Inspection Reports for
Sunrise of Highland Park

1601 Green Bay Rd, Highland Park, IL 60035, United States, IL, 60035

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4 Reports

2025–2026

Inspection Report — May 3, 2026

Complaint Investigation
Date: May 3, 2026

Visit Reason
Facility reported incident dated 3-12-2026/00200944. Violations cited: Section 295.4010.

Complaint Details
Facility reported incident dated 3-12-2026/00200944.
Findings
The facility failed to ensure staff followed the resident's interventions included in the service plan, resulting in a resident fall with serious injury. The Executive Director presented a policy on individualized service plans and staff notification of responsibilities.

Deficiencies (1)
A4010 (295.4010 Service Plan) - The facility failed to ensure staff followed the resident's service plan interventions, resulting in a fall causing facial laceration and subarachnoid hemorrhage to one resident.
Report Facts
Residents affected: 1 Residents reviewed: 3

Inspection Report — Mar 5, 2026

Annual Inspection
Date: Mar 5, 2026

Visit Reason
Annual Licensure survey and Facility Reported Incident (FRI) IL00199988 of 1/31/26 were conducted. Violations were cited in Sections 295.3000, 295.4010, 295.5000, 295.6000, 295.6010, and 295.7000.

Findings
The facility was found to have multiple deficiencies including failure to employ qualified staff for resident assessments and monitoring, failure to develop and revise service plans addressing residents' needs, medication administration errors resulting in harm, failure to investigate abuse allegations, and inadequate documentation of resident behaviors and incidents. Residents R1, R2, R4, and R5 were notably affected by these failures.

Deficiencies (6)
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The facility failed to employ qualified staff to conduct thorough assessments and monitoring of residents R1 and R5, failed to analyze root causes of R1's falls, and failed to notify supervisors of R5's inappropriate sexual behavior, resulting in harm to residents.
A4010 (295.4010 Service Plan) - The facility failed to develop and revise service plans to address R1's wandering, fall risk, and functional decline, and R5's wound and inappropriate sexual behaviors, resulting in wound deterioration, falls, and harm.
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The facility failed to administer medications correctly, resulting in resident R4 receiving six tablets of medications prescribed for another resident, causing iatrogenic hypotension and emergency treatment.
A6000 (295.6000 Resident Rights) - The facility failed to conduct thorough investigations of R2's elopement and R1's physical abuse by employee E12, failed to provide least restrictive alternatives for R2, failed to monitor R5's wound, and failed to provide a safe, abuse-free environment for residents with dementia.
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation Prevention and Reporting) - The facility failed to conduct thorough investigations of physical abuse to R1 by employee E12, failed to investigate R1's unwitnessed fall, and failed to assess and monitor R5's wound, resulting in harm and lack of preventive actions.
A7000 (295.7000 Resident Records) - The facility failed to document specific symptoms and behaviors observed, failed to provide accurate assessments and detailed information, and failed to document follow-up assessments and monitoring, resulting in unsafe environment and unmonitored resident behaviors.
Report Facts
Residents affected: 7 Residents affected: 3 Residents affected: 1 Residents affected: 1 Residents affected: 1 Residents affected: 1 Residents affected: 2 Residents affected: 7

Inspection Report — Jul 31, 2025

Plan of Correction
Date: Jul 31, 2025

Visit Reason
This plan of correction answers the Annual Licensure Survey conducted on 7/21/2025.

Findings
The facility committed to update and audit resident service plans to ensure inclusion of hospice and therapy visit frequencies. The Executive Director will retrain staff and monitor compliance through weekly audits and Quality Assurance meetings.

Report Facts
Fine amount: 1000

Inspection Report — Jul 21, 2025

Annual Inspection
Date: Jul 21, 2025

Visit Reason
Annual Licensure Survey Conducted

Findings
The establishment failed to revise service plans as resident service needs changed and did not address the frequency of health-related services for three of seven residents reviewed.

Deficiencies (1)
A4010 (295.4010 Service Plan) - The establishment failed to revise service plans as resident service needs changed and failed to address the frequency of health-related services needed by three of seven residents reviewed (R3, R5, and R7).
Report Facts
Residents affected: 3 Residents reviewed: 7

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