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Providence South Holland Ratings & Violations


Providence South Holland is a 171 bed nursing home located in Cook County, Illinois at:

Providence South Holland
16300 Wausau St.
South Holland, IL 60473
Telephone: 708-596-5500

The nursing home is designed to cater for the elderly and to rehabilitate patients who are in need of living assistance for a given period of time. According to data gotten from the state nursing home board, patients who are admitted into Providence South Holland are brought in for the following reasons:

  • Digestive System Dysfunctions
  • Endocrine/Metabolic
  • Nervous System
  • Alzheimer Disease
  • Circulatory System Dysfunctions
  • Respiratory System
  • Neoplasms
  • Genitourinary System Disorders
  • Musculo-Skeletal Disorders

Concerning Findings Regarding Patient Care at Providence South Holland

A survey conducted by the State Department of Health and diverse private health inspection firms un-earthed some episodes of poor patient supervision and inadequate patient transportation which led to the patient falling. The survey conducted by ProPublica—a private inspection firm—was reviewed by our nursing home attorneys in Rosenfeld Injury Lawyers LLC and episodes of poor supervision which could be construed as nursing home negligence were found:

  • Failure to thoroughly investigate possible neglect or mistreatment: “Review of R6’s nurses’ notes dated 4/30/09 (1600) shows documentation that the resident was observed sliding out of the stand up lift and that the resident was not able to bear weight. The facility concluded per review of the report sent to the State indicating that the fractured toe was sustained during the transfer of the resident using the stand up lift. However, there was no interviews and complete investigation made by the facility to determine the cause of R6’s left great toe fracture. The facility also did not have any assessment in place for the use of the mechanical stand up lift to ensure that this device is safe for R6 to use since an interview with E3 on 8/12/09 at 2:10 PM, revealed that R6 had increased leaning posture towards the right side since early 2009 and with increased hand tremors since 4/09.”
  • Failure to correctly identify resident prior to diagnostic treatment: “Z1 (ambulance company) incident report dated 7-4-09 states: a call from the dispatcher from one of the crews that they had transported the wrong patient to [MEDICAL TREATMENT], (R1). Z3 and Z4 (both ambulance drivers) wrote incident reports stating the following: the ambulance drivers were given a room number when they arrive at the nursing facility, (no name). The went to the room and talk to the patient and the patient informed them she was not to go the [MEDICAL TREATMENT]…Z3 and Z4 than went back to the staff and question staff and the staff told them that ” R1 was not all there and that she did not know what she was talking about.” The ambulance incident report dated 7-4-09 states according to the crew they thought they had gone to the wrong [MEDICAL TREATMENT] center so they proceeded to load the patient back up in the truck and take her another [MEDICAL TREATMENT] center. When the crew arrived they were informed by the second [MEDICAL TREATMENT] center that they were not [MEDICATION NAME] a patient from a nursing facility. The crew called the office and then they realized they had the wrong patient. R1 was sent out for an invasive diagnostic procedure for which she had no medical orders.”
  • Failure to prevent injury during transfer: “Based on observation, interview and record reviews the facility failed to ensure that a resident needing extensive assistance is not injured during transfer. For one sampled resident, the facility failed to assess the resident for the proper size pad for the mechanical lift.(R6) The injuries occurred while facility staff transferred this resident from her bed to her wheelchair. This resident was injured on two separate incidents while staff were transferring this resident using mechanical lift or mechanical stand devices. The first incident the resident sustained a fracture/bruise to her left great toe while transfer with a mechanical stand device and the second incident she sustained a head injury/scalp laceration to the back of her head that required seven surgical stitches, staples to the laceration while transfer with a mechanical lift device.”
  • Failure to manage pain control correctly: “Review of R2’s nursing notes dated 7-4-10 at 5:00PM notes the following: resident noted to have altered mental status, skin was pale, slurred speech, difficult swallowing, and hand grasp equal. Responding to touch and pain. Eyes appear droopy….E6 (staff nurse) stated on 10-8-10 she was the nurse to send R2 out to the hospital. E6 confirmed her assessment on 7-4-10 of R2. Review of the medical records from the hospital dated 7-4-10 notes R2 had one [MEDICATION NAME] remove by paramedics and anther [MEDICATION NAME] remove by the emergency room physician. Review of R2’s physician orders [REDACTED]. The pain medication was [MEDICATION NAME] 5% patch apply to back (local pain). This was to be applied at 6:00AM and taken off at 6:00PM on a daily bases. The second pain medication was [MEDICATION NAME] 40mg by mouth every 12 hours. The third pain medication was a [MEDICATION NAME] 25mcg [MEDICATION NAME] (on top of skin). Review of R2’s medications administration records notes, (MAR) R2 received [MEDICATION NAME] 40mg on July, 1, 2, 3 and 4 of 2010. R2 was been administered [MEDICATION NAME] 5% for local pain on July 1, 2, 3 and 4 of 2010. R2 was also administered his scheduled order [MEDICATION NAME] 25mcg topically for pain on 7-4-10. Z1 (medical attending) stated on 10-8-10 that upon admission he was strongly against the amount of pain medication that R2 was receiving. Z1 stated that the family insisted that R2 continue his current regimen of pain medication.”
  • Failure to notify physician of a change in medical condition: “Nurses notes dated 2/26/10 at 1:30 PM, denoted R3 was returned back to unit from therapy after complaining of “a little chest pain.” Vital signs: Blood pressure (BP) 150/80, Pulse 100. Oxygen continuous at 2 liters. Tylenol 2 tablets given. Documentation at 2:00 PM by E15 (LPN) denotes asleep in bed, easily awakened-asked “how do you feel”, R3 stated, “a little better. No acute distress noted. There was no documentation R3′ s physician was notified of R3’s chest pain by E15. Documentation at 10:25 PM on 2/26/10 denotes R3 calm resting through night. No adverse reactions. There is no further documentation monitoring R3’s chest pain. On 2/27/10 at 7:50 AM, documentation includes R3 found in room unresponsive, only responded to painful stimuli, very diaphoretic, afebrile, with shallow respirations, oxygen saturation 78%. 911 was called and R3 was transferred to hospital at 8:10 AM . Facility was notified by hospital on [DATE] at 12:30 PM (4 hours later) R3 had expired. Review of R3’s death certificate dated 3/1/10 and signed by Z4 (physician) , immediate cause of death [MEDICAL CONDITION] Infarction due to consequence of Pneumonia. E15 stated she did not call Z4 because R3 and POA did not want to go to hospital. There is no documentation regarding R3’s or POA’s refusal. Z4 stated in phone interview on 3/25/10 he does not recall being notified of R3’s chest pain but would have sent R3 out for evaluation if notified of the chest pain.”

South Holland, IL Nursing Home Attorneys

Our Illinois nursing home lawyers have on-hand experience in bringing victims of nursing home oversight and their families the respite they deserve. We have handled cases on nursing home negligence in Illinois for both the vulnerable and injured citizens of our community and our high success rate makes us the reliable attorneys you need when handling situations that deal with:

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

Concerned about a loved one? Take the first step today.

If your loved one has been abused during his or her stay in Providence South Holland or any other nursing home facility in Illinois, we advise you to please step forward by contacting any of our nursing home attorneys through this number (888) 424-5757 or through our online chat lines.

At Rosenfeld Injury Lawyers LLC we understand your personal struggles and provide you with all the professional help you need to get the justice you deserve. We do not charge you any fees until you receive the compensation you fought for.

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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