Inspection Reports for
Randall Residence of Decatur

1415 W Mound Rd, Decatur, IL 62526, IL, 62526

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4 Reports

2024–2026

Inspection Report — Apr 14, 2026

Complaint Investigation
Date: Apr 14, 2026

Visit Reason
Complaint Investigation for Complaint 2694198/IL201194 and Complaint 2694286/IL201211. Allegations for both complaints cannot be substantiated. During the investigation, deficiencies unrelated to the reported incidents were discovered.

Complaint Details
Complaint 2694198/IL201194: Allegations cannot be substantiated. Complaint 2694286/IL201211: Allegations cannot be substantiated.
Findings
The facility failed to ensure resident physician assessments were annually completed and signed by a physician, and failed to ensure resident service plans were signed and dated by all individuals involved in their development. These failures create a substantial probability of harm to residents.

Deficiencies (2)
A4000 (295.4000 Physician/s Assessment) - The establishment failed to ensure resident physician assessments were annually completed and signed by a physician, as evidenced by a nurse practitioner signing the assessment for resident R2.
A4010 (295.4010 Service Plan) - The establishment failed to ensure resident service plans were signed and dated by all individuals involved in the service plan development, including residents or their representatives.

Inspection Report — Jul 11, 2025

Plan of Correction
Date: Jul 11, 2025

Visit Reason
The plan of correction answers the Annual Licensure Survey conducted on 07/07/2025 at Randall Residence of Decatur.

Findings
The facility committed to retrain the Director and Assistant Director of Nursing on TB testing for new employees, service plans for residents, and TB screening for new residents. They also updated orientation procedures and immunization record keeping.

Inspection Report — Jul 7, 2025

Annual Inspection
Date: Jul 7, 2025

Visit Reason
Annual Licensure Survey. Violations: All Type 3 for sections 295.3030 e)1)2), 295.4000 b), 295.4010 a)g)1)A)2), and 295.4050 (77 Ill. Adm. Code 696).

Findings
The establishment failed to obtain timely tuberculin skin tests for employees, ensure annual physician assessments signed by a physician for residents, maintain complete service plans, and include tuberculosis test results in resident records.

Deficiencies (4)
A3030 (295.3030 Initial Health Eval for Dir Care and FS empl) - The establishment failed to obtain tuberculin skin tests for two employees and obtained one employee's tuberculin test more than 10 days after employment, potentially affecting all 53 residents.
A4000 (295.4000 Physician's Assessment) - The establishment failed to ensure physicians' assessments were completed annually and signed by a physician for four of five residents reviewed.
A4010 (295.4010 Service Plan) - The establishment failed to ensure one resident's service plan was complete, lacking documentation of activities of daily living including diet, grooming, dressing, and toileting.
A4050 (295.4050 Tuberculin Skin Test Procedures) - The establishment failed to ensure resident records included tuberculosis test results for two of five residents reviewed.
Report Facts
Residents affected: 53 Residents reviewed: 5 Residents with deficient physician assessments: 4 Residents with incomplete service plan: 1 Residents missing tuberculosis test results: 2 Employees affected: 3

Inspection Report — Nov 13, 2024

Complaint Investigation
Date: Nov 13, 2024

Visit Reason
Complaint Investigation 2468730/IL179866. Complaint cannot be substantiated. No violations cited.

Complaint Details
Complaint #2468730/IL179866: 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.

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