Inspection Reports for
Trustwell Living of Springfield

Complaint IL199915: Section 295.2050 a)b) cited. Complaint IL199947: Section 295.2050 a)b) cited. Complaint IL200027: Section 295.2050 a)b) cited.

The establishment failed to notify the State Agency within 24 hours of an incident involving a resident who required hospitalization. The Executive Director acknowledged the oversight and submitted the report late.

Facility Reported Incident IL198657: violations cited 295.5000 f) 2) and 295.6000 a) 13).

The establishment failed to follow policies regarding accounting for controlled medications through shift changes and failed to prevent the theft of a controlled medication for one resident. The police were notified and an investigation was conducted but the missing medication was not recovered.

Complaint #2549729/IL197899: Complaint cannot be substantiated. No violations cited.

The complaint was investigated and found to be unsubstantiated. The establishment was in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.

The facility committed to corrective actions including removal of affected residents, education of the Executive Director and Business Office Manager on 30-day notice requirements, and ongoing audits to ensure compliance with termination of residency requirements.

Complaint #2546491/IL196421: Section 295.2010 b)1)A)2)3)A-H) cited.

The establishment failed to issue a 30-day involuntary notice of discharge for two residents who no longer met residency requirements.

The facility committed to corrective actions including scheduling physician assessments for affected residents, auditing resident charts for current physician certifications, conducting monthly audits, and providing education to nursing staff to ensure compliance with physician assessment and resident documentation requirements.

Complaint #2544092/IL192028: Violations cited for 295.4000 b)c) and 295.7000 b) 9) 10).

The establishment failed to ensure residents had physician assessments completed annually and upon significant changes in condition. Resident records lacked notation of known accidents, incidents, or injuries and documentation of significant changes triggering assessments.

Complaint #2541847/IL 187508: no violations cited.

The document contains only the Initial Comment and no deficiencies or findings are reported.

The facility committed to retrain staff on employee orientation and ongoing training, including dementia-specific orientation, and to conduct regular audits to ensure compliance. Staff education on Resident Rights, Abuse, Neglect, and Financial Exploitation was completed, and ongoing monitoring through audits will continue.

Facility Reported Incident IL186257: violations cited in Sections 295.3020, 295.4060, and 295.6000.

The establishment failed to complete required employee orientation and dementia-specific training for four employees and violated resident rights by staff taking inappropriate photos of two residents, resulting in termination of the involved employees.

Complaint 2540590/IL185062: Complaint cannot be substantiated. No violations cited.

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.

The facility committed to daily audits of resident emergency response times, weekly random emergency call pendant drills, and ongoing monitoring through Quality Assurance meetings to ensure corrective actions are sustained.

Complaint 2540055/IL183534: Complaint cannot be substantiated. No violations cited. Incident Report Investigation IL 184543: Allegation cannot be substantiated. No violations cited. Complaint 2540339/IL 184494: Section 295.4020 cited.

The establishment failed to ensure that resident R1's emergency communication response system was responded to in a timely manner, as documented by a delayed response to R2's call pendant. The facility started a new system to check residents each shift and monitor vital signs as corrective actions.

The facility committed to corrective actions including auditing resident contracts and service plans, ensuring contracts are executed upon move-in, and conducting ongoing audits and Quality Assurance meetings to sustain compliance.

Complaint 2449816/IL181812: Complaint cannot be substantiated. No violations cited. Complaint 2449440/IL181143: Complaint can be substantiated.

The establishment failed to maintain an establishment contract and service plan for resident R1, including documentation of orientation to the evacuation plan and assessments. The previous management did not complete these required documents.

Original Complaint 179826 cited violation of 295.6000 13) Type 2. Original Complaint 179906 found the establishment in compliance with Part 295 and 210 ILCS 9/1.

The establishment failed to keep resident R1 free from financial exploitation when a check was stolen from R1's room by staff E2 and an attempt was made to cash it.

The facility committed to staff training on resident rights, auditing residents for potential financial exploitation, providing locked storage for valuables, and ongoing monitoring by the Executive Director and Health Service Director to prevent recurrence of financial exploitation.