Inspection Reports for
Lincolnshire Place – Decatur

1215 W Arbor Drive, Decatur, IL, 62526

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4 Reports

2025

Inspection Report — Nov 2, 2025

Complaint Investigation
Date: Nov 2, 2025

Visit Reason
Original investigation of FRI IL 198260.

Complaint Details
Facility Reported Incident (FRI) IL 198260.
Findings
The establishment failed to have an elopement prevention policy in place and implemented to prevent one memory care resident from eloping. The facility is having windows modified to prevent residents from crawling out.

Deficiencies (1)
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to have an elopement prevention policy in place and implemented to prevent one of one sampled memory care residents from eloping, which had the probability to cause significant harm.
Report Facts
Residents affected: 1

Inspection Report — Apr 22, 2025

Complaint Investigation
Date: Apr 22, 2025

Visit Reason
Complaint Investigation for Complaint 2563282/IL190183. The complaint cannot be substantiated and no violations were cited.

Complaint Details
Complaint 2563282/IL190183: Complaint cannot be substantiated. No violations cited.
Findings
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.

Inspection Report — Feb 27, 2025

Annual Inspection
Date: Feb 27, 2025

Visit Reason
This survey combined an Annual Licensure Survey with two complaint investigations (Complaint 2561065/IL186054 and Complaint 2561068/IL186057). Both complaints were found to be unsubstantiated with no violations cited.

Complaint Details
Complaint 2561065/IL186054: Complaint cannot be substantiated. No violations cited. Complaint 2561068/IL186057: Complaint cannot be substantiated. No violations cited.
Findings
The establishment was found to have two deficiencies related to residency requirements and service plans. The facility failed to ensure residents met residency requirements and failed to revise service plans immediately after significant changes or include all required health-related services.

Deficiencies (2)
A2000 (295.2000 Residency Requirements) - The establishment failed to ensure residents met residency requirements, including admitting residents requiring total assistance with two or more activities of daily living or treatment of stage 3 or 4 decubitus ulcers.
A4010 (295.4010 Service Plan) - The establishment failed to revise service plans immediately after significant changes in residents' conditions and failed to ensure service plans addressed the amount, type, and frequency of health-related services and included all support services provided.

Inspection Report — Feb 27, 2025

Plan of Correction
Date: Feb 27, 2025

Visit Reason
This plan of correction answers the Annual Licensure Survey conducted on 2/27/2025.

Findings
The facility committed to complete staff in-services on prescreening criteria and service plan admissions, ongoing monthly reviews of service plans, and daily monitoring of wounds and treatments per physician orders to ensure compliance with Sections 295.2000 and 295.4010.

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