3 Reports
Inspection Report — Apr 29, 2026
Complaint Investigation
Date: Apr 29, 2026
Visit Reason
Investigation of incident IL00201435
Complaint Details
Incident IL00201435: violation of 295.4010a)b)1)2)3)c)d)e)g)1)A)B)C)2)3) cited.
Findings
The establishment failed to ensure service plans were signed, revised immediately after significant changes, and addressed activities of daily living for three residents. These failures create a substantial probability of harm to residents.
Deficiencies (1)
A4010 (295.4010 Service Plan) - The establishment failed to ensure service plans were signed, revised immediately after significant changes in residents' physical and functional conditions, and addressed activities of daily living for three of three residents reviewed.
Report Facts
Residents affected: 3
Inspection Report — Mar 19, 2026
Complaint Investigation
Date: Mar 19, 2026
Visit Reason
Investigation IL00200266 & IL00200268. IL00200266 cited violations at 295.2050 a) b) c) and 295.4010 b) c) d) e) g) 1) A) C) 2) 5) h). IL00200268 had no violations cited.
Complaint Details
Investigation IL00200266 cited violations at 295.2050 a) b) c) and 295.4010 b) c) d) e) g) 1) A) C) 2) 5) h). Investigation IL00200268 had no violations cited.
Findings
The establishment failed to report serious incidents to the Department and failed to maintain and update service plans for residents as required. These failures involved two residents and created a substantial probability of harm.
Deficiencies (2)
A2050 (295.2050 Incident and Accident Reporting) - The establishment failed to report to the Department incidents that caused physical injury to a resident, involving 1 of 3 residents reviewed.
A4010 (295.4010 Service Plan) - The establishment failed to update service plans as resident service needs and conditions changed, ensure service plans addressed required areas, and ensure service plans were signed by all involved, involving 2 of 3 residents reviewed.
Report Facts
Residents reviewed: 3
Residents involved: 2
Residents involved: 1
Inspection Report — Nov 15, 2024
Annual Inspection
Date: Nov 15, 2024
Visit Reason
Annual Survey Conducted 11/15/2024.
Findings
The facility failed to meet Food Service Sanitation Code requirements due to unlabeled and undated prepared foods in the kitchen cooler, creating a substantial probability of harm to residents.
Deficiencies (1)
A8000 (295.8000 Food Service) - The facility failed to properly date mark refrigerated, ready-to-eat potentially hazardous foods in the kitchen cooler, including mayonnaise salad, cream pie, brown liquid, and prepared fruit, violating food service sanitation requirements.
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