4 Reports
Inspection Report — Jan 6, 2026
Complaint Investigation
Date: Jan 6, 2026
Visit Reason
This survey was conducted as a Facility Reported Incident (FRI) investigation for incidents dated 11/18/25 (#198800) and 12/2/25 (#199433). 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.
Complaint Details
FRI #198800: Facility Reported Incident investigated. FRI #199433: Facility Reported Incident investigated. No violations cited.
Findings
The establishment was found in compliance with all applicable regulations; no violations were cited.
Inspection Report — Nov 10, 2025
Complaint Investigation
Date: Nov 10, 2025
Visit Reason
Complaint Investigation: 25910818/IL00198401. 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 25910818/IL00198401: Complaint cannot be substantiated. No violations cited.
Findings
The establishment was found in compliance with all applicable regulations during this complaint investigation.
Inspection Report — Sep 16, 2025
Complaint Investigation
Date: Sep 16, 2025
Visit Reason
This investigation involved Complaint #196952 which was unsubstantiated and Facility Reported Incident (FRI) 197317. The survey found Type 1 violations of sections 295.4010 a) d) e), 295.6000 a) 3) 13), and 295.9000 a).
Complaint Details
Complaint #196952: Unsubstantiated. Facility Reported Incident (FRI) 197317: Type 1 violations cited for sections 295.4010 a) d) e), 295.6000 a) 3) 13), and 295.9000 a).
Findings
The facility failed to ensure fire safety education was addressed in the service plan for one oxygen-dependent resident, resulting in severe harm from burns caused by a candle igniting the nasal cannula. The facility also failed to revise fall interventions after multiple falls and did not provide evidence of oxygen safety education to residents or staff. Additionally, the facility failed to comply with fire safety regulations and did not document resident participation in fire drills.
Deficiencies (3)
A4010 (295.4010 Service Plan) - The facility failed to develop and revise a service plan to include fire safety education and fall interventions for one resident who sustained severe burns and experienced multiple falls.
A6000 (295.6000 Resident Rights) - The facility failed to protect one oxygen-dependent resident from severe harm by not educating on safe oxygen use around open flames, resulting in second degree burns from an ignited nasal cannula.
A9000 (295.9000 Physical Plant) - The facility failed to comply with NFPA Life Safety Code requirements and did not provide documentation of resident participation in fire evacuation drills, contributing to the risk of severe harm.
Report Facts
Residents affected: 1
Falls: 14
Burn size: 100
Laceration size: 3
Oxygen flow rate: 3
Inspection Report — May 13, 2025
Annual Inspection
Date: May 13, 2025
Visit Reason
Annual Licensure Survey Conducted
Findings
The facility failed to ensure documentation of fire extinguisher training for four employees and failed to develop and implement an adequate fall service plan for one resident, resulting in a fall with injury.
Deficiencies (2)
A2040 (295.2040 Disaster Preparedness) - The facility failed to ensure documentation of fire extinguisher training for four employees out of nine reviewed.
A4010 (295.4010 Service Plan) - The facility failed to ensure one resident had updated and comprehensive fall service plan interventions, including signatures and addressing fall risk factors, resulting in a fall with hospitalization for a back fracture.
Report Facts
Employees affected: 4
Residents reviewed: 6
Residents affected: 1
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