Coronavirus Update: To New & Existing Clients Learn More ›

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

Twin Willows Nursing Center Ratings & Violations

The use of physical restraints in Illinois nursing facilities is heavily regulated by state and federal agencies. Even so, many nursing facilities fail to follow these procedures and protocols and use the restraint as an effective tool to control the resident to avoid constant monitoring or supervision, which is often detrimental to the patient’s quality of life and freedom of mobility.

The elder abuse attorneys at Rosenfeld Injury Lawyers LLC provide legal advice, counsel, and representation to individuals who have been restrained against their will and without lawful authorization while residing at Illinois nursing facilities like Twin Willows Nursing Center.

Twin Willows Nursing Center

This Nursing Home is a Medicare/Medicaid-participating ‘for profit’ Center providing services to residents of Salem and Marion County, Illinois. The 72-certified-bed Facility is located at:

1600 North Broadway
Salem, Il 62881
(618) 548-0542

Salem Nursing Home Resident Safety Concerns

The state of Illinois and the federal government regularly update their nursing home database system with complete details of all safety concerns, health violations, filed complaints and opened investigations. The search results can be viewed on numerous sites including

Currently, Twin Willows Nursing Center maintains an overall three out of five available star rating in the Medicare national comparison analysis rating system. This includes three out of five stars for both health inspections and staffing concerns and two out of five stars for quality measures. The Marion County nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have reviewed various safety concerns, violations and deficiencies at this nursing facility that include:

  • Failure to Ensure Residents Remain Free from Unauthorized Physical Restraints

    In a summary statement of deficiencies dated 03/18/2016, a state investigator noted that the facility failed to “assess and care plan for the use of lap cushion devices to ensure that a restraint is not used for discipline or convenience.” The deficient practice was first noted in the state investigator’s findings of incidences involving a 74-year-old resident diagnosed with Alzheimer’s disease.

    The resident was first observed just after noon on 03/17/2016 in the facility’s dining room while “seated at a table in a glider/rocker chair.” At that time, the resident “was being assisted to eat but was noted to have a lap cushioning device, used to prevent rising, in place.” The investigator noted that the resident “is ambulatory throughout the facility with the use of a specialized ambulation device [...and] does not have an assessment or a Plan of Care for the use of the lap cushioning device.”

    The investigator interviewed the facility’s Director of Nurses who verified on 03/18/2016 that the resident “does not have an assessment or Plan of Care for the use of this device [...and] the resident likes to ‘pop up’ suddenly while being assisted with eating and agreed the cushion was not care planned for use by [the resident].”

  • Failure to Ensure Residents Remain Free of Accident Hazards and Provided Adequate Supervision to Avoid Injury

    In a summary statement of deficiencies dated 03/18/2016, a state investigator noted when performing an annual licensure and certification survey that the facility failed to “thoroughly assess causative factors for falls and implement appropriate safety measures to prevent recurring falls.” The deficient practice was first noted in the state investigator’s findings involve the resident diagnosed with depression, altered mental status, Parkinson’s disease and Alzheimer’s dementia.”

    The state investigator noted that the resident’s 11/19/2015 Fall Risk Assessment documents that the resident “is a high risk for falling.” In addition, the resident’s Brief Interview for Mental Status (BIMS) and MDS (Minimum Data Set) revealed that the severely cognitively impaired resident “requires extensive assistance for transfers, ambulation, and toileting.”

    The resident’s midnight 11/25/2015 Incident/Accident Report documents that the resident “was found sitting on the floor in front of the wheelchair in his room [...and] stated ‘I was trying to go to the bathroom’.” Again, at 2:40 PM on 11/29/2015, the resident’s “Incident/Accident Report documents [that the resident] was standing in the hallway in front of the wheelchair with the clip alarm in place and sounding.” At that time, the resident “slid down the front of the wheelchair and onto the floor and no injuries were noted.”

    The state investigator noted that there were “no new interventions documented on [the resident’s] Incident/Accident Report, Care Plan or Nurse Notes. The investigator noted that the actions of the nursing staff failed to follow the facility’s undated policy titled: Policy for Fall Prevention that reads in part:

    “After a fall has occurred, the Care Plan will be updated to reflect any changes for fall prevention.”

Salem Illinois Nursing Home Abuse Lawyers

If you and your family believe that your loved one was victimized by residents, caregivers or visitors while a patient at Twin Willows Nursing Center, contact Rosenfeld Injury Lawyers LLC today. Our Salem nursing home attorneys can represent your family in cases that involve mistreatment, neglect, and abuse. Our law firm will work on your behalf to ensure your loved one and family receives sufficient financial compensation for your damages.

Schedule your free, no obligation comprehensive case review today by calling our Marion County elder abuse law offices at (888) 424-5757. No upfront fees are required because we accept every nursing home abuse claim for compensation through contingency fee arrangements.


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.

250M + Recovered for Our Clients
No Fee Guarantee We Never Charge a Fee Unless We Win
Available 24/7 Available 24-Hours per Day When You Need Us
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