Inspection Reports for
Evergreen Senior Living – Chillicothe
404 S Stillwater Drive, Chillicothe, IL, 61523
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Inspection Report — Oct 8, 2025
Complaint Investigation
Date: Oct 8, 2025
Visit Reason
Original investigation of FRI IL 197837 and FRI IL 197936. FRI IL 193837 - TYPE 1 - 295.6000 a) 13). FRI IL 197936 - No violations cited.
Complaint Details
FRI IL 197837: Section 295.6000 a) 13) cited as a Type 1 violation. FRI IL 197936: No violations cited.
Findings
The establishment neglected to prevent one of three sampled residents from eloping from the Memory Care unit. The resident was found safely but this failure had a substantial probability of causing severe harm.
Deficiencies (1)
A6000 (295.6000 Resident Rights) - The establishment neglected to prevent one of three sampled residents from eloping from the establishment, which had a substantial probability of causing severe harm.
Report Facts
Residents affected: 1
Residents sampled: 3
Inspection Report — May 29, 2025
Annual Inspection
Date: May 29, 2025
Visit Reason
Annual Licensure Survey
Findings
The establishment was found to have multiple deficiencies including failure to specify licensed health care provider to resident ratios in Alzheimer's Disclosure, failure to perform required TB skin tests for two employees, inaccurate documentation of medication supervision in service plans for residents, and caregivers improperly opening medication containers on the Memory Care Unit.
Deficiencies (5)
A1100 (295.1100 Alzheimer's and Related Dementias Special Care) - The establishment failed to specify the licensed health care provider to resident ratio and allowed non-licensed staff to facilitate medication pass on the Memory Care Unit, potentially affecting all eight residents there.
A3030 (295.3030 Initial Health Eval for Dir Care and FS empl) - The establishment failed to perform TB skin tests for two of four employees reviewed, potentially affecting all 70 residents.
A4010 (295.4010 Service Plan) - The establishment failed to accurately document medication reminders, supervision, or administration for four of six residents reviewed.
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - Caregivers on the Memory Care Unit opened medication containers for four residents, contrary to the Alzheimer's Disclosure stating all medications would be administered by licensed nurses.
A6000 (295.6000 Resident Rights) - The establishment failed to have residents' service plans match their current care needs for four of six residents reviewed.
Report Facts
Residents affected: 8
Residents affected: 70
Residents affected: 4
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