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Group Home 5 Ratings & Violations

Caregivers in long-term care facilities are required by law to administer medications as per physician’s orders and pharmacological manufacturer’s guidelines. In addition, the nursing staff must document what and when any specific control substance is given to a resident. Unfortunately, many nursing facilities, assisted-living centers, and long-term care homes failed to properly train their nursing staff and caregivers, which can be detrimental to the health and well-being of the resident who was given the wrong dosage or not given their medication at all. Rosenfeld Injury Lawyers LLC represent individuals who have been neglected, mistreated and abused at Illinois long-term care homes like Group Home #5.

Group Home #5

This Home is a ‘for profit’ Center providing services to residents of Godfrey and Madison County, Illinois. The 16-certified-bed Nursing Facility is located at:

308 Bachman Ln.
Godfrey, IL 62035
(618) 466-0367

Godfrey LTC Home Resident Safety Concerns

A list of dangerous hazards, health violations, safety concerns, incident inquiries, opened investigations, and filed complaints on statewide long-term care homes can be reviewed on database websites including the Illinois Department of Public Health (IDPH – This data can be used to determine the best facility to place a loved one who requires the highest level of hygiene assistance and skilled health care.

The Madison County neglect attorneys at Rosenfeld Injury Lawyers LLC have reviewed numerous violations, safety concerns and deficiencies at this long-term care home including:

  • Failure to Administer Medications in Accordance with Physician’s Orders

    In a summary statement of deficiencies dated 05/29/2015, the state investigator noted during an incident investigation the facility’s failure to “ensure that all medications were administered in compliance with physician’s orders for [two residents].” One failure by the nursing staff involved a resident identified as functioning “at the Moderate level of Intellectual Disabilities.”

    The resident’s 04/28/2015 Physician Order Sheet (POS) revealed that the resident has additional diagnoses of Atypical Psychosis, Psychotic Disorder, and Schizophrenia.” The Physicians Order Sheet also revealed that the resident receives Thioridazine [to treat schizophrenia] 150 milligrams by mouth each day at 4:00 PM.

    The state investigator reviewed the facility’s 05/04/2015 Medication Error Report documented by the Authorized Direct Service Person (ADSP) stating that the resident “receive 250 milligrams my mouth.” In addition, the facility Notes documented the same day revealed that the resident “receive 250 milligrams Thioridazine at 4:00 PM… no adverse effects noted.”

    An interview was conducted with the facility Registered Nurse Trainer on the morning of 02/29/2015 who confirmed the resident “did have a medication error on 05/04/2015 [...and] further confirmed that this medication error did not cause an adverse reaction for [the resident].”

    A separate failure involved a resident functioning “at the Moderate Level of Intellectual Disabilities whose Physician Order Sheet (POS) revealed additional diagnoses of Depressive Psychosis.” The resident receives one milligram of risperidone by mouth during hours of sleep.

    A review of the facility’s 04/20/2015 Medication Error Report documented by the Authorized Direct Service Person (ADSP) noted that the individual “incorrectly administered one milligram of risperidone by mouth on 04/15/2015 at 7:00 AM” and not during hours of sleep as per physician’s orders.

  • Failure to Accurately Track Controlled Substances to Be Administered to Residents in the Facility

    In a summary statement of deficiencies dated 01/01/2014, the state investigator noted the facility’s failure to “count control medications on the midnight shift [for individuals] with control medication prescribed.” One incident involved a 58-year-old resident functioning “at the Mild range of intellectual disability” who was prescribed “clonazepam [a sedative] 0.5 milligrams to be administered four times a day at 7:00 AM, 12:00 PM, 4:00 PM and HS (hour of sleep).”

    Another resident documented as 32-year-old who functions “at the Severe range of Intellectual disability” who has been “prescribed lorazepam [a sedative] one milligram to be administered one tablet by mouth three times a day.” Another 35-year-old resident functioning “at the Mild range of intellectual disability has been prescribed “Alprazolam 0.5 milligrams to be administered once daily” and a 49-year-old resident functioning “at the Moderate Range of Intellectual Disability” who was prescribed hydrocodone – acetaminophen 5/325 to be administered every six hours as needed for pain.”

    The state investigator was provided the facility’s staff schedule ranging from 12/01/2013 through 01/11/2014 revealing that there was “no written evidence that a controlled substance, was completed by the midnight staff 10:00 PM through 6:00 AM that would have been documented in the controlled substances records, in accordance with state laws rules, and regulations.

Godfrey Illinois Nursing Home Abuse Lawyers

If you have suspicions that your loved one was injured or harmed while residing at Group Home #5, contact Rosenfeld Injury Lawyers LLC. Our knowledgeable Godfrey attorneys can offer legal assistance on your behalf to ensure your case for financial compensation is successfully resolved against every party who caused your loved one harm.

We encourage you to contact our Madison County abuse law office today by calling (888) 424-5757 to schedule your appointment for a comprehensive case review at no charge. You are not required to pay any upfront fees or retainers because we accept all nursing home abuse and neglect cases through contingency fee arrangements. All payments for our legal fees are made only after we have successfully resolved your case in a jury trial or negotiated an out of court settlement on your behalf.


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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