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Pinecrest Manor Ratings & Violations

Pinecrest ManorEvery Illinois nursing facility must provide the highest level of cares and services to the patient to ensure their health and well-being are maintained. Unfortunately, many nursing homes failed to properly train their staff members and how to identify and treat newly developed bedsores (pressure sores; pressure wounds; pressure ulcers; decubitus ulcers) in their early stages. Without proper treatment, a newly formed bedsore can easily degrade to a life-threatening pressure ulcer, exposing muscles, tendons, and bone. Rosenfeld Injury Lawyers LLC have represented many individuals who have suffered life-threatening harm after developing a facility-acquired bedsore while residing at Illinois nursing facilities like Pinecrest Manor.

Pinecrest Manor

This Nursing Home is a ‘for profit’ 125-certified-bed Center providing nursing services to residents of Mount Morris and Ogle County, Illinois. The Medicaid/Medicare-approved Nursing Facility is located at:

414 South Wesley Avenue
Mount Morris, IL 61054
(815) 734-4103

In addition to providing skilled nursing care, Pinecrest Manor also offers physical, occupational and speech therapies and restorative nursing.

Mount Morris Nursing Home Resident Safety Concerns

To ensure the families are fully informed of the services and care that nursing home offers in their community, the federal government and Illinois regularly update their list of safety concerns, health violations, opened investigations and filed complaints of Homes nationwide. This data can be used to make an informed decision before placing a loved one in a facility.

Currently, Pinecrest Manor maintains an overall five out of five available star rating in the Medicare star rating system. This includes five out of five stars for both health inspections and staffing issues and four out of five stars for quality measures. The Mount Morris Township, Ogle County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have located deficiencies at this nursing facility that include:

  • Failure to Provide Cares and Services to Prevent the Development of a Pressure Sore or Allow an Existing Pressure Sore to Heal

    In a summary statement of deficiencies dated 02/05/2016, a state investigator noted that the facility failed to “identify pressure ulcer before it was an unstageable wound.” The state investigator also noted the facility’s failure “to document weekly measurements and assessments. The facility failed to seek a change in treatments for wounds showing no signs of progress toward healing.” The failures by the nursing staff involved a resident with “multiple diagnoses including Alzheimer’s disease and dementia.”

    The resident’s 06/30/2015 Admission MDS (Minimum Data Set) revealed that the resident “had no skin issues and requires the extensive assistance of two persons for bed mobility and transfers. However, six months later, the 12/09/2015 Quarterly MDS documents the resident “to have a Brief Interview for Mental Status (BIMS) score of 5 (severe cognitive impairment)” and a Braden Scale score of 16 (low risk for pressure ulcer).”

    By 08/22/2016, the resident’s skin assessment form documents “an unstageable wound measuring 2.5 centimeters by 2.3 centimeters with necrotic/eschar (black and dead tissue).” The resident’s Nurse's Notes reveal that the wound “is located on the right medial heel.

    An interview with the facility Director of Nurses on the morning of 02/04/2016, the director stated that “she makes recommendations for treatments [but] could not recall if the wound was a blister prior to becoming unstageable.” The investigator noted that “no documentation was located identifying the area as a blister.” The Director stated that “she would expect the nurses to assess and measure the wound weekly and document their findings.” The 12/06/2015 and 12/11/2015 assessments do not document measurements.

    A Registered Nurse providing care to the resident stated on 02/04/2016 that “the wound was probably caused by pressure and not having her heels floated [...and] said the treatment for the wound has not been changed. It is the original treatment from August 2015.”

    The following day, the Director of Nursing stated that “if the wounds don’t improve, I make a recommendation for a new treatment and the physician either orders it or makes another decision. The physician will look at the wound if I ask him to.”

  • Failure to Follow Procedures That Eliminate the Spread of Infection

    In a summary statement of deficiencies dated 04/02/2015, a notation was made by the state surveyors in regards to the nursing home's failure to “provide personal care in a manner to prevent cross-contamination.” The facility also failed “to transport soiled linen in a manner to prevent cross-contamination, and a failure to ensure staff washes their hands after providing resident care.” The deficient practice affected two residents “reviewed for infection control.”

Mount Morris Illinois Nursing Home Abuse Lawyers

If you believe that your loved one has suffered injury or a premature death while the patient at Pinecrest Manor, call Rosenfeld Injury Lawyers LLC today. Our Mount Morris dedicated lawyers can provide numerous legal options on how to file and resolve claims for compensation against all those who caused your loved one’s harm, injury or premature death.

We encourage you to contact our Ogle County area elder abuse law office today by calling (888) 424-5757 to schedule your no obligation, complementary full case review. You are not required to pay any upfront fees or retainers because we accept all nursing home abuse and neglect cases through contingency fee arrangements. This means our legal fees are paid from awarded or settled funds only after we have successfully resolved your case in a jury trial or negotiated an out of court settlement on your behalf.


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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