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River Oaks Healthcare Rehab Center Ratings & Violations

River Oaks Healthcare Rehab Center is a 131 bed nursing home located in Cook County, Illinois at:

River Oaks Healthcare Rehab Center
14500 South Manistee
Burnham, IL 60633
Telephone: 708-862-1260
Website: not available

Data from the state nursing home shows that the patients admitted into the River Oaks Healthcare Rehab Center are taken in for independent care and supervision due to the following health related situations:

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

Concerning Findings Regarding Patient Care At River Oaks Healthcare Rehab Center

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 at River Oaks Healthcare Rehab Center 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 give proper treatment to residents with feeding tubes: “On 5-15-2012 at 10:15 AM with tour guide E15(Nurse Manager) R1 was laying in bed with Gastrotomy tube feeding of [MEDICATION NAME] 1.2 Cal infusing at 55 Milliliters per hour. R1 was unable to verbalize anything. E15 (Nurse Manager) stated at this time, R1 was just admitted and she gets a continuous(24 hours) tube feeding. On 5-16-2012 at 12:53 PM, R1 was again laying in bed with tube feeding of [MEDICATION NAME] 1.2 cal infusing at 55 Milliliters an hour. On 5-15-2012 at 2:26 PM, E17 (Nurse) stated, “The tube feeding for R1 infuses at 55 Milliliters an hour, I am not sure why the order is for 50 Milliliters an hour, I will check.” On 5-17-2012 at 12:22 PM via telephone Z2 (Dietician, G- tube Consultant) stated, “I do order changes over the telephone, the facility called me earlier and I changed the order. They should have called me sooner. The nurse could have called me over the telephone and I would have been able to do a recommendation for the G- tube feeding (reference here) over the phone. It is policy not to run G- tube feedings in continuously, the flow rate that R1 was infusing at was wrong.”
  • Failure to give proper treatment to prevent new bedsores and heal existing ones: “On 5/17/12 at 9:30am during wound care treatment it was noted that the wound on left lateral heel to be a stage two pressure ulcer with an oblong crater with 100% slough covering the wound bed. Margins of wound were red and peri-wound skin surrounding entire wound was thickened and discolored brown and purple. E3 stated she did not take measurements of the wound and agreed to do so when asked by surveyor. Center of wound measured 1.5cm x 1.8 cm. On 5/17/12 at 9:45 AM E3 stated “Thursdays are wound rounds however I didn’t measure the wounds this morning when I initially changed R23’s dressings. E3 further stated that measurements should normally be done on any abnormal or open wound”. On 5/17/12 at 11:15 AM, noted R23 sleeping in reclining chair in hallway, leaning to the left side and onto his left lateral foot and heel in contact with vinyl of reclining chair. No pillow or positioning device was in place to alleviate pressure from left heel (learn about decubitus ulcers on the heels here. On 5/17/12 at 12:10 PM R23 reclined in reclining chair with pillow on left side of legs but not under left foot. R23 legs contracted and leaning to left with left lateral foot wound against vinyl center between chair and footrest. On 5/17/12 at 1:50PM R23 lying in bed on back with legs contracted, leaning to left with pillow between knees. R23 left foot against mattress with no pillow or positioning device in place to alleviate pressure off of left foot heel wound. ”
  • Failure to provide a breathing treatment to a patient: “On 5-15-2012 at 10:29 AM during the initial tour with E15 (Nurse Manager) R8 was laying in bed gasping for air, R8 was not using any oxygen. R8’s oxygen concentrator and humidifier was covered with black liquid substance and the nasal cannula was on the floor. The machine was not on. A nebulizer machine was on the nightstand table not being used. R8 stated twice “I need a breathing treatment.” E15 (Nurse
    Manager) stated, “I will change R8’s humidifier and set up.” E15 (Nurse Manager) went out to get a nurse to change the nasal cannula and humidifier. On 5-15-2012 at 2:05PM, R8 was laying in bed coughing and stated, “They never gave me the breathing treatment that I asked for and I needed it.” On 5-16-2012 at 10:40am, E22(Nurse) stated, “if R8 received an as needed medication, we would initial it on the Medication Administration Record [REDACTED] On 5-18-2012 at 10:00AM, E15(Nurse Manager) stated, “I was busy responding to the cannula on the floor and the oxygen concentrator, I did not hear R8 ask for a breathing treatment.”
  • Failure to complete an incident report and report an injury of unknown origin to the state: “On 12/14/11 at 11:00am in R4’s bedroom R4 said that a few days ago he was in the dining room drinking coffee, and said that he wasn’t finished drinking the coffee when E7 (certified nurse aide), came and tried to snatch the cup out of his hands, and remove his tray. R4 said that he told E7 that he wasn’t finished drinking the coffee and E7 pushed him in his wheel chair out of the dining room and into his room and started hitting him in the face. R4 said that he later reported it to E8 (nurse). On 12/14/11 at 11:00am R4 was observed sitting in a wheel chair, R4 was noted with a small laceration to the left forehead. The laceration was reddish brown scabbed over. The laceration was about 2 ” inches in length. no other bruising or trauma was noted to R4. ”
  • Failure to immediately report allegations of abuse to the state: “A review of the facility’s incidents reports documents that on 3/3/12 at 9:30 AM, R31 alleged that three facility security guards beat him about the head and hands and forced R31 into his room. An investigation into the allegations was conducted by the facility’s abuse coordinator but the preliminary report was not sent to the state agent until three days later on 3/6/12. E2 (director of nursing) stated on 5/2/12 at 2:40 PM, that she was the facility’s abuse coordinator. E2 stated that investigations into the allegations were conducted. E2 further stated that R34’s injuries were caused by security guards and that the security guards employment was terminated. E2 stated that the initial abuse report should have been sent to the state agency within 24 hours and the final report is sent within 5 days.”

Burnham, IL Nursing Home Attorneys

The Illinois Nursing Home Attorneys at Rosenfeld Injury Lawyers LLC represent families and individuals who have suffered an episode of abuse or neglect during an admission to a facility. Many of our nursing home lawsuits involve the following situations:

  • 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 or neglected during an admission to River Oaks Healthcare 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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