Inspection Reports for
Villas of Holly Brook & Reflections Springfield
3401 Hedley Road, Springfield, IL, 62711
Back to Facility Profile10 Reports
Inspection Report — Mar 31, 2026
Complaint Investigation
Date: Mar 31, 2026
Visit Reason
Original investigation of Complaint 2643550/IL200947. 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 2643550/IL200947: Complaint cannot be substantiated. No violations cited.
Findings
The establishment was found in compliance with all applicable regulations during the complaint investigation.
Inspection Report — Feb 10, 2026
Complaint Investigation
Date: Feb 10, 2026
Visit Reason
Complaint Investigation 2641517/ IL200023. 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 2641517/ IL200023: Complaint cannot be substantiated. No violations cited.
Findings
The establishment was found in compliance with all applicable regulations; no violations were cited.
Inspection Report — Jan 28, 2026
Annual Inspection
Date: Jan 28, 2026
Visit Reason
Annual Licensure Survey citing violations of 295.4000 a) b), 295.4020 f), and 295.6000 a) 5).
Findings
The establishment failed to ensure a physician completed a required assessment for one resident, failed to provide required assistance with activities of daily living causing severe harm to another resident, and failed to provide interventions as specified in a service plan for a resident who fell and sustained injury.
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.
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, resulting in severe harm.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
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 violations at sections 295.6000 a) 5) and 295.4010 a) d) e) g) 1) A).
Complaint Details
Complaint 2548917/IL197576: No findings. Facility Reported Incident Investigation 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 to address falls and implement interventions for two residents (R1 and R3) after falls, and failed to implement interventions specified in the service plan for one resident (R2) at risk for falls. The Executive Director and Wellness Director acknowledged these failures during interviews.
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 for falls that caused harm or substantial probability of harm.
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 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: Complaint cannot be substantiated. 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. Incident Report Investigation.
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. No violations were cited.
Inspection Report — Dec 17, 2024
Complaint Investigation
Date: Dec 17, 2024
Visit Reason
This was an Incident Investigation IL 181940. The incident cannot be substantiated and no violations were cited.
Complaint Details
Incident IL 181940: Incident 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.
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.
Inspection Report — 6026278 View 2567 006 2567 vohb springfield
Plan of Correction
Date: 6026278 View 2567 006 2567 vohb springfield
Visit Reason
Facility Reported Incident IL198460.
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 — 6026278 View 2567 010 2567 villas of holly brook springfield
Plan of Correction
Date: 6026278 View 2567 010 2567 villas of holly brook springfield
Visit Reason
This plan of correction answers the Facility Reported Incident (FRI) IL202198 survey.
Findings
The facility 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. No deficiencies were cited.
Viewing
Loading inspection reports...
