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Monmouth Nursing Home Ratings & Violations

Monmouth Nursing HomeStaff members at every Illinois nursing facility are required by law to notify a resident’s physician of any change in their condition including a decline in their health. This action ensures that the patient is receiving the highest level of medical treatment to maintain their well-being. Unfortunately, not all nursing homes provide a level of ongoing training and supervision to ensure that notifications are being made in a timely manner, which could be detrimental to the patient’s health. Rosenfeld Injury Lawyers LLC have represented many injured and abused residents of Illinois skilled nursing homes like Monmouth Nursing Home.

Monmouth Nursing Home

This facility is a ‘for-profit’ Nursing Home providing nursing services to residents of Monmouth and Warren County, Illinois. The Medicaid/Medicare-participating 59-certified-bed Center is located at:

117 South I Street
Monmouth, IL 61462
(309) 734-3811

The facility provides nursing care services in semi-private and private rooms and accepts private pay, Medicare, and Medicaid.

Monmouth Nursing Home Resident Safety Concerns

The Federal government and Illinois nursing home regulatory agencies routinely update the nursing home database system containing the complete list of all safety concerns, health violations, filed complaints and opened investigations. This information can be found on numerous websites including

Currently, Monmouth Nursing Home maintains an overall four out of five available star rating in the Medicare star rating analysis system compared to all other facilities nationwide. This includes four out of five stars for staffing concerns, three out of five stars for health inspections and two out of five stars for quality measures. The Warren County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have found deficiencies and safety concerns at this nursing facility that include:

  • Failure to Notify a Resident’s Physician of a Change in Their Condition Including a Decline in Their Health or Injury

    In a summary statement of deficiencies dated 01/12/2016, a formal complaint against the facility was opened by a state investigator for its failure to “notify the physician of a declining resident condition.” The deficient practice by the nursing staff was first documented by the state investigator after reviewing a resident’s 11/17/2015 Nurses Notes” that failed to document that the notification to the resident’s physician had been made.

    Five days later, the resident’s Nurse’s Notes document a late entry indicating the presence of ankle edema. However, “there is no notification to [the resident’s] physician documented. Again, the resident’s 12/02/2015 Nurses Notes documents that the resident is experiencing shortness of breath “with exertion, appears to have a weak voice. Resident states [they] are feeling slightly congested. Will continue to monitor.” Again, “there is no notification to [the resident’s] physician.”

    The investigator noted that the actions by the nursing staff failed to follow the facility’s 10/09/2015 Notification of Change of Resident Condition to Physician and Family that provides guidance to direct the staff that includes:

    “The facility must immediately inform the resident, consult with the resident’s physician, and notify the resident’s legal representative of any change in condition or status, accident/injuries, change of her roommate’s assignments, abnormal lab results or any new orders received for that resident.”

  • Failure to Provide Incontinence Care to Eliminate the Potential Spread of Infection

    In a summary statement of deficiencies dated 09/10/2015, the state agency surveyor noted the facility’s deficient practice to “prevent cross-contamination during incontinence care.”

    The state investigator made an observation of two Certified Nursing Assistants (CNAs) on the morning of 09/09/2015 who entered a resident’s “room to perform incontinence care [because the resident] had been incontinent of urine and stool.” Both Certified Nursing Assistants lifted the resident “up and with gloved hands, [one CNA] cleansed the resident’s perineal and rectal area.”

    Both CNAs assisted the resident “to sit back down to remove [their] incontinence brief [...and] was soiled gloved hands, [one CNA] removed the adult incontinence brief, placed on a new brief, pulled [the resident’s] pants up, grabbed the right arm of [the resident’s] walker, assisted [the resident] to the standing position, transferred [the resident to the resident’s] wheelchair and then removed a gait belt from around [the resident’s] waist” all without removing their contaminated gloves.

    The state investigator noted that the actions by the nursing staff failed to follow the facility’s undated policy titled: Standard Precautions that reads in part:

    “When to wash hands: after removing gloves or other personal protective equipment. Change gloves between tasks and procedures on the same resident after contact with material that may contain microorganisms… When to remove gloves: before touching non-contaminated items and surfaces.”

Monmouth Illinois Nursing Home Abuse Lawyers

If you believe that your parent, grandparent or spouse suffered abuse, mistreatment or neglect while residing as a patient at Monmouth Nursing Home, call the law offices of Rosenfeld Injury Lawyers LLC now. Our knowledgeable attorneys represent clients with victim cases that involve abuse, neglect, and mistreatment. Our Illinois lawyers can help your family successfully resolve your financial recompense case against all those who caused your loved one harm.

We encourage you to contact our Warren County elder abuse law offices by calling (888) 424-5757 today to schedule your free, comprehensive case consultation. We provide immediate legal representation without any upfront payment or fee, which are paid only after we have successfully resolved your case in a court of law or through a negotiated out-of-court settlement.


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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