Inspection Reports for
Carriage Crossing Senior Living of Rochester
1121 Community Dr, Rochester, IL 62563, United States, IL, 62563
Back to Facility Profile7 Reports
Inspection Report — Apr 28, 2026
Complaint Investigation
Date: Apr 28, 2026
Visit Reason
Original investigation of Complaint#2644712/IL201383.
Complaint Details
Complaint#2644712/IL201383: multiple sections cited including 295.2030 b)5), 295.4000 b), 295.4010 d) e) g) 1) A) C) 2) 3) h), 295.6000 a) 1) 13) 16), 295.7000 b) 9).
Findings
The establishment failed to notify a resident's representative of verbalized suicidal ideations and falls, failed to complete an annual Physician's Assessment, and did not revise service plans to reflect changes in residents' conditions or falls. The facility also failed to provide complete medical records timely and did not document a resident's fall in the medical record.
Deficiencies (5)
A2030 (295.2030 Establishment Contacts) - The establishment failed to notify the resident's representative of a change in condition regarding verbalizations of suicidal ideations and falls for one of three residents reviewed.
A4000 (295.4000 Physician/s Assessment) - The establishment failed to ensure a Physician's Assessment was completed annually by a physician for one of three residents reviewed.
A4010 (295.4010 Service Plan) - The establishment failed to revise service plans to accurately reflect resident falls, assistive devices, medication administration, and resident behaviors for three of three residents reviewed.
A6000 (295.6000 Resident Rights) - The establishment neglected to address a change in a resident's condition and implement fall prevention interventions for three residents, and failed to provide medical records timely for one resident.
A7000 (295.7000 Resident Records) - The establishment failed to document a fall in the resident's medical record for one resident reviewed.
Report Facts
Residents reviewed: 3
Falls documented: 7
Inspection Report — Sep 23, 2025
Complaint Investigation
Date: Sep 23, 2025
Visit Reason
Incident Report Investigation IL 197422
Complaint Details
Incident Report Investigation IL 197422: Type 1 and Type 3 violations cited involving failure to report incidents and failure to update service plans and protect resident rights.
Findings
The establishment failed to report serious incidents within 24 hours and did not update service plans to reflect residents' needs and behaviors. The facility also failed to protect residents' bodily privacy and dignity during care and treatment.
Deficiencies (3)
A2050 (295.2050 Incident and Accident Reporting) - The establishment failed to report serious incidents to the Department within 24 hours after the incidents involving residents R2, R3, and R4 occurred.
A4010 (295.4010 Service Plan) - The establishment failed to ensure R1's service plan included documentation of R1's special diet and preference to eat in bed, failed to revise R1's service plan after a burn incident, and failed to update R2's service plan to include sexual behaviors and interventions.
A6000 (295.6000 Resident Rights) - The establishment failed to ensure residents R3 and R4 maintained bodily privacy and dignity, as evidenced by inappropriate sexual behaviors and lack of appropriate interventions documented in service plans.
Report Facts
Residents affected: 3
Inspection Report — Mar 24, 2025
Complaint Investigation
Date: Mar 24, 2025
Visit Reason
Original investigation of Complaints 2542092 / IL 187855 and 2542199 / IL 188047. 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 2542092 / IL 187855: no violation. Complaint 2542199 / IL 188047: no violation.
Findings
The establishment was found in compliance with all applicable regulations. No violations were cited.
Inspection Report — Dec 17, 2024
Annual Inspection
Date: Dec 17, 2024
Visit Reason
Annual Licensure Survey. 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 no violations cited.
Inspection Report — Sep 6, 2024
Complaint Investigation
Date: Sep 6, 2024
Visit Reason
Original complaint 177272. The allegations were not substantiated and no violations were cited.
Complaint Details
Complaint 177272: The allegations were not substantiated and no violations were cited.
Findings
The establishment was found in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Inspection Report — Aug 30, 2024
Plan of Correction
Date: Aug 30, 2024
Visit Reason
This plan of correction answers the survey with ID IL176458.
Findings
The facility reported corrective actions including immediate removal and termination of the responsible caregiver and staff in-service on Abuse and Neglect and Resident Fall Policies.
Inspection Report — Aug 15, 2024
Complaint Investigation
Date: Aug 15, 2024
Visit Reason
Incident Report Investigation IL 176458
Complaint Details
Incident Report Investigation IL 176458: Section 295.6000 a)13) cited.
Findings
The establishment failed to ensure resident R1 was free from abuse by a staff member. The facility retrained staff on abuse and neglect policies and terminated the involved caregiver.
Deficiencies (1)
A6000 (295.6000 Resident Rights) - The establishment failed to ensure resident R1 was free of abuse while receiving care from a staff member who was verbally and physically aggressive.
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