Inspection Reports for
Evergreen Place Assisted Living – Champaign

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

Complaint IL195202: Complaint investigation conducted; establishment found in compliance with no violations cited.

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

The facility committed to provide training to relevant staff by January 31, 2025, conduct tornado drills annually, and monitor compliance through QA audits and maintenance schedules for all cited sections.

The establishment was found to have multiple violations including failure to comply with residency requirements for admitting a resident with severe mental illness, lack of tornado drills, insufficiently trained staff for a resident with a psychotic disorder, unsigned physician assessment, incomplete and unsigned service plan, inadequate housekeeping services, failure to provide an environment that supports resident dignity, and failure to maintain a clean, safe, and odor-free environment. The resident's room was observed in poor condition with feces and cigarette butts, but improvements were noted by 11/26/24 with daily cleaning and supervised showers.

The establishment failed to comply with residency requirements by admitting a resident with a severe mental illness without proper staff training or signed physician assessment. The service plan was incomplete and unsigned, failing to address needed services such as daily showers, housekeeping, and safety. Housekeeping and environmental conditions were poor but improved by the end of the investigation with daily cleaning and supervised showers noted.

The facility committed to provide in-servicing by November 29, 2024, to the Director, caregivers, and licensed nurses on Establishment Contracts (295.2030), Service Plans (295.4010), and Medication Reminders, Supervision, Administration and Storage (295.5000). Attachments detail the policies and procedures for medication supervision and administration.

Complaint 2468205/IL179090: Complaint can be substantiated.

The establishment failed to ensure residents R1 and R2 had service plans developed upon admission, failed to follow medication supervision as prescribed for R1, and failed to communicate admissions and medication changes effectively.

Complaint 2467494/IL178142: Complaint cannot be substantiated. No violations cited.

The complaint was investigated and found to be unsubstantiated. No violations were cited and 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.

Incident Report Investigation IL 177231: The allegation cannot be substantiated. No violations cited.

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.