Inspection Reports for
Cedar Trails Senior Living

The establishment was found in compliance with all applicable regulations during this annual licensure survey.

Complaint 2546819/IL196565: Complaint cannot be substantiated. No violations cited.

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

Facility Reported Incident IL194917: No violations cited.

The establishment was found in compliance with all applicable regulations during this incident investigation.

Facility Reported Incident Investigation IL183922: violations cited for 295.4010 Service Plans and 295.6000 Resident Rights.

The facility failed to ensure individualized fall prevention approaches and progressive fall interventions post fall were developed and failed to follow facility policy on fall prevention and management for residents at risk of falls.

The facility committed to removing Resident #1 from the community, reviewing all resident service plans, training staff on the Fall Investigation Policy, and conducting bi-weekly audits and ongoing monitoring to ensure compliance.

The facility failed to ensure a minimum of one currently CPR certified direct care staff was on duty at all times, and failed to provide evidence that initial tuberculosis screening was conducted timely for newly hired employees.

Facility Reported Incident IL181308: Section 295.3020 cited.

The establishment failed to follow its own fall prevention and management policy regarding monitoring a resident after a fall with injury.

Facility Reported Incident 9/19/24 IL178552: No violations cited.

The Cedar Trails Senior Living was found in compliance with Part 295 Assisted Living and Shared Housing Establishment Code for this survey.

FRI IL177018: Fall report substantiated, no violation cited. FRI IL177121: Fall report substantiated, no violation cited. FRI IL177241: Narcotic diversion/theft report substantiated, violation at 295.6000 cited.

The facility failed to ensure residents were protected against narcotic theft/diversion by an agency nurse who documented administering narcotics but did not deliver them to residents. The facility promptly initiated an investigation, notified authorities, and reviewed surveillance footage confirming the diversion.

The facility investigated the narcotics administration issue, interviewed affected residents, completed incident reports, and notified police. The Executive Director committed to auditing narcotic medications monthly, providing Resident Rights in-service to residents and staff, and reviewing compliance quarterly at townhalls.