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Lake Forest Place Ratings & Violations

Lake Forest Place Many residents in nursing facilities in Illinois require special services from the nursing staff to ensure they do not develop a bedsore (pressure sore; pressure wound; pressure ulcer; decubitus ulcer). However, many facilities are overcrowded or lack sufficiently train staff to provide all the necessary care to every resident in the facility. Sadly, the Lake Forest elder abuse attorneys at Rosenfeld Injury Lawyers LLC have represented many residents who have suffered preventable bedsores that altered their medical condition or claim their life too early.

Bedsores develop from constant pressure on specific body parts including the heels, buttocks, tailbone, shoulder blades and ankles. The Centers for Medicare and Medicaid Services (CMS) says that every facility-acquired bedsore is preventable. However, many nursing homes failed to train their staff on how to ensure the resident does not develop a bedsore at the facility.

Lake Forest Place

Lake Forest Place is a part of the Presbyterian Homes community. The 50-certified bed nonprofit Medicare-certified continuing care retirement community provide services to residents of Lake Forest and Lake County, Illinois. The facility is located at:

1100 Pembridge Drive
Lake Forest, Illinois 60045
(847) 604-6701

In addition to providing restorative nursing, Lake Forest Place also offers physical, occupational and speech therapies along with aqua therapy.

Lake Forest Nursing Home Resident Safety Concerns

To ensure that families have accurate information on where to place a loved one in a nursing facility within their community, the state of Illinois and the federal government routinely update their nursing home databases. The information reflects the most currently opened investigations, safety concerns, health violations and filed complaints of all facilities nationwide. The historical data can be found on numerous sites including

Currently, Lake Forest Place maintains an overall five out of five available star rating in the Medicare national star rating summary system. This includes five out of five stars for quality measures and staffing issues and four out of five stars for health inspections. However, our Lake Forest nursing home neglect lawyers have found numerous safety concerns involving this facility that include:

  • Failure to Provide Residents Proper Treatment to Prevent the Development of a New Bedsore or Allow an Existing Bedsore to Heal

    In a summary statement of deficiencies dated 01/13/2016, the state investigator noted the facility’s failure “to provide a pressure reducing device in a wheelchair and reposition a resident with a pressure ulcer.” The state investigator also noted the facility’s failure “to follow the wound treatment plan for a resident’s pressure ulcers.”

    Upon observation at 11:49 AM on 01/13/2016, a resident “was turned on his side and his incontinence brief was taken off.” At that time, the resident “had a bordered foam dressing on his coccyx and there was a red, denuded area on his right buttock. The area had no dressing on it.” The Registered Nurse providing the resident care “remove the foam dressing from the coccyx. [The resident] had a 2.5 centimeter by 1.5-centimeter wound with 100% slough [dead skin] on his coccyx.” The nurse revealed that time that she had seen the resident’s “coccyx wound on January 11 [two days earlier] and it was slough in granulation tissue, now it is 100% slough” and indicated that “the wound has declined.”

    The investigator reviewed the resident’s 01/07/2016 Skin Care Plan that revealed that “an intervention to follow treatment as ordered’ to ensure “that the pressure sore with heal without complications.”

    In a separate observation, the investigator reviewed a different resident’s MDS (Minimum Data Set) that shows “that she requires extensive assistance of two or more people for bed mobility and transfers [...and] her cognition is moderately impaired [...and] that she has no unhealed pressure ulcers and show skin and ulcer treatments as a pressure reducing device for the chair.” Her 12/20/2015 Pressure Ulcer Risk Worksheet shows that she “is at low risk for developing a pressure ulcer.”

    The investigator noted that upon observation that day at 1:24 PM, the resident was brought into the shower room to get toileted and when being moved recognized that “there was no pressure reducing cushion in the chair. The following morning at 9:30 AM through 10:30 AM, while the resident “was in her room sitting in her wheelchair. There was no pressure reducing cushion in her chair.” The same was true while the resident was in the dining room at 12:00 PM until returned to bed at 1:20 PM.

    At 1:28 PM, a registered nurse providing the resident care “removed [the resident’s] dressing from her left buttock. The left buttock had a Stage II pressure ulcer measuring 1.0 centimeters by 1.0 centimeters. The right buttock had a healed pressure ulcer area present.” The investigator then reviewed the resident’s January 2016 Physician Order Sheet (POS) and Wound Evaluation form dated 01/11/2016 that revealed the resident had a “Stage II left gluteal pressure ulcer that was acquired on 12/28/2015 [measuring] 1.0 centimeters by 1.0 centimeters.” The document also revealed that the staff was to provide the resident a wheelchair cushion at all times, which they failed to do.

Lake Forest Illinois Nursing Home Abuse Lawyers

If your loved one has been harm to the negligent actions of the nursing staff at Lake Forest Place, or any Illinois nursing facility, Rosenfeld Injury Lawyers LLC can help. Our Lake County elder abuse attorneys can handle the process to ensure you obtain the financial compensation you deserve.

Contact our Lake Forest Illinois nursing home abuse law firm at (888) 424-5757 today for a free case evaluation. No upfront fees are required.

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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