3 Reports
Inspection Report — Feb 17, 2026
Complaint Investigation
Date: Feb 17, 2026
Visit Reason
Complaint Investigation IL200077 - Unsubstantiated. Facility Reported Incidents IL199591, IL199589, IL199495, IL198917 - Unsubstantiated.
Complaint Details
Complaint IL200077: Unsubstantiated. Facility Reported Incidents IL199591, IL199589, IL199495, IL198917: Unsubstantiated.
Findings
The establishment failed to orient residents to emergency and evacuation plans within 10 days of admission and document it properly. Physician assessments were not completed by a medical doctor for one resident, and service plans lacked required signatures and were not always based on current physician assessments.
Deficiencies (3)
A2040 (295.2040 Disaster Preparedness) - The establishment failed to orient each resident to emergency and evacuation plans within 10 days of admission and provide documentation for five residents reviewed.
A4000 (295.4000 Physician's Assessment) - The establishment failed to ensure physician assessments were completed by a medical doctor for one of five residents reviewed.
A4010 (295.4010 Service Plan) - The establishment failed to ensure service plans were signed by resident/resident representative, registered nurse, and manager/manager designee for four of five residents reviewed and failed to base change of condition service plans on physician assessments for one resident.
Report Facts
Residents affected: 5
Residents affected: 5
Residents affected: 1
Residents affected: 4
Residents affected: 1
Inspection Report — May 22, 2025
Annual Inspection
Date: May 22, 2025
Visit Reason
Annual Licensure Survey combined with a Facility Reported Incident (IL00192284) and Complaint Investigation Survey (IL00192367/2594268), both unsubstantiated.
Complaint Details
Facility Reported Incident IL00192284: Unsubstantiated. Complaint Investigation Survey IL00192367/2594268: Unsubstantiated.
Findings
The facility was found to have multiple deficiencies related to employee orientation, health evaluations, background checks, tuberculosis testing, and Alzheimer's/dementia training for the Memory Care Unit manager.
Deficiencies (5)
A3020 (295.3020 Employee Orientation and Ongoing Training) - The facility failed to present documentation that new staff started orientation within 10 days of hire, completed orientation within 30 days, and documented required continuing education training, potentially affecting all residents.
A3030 (295.3030 Initial Health Evaluation for Direct Care and Food Service Employees) - The facility failed to obtain initial health evaluations within 30 days prior to or after hire for two staff members, potentially affecting all staff and residents.
A3040 (295.3040 Health Care Worker Background Check) - The facility failed to initiate health care worker background checks, including fingerprint-based criminal history checks and employment verification, for six employees upon hire.
A4050 (295.4050 Tuberculin Skin Test Procedures) - The facility could not provide documentation that four staff received required tuberculosis skin tests within 90 days prior to or 10 days after hire.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The facility failed to ensure the Memory Care Unit manager completed required continuing education and annual dementia care training, potentially affecting all residents in the unit.
Report Facts
Employees affected: 9
Employees affected: 6
Employees affected: 4
Employees affected: 2
Inspection Report — May 20, 2025
Annual Inspection
Date: May 20, 2025
Visit Reason
Annual Licensure Survey with a Facility Reported Incident IL00192284 and Complaint Investigation Survey IL00192367/2594268, both unsubstantiated.
Complaint Details
Facility Reported Incident IL00192284: Unsubstantiated. Complaint Investigation Survey IL00192367/2594268: Unsubstantiated.
Findings
The survey found multiple deficiencies related to employee orientation, health evaluations, background checks, tuberculosis testing, and Alzheimer’s and dementia training. The facility submitted plans of correction addressing reeducation, documentation improvements, and compliance measures to be completed by July 15, 2025.
Deficiencies (5)
A3020 (295.3020 Employee Orientation and Ongoing Training) - The facility failed to present documentation that new staff started orientation within 10 days of hire, completed orientation within 30 days, and documented required continuing education training for staff.
A3030 (295.3030 Initial Health Evaluation for Direct Care and Food Service Employees) - The facility failed to obtain initial medical health evaluations on staff within 30 days prior to hire or no later than 30 days after employment.
A3040 (295.3040 Health Care Worker Background Check) - The establishment failed to initiate a health care worker background check on six employees, including fingerprint-based criminal history checks, employment verification, and retention of criminal record requests.
A4050 (295.4050 Tuberculin Skin Test Procedures) - The facility could not provide documentation that staff received required tuberculosis skin tests within the specified time frames.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The facility failed to ensure the manager had proper education and training for managing the Alzheimer's/Dementia Unit, and staff lacked required continuing education documentation.
Report Facts
Employees affected: 9
Employees affected: 6
Viewing
Loading inspection reports...
