4 Reports
Inspection Report — Mar 29, 2026
Complaint Investigation
Date: Mar 29, 2026
Visit Reason
Facility Reported Incident Investigation: Facility Reported Incident of 2/13/2026/200501 - 295.2050b) cited
Findings
The facility failed to report a resident's change in condition and submit a final report to IDPH within required timeframes following a fall that caused injury.
Deficiencies (1)
A2050 (295.2050 Incident and Accident Reporting) - The facility failed to report to IDPH a resident's change in condition and failed to submit a final report within the required timeframe for one resident who sustained injury after a fall.
Report Facts
Residents affected: 1
Inspection Report — Feb 25, 2026
Complaint Investigation
Date: Feb 25, 2026
Visit Reason
FRI/IL00200279 of 02/14/2026 conducted on 02/25/26.
Complaint Details
Facility Reported Incident (FRI) IL00200279 of 02/14/2026: Sections 295.2000 a)1), 295.4010 a) d) e), and 295.6000 a)13) cited.
Findings
The facility failed to provide appropriate services and maintain residency requirements for two residents, resulting in sexual assault and neglect. The facility did not follow service plans for continence care and failed to monitor and supervise a resident with inappropriate behaviors.
Deficiencies (3)
A2000 (295.2000 Residency Requirements) - The establishment failed to ensure needed services were provided and residency requirements maintained for 2 of 3 residents reviewed, resulting in inappropriate sexual behavior by R1, sexual assault of R2 by R1, and R1 not receiving incontinence care.
A4010 (295.4010 Service Plan) - The facility failed to follow and implement the service plan for toileting and failed to develop individualized interventions to address R1's inappropriate touching, language, and entering other residents' rooms, affecting 2 of 3 residents reviewed.
A6000 (295.6000 Resident Rights) - The facility failed to provide a safe environment and adequate monitoring for R1, known for inappropriate behavior including sexual assault of R2 and neglect in incontinence care, affecting 2 of 3 residents reviewed.
Report Facts
Residents reviewed: 3
Residents involved: 2
Inspection Report — Aug 28, 2025
Complaint Investigation
Date: Aug 28, 2025
Visit Reason
Entity Reported Incident Investigation IL00188725- Substantiated, no deficiency cited. IL00196925- Unsubstantiated, 295.6010 cited.
Complaint Details
Entity Reported Incident Investigation IL00188725- Substantiated, no deficiency cited. IL00196925- Unsubstantiated, 295.6010 cited.
Findings
The establishment failed to submit the final written abuse allegation investigation report to the department within 14 days of the initial report.
Deficiencies (1)
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation Prevention and Reporting) - The establishment failed to ensure the final written abuse allegation investigation was submitted to the department within 14 days of the initial report, affecting one resident.
Report Facts
Residents affected: 1
Inspection Report — Jul 15, 2025
Annual Inspection
Date: Jul 15, 2025
Visit Reason
Annual Survey conducted from 7/9/25 - 7/15/25 with violations cited in sections 295.2040, 295.4010, 295.4060, and 295.5000.
Findings
The establishment was found to have multiple deficiencies including failure to orient residents on emergency evacuation, incomplete and unsigned service plans, inadequate dementia-specific staff training, and medication administration errors.
Deficiencies (4)
A2040 (295.2040 Disaster Preparedness) - The establishment failed to ensure that four residents and their responsible parties received orientation on emergency evacuation with signatures and dates documented.
A4010 (295.4010 Service Plan) - The establishment failed to revise service plans after unwitnessed falls, include physical therapy details, and ensure service plans were signed and dated by residents or their representatives.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to ensure five newly hired direct care employees and one non-direct care employee completed required dementia-specific orientation training prior to assuming job responsibilities.
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The establishment failed to store medications securely and ensure medication administration was properly documented, resulting in medication errors for two residents.
Report Facts
Residents affected: 4
Residents affected: 4
Employees affected: 6
Residents affected: 2
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