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Harbor Crest Home Ratings & Violations

Harbor Crest HomeThe development of a pressure sore (pressure wound; pressure ulcer; decubitus ulcer; bedsore) has the potential of causing a serious decline of a nursing home resident’s health. Because of that, the nursing staff is required to follow procedures and protocols to minimize the development of a bedsore by identifying a pressure sore in its early stages and intervene by providing quality skincare. Unfortunately, not all nursing facilities properly train the nursing staff to take appropriate measures in providing high-quality skincare, which is often to the detriment of the patient. Rosenfeld Injury Lawyers LLC represent mistreated patients of Illinois nursing facilities like Harbor Crest Home to ensure who have developed facility-acquired bedsores caused by negligent care.

Harbor Crest Home

This Nursing Home is a ‘for profit’ 84-certified-bed Center providing cares and services to residents of Fulton and Whiteside County, Illinois. The Medicaid/Medicare-participating facility is located at:

817 17th Street
Fulton, Il 61252
(815) 589-3411

Fulton Nursing Home Resident Safety Concerns

Families can visit to obtain a complete list of all filed complaints, safety concerns, health violations 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, Harbor Crest Home maintains an overall four out of five available star rating in the nationwide comparison analysis Medicare rating summary system. This includes five out of five stars for quality measures and three out of five stars for staffing concerns and health inspections. The Whiteside County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have found numerous violations, safety concerns and deficiencies at this nursing home including:

  • Failure to Provide Cares and Treatment to Prevent the Development of a Pressure Sore or Allow an Existing Pressure Sore to Heal

    In a summary statement of deficiencies dated 03/06/2014, a state investigator noted a deficient practice concerning the facility's failure to "identify a resident at high risk for ulcers [and a failure to] implement interventions to prevent a resident from developing pressure ulcers. These failures resulted in [the resident] developing an unstageable pressure ulcer to the left lower extremity, and a Stage II pressure ulcer to the coccyx.”

    The deficient practice was first noted in the state investigator’s findings involving a moderately cognitively impaired resident who “requires total dependence on staff for transfers, and extensive assistance with movement in bed, dressing, hygiene, and toileting use.”

    The state investigator reviewed the resident’s 01/23/2014 Nurses Notes written by the Director of Nursing that show the resident with “noted pressure area on lower left extremity lateral side as a result of leg immobilizer.” The nurse practitioner was notified of the resident’s wounds including an “area 2.0 centimeters by 2.0 centimeters unstageable. Noted error related to leg immobilizer, nurse failed to notify Certified Nursing Assistant of discontinuing the immobilizer, resulting in a pressure ulcer, unstageable.”

    The facility’s 01/21/2014 Error Report revealed “leg immobilizer [use] for one month… not removed after one month – nurse failed to instruct CNAs… the outcome to resident – an unstageable pressure ulcer to left lower leg.”

  • Failure to Ensure That a Resident’s Medication Regimen Is Free from Unnecessary Drugs

    In a summary statement of deficiencies dated 03/06/2014, the state investigator noted the facility’s failure to “perform gradual dose reductions for Seroquel [an antipsychotic medication] for a resident with no documented behaviors.”

    The state investigator reviewed the resident’s Physician Order Sheet (POS) listing “current medication orders including an antipsychotic medication Seroquel 100 milligrams twice daily.” The targeted behavior listed on the resident’s antipsychotic medication quarterly evaluation listed “agitation, depression, and verbal aggression.”

    The resident’s evaluation dates of 04/01/2013 to 02/27/2014 “show [the resident] did not have any episodes of behavior between these assessment review dates” and only “one episode of verbal behavior, no episodes of physical behavior” as noted on the behavior mood tracking records from August 2013 to March 2014.

    The facility documented on 02/20/2014 “no documented behaviors during look back period.” The investigator interviewed the facility’s Director of Nursing on the morning of 03/06/2014 who stated: “there has not been an attempt to reduce antipsychotic medication since his admission in 2012, and there’s been no attempt over the last year to reduce the medication even though his behaviors have improved.” The Director also stated that “when he moved into his current room, his overall behavior improved and we thought he was stable on his meds and he was doing very well, I just never considered since he did not have any behaviors that his meds should be decreased.”

Fulton Illinois Nursing Home Abuse Lawyers

If you suspect your loved one is being abused while residing at Harbor Crest Home, call the Rosenfeld Injury Lawyers LLC law offices now. Our seasoned Fulton attorneys can assist your family in successfully resolving your financial compensation claim against the nursing facility, Administrator, and/or nursing staff that caused your loved one harm.

We urge you to contact our Whiteside County elder abuse law office at 888 424-5757. Schedule your appointment today to speak with one of our experienced lawyers for your free full case review. Our attorneys provide legal representation to nursing home residents who have been mistreated, neglected or abused. Our legal team has years of experience in successfully resolving claims for compensation against caregivers and residents who harm nursing home patients.


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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