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Mosaic of Springfield Ratings & Violations

Mosaic of SpringfieldEvery Illinois nursing home patient receives a Plan of Care upon admission and again at multiple times throughout the year to ensure they receive the highest level of care. In some cases, the Care Plan provides guidance to the nursing staff for patients who require assistance with toileting, transferring and other ADL (activities of daily living) Unfortunately, not all nursing homes adequately train their nursing staff or provide ongoing supervision to ensure the resident’s Plan of Care is being followed. Rosenfeld Injury Lawyers LLC represent patients who have suffered harm due to the negligent actions of their caregivers while residing at Illinois nursing homes like Mosaic of Springfield.

Mosaic of Springfield

This facility is a Medicare/Medicaid-accepted 251-certified-bed Nursing Home providing cares and services to residents of Springfield and Sangamon County, Illinois. The ‘for profit’ Center is located at:

555 West Carpenter
Springfield, IL 62702
(217) 525-1880

This facility provides personalized care, clinical care and skilled nursing care along with:

  • Occupational, physical and speech therapies
  • Respiratory therapy
  • Memory support/cognitive therapy
  • Neurological therapy

Springfield Nursing Home Resident Safety Concerns

The state of Illinois and the federal government routinely update their nursing home database system with comprehensive details of all safety concerns, health violations, filed complaints and opened investigations. The search results can be downloaded on numerous sites including

Currently, Mosaic of Springfield maintains an overall one out of five available star rating in the nationwide Medicare rating summary system. This includes three out of five stars for quality measures and one out of five stars for staffing concerns and health inspections. The Sangamon County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have found safety concerns, violations and deficiencies at this nursing facility that include:

  • Failure to Provide Residents an Environment Free of Accident Hazards and Provide Adequate Supervision that Avoids Injury

    In a summary statement of deficiencies dated 07/14/2016, a formal complaint was opened against the facility for its failure to “ensure staff uses safe transfer techniques for two residents reviewed for mechanical lift transfers.” The state investigator noted that the deficient practices by the nursing staff “resulted in [two residents] sustaining fractures during an improper transfer.”

    One incident involved a review of a resident’s 05/09/2016 MDS (Minimum Data Set) documenting that the resident was diagnosed with “osteoporosis and mild mental retardation.” In addition, the MDS documented that the resident was “severely cognitively impaired and totally dependent on staff for all ADL (activities of daily living) … and requires the total assist of two staff for all transfers. The resident’s 05/10/2016 Care Plan documents the resident “to have self-care deficits and required to be transferred with a mechanical lift and two staff.

    A Licensed Practical Nurse made documentation at 7:05 PM, on 07/04/2016 in the facility Episode Notes stating that “the nurse called stating the patient has left knee swelling after a certified nursing aides “were attempting to dress her for bed. The patient states she accidently bumped her left knee on the chair while moving [...and] denies any other trauma or falls.” In addition, the resident “was tearful and stating her knee hurts.” As a result, “the physician was called and an order for an x-ray was given.”

    The 07/04/2016 X-ray Report documents a “horizontal fracture of the patella, with the proximal distraction of the superior fracture fragment. This fracture appears acute. Impacted fracture of the proximal tibia, which is age indeterminate but may be chronic.”

    The investigator interviewed the facility Director of Nurses on the morning of 07/13/2016 who identified the Certified Nursing Assistant and stated “after watching the tapes of activities going on in and out of [the resident’s] room [on that date, it was determined that the resident] did not always have two assists for transfer.”

    The Director also stated that the LPN and CNA “were observed going into [the resident’s] room after breakfast and the Licensed Practical Nurse going into [the resident’s] room before lunch for treatment but didn’t see any other incidents were staff entered [the resident’s] room to assist [the CNA] and transferring [the resident].

    In the early afternoon of 07/13/2016, the resident’s “Power of Attorney stated she question how [the resident] could bump her knee and sustained a fractured knee [...and] stated she visits weekly and has seen numerous transfers or staff lift [the resident] into bed and has never seen a mechanical lift used.” The Power of Attorney for the resident also stated that the resident “told her at the hospital that she hit her knee during the transfer but couldn’t recall what time it was and didn’t want to identify the CNA for fear of getting her into trouble.”

Springfield Illinois Nursing Home Abuse Lawyers

If you believe your loved one was victimized by caregivers or other residents while a patient at Mosaic of Springfield, call Rosenfeld Injury Lawyers LLC now. Our skilled Springfield attorneys have years of experience in representing victims of mistreatment and abuse.

We encourage you to contact our Sangamon County elder abuse law offices by calling (888) 424-5757 today to schedule your comprehensive, free claim for compensation evaluation. We provide immediate legal representation without any upfront payment. We accept every nursing home abuse and neglect case through contingency arrangements. This means our legal fees are paid only once we have negotiated an out of court settlement on your behalf or have successfully resolved your recompense claim in front of a judge or jury.


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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