Inspection Reports for
Cedarhurst of McHenry

3801 Blake Blvd, McHenry, IL 60050, United States, IL, 60050

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5 Reports

2025–2026

Inspection Report — May 13, 2026

Complaint Investigation
Date: May 13, 2026

Visit Reason
Facility Reported Incident IL00200602 and Complaint Investigation IL00201667 were conducted. The investigation included multiple cited regulations related to incident reporting, service plans, tuberculosis testing, Alzheimer's and dementia programs, medication reminders and storage, resident rights, and resident records.

Complaint Details
Facility Reported Incident IL00200602: violations cited for 295.2050 a)b)c and 295.5000 d) f) 1) 2) g) h) 1) 2). Complaint Investigation IL00201667: violations cited for 295.2050 a) b) c), 295.4010 a) b) 1) 2) 3) c) e) g) 1) a), 295.4050, 295.4060 a) c) f), 295.6000 a) 13), and 295.7000 b) 5).
Findings
The establishment failed to report serious incidents timely, maintain complete and signed service plans, ensure tuberculosis testing for all residents, discharge a resident posing a serious threat to self and others, maintain medication policies and controls including a drug reference guide, protect residents from mental abuse by a disruptive resident, and document resident orientation to evacuation plans.

Deficiencies (7)
A2050 (295.2050 Incident and Accident Reporting) - The establishment failed to report two serious incidents within required time frames, including a missing controlled medication and unreported mental abuse by a resident.
A4010 (295.4010 Service Plan) - The establishment failed to ensure service plans were signed by all required parties for four residents, failed to update plans after significant changes for two residents, and failed to address all activities of daily living and medications for one resident.
A4050 (295.4050 Tuberculin Skin Test Procedures) - The establishment failed to ensure tuberculosis testing was completed for one resident.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to discharge a resident who posed a serious threat to self and others, resulting in physical aggression, elopement, and a chaotic environment.
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The establishment failed to maintain a drug reference guide and failed to follow policy regarding controlled medication, resulting in a missing controlled medication and diversion.
A6000 (295.6000 Resident Rights) - The establishment failed to ensure residents were free from mental abuse by a resident whose disruptive behaviors caused distress and sleep disturbances to other residents.
A7000 (295.7000 Resident Records) - The establishment failed to document orientation to the evacuation plan for four residents.
Report Facts
Residents affected: 4 Residents affected: 2 Residents affected: 1 Residents affected: 1 Residents affected: 4

Inspection Report — Oct 3, 2025

Complaint Investigation
Date: Oct 3, 2025

Visit Reason
Complaint Investigation IL196838, IL196762, IL196761, IL196749, IL196739, IL196740, IL196759. 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 IL196838: no violation. Complaint IL196762: no violation. Complaint IL196761: no violation. Complaint IL196749: no violation. Complaint IL196739: no violation. Complaint IL196740: no violation. Complaint IL196759: no violation.
Findings
The establishment was found in compliance with all applicable regulations during this complaint investigation.

Inspection Report — Apr 22, 2025

Plan of Correction
Date: Apr 22, 2025

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This plan of correction answers the Annual Licensure Survey.

Findings
The facility committed to continue proper timing of Tuberculin testing for newly hired employees and to conduct audits of employees' Tuberculin Skin Test records to ensure compliance within 30 days of submission.

Inspection Report — Apr 14, 2025

Annual Inspection
Date: Apr 14, 2025

Visit Reason
Annual Licensure Survey Conducted: 295.3030. Complaint Investigation Survey Conducted: #187967-Not Substantiated, #189398-Not Substantiated.

Complaint Details
Complaint #187967: Not Substantiated. Complaint #189398: Not Substantiated.
Findings
The facility failed to ensure that two of eight employees had timely tuberculosis testing as required by regulation.

Deficiencies (1)
A3030 (295.3030 Initial Health Eval for Dir Care and FS empl) - The facility failed to ensure that employees had a TB test completed no more than 90 days prior to employment or no more than 10 days after hire for 2 of 8 employees reviewed.
Report Facts
Employees affected: 2 Employees reviewed: 8

Inspection Report — Jan 27, 2025

Date: Jan 27, 2025

Visit Reason
Investigation IL00176479 & IL00183555 conducted on 1/27/2025. 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; no violations were cited.

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