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Windmill Nursing Pavillion Ratings & Violations


Windmill Nursing Pavilion is a 150 bed nursing home located in Cook County, Illinois at:

Windmill Nursing Pavilion
16000 South Wabash
South Holland, IL 60473

According to state nursing home data, the patients at Windmill Nursing Pavilion are primarily admitted for the care relating to the following areas:

  • Neoplasms
  • Endocrine/Metabolic
  • Nervous System
  • Alzheimer Disease
  • Mental Illness
  • Developmental Disability
  • Circulatory System
  • Respiratory System

Disturbing Discoveries Regarding Patient Care at Windmill Nursing Pavilion

The periodic inspection and surveys carried on Illinois nursing homes by the Illinois Department of health and some private inspection organizations showed that patients admitted to this rehabilitation center received poor health assistance and were victims to neglect and in more severe cases, physical abuse. Our Chicago based law firm puts its experienced nursing home attorneys on the case and a review of the findings of ProPublica—a private health surveyor—and found the following situations:

  • Failure to transfer residents properly: “R1’s Admission Nursing Assessment, dated 6/22/12 at 2:30pm, documents under “Environmental Limitations,” that R1 “Requires assist to transfer. Requires mechanical lift.” However the functional Limitations for Mobility was blank. On 6/22/12 at 10:30pm, E3 (Registered Nurse) documented in the nursing notes that E3 was notified by E4 (Certified nursing assistant) that R1 was “lowered to the floor in the room during wheelchair to bed transfer.” E3 also documented that E3 found R1 on her left side with swelling noted to left knee and R1 was stating, ” It hurts.” E3 also documented that R1’s blood glucose was 53. The physician was notified of the fall and ordered a left knee x-ray. The initial x-ray dated 6/23/12 showed no evidence of fracture or dislocation. At 10:45am on 6/25/12 the nursing note documented that, “Daughter request for resident to be sent to hospital.” An x-ray done at the hospital on [DATE] show a fracture to R1’s left Tibia. R1 required a closed reduction surgical procedure and cast application. E3 stated on 7/5/12 at 11:20am per phone interview, “Yes I remember what happened. R1 was very sweaty and weak. R1’s hands were cold, face was moist, she was moaning and not making sense, that is why I checked her blood sugar.” “I should have been made aware of her condition. I would have told the aides to use a mechanical lift.” “I don’t know why the aides did not come get me.”
  • Failure to investigate alleged mistreatment: “A review of R1 ‘ s clinical record nursing notes dated 8/10/10 at 8:55am indicates that R1 while exiting the 100 unit tub room R1 tripped over her feet an fell forward to out of the wheel chair striking the center of her forehead with a small amount of bleeding noted, ice pack applied and a small lump noted to forehead. On 8/24/10 at 9:44am E2(director of nursing), said that she is unaware of any allegations of abuse involving staff/residents. E2 did say that she was aware of R1 being involved in a fall incident. E2 said that R1 fell face forward out of her wheel chair and hit her face on the floor. E2 said that R1 said staff turned her chair and she fell out of the wheel chair. E2 also said that E3(certified nurses aid), was the staff who turned R1’s chair, but E3 has since retired and no longer works at the facility. E2 said the facility didn’t do an investigation. R1 said that she told E4(nurse), that E3 pushed her out of the wheel chair to the floor. R1 said that she reported to E4 that she was pushed from the wheel chair by E3 after the incident. R1 said that she doesn’t feel that E3’s intent was purposely done, but did say that R1 has been rough with her on other occasions. On 8/24/10 at 11:25am in room [ROOM NUMBER] Z1 (family member), said that she spoke with E1 about the fall incident involving R1. Z1 said that she told E1 and E4 on 8/11/10, that she didn’t feel that R1 accidentally fell from the wheel chair. Z1 said on 8/12/10 she asked E1 about reviewing the video tape of the hallways E1 told her the tape was already erased or recorded over. Z1 said there have been other occasions where she observed E3 in the dining room pulling and pushing residents roughly in their wheel chair to appropriate tables.”
  • Failure to investigate incidents of unknown origin: “Reviewed “Accidents/Incidents/Unusual Occurrence Report” for 3/27/11, which restates that the resident was observed sitting on buttocks in the shower room with laceration noted to left earlobe with moderate amount of bleeding. There is no documented evidence of interviews with staff, no explanation of how R11 came to be in the shower, whether R11 was alone or with staff and no conclusion presented as to how the occurrence happened. There was no evidence presented of when R11 was last seen prior to this incident, or by whom. Nurse’s note dated 7/24/11 at 7:20 am states “Resident lying in bed with two bruises onto outer chest, one near each collar bone, one bruise to outer right leg near knee.” Reviewed “Skin Tear/ Bruises/Abrasions/Scrape of Unknown Origin Investigation Form” for 7/24/11. There is no documented evidence of interviews with staff present during the time of the incident. The final conclusion portion of the form is left blank.”

South Holland, IL Nursing Home Attorneys

The Illinois Nursing Home Attorneys at Rosenfeld Injury Lawyers LLC 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:

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

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

Do you have any issues or problems with the Windmill Nursing Pavilion or any nursing home in Illinois? Or are you in need of legal advice from an experienced nursing home attorney? If YES, do not hesitate to give us a call (888) 424-5757 today for a free consultation on your suspicions.

At Rosenfeld Injury Lawyers LLC, we advocate for the rights of your loved one to receive the professional assistance he or she deserves. Our commitment to your course is such that we do not charge our clients for any initial fees till your loved one receives the compensation he or she deserves.

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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