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Woodbridge Nursing Pavillion Ratings & Violations

Woodbridge Nursing Pavilion

The Woodbridge Nursing Pavilion is a living assistance facility that has the capacity to house approximately 222 patients. It is located in Cook, County Illinois at:

Woodbridge Nursing Pavilion
2242 North Kedzie
Chicago, IL 60647

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

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

Concerning Findings About the Patient Care at Woodbridge Nursing Pavilion

According to data from nursing home surveys conducted by the Illinois Department of Health other agencies, there have been numerous episodes of poor patient care at Woodbridge Nursing Pavilion which can be construed as nursing home negligence. Our nursing home attorneys reviewed data compiled by ProPublica and found the following conditions that can be construed as nursing home negligence:

  • Failure to investigate injuries of unknown origin: “On 4/28/2011 at 2:00 PM, E2 (Director of Nursing) removed the dressing from R 55’s’ lower legs per surveyors request. When the dressing was removed from the left leg there was a 0.5 x 1.5 centimeter pink open area with top layers of skin removed as well as three scabbed areas one 0.5 x 0.5 centimeter, one 1 inch x 0.2 centimeter and another 0.2 x 0.2 centimeter. E2 was asked how these injuries occurred stated “I don’t know how they occurred.” There was no investigation to the unknown injury of R 55 until after the surveyor prompted the facility that R 55 had dressings to bilateral lower legs. The facility presented an accident/incident/ unusual occurrence report dated 4/28/2011 at 2:00 PM during daily meeting at 9:00 AM on 4/29/2011. The report stated on April 28, 2011 R 55 was noted with a skin tear on her left lower leg and a skin tear on her right lower leg. The causes of the wounds are unknown at this time. R 55 is unable to verbalize what happened. In interviewing staff caring for R 55 they were unable to recall a recent incident involving R 55. The investigation is ongoing due to the interview of PM nurse pending. A care plan dated 4/28/2011 was also presented at the daily status meeting.”
  • Failure to keep call lights within reach of residents: “During the initial tour of the facility on 4/26/11 at 9:30am, R5 was in bed, asleep, with left hand brace in place. R5’s call light was out of reach. E2 was present and told surveyor that R5 has the ability to use the call light. R12 is a [AGE] year old morbidly obese resident observed on 4/26/11 lying in bed, awake and alert. R12 told surveyor she requires assist from staff for most activities of daily living and uses the call light
    when she requires assist. R12 was not able to reach the call light during this observation.”
  • Failure to provide treatment to pressure ulcers: “During the initial tour of the facility on 4/26/11, R4 was observed in bed, awake. E2, Director of Nursing, told surveyor that R4 speaks Spanish only and has Stage II Hip and Sacral Ulcers. Surveyor requested of E2 that R4 be repositioned for wound inspection. E21, treatment nurse, was present to assist. There were two Stage II wounds, one on Left sacrum and one on L buttocks. Wounds had no dressing. R4 is at high risk for skin breakdown due to problems of immobility, and requires staff assist for turning and repositioning.”
  • Failure to provide monitoring to residents at risk of elopement: “R30’s care plan dated 4/19/11 mentioned that R30 has moderately impaired cognitive skills for daily decision making, is ambulatory with cane, and is alert but with bouts of confusion. His care plan also showed that he has a wandering, roaming, or pacing behavior related to Dementia, manifested by attempts to leave the facility without an escort, and roaming in and out of peer’s room. During 4/22/11 interview at 1:38 PM, E5 (11-7 Certified Nurse Aide/ CNA) said that on 4/20/11, she was the only CNA working on the 3rd floor during 11-7 shift. E5 mentioned that the facility was short-staffed that night, so they moved another 3rd floor CNA to the 2nd floor, and left her to care for 50 plus residents. E5 said R30 came back twice and motioned to her on the second time, if he could go to the 3rd floor dining room. E5 said yes, and R30 went to the dining room and kept the door closed, without any staff supervising him. This failure resulted in Immediate Jeopardy which started on 4/20/11 at 5:05 AM, when R30 managed to open the 3rd floor window, and lowered himself out of the 3rd floor window, using linens tied to the leg of a table in the 3rd floor dining room. R30 fell in the process, and sustained multiple fractures of the left lower extremity and internal bleeding. As a result of these injuries, R30 expired at the hospital on [DATE].”
  • Failure to ensure residents are safe from serious medication errors: “During medication pass observation on 4/27/11 at 9am, E19 said R25 will not be receiving his scheduled [MEDICATION NAME] [MEDICATION NAME] and [MEDICATION NAME] as these are out of stock. R25 was also due to receive [MEDICATION NAME] and [MEDICATION NAME] which was not given. E19 had approached R25, called out his name to which R25, agitated, immediately said “No!” E19, making no attempts to redirect R25, immediately turned around, exited R25 ‘s room and said to surveyor,” He refused ” and documented in Medication Administration form accordingly.”

Chicago, IL Nursing Home Attorneys

The Illinois Nursing Home Attorneys at Rosenfeld Injury Lawyers LLC represent families and individuals who have suffered any episode of abuse or neglect during an admission to any facility in Illinois. Many of our nursing home lawsuits involve the following situations:

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

Has your Loved One been Abused? Take the first step today.

If your loved one has been abused or neglected during an admission to Woodbridge Nursing Pavilion, or a different skilled nursing facility in Illinois, you should contact an attorney to determine your legal rights. Our nursing home lawyers have experience getting superior results for all types of cases. Put our team to work for your family and get the results that you deserve. All of our initial consultations are free and we never charge a fee without a recovery for you. Talk to an experienced attorney today (888) 424-5757

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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