Inspection Reports for
Villas of Holly Brook & Reflections Springfield
3401 Hedley Road, Springfield, IL, 62711
Back to Facility Profile8 Reports
Inspection Report — Jun 10, 2026
Complaint Investigation
Date: Jun 10, 2026
Visit Reason
This survey was a Facility Reported Incident (FRI) IL202198.
Complaint Details
FRI IL202198: No violations 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.
Inspection Report — Jan 28, 2026
Annual Inspection
Date: Jan 28, 2026
Visit Reason
Annual Licensure Survey
Findings
The survey found three deficiencies related to physician assessments, mandatory services, and resident rights. The facility failed to ensure a physician's assessment was completed for one resident, did not provide required assistance with activities of daily living for another resident, and failed to provide interventions as specified in the service plan for a resident who fell.
Deficiencies (3)
A4000 (295.4000 Physician/s Assessment) - The establishment failed to ensure a Physician's Assessment was completed by a physician for one of nine residents reviewed.
A4020 (295.4020 Mandatory Services) - The facility failed to ensure a resident was provided with required assistance of activities of daily living for one of nine residents reviewed, causing severe harm or substantial probability of severe harm.
A6000 (295.6000 Resident Rights) - The establishment failed to provide interventions as specified in the Service Plan for one of four residents reviewed for falls, causing severe harm and substantial probability of severe harm.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Inspection Report — Nov 17, 2025
Complaint Investigation
Date: Nov 17, 2025
Visit Reason
Facility Reported Incident IL198460. 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.
Complaint Details
Facility Reported Incident IL198460: No violations cited.
Findings
The establishment was found in compliance with all applicable regulations during this facility reported incident investigation.
Inspection Report — Sep 25, 2025
Complaint Investigation
Date: Sep 25, 2025
Visit Reason
Original investigation of Complaint 2548917/IL197576 found no findings. Facility Reported Incident Investigation to incident of 08-10-25/IL197469 cited sections 295.6000 a) 5) and 295.4010 a) d) e) g) 1) A).
Complaint Details
Complaint #2548917/IL197576: No findings. Facility Reported Incident #08-10-25/IL197469: Sections 295.6000 a) 5) and 295.4010 a) d) e) g) 1) A) cited.
Findings
The facility failed to revise service plans and implement fall prevention interventions following resident falls. The Executive Director and Wellness Director acknowledged these deficiencies and the lack of updated care plans.
Deficiencies (2)
A4010 (295.4010 Service Plan) - The establishment failed to revise care plans to address resident falls and interventions implemented following falls for two of three residents reviewed.
A6000 (295.6000 Resident Rights) - The establishment failed to implement interventions specified in the Service Plan for one resident at risk for falls that caused harm or created a substantial probability of harm.
Report Facts
Residents affected: 3
Inspection Report — May 1, 2025
Complaint Investigation
Date: May 1, 2025
Visit Reason
Original complaint investigation #IL190757. 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.
Complaint Details
Complaint #IL190757: No violations cited.
Findings
The establishment was found in compliance with all applicable regulations during this complaint investigation.
Inspection Report — Feb 10, 2025
Annual Inspection
Date: Feb 10, 2025
Visit Reason
Annual Licensure Survey and Incident Report Investigation with no violations 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.
Inspection Report — Dec 17, 2024
Complaint Investigation
Date: Dec 17, 2024
Visit Reason
Incident Investigation IL 181940. Incident cannot be substantiated. No violations cited. 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.
Complaint Details
Incident Investigation IL 181940: Incident cannot be substantiated. No violations cited.
Findings
The incident investigation found no violations and the establishment was in compliance with applicable regulations.
Inspection Report — Nov 11, 2024
Complaint Investigation
Date: Nov 11, 2024
Visit Reason
Incident Report Investigation IL 179713. Allegation cannot be substantiated. No violations cited.
Complaint Details
Incident Report Investigation IL 179713: Allegation cannot be substantiated. No violations 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.
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