, and Care Plans. A review of the resident's Physical Restraint Consent documents a restraint soft waist type dated February 3, 2016. The documentation shows that this was the most recent consent and that “no subsequent consent provided… after the date of February 3, 2016.”

The investigator documented that the facility had failed to follow their Physical Restraint Use Policy revised April 21, 2016, that states, “It is the responsibility of the Director of Nurses/Care Plan Coordinator/Restorative Nurse to ensure that the use of all restraints has been assessed and Care Planned appropriately.”

Failure to Provide Necessary Care and Services to Maintain a Resident's Highest Well-Being

In a summary statement of deficiencies dated August 1, 2017, the state investigator documented the facility's failure “to follow their policy and procedure for Accidents and Incidents and failed to properly assess and treat [one resident] reviewed for falls.” The deficient practice by the nursing staff “resulted in a delay of treatment and [the resident] being sent to the local hospital with a fractured left hip, two days after a fall.”

The state investigator reviewed the facility Incident Report dated July 3, 2017, at 6:55 PM. The document revealed the resident “was observed sitting on the floor in the dining room next to the resident's wheelchair. The nurses' note dated July 3, 2017, at 8:14 PM documents that a nursing assessment was done and there were no injuries noted that the resident was medicated for pain.”

A follow-up nurses' note dated July 5, 2017, at 10:30 AM documents that the resident “had complaints of pain to the left leg and was noted with a slight protrusion to the left hip. A stat x-ray was done and indicated that [the resident] had suffered a fracture to the left hip. The [doctor] was notified of the resident was transferred to the local hospital for evaluation and treatment.”

The investigator interviewed a nurse providing the resident care on the day of the incident that stated that “I was the nurse and I was told that the resident had fallen in the dining room…” The nurse stated “by the time I made it to the Dining Room they had already gotten the resident into the chair. We put the resident back to bed, and I did an assessment. I did not notice any injuries [but] the resident had a complaint of pain on the left side”.

The nurse stated that “the resident was confused and to tried to get out of bed, so we had to monitor [the resident] closely. I did believe that the pain was new for the resident, and tried to contact the doctor for orders. I paged the physician about four times that evening and did not get a call back during my shift. There was no x-ray [performed] nor anything was done during my shift. I did report it to the Director of Nursing because I felt like the resident needed in x-ray because the resident kept pointing and pulling at the hip.”

The state investigator interviewed the Director of Nursing at noon on July 21, 2017, who stated that “the nurse did contact me regarding the fall. It was never reported to me that the resident was having hip pain and was pulling at the hip. Had that information been reported, I would have requested an x-ray right away.”

The doctor stated that “I was not notified of the fall on July 3, 2017, with the resident complaining of pain and pulling at the hip. I would have ordered a stat x-ray.” The investigator documented that the facility had failed to follow the Accident/incident Policy that states “the nurse must conduct an immediate investigation of the accident/incident and implement the appropriate interventions to the affected parties.”

Failure to Provide Every Resident an Environment Free of Accident Hazards

In a summary statement of deficiencies dated September 28, 2017, the state investigator documented the facility's failure “to follow their Sharps Disposal Policy that ensures disposable razors were disposed of after use.” The deficient practice by the nursing staff involved two residents at the facility. Findings included an observation at 10:10 AM on September 25, 2017, when there “were to dispose of razors located inside two resident's] bathroom. The razors were left unsecured, and no staff is present at the time.”

The investigator interviewed the facility Administrator ten minutes later who stated “the razors that were in [the residents'] room should not have been there. If the staff sees razors, then [the razors] should be removed.” The investigator documented that the facility failed to follow their Disposing of Used Needle's Policy (revised May 5, 2017) that states, “Place all used/contaminated needles and sharps (scalpel blades, sutures and debridement sets, razor blades, disposable razors) directly into the puncture-proof container.”

Failure to Provide Safe, Appropriate Pain Management for a Resident Who Requires Such Services

In a summary statement of deficiencies dated November 3, 2017, the state investigator identified the facility's failure “to administer pain medications for a resident.” The state investigator interviewed a resident at the facility who stated that “he was receiving pain medication now, however, [he] ran out of his pain medication for more than four days and that is not the first time that [it] has happened.”

The investigator interviewed the Director of Nursing on the early afternoon of January 31, 2018, and stated that the resident “should not have been without pain medication and staff should not have waited until the medication ran out before reordering.”

Failure to Develop, Implement and Enforce a Program That Investigates, Controls and Keeps Infection From Spreading

In a summary statement of deficiencies dated September 28, 2017, the state investigator documented the facility's failure “to follow control practice of hand washing between resident contact and [changing/wearing] gloves.” The deficient practice by the nursing staff affected one resident who required assistance with toileting.

The state investigator observed a Certified Nursing Assistant entering the resident's room who “applied gloves without hand hygiene and assisted the resident from the bed to the wheelchair. The resident's urine bag was currently laying on the floor with the catheter openly exposed and unsecured.” The CNA transferred the resident “to the washroom and discovered that the toilet was not working, there was standing water and feces observed in the toilet.” The CNA left the resident's “room with one glove on [only] one hand and no hand hygiene done [before going across] the hall to another resident's room to retrieve the plunger [to unplug] a clogged toilet.”

The investigator continued to observe the CNA who without applying another glove “plunged the toilet and then proceeded to assist the resident to the toilet without changing gloves or performing hand hygiene.” The investigator documented that the facility had failed to follow their Glove Use Policy revised June 20, 2013, that reads “hand should be washed before and after use, and used gloves discarded in the waste receptacle.” The Director of Nursing stated on the morning of September 27, 2017, that “staff should wash their hands or use sanitizer between resident contact, and gloves as indicated with following the facility policy.”

Failure to Provide Proper Care for Residents Requiring Special Services

In a summary statement of deficiencies dated August 28, 2017, the state investigator documented the facility's failure “to ensure that [appropriate colostomy care] was provided for one resident.” The state investigator observed the resident “sitting in a wheelchair adjacent to the Nurses' Station” on August 22, 2017, at 12:00 PM. At that time, the resident's “sweatshirt was tucked into his pants.”

Further observation revealed that the resident was “in the shower room and lifted his clothing.” The resident “was wearing two shirts both of which were wet and soiled with a bowel movement. The wet areas were encircled with dry brown rains. A clean and dry sweatshirt was a top the resident's heavily soiled T-shirt.” The resident's colostomy “bag was intact, attached to the wafer and closed. Dry bowel movement was noted on the resident's abdomen, waistband, and a top of [the colostomy] wafer.”

The Licensed Practical Nurse providing the resident care stated that the resident “has oozing at the side with dryness and needs [to be] changed.” The LPN also confirmed that the resident's colostomy “bag was also half full of bowel movement.” An interview with the Director of Nurses revealed that “residents are checked for Activities of Daily Living care every two hours.” The investigator noted the failure of the facility's policy dated September 15, 1998, that states “residents with colostomies and ileostomies will be kept clean, provided with good skin care and odors minimized. It is the responsibility of the Charge Nurse to Ensure that residents who have colostomies and ileostomies receive appropriate care.”

Swansea Illinois Nursing Home Abuse Attorneys Prosecuting Cases Involving Glenwood Health Care & Rehabilitation Center

If you believe your loved one has suffered injury or harm while residing as a patient at Glenwood Health Care and Rehabilitation Center, contact the Rosenfeld Injury Lawyers law firm now. Our Cook County attorneys have represented clients who have been abused, mistreated or neglected by caregivers and other residents at their long-term care facility.

We encourage you to contact our Glenwood elder abuse law firm by calling us at 888-424-5757 today to schedule your free, comprehensive recompense case review. No upfront payment is necessary for our legal services because we accept all nursing home abuse and neglect cases through contingency fee agreements. This legally binding arrangement postpones all payments of our attorney fees until after we have successfully resolved your claim for compensation by negotiating an acceptable out of court settlement or winning your case at trial. All information you share with our attorneys during your consultation remains confidential.


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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