6 Reports
Inspection Report — Feb 7, 2026
Complaint Investigation
Date: Feb 7, 2026
Visit Reason
Facility Reported Incident IL199944 - 295.3000a), IL199897 - 295.4010a)e), IL198930 - 295.4010a)e).
Complaint Details
Facility Reported Incident IL199944 - 295.3000a), IL199897 - 295.4010a)e), IL198930 - 295.4010a)e).
Findings
The facility failed to prevent elopement of a resident and failed to add appropriate interventions for a resident with severe cognitive impairment, resulting in a fall and fracture.
Deficiencies (2)
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The facility failed to recognize a resident and prevent elopement, allowing one resident to walk out of the building, creating a substantial probability of harm.
A4010 (295.4010 Service Plan) - The facility failed to add appropriate interventions for a resident with severe cognitive impairment, resulting in a fall causing a fracture and creating substantial probability of severe harm to other residents.
Report Facts
Residents reviewed: 3
Residents affected: 1
Residents affected: 1
Inspection Report — Oct 29, 2025
Complaint Investigation
Date: Oct 29, 2025
Visit Reason
Facility Reported Incident of 10/22/25/ IL198203
Complaint Details
Facility Reported Incident of 10/22/25/ IL198203: 295.5000d) cited.
Findings
The facility failed to monitor residents' narcotic analgesic patches to ensure they were administered for the duration ordered by the physician. The facility implemented a new procedure including inservice training, checking patch placement every shift, notifying nurses if patches are missing, and covering patches with Tegaderm.
Deficiencies (1)
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The facility failed to monitor residents' narcotic analgesic patches to ensure they were administered for the duration ordered by the physician for 2 of 3 residents reviewed, resulting in missing patches and potential harm.
Report Facts
Residents affected: 2
Residents reviewed: 3
Inspection Report — Feb 19, 2025
Complaint Investigation
Date: Feb 19, 2025
Visit Reason
Investigation of Complaint # 2571202 / IL18639
Complaint Details
Complaint #2571202 / IL18639: Section 295.6010 cited.
Findings
The establishment failed to notify the Department within 24 hours of an abuse allegation and did not develop or submit a written report of the investigation within the required timeframe.
Deficiencies (1)
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation Prevention and Reporting) - The establishment failed to notify the Department within 24 hours after receiving an allegation of abuse and failed to develop and submit a written report of the investigation within the required timeframes for 1 of 3 residents reviewed.
Report Facts
Residents affected: 1
Residents reviewed: 3
Inspection Report — Feb 17, 2025
Plan of Correction
Date: Feb 17, 2025
Visit Reason
This plan of correction answers the Annual Licensure Survey conducted on 2025-02-05.
Findings
The facility committed to ensure timely and accurate documentation of progress notes, update service plans with documented wound care interventions, and conduct timely conversations regarding resident support needs. The Director of Nursing and Assistant Director of Nursing will oversee these corrective actions.
Inspection Report — Feb 5, 2025
Complaint Investigation
Date: Feb 5, 2025
Visit Reason
This survey was a Facility Reported Incident (FRI) Investigation for IL 183658, IL 184048, and IL 178973.
Complaint Details
FRI IL 183658, IL 184048, IL 178973: 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 5, 2025
Annual Inspection
Date: Feb 5, 2025
Visit Reason
Annual Licensure Survey
Findings
The facility failed to have staff with adequate skills, education, and experience to immediately address monitoring and healing interventions for one resident who developed a blister that progressed to an unstageable heel ulcer.
Deficiencies (1)
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The establishment failed to have staff sufficient with adequate skills, education, and experience to immediately address monitoring and healing interventions for one resident who developed a blister to the left heel that progressed to an unstageable pressure ulcer.
Report Facts
Residents affected: 1
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