7 Reports
Inspection Report — Oct 23, 2025
Complaint Investigation
Date: Oct 23, 2025
Visit Reason
Facility Reported Incident Investigation to Incident Report dated 10/15/25 / IL198042. 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
Facility Reported Incident IL198042: No violations cited.
Findings
The establishment was found in compliance with all applicable regulations during this facility reported incident investigation.
Inspection Report — Aug 7, 2025
Annual Inspection
Date: Aug 7, 2025
Visit Reason
Annual Licensure Survey
Findings
The establishment failed to implement an effective quality improvement program that includes resident and family feedback. The facility did not provide evidence of surveying residents or families to evaluate care.
Deficiencies (1)
A2060 (295.2060 Quality Improvement Program) - The establishment failed to review their performance by residents and families to help improve care and did not provide evidence of questioning residents and families to evaluate care.
Inspection Report — Jul 1, 2025
Complaint Investigation
Date: Jul 1, 2025
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Facility Reported Incident Investigation to Incident Report dated 6/26/25 / IL195495.
Findings
The facility failed to ensure residents were free from verbal abuse by a caregiver, resulting in termination of the accused staff. Staff were re-educated on abuse policies and reporting procedures following the incident.
Deficiencies (2)
A6000 (295.6000 Resident Rights) - The facility failed to ensure residents are free from verbal abuse by a caregiver, creating a substantial probability of harm to residents.
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation Prevention and Reporting) - The facility failed to internally report an alleged staff-to-resident verbal abuse in a timely manner, delaying investigation and protection of residents.
Report Facts
Incident date: Jun 18, 2025
Inspection Report — Jun 17, 2025
Complaint Investigation
Date: Jun 17, 2025
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Facility Reported Incident Investigation to Incident Report dated 6/9/25 / IL194132.
Complaint Details
Facility Reported Incident IL194132: no violations cited.
Findings
The establishment was found in general compliance with the Requirements of the Assisted Living and Shared Housing Establishment Code for this survey.
Inspection Report — Apr 1, 2025
Complaint Investigation
Date: Apr 1, 2025
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Facility Report Incident Investigation to Incident of 03/09/25 / IL188009.
Complaint Details
Facility Report Incident Investigation IL188009: 295.3020 Employee Training cited.
Findings
The establishment failed to ensure staff were trained to be aware of residents' Individual Service Plans, resulting in staff not knowing R1's Code status. This failure has the probability to affect all residents at the establishment.
Deficiencies (1)
A3020 (295.3020 Employee Orientation and Ongoing Training) - The establishment failed to ensure staff were trained to be aware of residents' Individual Service Plans, resulting in staff not knowing R1's Code status and potentially affecting all residents.
Report Facts
Residents affected: 1
Inspection Report — Dec 4, 2024
Complaint Investigation
Date: Dec 4, 2024
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Facility Report Incident investigation to Incident of 11.07.24 / IL181158.
Complaint Details
Facility Report Incident IL181158: Section 295.4010 cited.
Findings
The establishment failed to update the resident's Individual Service Plan in a timely manner after a fall, which can cause substantial probability of harm.
Deficiencies (1)
A4010 (295.4010 Service Plan) - The establishment failed to ensure the resident's Individual Service Plan was updated with interventions after a fall on 11.07.24, confirmed by interview with the Regional Nurse Specialist.
Inspection Report — Nov 7, 2024
Plan of Correction
Date: Nov 7, 2024
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The plan of correction answers a Type 2 violation for Section 295.4010 Service Plans regarding failure to update residents' Individual Service Plans with interventions after incidents.
Findings
The facility committed to update all service plans promptly after incidents or significant changes, ensure new admissions have complete evaluations and service plans, and conduct audits to verify timely updates by nursing staff.
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