5 Reports
Inspection Report — Mar 4, 2026
Complaint Investigation
Date: Mar 4, 2026
Visit Reason
Facility Reported Incident Investigation IL00200204- 295.4010 d) h)
Findings
The establishment failed to incorporate hospice care support services and did not revise or implement fall interventions reflecting current resident needs for two residents. This failure resulted in multiple falls with or without injury, creating a substantial probability of severe harm to cognitively impaired residents with dementia.
Deficiencies (1)
A4010 (295.4010 Service Plan) - The establishment failed to incorporate support services such as hospice care and failed to revise and implement fall interventions reflecting current resident needs, affecting two residents admitted to hospice care who experienced multiple falls.
Report Facts
Residents affected: 2
Inspection Report — Oct 28, 2025
Complaint Investigation
Date: Oct 28, 2025
Visit Reason
Facility Reported Incident of 10/18/2025/IL00198167
Findings
The establishment failed to maintain updated service plans to prevent further falls and injuries for three residents with documented histories of multiple falls. The Director of Nursing acknowledged that service plans were not updated timely following fall incidents as required by facility policy.
Deficiencies (1)
A4010 (295.4010 Service Plan) - The establishment failed to maintain updated service plans to prevent further falls and injuries for three of three residents reviewed with documented histories of multiple falls.
Report Facts
Residents affected: 3
Fall incidents for R1: 5
Fall incidents for R2: 33
Fall incidents for R3: 8
Inspection Report — Sep 5, 2025
Complaint Investigation
Date: Sep 5, 2025
Visit Reason
This was a Complaint Investigation 2572539/IL188729 with Facility Reported Incidents 7/1/25/IL196033 substantiated with no deficiencies and 7/11/25/IL196683 unsubstantiated.
Complaint Details
Complaint Investigation 2572539/IL188729: Section 295.2050a) cited. Facility Reported Incidents 7/1/25/IL196033 substantiated, no deficiencies. 7/11/25/IL196683 unsubstantiated.
Findings
The establishment failed to report a resident fall with injury to the Department for one resident. The facility did not provide documentation of an Incident and Accident Report for the fall resulting in a femur fracture.
Deficiencies (1)
A2050 (295.2050 Incident and Accident Reporting) - The establishment failed to report a resident fall with injury to the Department for 1 of 5 residents reviewed for falls.
Report Facts
Residents affected: 1
Residents reviewed for falls: 6
Residents reviewed for falls with falls: 5
Inspection Report — Jan 15, 2025
Complaint Investigation
Date: Jan 15, 2025
Visit Reason
Complaint Investigation: #2479601/#IL181429 was partially substantiated with a Covid outbreak but no establishment failure or deficiencies. Two Facility Reported Incidents (#IL182228 and #IL183620) were not substantiated with no deficiencies written.
Complaint Details
Complaint #2479601/#IL181429: partially substantiated with no deficiencies. FRI #IL182228: not substantiated. FRI #IL183620: not substantiated.
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 — Jan 15, 2025
Annual Inspection
Date: Jan 15, 2025
Visit Reason
Annual Licensure Survey conducted. No deficiencies written. 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.
Findings
The establishment was found in compliance with all applicable regulations; no deficiencies were cited.
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