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Park Villa Nursing Rehab Center Ratings & Violations


Park Villa Nursing & Rehab Center is a 101 bed nursing home located in Cook County, Illinois at:

Park Villa Nursing & Rehab Center
12550 South Ridgeland Avenue
Palos Heights, IL 60463

According to state nursing home data, the patients at Park Villa Nursing & Rehab Center are primarily admitted for the care relating to the following areas:

  • Alzheimer Disease
  • Endocrine/Metabolic
  • Blood Disorders
  • Digestive System
  • Mental Illness
  • Circulatory System
  • Respiratory System
  • Genitourinary System Disorders
  • Neoplasms
  • Musculo-Skeletal Disorders
  • Nervous System
  • Other Medical Conditions

Concerning Findings Regarding Patient Care at Park Villa Nursing & Rehab Center

A survey conducted by the Illinois department of health and other private health Inspection organizations ProPublica, unearthed numerous episodes of poor patient care and laxity that could be labeled under the term of nursing home negligence.  Our nursing home attorneys were contacted to review these findings and we came up with the following facts/conditions that highlighted the possibility of negligence on the part of Park Villa Nursing & Rehab Center:

  • Failure to provide a hazard free environment: “2/14/2012, during the Environmental tour of the facility with E10 (Corporate Maintenance), E11 (District Manager), E5 (Environmental Service Director), E12 (MDS Coordinator), E13 (Rehabilitation Director) and E14 (Maintenance) that started at 1:40pm, three 45 liter liquid oxygen tanks were observed stored in a room with an electrical switch for the ceiling light located inside the room with the tanks. The ceiling light, itself, was a clear incandescent bulb and not explosion proof. A resident sitting area is located directly outside of the door to the storage room. E14 stated that he was told to relocate the switch to the inside wall of the room. At the time of the observation, 2 of the liquid oxygen tanks were full and the 3rd tank was empty. The oxygen room is located adjacent to the 500 unit rooms and room [ROOM NUMBER]. R7, R20, R21, R22, R23 and R24 reside in these rooms.”
  • Failure to immediately notify physician of a resident’s change in condition: “On 3/3/2011 R4 was observed to be lying in bed with the head of the bed elevated to 45 degrees at 10:25AM. R1 was breathing with her mouth open using her stomach and ancillary muscles to breathe. R4 was breathing in a panting like respiration. R4 had oxygen on at 2 liters per nasal cannula. R4’s skin appeared to be waxy yellow in color. E4 stated that R4 had been breathing like this since I came on duty at 6:00AM. E4 stated she had taken a set of vital signs at 7:30AM on R4. R4’s vital signs were respirations of 36, blood pressure of 112/54 and heart rate of 100. E4 stated she had not called the doctor yet. E4 also stated that she was told R4 started to have problems breathing on 3/2/2011 after breakfast. When asked, E4 stated she had not done a pulse oximetry reading on R4. The surveyor had the assistant director of nursing (E3) paged on 3/3/2011 at 10:45AM and requested a pulse oximetry reading be done on R4. R4 had a pulse oximetry reading of 92-93% with 2 liters of oxygen per nasal cannula running and her pulse was [MEDICAL CONDITION] at a rate of 120. E3 immediately paged R4’s physician (Z1) with the change in condition report. Z1 called back and gave an order to transfer R4 to the hospital for evaluation and treatment on 3/3/2011 at 11:15 AM. Interview with E2 director of nursing on 3/3/2011 at 11:20AM stated her expectation is for a nurse to call the doctor if a patient has a respiration of 36. E2 stated this should occur within 30 minutes to an hour of the nurse assessing the change in condition after the nurse stabilizes the patient.”
  • Failure to provide care during emergency transfer: “Nurses note indicates that on 4/22/10, R2 had a change of condition having congestion of lungs, was non responsive and moaning while having foot cared for by podiatrist. Z1 (Physician) was called and Z1 ordered that R2 be sent to the hospital. Review of transfer form dated 04/22/10 showed the following vital signs; Pulse-104, R18-20, BP- 117/98, O2 saturation 98-99. There was no vital signs (such as temperature, blood pressure, respiratory rate) taken and recorded for 4/22/10 as part of a change of condition assessment done before calling Z1. Vitals signs were taken for transport but staff did not take a temperature. Review of Nursing notes dated 04/22/10 showed that hospital staff notified E9 (Nurse) to fax the DNR (Do Not Resuscitate) form as this was not sent with the resident. According to interview, E2 (DON) and E8 (nurse) both indicated during interview on 6/23/10 that it is the policy of the facility to send DNR papers with the resident when resident is transferred to the hospital. This was omitted as the hospital had to call the facility to find out if the resident who was unresponsive has specific DNR and had to ask
    for a copy.”
  • Failure to implement interventions to prevent falls: “R19 was observed in bed on 2/14/12 at 10:10am, 11:45am, 3:10pm and 2/15/12 at 9:05am with the bed up in an elevated position off of the floor. R19 has a care plan intervention for a greater than normal risk of falls secondary to lack of mobility, glaucoma, and osteoporosis and vision impairment. Interventions include keeping the bed in the lowest possible position and locked at all times.”

Palos Heights, IL Nursing Home Attorneys

Rosenfeld Injury Lawyers LLC provide experienced Medicare attorneys to residents of Illinois who have experienced any episodes of abuse and neglect during his or her stay in an Illinois nursing facility. Our attorneys are experienced in handling lawsuits that fall into the following categories:

  • Bed Sores / Pressure Pores
  • Dropped Patients
  • Fractures
  • Physical Abuse
  • Patient Wandering
  • Repeated Falls
  • Wrongful Death
  • Medication Errors

Is your loved one a Victim? Take the first Step Today.

If your loved one has been abused or neglected during an admission to Park Villa Nursing & Rehab Center, or a different skilled nursing facility in Illinois, you should contact an attorney to determine your legal rights. Our nursing home lawyers have experience getting superior results for all types of cases. Put our team to work for your family and get the results that you deserve. All of our initial consultations are free and we never charge a fee without a recovery for you. Talk to an experienced attorney today (888) 424-5757

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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