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The Villa at Windsor Park Ratings & Violations

The Villa at Windsor Park

The Villa at Windsor Park is a 240 bed nursing home facility located in Cook County, Illinois at:

The Villa at Windsor Park
2649 East 75th Street
Chicago, IL 60649

Statistics from the state nursing home department, list’s the the patients at The Villa at Windsor Park are primarily admitted for the care relating to the following areas:

  • Alzheimer Disease
  • Endocrine/Metabolic
  • Blood Disorders
  • Circulatory System
  • Respiratory System
  • Digestive System
  • Genitourinary System Disorders
  • Skin Disorders
  • Musculo-Skeletal Disorders
  • Mental Illness
  • Neoplasms
  • Nervous System
  • Other Medical Conditions

Appalling Findings Regarding Patient Care at The Villa at Windsor Park

The nursing home survey conducted by the Illinois Department of Health unearthed different situations where the staff of The Villa at Windsor Park, provided inadequate assistance as well as patient abuse. These situation which where reviewed by our nursing home attorneys can be construed as nursing home negligence includes the following situations:

  • Failure to use appropriate precautions to prevent falls:  “Certified Nurse Aide (CNA), on 08/04/09 at 11:35 am in the conference room stated,” I had did the morning care. The bed was soiled. I turned her on the left side. I had put the draw sheet and blue pad. She was on the left side. I was reaching to bring her back on the bed. She went forward and fell out of the bed. I tried to grasp her. She slipped out of my hand. I could not hold on to her. She went to the floor. She was not in middle or edge of the bed. She fell out and hit the floor. I ran and got the nurse. Nurse came on the side of the bed and looked at her. She was bruised on the floor. We picked her up off the floor and put her to bed.” Surveyor asked E8 how high the bed was. E8 stated,” It was up for me to change her. It was up pretty high. She is very confused.” Z7 (hospital record) on 07/30/09 states : “[AGE] year old non ambulatory nursing home resident with dementia who is a poor historian reportedly dropped this morning at nursing home and initially evaluated at an outside hospital transferred to Z7 with right globe injury and left femoral neck fracture. Patient complains of pain throughout body”. Z1, Physician, on 08/03/09 at 3:10 pm per telephone stated,” We were told resident was found out of bed. Shad visible eye injury/problem and femoral fracture. She had eye surgery to replaced lens and removed fluid off the eye. She also had a partial hip replacement to stabilize the fracture. She had the surgery on 07/31/09. R4 was transferred from other hospital. She is on the ventilator.”
  • Failure to provide adequate supervision to prevent altercations between residents: “Based on observation, interview, and record review, the facility failed to supervise 1 resident (R3) with Dementia from hitting 2 residents in a sample of 6. R3 has multiple incidents of hitting a family member, the staff, and a resident prior to hitting R2 on the left eye on 10/11/09. This failure resulted to an Immediate Jeopardy when R3 hit R2 on her left eye on 10/11/09. R2 sustained persistent redness and irritation of the left sclera which resulted to her transfer to the emergency room for evaluation. Per R3’s Minimum Data Set (MDS) assessment dated [DATE], R3 has a moderate cognitive impairment in daily decision-making skills. R3 was also coded as 1/1 in wandering which means that R3 exhibits wandering behavior that occurred 1-3 days in a 7 day period during the assessment, and that this wandering behavior is not easily altered. Furthermore, this MDS indicated that R3 is verbally abusive and resists care in 1-3 days in a 7 day period during the assessment. Despite of the documented wandering behaviors to other residents’ room and actual observation by staff, this information was not disseminated to other staff, most of them direct care providers for R3. Similarly, despite of R3’s documented and observed physical aggression and physical assault on staff, family member, and another resident, R3’s nurses and Nurses’ Aides on the 3rd floor were not made aware of these behaviors. As a result, staff was not monitoring R3’s wandering into rooms nor staff had provided other residents around R3 with a safety space to prevent R3 from hitting them even without provocation.”
  • Failure to ensure alarmed outer doors are securely closed: “During environmental tour on 2-15-12 with Z2 (Corporate Engineer), E11 (Maintenance Supervisor) and E12 (House Keeping Manager) at 10:05 AM, the exit door leading to the parking lot and on to Exchange Street, on the south side of the building on the first floor was propped open with three hangers and was unattended. On 2/15/2012 at 10:06 AM E12 stated he was aware of staff propping the door open sometimes. On 2/15/2012 at 10:07am Z2, stated the door cannot alarm when it has been propped open. According to the facility’s elopement risk list of residents dated 2-15-12 denotes R6, R32-R45 are identified to be at risk.”
  • Failure to prevent significant medication errors: “On 2/14/12 at 10:30AM during initial tour 1 whole medication tablet was observed in a plastic medication cup on R11’s bedside stand. At that time R11 stated “That’s my last pill. Don’t take it away.” On 2/14/12 at 10:45AM E9, LPN (Licensed Practical Nurse), stated “That pill wasn’t there on R11’s table this morning when I passed my medications. That medication looks like the [MEDICATION NAME] (antihypertensive). I don’t know how it got there.” On 2/15/12 at 9:25AM E3, DON (Director of Nursing), stated, “E9 told me while she was giving medications to R11, a resident in the next room was having an emergency so she left R11’s room and E9 thought she took the medication with her but actually left the medication ([MEDICATION NAME]) on R11’s bedside stand on accident.”
    On 2/16/12 at 10:15 AM E9 LPN stated “Yesterday, when I was giving R11 her medication, I heard the resident in the next room calling for help. I was just about to give R11 her last pill, the [MEDICATION NAME], and thought I took it with me but accidently left it on R11 bedside stand when I left her room. I didn’t tell you yesterday because I didn’t want to get in trouble.”

Experienced Nursing Home Attorneys Chicago, IL

The Illinois nursing home attorneys at Rosenfeld Injury Lawyers LLC are experienced in providing families and individuals who have been subjected to any form of abuse or poor patient care with the legal counsel they require. We have handled numerous nursing home lawsuits involving the following situations:

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

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

If you have any concerns about the level of health care your loved one receives at the Villa at Windsor Park or in any nursing home in Illinois, why not chat with our customer care representatives online, for a brief consultation about your concerns.

At Rosenfeld Injury Lawyers LLC, we do not charge you for any consultations or questions you may have until you are fairly compensated for the trauma that was caused to your loved one. Call (888) 424-5757 today to speak to an experienced nursing home attorney in Illinois.

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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