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Heritage Square Ratings & Violations

Heritage SquareOften times, families have no other option than to place a loved one in a nursing facility to ensure they are provided the highest level of care. Unfortunately, many facilities are overcrowded, understaffed or failed to adequately train the nursing staff to provide approved standards of care for their health, hygiene and pain management needs. The Rosenfeld Injury Lawyers LLC have provided legal representation to Illinois nursing home residents who have suffered neglect, abuse, and mistreatment caused by the negligent actions of the nursing staff at skilled nursing homes like Heritage Square.

Heritage Square

Heritage Square is a 27-certified-bed ‘for profit’ Medicaid/Medicare-approved Center providing nursing services to residents of Dixon and Lee County, Illinois. The facility is located at:

620 N. Ottawa Ave.
Dixon, IL 61021
(815) 288-2251

In addition to providing skilled nursing services, the facility also offers independent living options and respite care.

Dixon Nursing Home Resident Safety Concerns

To be fully informed on the level of care nursing homes provide, families routinely research the database system for a complete list of opened investigations, filed complaints, safety concerns, and health violations.

Currently, Heritage Square maintains an overall five out of five available star rating in the national Medicare comparison analysis star rating summary system. This includes five out of five stars for health inspections, staffing concerns and quality measures compared to all other facilities in the United States. The Lee County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have found deficiencies and safety concerns involving this facility that include:

  • Failure to Provide Adequate Services and Care to Ensure a Resident Remains Free from Pain

    In a summary statement of deficiencies dated 07/16/2015, a complaint investigation was opened against the facility for its failure to "ensure the necessary care and services were provided for a resident with acute and chronic pain.” The state investigator also noted the facility’s failure to “develop a pain management plan to effectively manage [the resident’s] pain.”

    A review of a resident’s June 2015 Physician Order Sheet (POS) revealed that the resident was diagnosed with “osteoarthritis, right leg pain ongoing 2-3 years, and chronic aches and severe pain.” The Physician Order Sheet (POS) from July 2015 also revealed extensive narcotic pain medications including Norco, Tramadol and Tylenol were provided to the resident at numerous times throughout the day and “as needed for pain.”

    The resident’s undated Care Plan up to 09/30/2015 revealed that the resident stated: “I have pain related to my osteoarthritis.” The resident’s son informed “the staff that I spent almost my entire day lying in bed in an effort to control my pain… I am able to answer any and all questions asked of me if I choose to.” The resident’s 05/29/2015 Admission Assessment shows of the resident “can be fearful, combative, and agitated/anxious, and interventions are to offer pain med if needed.”

    An observation was made of the resident on the evening of 07/13/2015 when two Certified Nursing Assistant “were in the bathroom with [the resident] while assisting her while she was on the toilet.” At that time, the resident “was sitting on the toilet grimacing and crying ‘ouch… It hurts’ while [the CNA] was taking her shirt off.” The observer noted that the resident “continued to yell out while [the CNA] slid the shirt over her head and [the other CNA] said ‘I don’t know why they put such tight close on her, she has really bad arthritis in her arms and legs and they hurt’.”

    The state investigator reviewed the resident’s MAR (Medication Administration Record) that revealed that the resident had “only received one dose of pain medication on 06/13/2015 at 7:30 AM” and that the Nurses Notes from the same day “did not have any documentation that [the resident] had pain while getting ready for bed.”

  • Failure to Ensure Every Resident Remains Free of Accident Hazards and Provided Adequate Supervision to Avoid an Injury

    In a summary statement of deficiencies dated 07/16/2015, a notation was made by a state investigator during an annual licensure and certification survey concerning the facility's failure to “ensure the resident was transferred in a safe manner by using a care sling with a mechanical stand lift.” A review of the resident’s Physician Order Sheet (POS) and MDS (Minimum Data Set) revealed the resident “requires extensive assistance with transfers, dressing, hygiene, bathing and toileting” due to “cerebrovascular accident and Parkinson’s disease.”

    As a part of the resident’s Care Plan, the nursing staff was directed to use mechanical slings when transferring the resident from the bed to the wheelchair and/or toilet. However, the resident’s daughter voice concerns “about using the carrier sling.

Dixon Illinois Nursing Home Abuse Lawyers

If your loved one has suffered an accident, injury or harm as a resident of Heritage Square, the Dixon elder abuse attorneys at Rosenfeld Injury Lawyers LLC can provide immediate legal assistance. Contact our Lee County elder abuse law firm today at (888) 424-5757 for your no-obligation case consultation at no cost to you. Our attorneys can provide you numerous legal options on how to obtain the financial compensation your family deserves.

We accept all nursing home neglect, abuse and mistreatment cases through contingency fee agreements to avoid the need of paying any upfront fee. All information shared with our elder abuse law offices will remain 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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