Inspection Reports for
The Landing on Dundee Senior Living

156 W Dundee Rd, Wheeling, IL 60090, United States, IL, 60090

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Deficiencies (over last year)

Deficiencies (over last year) 7 deficiencies/year

Deficiencies are regulatory findings recorded during state inspections.

100% worse than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2025

Inspection Report

Plan of Correction
Deficiencies: 1 Date: Oct 21, 2025

Visit Reason
Investigation of a facility reported serious incident involving resident R1 who sustained fractures after a fall on 10/10/2025.

Findings
The facility failed to report R1's serious accident to the State Agency within the required 24-hour timeframe, taking over 72 hours to notify. R1 sustained acute, comminuted fractures to the left elbow and left hip confirmed by x-rays.

Deficiencies (1)
Failure to report a serious incident involving resident R1 to the State Agency within 24 hours.
Report Facts
Hours delayed in reporting serious accident: 72 Residents reviewed for Safe Environment: 4 Residents with incident: 1

Employees mentioned
NameTitleContext
E4 RN-Registered NurseReported R1's fall and injury

Inspection Report

Plan of Correction
Deficiencies: 2 Date: Oct 14, 2025

Visit Reason
The inspection was conducted to evaluate compliance with personnel requirements, service plans, and physician assessments at Landing on Dundee Senior Living.

Findings
The facility failed to ensure that the safety plan was followed for one resident, resulting in the resident being found outside the building unsupervised. Additionally, the facility did not have physician assessments completed by a medical doctor for six of nine residents reviewed, as many assessments were signed only by nurse practitioners.

Deficiencies (2)
Failure to ensure safety plan was followed for one resident, leading to unsupervised wandering and potential harm.
Failure to ensure physician assessments were completed by a medical doctor for six residents; assessments were signed by nurse practitioners instead.
Report Facts
Resident falls: 6 Residents reviewed for physician assessment: 9 Residents with incomplete physician assessments: 6

Employees mentioned
NameTitleContext
E2Health Services DirectorProvided information about frequency of safety checks and physician assessment signatories

Inspection Report

Plan of Correction
Deficiencies: 4 Date: Feb 7, 2025

Visit Reason
The inspection was conducted to investigate a failure to provide immediate care and follow emergency procedures for a resident found non-responsive, which resulted in the resident's hospitalization and subsequent death.

Findings
The facility failed to provide immediate care and services to a non-responsive resident, did not follow established emergency policies, delayed calling 911 despite family requests, and failed to continuously monitor the resident's safety. These failures contributed to the resident's admission to the hospital with a brain bleed and subsequent death.

Deficiencies (4)
Failure to provide immediate care and services to residents identified as non-responsive.
Failure to follow establishment policy and procedures during medical emergencies.
Failure to immediately utilize outside emergency assistance (911).
Failure to assign staff to continuously monitor changes and ensure resident's safety.
Report Facts
Dates: 2025 Timeframe: 30

Employees mentioned
NameTitleContext
E3LPNNurse who delayed calling 911 and took resident's vitals instead of immediate emergency response
E2RN/Director of NursingConfirmed that 911 should have been called immediately and that someone should have stayed with the resident
E4CaregiverReported resident was not waking up to E3

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