Super Lawyers
Illinois State Bar Association
Justia Lawyer Rating
Million Dollar Advocates Forum
Avvo Rating
BBB Accredited Business

Stephenson Nursing Center Ratings & Violations

Stephenson Nursing Center Nursing facilities are provided with numerous procedures and protocols on how to handle any incident where a resident falls or is lowered to the ground by the nursing staff. Some of these policies including notifying the resident’s doctor and responsible family member to assist in deciding if any medical attention is required. These procedures are enforced as a way to ensure that the resident’s health and well-being are maintained. Unfortunately, the Freeport elder abuse attorneys at Rosenfeld Injury Lawyers LLC have represented many residents who suffered serious complications to their health and well-being failed to take appropriate measures and notify the resident’s doctor after a serious fall occurred.

Stephenson Nursing Center

Stephenson Nursing Center is a Medicare/Medicaid-approved 148-certified bed nursing facility providing services to residents of Freeport and Stephenson County, Illinois. The county-owned Center is located at:

2946 S. Walnut Rd.
Freeport, Illinois 61032
(815) 235-6173

In addition to providing skilled nursing services, Stephenson Nursing Center also offers:

  • Physical and occupational therapies
  • Speech/language pathology
  • Memory care

Freeport Nursing Home Resident Safety Concerns

Both the federal government and state of Illinois routinely update their nursing home databases to add newly opened investigations, filed complaints, health violations and safety concerns. The information can be found on numerous sites online including

Currently, Stephenson Nursing Center maintains an overall two out of five available star rating in the national Medicare star rating summary system compared to all other facilities in the United States. This includes three out of five stars for health inspections and staffing issues and one out of five stars for quality measures. Our Freeport Illinois nursing home neglect attorneys have found numerous complaints and safety concerns involving the facility that include:

  • Failure to Immediately Notify the Resident’s Doctor or Responsible Family Member of a Change in the Resident Situation Including a Decline in Their Health or Injury

    In a summary statement of deficiencies dated 03/03/2016, a notation was made by a state investigator during an annual licensure and certification survey concerning the facility's failure to "notify the physician and power of attorney regarding a wandering incident [that occurred] on 02/23/2016, involving [the resident].”

    The incident was first documented at 11:20 AM on 02/29/2016 when the “facility’s video surveillance was viewed regarding the incident of [the resident] wandering off of the locked dementia unit on 02/23/2016.” The resident “was seen walking down the 100 wing toward the main entrance.” A Certified Nursing Assistant (CNA), Contracted Dietary Aide and two Registered Nurses (RNs) were watching the resident. The Certified Nursing Assistant “came out of the lock dementia unit to bring [the resident] back in [by pulling the resident] by the sleeve of his coat toward the dementia unit.” The resident “placed his left hand on the front of [the CNA’s] throat and his right hand to the back of [the CNA’s] neck.” The Certified Nursing Assistant grabbed the resident’s “left hand and then [the CNA] used his right leg to sweep [the resident’s] legs from underneath him. This caused [the resident] to be brought to the ground [who was then] lying on his back.”

    A review of the resident’s 02/03/2016 MDS (Minimum Data Set) revealed the resident “does not exhibit any physical or verbal behaviors.” During a 9:45 PM 02/25/2016 interview, the Registered Nurse watching the resident stated that “when residents fall or lowered to the floor, we notify the doctor and family right away.” However, at 12:35 PM on 03/02/2016 the same registered nurse stated “I put a communication report in the nurse practitioners box, but I think she didn’t get it. I tried to notify the wife, but the line was busy. I didn’t get a hold of her on 02/23/2016.”

    An interview with the facility’s Director of Nursing at 12:25 PM on 03/02/2016 revealed that “the primary nurse would have notified the physician the night of the incident. If the nurse was unable to get a hold the physician; the day nurse would follow through the next morning. Considering [the resident] was lowered to the floor, the physician should have been notified.” There were “no nursing notes entered on 02/23/2015 in regards to this incident or the notification of the physician or family of [the incident with the resident].”

    The investigator noted that the actions of the nursing staff an administrator at the facility failed to follow established federal and state nursing home regulations and the facility’s 06/10/2013 revised policy titled: Accident and Incident Reporting Policy that reads in part:

    “If the incident involved the resident, their attending physician as well as the responsible member must be notified.”

Freeport Illinois Nursing Home Abuse Lawyers

If your loved one has suffered harm, abuse, neglect or mistreatment while residing at any nursing facility in Illinois, including Stephenson Nursing Center, Rosenfeld Injury Lawyers LLC can help. Our Stephenson County elder abuse attorneys can provide your family all necessary resources to file a claim for financial compensation against all those who caused your loved one harm.

We encourage you to contact our Freeport Illinois nursing home abuse law firm at (888) 424-5757 today to begin the process of obtaining your financial compensation. One of our attorneys will provide you numerous legal options as a part of our free, no-obligation consultation. We are not paid for our services until we negotiate your out-of-court settlement or win your case in front of the judge and jury.

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.

Client Reviews
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