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Presence Heritage Health Ratings & Violations

Presence Heritage VillageThe staff members at every Illinois nursing facility must notify a resident’s physician and family member of any change in their condition or decline in their health immediately. This ensures they receive the highest level of medical treatment or assistance when necessary. Unfortunately, not all nursing homes follow these protocols. Rosenfeld Injury Lawyers LLC have represented residents who suffered unnecessarily through the negligent actions of caregivers at Illinois nursing homes like Presence Heritage Village.

Presence Heritage Village

This church-related Nursing Home is a 51-certified-bed Medicare-accepted facility providing nursing cares and services to residents of Kankakee and Kankakee County, Illinois. The ‘not for profit’ Nursing Center is located at:

901 North Entrance Avenue
Kankakee, IL 60901
(815) 939-4506

As a part of the Presence Life Connections Health Care System, Presence Heritage Village provides various short stay rehabilitation solutions including post-surgical recovery, cardiac rehabilitation, orthopedic postoperative care, stroke care and recovery. In addition, the facility also offers twenty-four hour attentive and caring nursing staff, specially trained nurses, nurses’ aides and psychiatrist along with wound care, respiratory care, dialysis and physical/occupational/speech therapies.

Kankakee Nursing Home Resident Safety Concerns

Research results can be viewed through the federal government/Illinois nursing home database that details every safety concern, health violation, filed complaint and opened investigation. Many families use this information to determine the level of health and hygiene care nursing homes in their community provide their residents.

Currently, Presence Heritage Village maintains an overall four out of five available federal star rating in the national Medicare rating system. This includes four out of five stars for both health inspections and staffing issues and three out of five stars for quality measures. The Kankakee County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC uncovered violations, hazards and safety concerns at this nursing home including:

  • Failure to Ensure Residents Remain Free from Significant Medication Errors

    In a summary statement of deficiencies dated 08/19/2016, a state surveying agency opened a formal complaint against the nursing home for its failure to “ensure that a resident was free of a significant medication error by not following physician’s orders to administer [an anticonvulsant].” The failure by the nursing staff resulted in the resident “receiving three times the daily dosage of [the anticonvulsant] for 18 days.” Because of that, the resident “became unresponsive and was hospitalized with toxic blood levels of [the anticonvulsant].”

    The deficient practice was first noted in the state investigator’s findings after reviewing records of a 71-year-old male resident admitted to the “facility on 06/20/2016 from the hospital with a diagnosis of acute ischemic, stroke of the occipital lobe, dementia, and migraine headache”. Upon admittance, the resident had physician’s orders for Depakote (an anti-convulsive) at 500 milligrams to be administered two times per day.

    The Director of Nursing was interviewed at noon on 08/19/2016 and stated that the resident’s “Medication orders were transcribed by a Licensed Practical Nurse (LPN). The transcribed (handwritten) orders were then sent to the pharmacy [who] processed the orders and sent the printed version back to the facility the following month [all throughout July].”

    It was at that time that the LPN stated “she checked the new printed orders against the handwritten orders to ensure the new orders were the same. However, the new orders from the pharmacy did not have the correct dose of Depakote listed and [the LPN] did not detect the error.”

    The state investigator reviewed the 07/19/2016 Facility Incident Report noting that the resident “became lethargic as noticed by the family [...and] was sent to the emergency room where he was admitted with a blood level of Depakote at 181.1 [where normal is between 50 & 100].”

  • Failure to Notify the Resident’s Physician and Responsible Family Member of a Change in Their Condition Including a Decline in Their Health

    In a summary statement of deficiencies dated 03/25/2016, the state investigator noted the facility’s failure to “immediately inform a resident’s legal representatives or an interested family member of a change in skin integrity/development of a pressure ulcer.” A Certified Nursing Assistant providing care to the resident for two days prior to his discharge, saw the resident’s “buttocks with redness and skin peeling on the buttocks at the time of discharge.” The CNA stated they “notified the nurse but was unable to recall who the nurse was.”

    A review of the resident’s Progress Notes between 01/26/2016 and 03/08/2016 “have no indication [the resident’s] physician or legal representative were notified of [the resident’s] alteration in skin condition.” The state investigator noted that the resident’s “discharge summary does not address any skin care instructions.”

    The actions by the nursing staff failed to follow the facility’s Policy for Notification of Changes that reads in part:

    “Physicians, responsible family members or legal representative shall be notified as soon as possible, or within 24 hours, of any changes in the resident’s condition.”

Kankakee Illinois Nursing Home Abuse Lawyers

If you believe that your loved one has suffered harm from a serious medical error or bedsore while residing as a patient at Presence Heritage Village, call Rosenfeld Injury Lawyers LLC now. Let our knowledgeable Kankakee attorneys file and successfully resolve your neglect or abuse case that occurred in an Illinois nursing home.

Schedule your no obligation, complimentary case evaluation today by calling our Kankakee County elder abuse law offices at (888) 424-5757. No upfront fees are necessary because our law firm accepts every nursing home claim for compensation through contingency fee arrangements.


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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