A resident with dementia who wanders out of a facility and comes to harm is not a freak accident — it is a failure of the one duty a nursing home exists to fulfill: keeping residents at risk of leaving safely inside. The industry has a word for it, elopement, and it happens when a confused resident walks out a door, off the grounds, or into an area they should never reach. When that resident is hit by a car on a busy road, falls, is exposed to winter cold, or simply vanishes for hours, the facility almost always insists it could not have been prevented. In truth, preventing exactly that is what a facility caring for cognitively impaired residents is supposed to be built to do.
I am Scott DeSalvo, and for almost 30 years I have held facilities accountable when their neglect harmed the vulnerable people families entrusted to them. A nursing home that accepts a resident known to wander takes on a specific, serious duty to supervise and protect that person — and when it staffs too thin, props doors, ignores alarms, or fails to follow the care plan, the consequences can be devastating. The call is free, I am available 24/7 at 312-500-4500, and I take these cases on contingency, advancing the costs myself.
Elopement is when a resident who lacks the judgment to keep themselves safe leaves the facility, or a secured area of it, without supervision. For a person with dementia or another cognitive impairment, the outside world is full of danger they can no longer assess — traffic on a road like Harlem Avenue or Roosevelt Road, the Eisenhower nearby, winter exposure, water, unfamiliar terrain. A resident who elopes is not being adventurous. They are following a confused impulse that their care team was specifically responsible for anticipating and preventing.
These events almost never happen without a chain of failures behind them. A door that should have been secured was not. An alarm was disabled, ignored, or never working. A resident known to be at risk was not checked on frequently enough because the floor was short-staffed. A care plan that called for closer supervision was not followed. Elopement is the visible end of a series of quiet lapses, and identifying that chain is the heart of one of these cases.
Workers' compensation is a no-fault system — you get benefits whether or not the injury was anyone's fault. In exchange, it doesn't pay for pain and suffering. What it does cover: your medical treatment, part of your lost wages while you recover (temporary total disability, paid at two-thirds of your average weekly wage, tax-free), and a payment for any permanent effects. And a right people don't realize they have — in Illinois, you get to choose your own treating doctor. You are not stuck with the company clinic.
Here's something most injured workers never hear: a job injury can sometimes be two cases. Workers' comp is your remedy against your employer, but if someone else caused your injury — a defective machine, a careless subcontractor, a driver who hit you while you were working — you may also have a separate "third-party" claim against them. And unlike comp, that claim can include full pain and suffering. Spotting it is one of the first things I look for, because missing it leaves a large part of your recovery on the table.
The company can be perfectly nice to your face and still be fighting your claim, because the decisions aren't made by your boss — they're made by an adjuster you'll never meet. That adjuster's playbook is predictable: send you to a doctor who clears you early, schedule an "independent" exam with a physician who mostly works for insurers, stop your wage checks at the first excuse, and argue the injury was pre-existing. What most lawyers won't tell you is how often these tactics work simply because the worker didn't know they could push back. You can.
Two worries stop injured workers from calling a lawyer, and both are misplaced. First, the cost: in Illinois, a workers' comp attorney's fee is capped by law at 20% of the recovery — you pay nothing up front, and studies consistently show represented workers net more even after the fee. Second, the fear of getting fired: it's illegal in Illinois to fire or retaliate against you for filing a legitimate claim, and if it happens, you have a separate case for it.
Bottom line: comp is a right you earned, not a favor — and the deadline to protect it (three years, with that 45-day notice) starts running the day you're hurt.
Call me and tell me what happened at work. I'll explain exactly what you're owed, flag whether there's a second claim hiding in your case, and tell you what to do next. It's free, and you pay nothing unless I recover for you — capped at 20% by Illinois law.
I answer the phone 24/7. Call 312-500-4500.
"Scott is absolutely fantastic. He will always go the extra mile for his clients. They always take the time to return phone calls at all hours and I highly recommend him to all my friends."
-Melissa Brooks
"Great people and Scott's a great lawyer. They helped me make the wisest decision for my case, and that's important in serious legal matters. I trust him completely. He is the one to call."
-Tony Skvarenina
"Beyond satisfied with the services I received from this law firm. Definitely recommend! They got me fully paid and all the doctor bills, too. If you want the best, this is the law firm for your injury case!"
-Cynthia Rodriguez
"Scott represented me and I was really pleased with everything, my car accident paid a lot and quick. If you want a good Lawyer who is responsive, and straight with you, I highly recommend him."
-Greg Garcia
Often the honest answer only comes from reviewing the records. Injuries like advanced bedsores, repeated falls, dehydration, and untreated infections are recognized red flags because the care standards exist specifically to prevent them. Aging explains much, but not a resident who wasn't repositioned, fed, hydrated, or watched the way their care plan required.
It's an Illinois statute written specifically to protect nursing home residents. It spells out their rights and lets residents and families sue when a facility violates them, and it can shift the facility's attorney's fees and costs onto them once a violation is proven — a major reason these cases are realistic to bring against a large operator.
Begin protecting the evidence. Photograph any injuries, note dates, names, and what you observed, and keep everything the facility gives you. If your loved one is at immediate risk, handle their safety and medical care first. Then contact a lawyer quickly, because the facility's records are central to the case and must be preserved before they can be altered.
Sometimes an outcome genuinely is unavoidable, but that's the facility's standard defense in nearly every case, accurate or not. The way to test it is with the medical records, the care plans, and an expert's judgment about whether the facility met the standards it was required to meet — not the facility's own word.
Nothing out of pocket. I take these on contingency and advance the investigation and expert costs myself, so you pay only if I recover for your family. And because the Nursing Home Care Act can make the facility responsible for attorney's fees when a violation is proven, the structure is built to make accountability achievable.
Scott DeSalvo founded DeSalvo Law to help injured people throughout Chicago and surrounding suburbs. Licensed to practice law in Illinois since 1998, IARDC #6244452, Scott has represented over 3,000 clients in personal injury, workers compensation, and accident cases.
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