6 Reports
Inspection Report — Mar 18, 2026
Complaint Investigation
Date: Mar 18, 2026
Visit Reason
Facility Reported Incident. IL00200642 and IL00200774 were investigated with no deficiencies cited.
Complaint Details
Facility Reported Incident IL00200642: No deficiency cited. Facility Reported Incident IL00200774: No deficiency cited.
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 Illinois.
Inspection Report — Feb 4, 2026
Annual Inspection
Date: Feb 4, 2026
Visit Reason
Annual Licensure Survey combined with Entity Reported Incident Surveys IL199796, IL198928, IL199346 and Complaint Investigation IL199038/25912187. No deficiencies cited for complaints and some incident surveys.
Complaint Details
Complaint Investigation IL199038/25912187: No deficiency cited. Entity Reported Incident Survey IL198928: No deficiency cited. Entity Reported Incident Survey IL199346: No deficiency cited.
Findings
The establishment failed to follow disaster preparedness policies, maintain complete employee files, conduct required background checks, and implement adequate service plans for aggressive resident behavior. The facility also failed to report an abuse incident timely as required by policy.
Deficiencies (7)
A2040 (295.2040 Disaster Preparedness) - The establishment failed to follow their policy and procedure for disaster and evacuation drills, did not specify evacuation completion time in policy, and failed to orient five residents to emergency and evacuation plans within required time frames.
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The establishment failed to maintain required documentation in employee files including health evaluations, tuberculosis testing, employee orientation, CPR certification, and nursing licenses for 14 employees.
A3030 (295.3030 Initial Health Evaluation for Direct Care and Food Service Employees) - The establishment failed to ensure initial health evaluations and tuberculosis testing were completed for two employees.
A3040 (295.3040 Health Care Worker Background Check) - The establishment failed to utilize the Department's Registry Portal to verify employee eligibility and employment within 30 days of hire for six employees.
A4010 (295.4010 Service Plan) - The establishment failed to implement appropriate interventions for aggressive behavior of one resident, affecting two residents and risking safety and freedom from abuse in the memory care unit.
A6000 (295.6000 Resident Rights) - The establishment failed to provide a safe environment for one resident, resulting in physical and emotional abuse by another resident, with multiple incidents of aggression and inadequate protective interventions.
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation Prevention and Reporting) - The establishment failed to follow abuse reporting policy by not reporting an incident of resident aggression timely to the Department.
Report Facts
Residents affected: 5
Employees affected: 14
Employees affected: 2
Employees affected: 6
Residents affected: 2
Residents affected: 1
Inspection Report — Oct 20, 2025
Complaint Investigation
Date: Oct 20, 2025
Visit Reason
Facility Reported Incident 9/27/25 - IL197877 - Substantiated 295.4010d)e).
Complaint Details
Facility Reported Incident 9/27/25 - IL197877 - Substantiated 295.4010d)e).
Findings
The facility failed to ensure a resident's service plan was followed and updated after significant events on 7/20/25 and 9/27/25. Staff were unaware the resident was outside alone, and the service plan was not revised accordingly.
Deficiencies (1)
A4010 (295.4010 Service Plan) - The facility failed to ensure a resident's service plan was followed and updated after significant events for 1 of 3 residents reviewed, posing substantial probability of harm.
Report Facts
Residents affected: 1
Inspection Report — Sep 20, 2025
Complaint Investigation
Date: Sep 20, 2025
Visit Reason
Complaint Investigation 2597689/IL00197016. 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 Illinois.
Complaint Details
Complaint 2597689/IL00197016: Complaint cannot be substantiated. No violations cited.
Findings
The establishment was found in compliance with all applicable regulations during this complaint investigation.
Inspection Report — May 6, 2025
Plan of Correction
Date: May 6, 2025
Visit Reason
The plan of correction answers the Annual Licensure Survey conducted on 4/2/2025.
Findings
The facility committed to implement an Emergency Procedures booklet with acknowledgement receipt, provide orientation on emergency procedures to new residents, maintain acknowledgement pages, and audit quarterly for compliance. Additionally, all new team members will receive tuberculosis screening and symptom screening will be conducted annually for all current employees.
Report Facts
Fine amount: 1000
Inspection Report — Apr 2, 2025
Annual Inspection
Date: Apr 2, 2025
Visit Reason
Annual Licensure Survey Conducted
Findings
The establishment failed to ensure all new residents received orientation to emergency and evacuation plans within 10 days and did not complete two-step TB testing for all new staff members. The facility committed to updating resident orientation documentation and bringing employee TB testing files up to date.
Deficiencies (2)
A2040 (295.2040 Disaster Preparedness) - The establishment failed to ensure all new residents received orientation to emergency and evacuation plans within the first 10 days of admission, with no documentation of signatures in resident files.
A4050 (295.4050 Tuberculin Skin Test Procedures) - The establishment failed to ensure all new staff members completed the two-step TB test, with only the first step administered within seven days of employment for nine employees.
Report Facts
Employees affected: 9
Resident files reviewed: 4
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