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Villa at Windsor Park

When you entrust the care of your elderly loved one to a nursing home facility, you expect them to be safe. Unfortunately, that's not always the case. It can have serious consequences when nurses, physicians, or nurse aides neglect a resident's needs.

According to the Department of Health and Human Services, there are countless reports of nursing home staff failing the very people they're supposed to provide care and services to maximize their health and well-being.

You have legal options if your loved one has been injured due to nursing home neglect at Villa at Windsor Park. The personal injury attorneys at Rosenfeld Injury Lawyers, LLC can help stop the mistreatment using civil tort law.

Contact our nursing home abuse lawyers in Chicago at (888) 424-5757 (toll-free phone number) or use the contact form to schedule a free consultation. All confidential or sensitive information you share with our legal team remains private through an attorney-client relationship.

Villa at Windsor Park

This facility is a 240-certified bed Medicare and Medicaid-participating for-profit nursing home (not a continuing care retirement community) providing care, amenities, and services for the County residents. The Villa at Windsor Park is located at:

2649 East 75th Street
Chicago, IL 60649
773 356 9300


The Villa at Windsor Park provides care, services, clinical programs, and amenities that include:

  • Memory care, including dementia and Alzheimer's
  • In-house dialysis
  • Hospice and palliative care
  • Orthopedic rehabilitation therapy
  • Post-surgical care
  • VAD (ventricular assist device) care
  • Wound care
  • Cardiac care
  • Transition management
  • Stroke/movement disorder recovery
  • Long-term care

Villa at Windsor Park Nursing Home Resident Safety Concerns

Through the Centers for Medicare and Medicaid Services (CMS), the federal government routinely updates inspection and surveyor reports on all assisted living facilities in the United States. This data identifies how each facility failed to provide quality care and lists all violations, fines, safety inspections, penalties, and deficiencies.

Many families use this information to determine which Illinois nursing homes in the local community provide the highest level of care for their loved ones in need.

Currently, the Villa at Windsor Park nursing home maintains a one out of five stars overall rating compared to all other disabled and elderly care facilities nationwide. There Medicare star rating is based on:

  • Two out of five stars for health inspections
  • One out of five stars for staffing issues
  • Four out of five stars for quality measures

The Cook County personal injury attorneys at Rosenfeld Injury Lawyers, LLC have reviewed pages of surveys and investigations concerning the Villa at Windsor Park and have found severe safety issues, including:

Failure to Ensure That a Nursing Home Area Is Free From Accident Hazards and Provides Adequate Supervision to Prevent Accidents – Deficiency #F0689

In a summary statement of deficiencies dated August 31, 2020, the state investigators determined that the Villa at Windsor Park failed to "follow their fall risk care plan and ensure fall precautions workplace for three residents."

In one incident, the state investigators observed a Villa at Windsor Park resident "sitting in the hallway next to the nursing station with no shoes on and just long tube socks on with a gray colored toe. A minute later, the resident stood up, still just wearing socks."

Twenty minutes later, the state investigator stood at the nurses' station with the patient in view, asking a Villa at Windsor Park licensed practical nurse if the person was a fall risk. The LPN confirms that the patient is a fall risk but walks all day.

The surveyor asked the Villa at Windsor Park LPN if she thought the footwear was appropriate. The LPN stated that the resident "should have on non-skid socks if she doesn't want shoes on," but sometimes a resident "will not let you put shoes on her."

Staff Not Following Resident's Care Plan for Safety

In a separate statement of deficiencies dated March 11, 2022, the state investigators determined that the Villa at Windsor Park failed to "implement fall prevention interventions for two residents." In one incident, this individual was seen sitting in his will turn next to his bed while the brakes were not in the locked position. The resident told the investigator that "sometimes he transfers himself from the wheelchair to the bed."

The state investigator also noticed another patient in bed in a high position and asked the Villa at Windsor Park Director of Nursing to meet him in the resident's room. The surveyor's record review revealed that the bed should be in a low position while the patient was in bed.

The Director confirmed that the failure put the resident in danger because the bed was not in a low position, but soon after, the director lowered it.

Failure to Provide Appropriate Pressure Ulcer Care and Prevent New Ulcers From Developing – Deficiency #F0686

In a summary statement of deficiencies dated March 11, 2022, the state investigators determine that the Villa at Windsor Park failed to "properly utilize an air-loss mattress for a patient, turn and reposition the individual, who requires extensive assistance for bed mobility at least every two hours and reapply a wound dressing" promptly.

The incident involved a Villa at Windsor Park patient requiring extensive existence with two or more persons for physical assistance for bed mobility. The patient also needs help with activities of daily living due to a self-care performance deficit related to an intracerebral hemorrhage and limited range of motion.

The state investigators saw the patient on an air-loss mattress lying on their back at 12:39 PM and conducted multiple observations afterward at 12:56 PM, 1:05 PM, 1:17 PM, and 1:30 PM, all while the patient remained on their back.

At 1:50 PM, the state investigator observed a certified nurses' assistant helping the patient at the bedside. Two Villa at Windsor Park certified nurses' assistants left the room at 2:00 PM without repositioning the patient.

The investigators reviewed the Villa at Windsor Park Skin Management Guideline from November 2017, which states, "turning and repositioning observation (tissue tolerance): pressure is the primary cause of pressure ulcers. An effective turning and repositioning schedule can help reduce the risk of developing a pressure ulcer."

Failing to Protect Residents from Accident Hazards Could Lead to Severe Injuries and Wrongful Death

According to a study published by the Journal of the American Geriatrics Society, residents in short and long-term care facilities are commonly subjected to mistreatment and neglect, which often results in serious injury. The study found that 42% of residents who suffered a major injury due to abuse or neglect had to be hospitalized. Their injuries often resulted in long-term physical and psychological damage.

In many cases, mistreatment and neglect occur when staff members do not follow care plan instructions from the resident's physician from Villa at Windsor. For example, an individual under supervised care may be prescribed medication to help them with a specific medical condition.

Still, if the staff member administering the drug does not follow the instructions correctly, it can seriously harm the resident.

Lack of Training Can Lead to Accidents

Caregivers may not be adequately trained to handle the needs of elderly residents, which can also lead to mistreating your loved ones. Not treating residents with dignity can have devastating consequences for residents in caregiving homes.

Caregivers need to be aware of the signs of abuse and neglect to take action if they suspect something is wrong. If you have a loved one living in a senior and disabled care establishment, it is essential to stay vigilant and watch their care to ensure they are safe and receiving the best possible care.

Residents in Illinois caregiving homes are at risk of being severely harmed if staff members do not follow these steps to avoid accident hazards:

  • Slippery floors and uneven surfaces can lead to slipping and falling, resulting in broken hips, fractured bones, and even death.
  • Wet floors, poor lighting, and cluttered walkways can also lead to severe injuries.
  • Staff should regularly clean and dry floors, repair uneven surfaces, and use caution signs to warn residents of potential hazards.
  • Staff should be aware of residents' limitations and help them navigate safely through the facility.
  • Staff should monitor residents closely, especially those at risk for falling.
  • Aides should assist with bathing, dressing, and grooming to reduce the risk of slips and falls.
  • Aides should keep walkways clear of obstacles and furniture that could cause a fall.
  • Staff should use non-slip mats in bathrooms and showers to prevent slips.
  • Staff should provide appropriate safety equipment (e.g., walkers, wheelchairs, canes) to help residents move around safely.

Residents With Wandering Behavior Must be Continuously Monitored and Supervised

Nursing home mistreatment is a serious issue that patients and families face daily; some may leave a facility unnoticed to get away from the abuse or neglect, or if they have dementia and don't know where they are or how to seek help.

The elderly and disabled with this behavior often leave the facility without detection and into the dangerous community with busy streets. If citizens or police do not find them, they may be transported to the emergency room, which can be a frightening experience for the patient and their family.

Wandering behavior or elopement is often a sign that a patient is no longer safe in an assisted living facility. It can be caused by many factors, such as boredom, anxiety, or confusion. When left unsupervised, patients trying to leave can easily get lost or injured. Sometimes, they may wander out of the facility and into the community.

Nursing homes should have procedures to ensure that anyone who tends to elope a facility is monitored closely and prevented from leaving the facility. Families should also be aware of the dangers of wandering and take steps to keep their loved ones safe.

Failing to Follow Professional Standards in Providing Skin Care Could Lead to Bedsores in Nursing Homes

Bedsores also called pressure ulcers or decubitus ulcers, are lesions that can form on the skin due to pressure, friction, or both. They can develop in any body area with constant pressure, including the back, buttocks, hips, and heels.

Bedsores typically occur in people confined to a bed or wheelchair for long periods. Several factors can increase the risk of developing bedsores, including:

  • Dehydration
  • Poor nutrition
  • Inability to move around
  • Lack of padding or support on the skin surface
  • Smoking

Bedsores often develop slowly over time and may not be noticed until they are advanced. However, if they are not treated promptly, they can become infected and lead to life-threatening complications.

The failure of the nursing staff in life-threatening bedsores might indicate neglect. If you suspect your loved one is being abused or neglected in an assisted living facility, you should contact an experienced attorney immediately.

Hire Personal Injury Lawyers to Resolve Your Nursing Home Compensation Claim

Was your loved one neglected and abused while residing in Villa at Windsor Park or any other long or short-term care facility in Illinois? The elder abuse attorneys at Rosenfeld Injury Lawyers can help hold those responsible financially accountable.

Contact our lawyers at (888) 424-5757 (toll-free phone number) or use the contact form to schedule a free consultation.

Our legal team accepts all personal injury cases and wrongful death lawsuits on a contingency fee basis. This agreement ensures that you will pay no upfront fees until we resolve your claim through a negotiated settlement or jury award.

Our Chicago, IL personal injury attorneys currently represent clients in the following localities, including Cook County, Lake County, Will County, Kane County, Dupage County, Peoria County, Sangamon County, Winnebago County, Arlington Heights, Berwyn Township, Downers Grove, Orland Park, Palos Park, and Tinley Park.


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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