3 Reports
Inspection Report — Mar 2, 2026
Complaint Investigation
Date: Mar 2, 2026
Visit Reason
Entity Reported Incident Investigation- Incident date 2/6/26 IL00200297- No deficiency cited. For this survey, the establishment is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Complaint Details
Entity Reported Incident Investigation IL00200297: No deficiency cited.
Findings
The establishment was found in compliance with no deficiencies cited during the entity reported incident investigation.
Inspection Report — Nov 8, 2024
Annual Inspection
Date: Nov 8, 2024
Visit Reason
Annual Licensure Survey
Findings
The facility was found to have deficiencies related to staffing qualifications and training, and failure to maintain proper establishment records including incident reporting and quality improvement documentation.
Deficiencies (2)
A3000 (295.3000 Personnel Requirments, Qualifns, and Trng) - The facility failed to employ staff with adequate skills and experience to provide monitoring and timely/effective interventions to one high risk resident who developed two facility acquired pressure wounds, causing harm.
A7010 (295.7010 Establishement Records) - The facility failed to report and maintain all state reportable incidents and accidents and did not provide documentation of a quality improvement program addressing non-reportable resident incidents, creating a substantial probability of harm to all residents.
Report Facts
Residents affected: 1
State reportable incidents: 10
Resident age: 102
Inspection Report — Nov 8, 2024
Plan of Correction
Date: Nov 8, 2024
Visit Reason
This plan of correction answers the Annual Licensure Survey and Facility Reported Incident dated 11/8/2024.
Findings
The facility committed to retrain staff on incident reporting and quality assurance processes, conduct weekly audits of residents with skin conditions, and maintain ongoing monitoring and reporting to ensure compliance.
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