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Plymouth Place Ratings & Violations


Plymouth Place is an 86 bed nursing home located in Cook County, Illinois at:

Plymouth Place
339 9th Ave.
Lagrange Park, IL 60526

According to state nursing home data, the patients at Plymouth Place are primarily admitted for the care relating to the following areas:

  • Not Available

Concerning Findings Regarding Patient Care at Plymouth Place

According to data from nursing home surveys conducted by the Illinois Department of Health other agencies, there have been numerous episodes of poor patient care, errors in medication, and repeated patient falls at Plymouth Place which can be construed as nursing home negligence. Our nursing home attorneys reviewed data compiled by ProPublica and found the following conditions that can be construed as nursing home negligence:

  • Failure to correctly transcribe medication orders: “This failure resulted in R1 receiving a larger dose (200mg) of a pain medication over a period of four days and this failure also resulted in the resident being sent to the hospital due to a change in mental status. Nursing notes from 6/10/09 state that R1’s daughter alerted the nurse at 3pm that the resident had an increase in lower extremity swelling and a “flat affect.” 3:30pm: resident is “cool & clammy” and has increased lethargy. 4pm: “Pale skin, slightly cool to touch. Resident oriented to self and place. Resident appears slow to answer questions. Daughter states resident is not comprehending; states “this is not my mom.” The physician was notified and the resident was sent out via 911 at 4:50pm.E3 was not able to be interviewed during the survey due to vacation leave. The statements by E3 on the medication incident report state: “60mg [MEDICATION NAME] 0.333 tabs BID order was transcribed as [MEDICATION NAME] 60mg 1 tab BID. I did not have the orders endorsed by a second nurse. Residents LOC (level of consciousness) changed upon assessment and she was sent to hospital where she was monitored for too much [MEDICATION NAME] in her system”.
  • Failure to report allegations of abuse to the state agency: “On 9/16/10, R19 told the Minimum Data Set (MDS) coordinator that she was afraid of a particular CNA (Certified Nursing Assistant). The coordinator reported it to both Administrator and (DON) Director of Nursing. Investigation was conducted but preliminary report was not sent to the state agency. On 11/26/10, R20 reported to the 7 PM – 7 AM shift CNA to relay to the staff nurse that she needed an additional pain medication. R20 said that the CNA did not relay this request to the nurse. Both Administrator and DON were notified. Preliminary investigation was conducted but no report to the state agency was found.”
  • Failure to properly assess and address resident fall risk: “During the daily status meeting at 930am on 1/19/12, E1 stated that weekly fall meetings were implemented in December 2011 to address R7’s recurring falls. E1 stated prior to that time R7’s falls were discussed in the daily Department Heads meetings, but not “in depth “. During the meeting E1 admitted that the delay in implementing focused meetings regarding R7’s falls may have been due to a change in leadership. R7 had fallen 22 times before the fall meetings were implemented. During the daily status meeting at 930am on 1/19/12, E1 stated that weekly fall meetings were implemented in December 2011 to address R7’s recurring falls.”
  • Failure to implement timely interventions to prevent falls: “These failures resulted in R4 continuing to fall and sustaining a fractured clavicle and has also resulted in R10 sustaining 10 falls from March 2010 to December 2010.  R4’s care plan does not indicate that any interventions were in use prior to the first of the falls. The nursing notes indicate the use of safety alarms and one on one supervision for.  During the initial tour on 12/1, while accompanied on the tour by E5 (LPN), E5 identified R4 as a “frequent faller”. When surveyor questioned E5 as to what fall precautions were being utilized for R4, E5 stated that R4 had a low bed, a bed and chair alarm and “constant, 1:1 supervision”. On 12/1 at 1:45p, surveyor observed R4 sitting alone in the far corner of the dining room/lounge area; there were no staff in the immediate area. Surveyor and Z1 (consultant) went over to check R4, and discovered the alarm on a stand several feet away from R4, and not attached to R4. Z1 attached the alarm to R4. E5 approached surveyor and Z1 from the nurses station, which is approximately 40 feet from where R4 was sitting. E5 stated she was keeping an eye on R4. Surveyor pointed out that their nursing notes indicated they were providing constant, 1:1 supervision, and that that meant a dedicated person near R4, not 40 feet away. Surveyor pointed out that R4 had already had 2 falls from her recliner chair and staff could not possibly prevent a fall from the nurses station if R4 attempted to get out of her chair, especially without her alarm on.”

Lagrange Park, IL Nursing Home Attorneys

Years of providing legal counsel to the families of senior citizens of Illinois, provides the nursing home attorneys of Rosenfeld Injury Lawyers LLC with the experience and know-how to tackle any problems of negligence and abuse that may occur during a citizens stay in an Illinois rehabilitation center. Our health care lawyers are experienced in handling lawsuits that are in the following categories:

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

Are you concerned about a loved one? Call our Experienced Attorneys Today

Do you have any issues or problems with Plymouth Place Health center or any nursing home in Illinois? Or are you in need of legal advice from an experienced nursing home attorney? If YES, do not hesitate to give us a call (888) 424-5757 today for a free consultation on your suspicions.

At Rosenfeld Injury Lawyers LLC, we advocate for the rights of your loved one to receive the professional assistance he or she deserves. Our commitment to your course is such that we do not charge our clients for any initial fees till your loved one receives the compensation he or she deserves.

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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