Inspection Reports for
Brighton Gardens of Wheaton

831 Butterfield Rd, Wheaton, IL 60189, United States, IL, 60189

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8 Reports

2024–2026

Inspection Report — Apr 12, 2026

Complaint Investigation
Date: Apr 12, 2026

Visit Reason
Original investigation of Complaint 2673745 / IL 200999. For this survey, the establishment is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.

Complaint Details
Complaint 2673745 / IL 200999: Complaint cannot be substantiated. No violations cited.
Findings
The establishment was found in compliance with all applicable regulations during this complaint investigation.

Inspection Report — Oct 28, 2025

Complaint Investigation
Date: Oct 28, 2025

Visit Reason
Facility Reported Incident of 7/30/25/IL#196772. Section 295.4010 Service Plan cited.

Complaint Details
Facility Reported Incident of 7/30/25/IL#196772
Findings
The facility failed to implement and revise the service plan for a resident with hoarding behaviors. Multiple staff confirmed the ongoing issue and the absence of updated interventions in the service plan.

Deficiencies (1)
A4010 (295.4010 Service Plan) - The facility failed to implement and revise the service plan for a resident with hoarding behaviors for 1 of 3 residents reviewed, creating a substantial probability of harm.
Report Facts
Residents affected: 1

Inspection Report — Jun 12, 2025

Plan of Correction
Date: Jun 12, 2025

Visit Reason
This plan of correction answers the Annual Licensure Survey conducted on 5/22/2025 and the Facility Reported Incident Survey IL00192327, which was unsubstantiated with no deficiency cited.

Findings
The facility committed to ensuring all nurses have current CPR certifications, conducting audits of CPR documentation, retraining staff on Health Care Worker Background Check requirements, and providing supervised dementia-specific training for memory care staff. Monitoring will include monthly audits and reporting to the QAPI committee.

Inspection Report — May 22, 2025

Annual Inspection
Date: May 22, 2025

Visit Reason
Annual Licensure Survey conducted on 5/22/25. An Entity Reported Incident Survey IL00192327 was unsubstantiated with no deficiency cited.

Complaint Details
Entity Reported Incident Survey IL00192327: Unsubstantiated, no deficiency cited.
Findings
The establishment was found to have multiple deficiencies related to personnel qualifications, health care worker background checks, and Alzheimer's and dementia program staff training.

Deficiencies (3)
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The establishment failed to ensure all nurses have a valid CPR certificate on file and failed to ensure at least one CPR-certified staff is present during the night shift when no nurse is on duty.
A3040 (295.3040 Health Care Worker Background Check) - The establishment failed to ensure a designated staff has access to the Registry Portal, failed to conduct employee verification including start dates, failed to initiate fingerprinting prior to employment, failed to conduct required internet searches, and failed to check eligibility prior to hire for six employees reviewed.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to ensure documented dementia-specific supervised training was completed within the first 16 hours of employment for two employees reviewed for Memory Care unit orientation.
Report Facts
Employees affected: 6 Employees affected: 2 Employees affected: 5

Inspection Report — May 9, 2025

Complaint Investigation
Date: May 9, 2025

Visit Reason
Complaint Investigation Survey IL191870. For this survey, the establishment is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.

Findings
The establishment was found in compliance with all applicable regulations during this complaint investigation survey.

Inspection Report — Apr 24, 2025

Plan of Correction
Date: Apr 24, 2025

Visit Reason
This plan of correction answers the survey conducted on 02/18/2025.

Findings
The facility committed to corrective actions including terminating employee E4, reviewing abuse and neglect incidents since 1/1/2025, retraining staff on abuse prevention and reporting policies, and implementing ongoing monitoring through weekly audits and Quality Assurance meetings.

Inspection Report — Feb 18, 2025

Complaint Investigation
Date: Feb 18, 2025

Visit Reason
This survey was a Facility Reported Incident (FRI) investigation of three incidents: #IL183215 (substantiated, no deficiencies), #IL184146 (not substantiated, but 295.6010 was cited for untimely reporting), and #IL186085 (not substantiated, no deficiencies).

Complaint Details
FRI (Facility Reported Incident): #IL183215 - Substantiated. However, there was no establishment failure. No deficiencies written. FRI (Facility Reported Incident): #IL184146 - Not Substantiated. However, allegation was not reported to the Department in a timely manner. 295.6010 was cited. FRI (Facility Reported Incident): #IL186085 - Not substantiated. No deficiencies written.
Findings
The facility failed to report an allegation of verbal abuse within the required timeframe and did not send the final written report within 14 days. They also failed to notify the resident's physician and POA as required and did not follow the performance improvement plan for the employee involved.

Deficiencies (1)
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation) - The establishment failed to timely report an allegation of verbal abuse, did not send the final written report within 14 days, failed to notify the resident's physician and POA, and did not follow the performance improvement plan for the employee involved.
Report Facts
Residents affected: 1

Inspection Report — Dec 8, 2024

Complaint Investigation
Date: Dec 8, 2024

Visit Reason
Original investigation of FRI IL 181930.

Findings
The establishment failed to prevent verbal abuse of one resident by a care manager, who was subsequently terminated following an internal investigation.

Deficiencies (1)
A6000 (295.6000 Resident Rights) - The establishment failed to prevent verbal abuse of one of one sampled residents by a care manager who made rude and aggressive remarks during a call for assistance.
Report Facts
Residents affected: 1

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