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St Agnes Health Care and Rehabilitation Center Ratings & Violations

St. Agnes Health Care and Rehabilitation Center is a 194 bed nursing home located in Cook County, Illinois at:

St. Agnes Health Care and Rehabilitation Center
1725 South Wabash
Chicago, IL 60616 
Website: not available

The state nursing home data places St. Agnes Health Care and Rehabilitation Center as a nursing home which admits patients due to the following medical conditions:

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

Worrisome Discoveries Regarding Patient Care at St. Agnes Health Care and Rehabilitation Center

The Illinois Department of Health and other private health inspection firms conducted a survey on the level of health care patients receive from the staff and personnel of the health center. The survey brought to the surface, cases of poor patient supervision and abuse which could be construed as nursing home negligence. The nursing home attorneys at Rosenfeld Injury Lawyers LLC reviewed these findings and outlined the following as episodes of poor patient supervision:

  • Failure to implement interventions to prevent falls:  “Since admission, R1 has had two falls. The first fall occurred on 12-21-09, at 1:10pm. The facility incident report indicates that R1 was “found sitting on the floor next to the bed, and that no apparent injuries resulted from the fall.” The second fall occurred on 12-27-09 at 6:10am. The facility incident report indicates that R1 was found “lying on the floor, next to the bed, on her left side.” Further description indicates that R1 was ” holding her left shoulder, complaining of pain, and that the left shoulder appears swollen and bruised.” R1 was taken to the local hospital. Further review indicates that prior to admission, R1 had multiple falls. The facility Fall Risk assessment dated [DATE] identified R1 as a high fall risk. The facility SideRail assessment dated [DATE] identified the need of siderails up x 2 while in bed to promote mobility and safety. Review of the Fall CarePlan dated 12-21-09 indicates that the siderail intervention was not added onto the careplan until 12-28-09. These failures resulted in a resident injury which consisted of a left displaced, left humeral surgical neck fracture and fractured ribs 4-7.”
  • Failure to accurately assess and analyze the circumstances of falls: “From 5/15/11 through 5/23/11 R6 fell four times and injured herself repeatedly.  The Fall risk assessment (Criteria for Assessment) was score 28 (05/22/11, 05/23/11, 05/29 /11 and 06/01/11) and high risk. E3 (Director of Nurse) on 06/29/11 at 11:30 am in the conference room stated,” The residents care plan and assessment should have been revised or updated. The resident should have been reassessed to prevent further fall and effectiveness of the intervention.”
  • Failure to ensure call lights are within the residents’ reach: “On 1/24/11 at 12:30pm upon observation the call light for R8 was noted tied to the side rail of the bed. Upon interview, when asked if he was able to reach the call light R8 stated “no“. R8 attempted to reach the call light but was not able to do so. On 1/25/11 at 1:15pm upon interviewing R8, the call light was noted not to be within the resident’s reach.”
  • Failure to prevent medication errors: “During medication pass observation on 01/26/11 at 10:35 AM, E4 ( Nurse) medications to R25 per [DEVICE] (Gastrostomy tube) which included [MEDICATION NAME] 500 mg one tablet, [MEDICATION NAME] 500 mg one tablet, Vitamin C 5 cc, [MEDICATION NAME] 2.5 cc and [MEDICATION NAME] 5 cc. (nurse) crushed the [MEDICATION NAME] and [MEDICATION NAME] tablet and placed them into a plastic container. E4 then flushed the [DEVICE] with water, took out the syringe plunger and poured the crushed medication that was mixed with water into the syringe. E4 proceeded to throw the cup to the garbage can and put back the syringe in its holder. E4 said that he was done giving medications to R25. Surveyor took the plastic cup from the garbage can and showed to E4 that there were still remaining crushed medications in the plastic cup and also in the syringe. E4 stated” that why I always asked for liquid medication.” Resident did not get the whole doses of the crushed medications.”

Chicago, IL Nursing Home Attorneys

The Illinois Nursing Home Attorneys at Rosenfeld Injury Lawyers LLC has successfully 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:

Concerned about a loved one? Contact a Nursing Home Attorney Today

If a family member or a loved one has been a victim to nursing home negligence or physical abuse while he or she was admitted at the St. Agnes Health Care and Rehabilitation Center or in any nursing home in Illinois, take the right step today by seeking legal counsel to know your options. Call (888) 424-5757our experienced team of nursing home attorneys today for a free consultation. We have successfully handled negligence lawsuits and are ready to make your case our own.

At Rosenfeld, we serve the vulnerable and injured without discrimination. so contact us today to get the closure you rightly deserve

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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Jonathan Rosenfeld was professionally objective, timely, and knowledgeable. Also, his advice was extremely effective regarding my case. In addition, Jonathan was understanding and patient pertaining to any of my questions or concerns. I was very happy with the end result and I highly recommend Jonathan Rosenfeld. Michonne Proulx
Extremely impressed with this law firm. They took control of a bad motorcycle crash that left my uncle seriously injured. Without any guarantee of a financial recovery, they went out and hired accident investigators and engineers to help prove how the accident happened. I am grateful that they worked on a contingency fee basis as there was no way we could have paid for these services on our own. Ethan Armstrong
This lawyer really helped me get compensation for my motorcycle accident case. I know there is no way that I could have gotten anywhere near the amount that Mr. Rosenfeld was able to get to settle my case. Thank you. Daniel Kaim
Jonathan helped my family heal and get compensation after our child was suffered a life threatening injury at daycare. He was sympathetic and in constant contact with us letting us know all he knew every step of the way. We were so blessed to find Jonathan! Giulia
Jonathan did a great job helping my family navigate through a lengthy lawsuit involving my grandmother's death in a nursing home. Through every step of the case, Jonathan kept my family informed of the progression of the case. Although our case eventually settled at a mediation, I really was impressed at how well prepared Jonathan was to take the case to trial. Lisa