Inspection Reports for
Encore Memory Care at Bolingbrook
351 Lily Cache Ln, Bolingbrook, IL 60440, United States, IL, 60440
Back to Facility Profile4 Reports
Inspection Report — Jan 24, 2026
Complaint Investigation
Date: Jan 24, 2026
Visit Reason
Complaint Investigation IL198957 regarding residency requirements, incident and accident reporting, service plan, and resident rights violations.
Complaint Details
Complaint IL198957: Sections 295.2000 a)c)2)3)4), 295.2050 a)b)c), 295.4010 a), 295.6000 a)13) cited.
Findings
The facility failed to recognize a resident's need for a higher level of care, failed to report an injury of unknown origin timely, failed to update the service plan with transfer status, and failed to assess and address a resident's open leg fracture injury. These failures caused severe harm and created a substantial probability of severe harm to the resident and others.
Deficiencies (4)
A2000 (295.2000 Residency Requirements) - The facility failed to recognize a resident's need for a higher level of care, resulting in severe harm to one resident and substantial probability of harm to others.
A2050 (295.2050 Incident and Accident Reporting) - The facility failed to report an injury of unknown origin for one resident, causing a delay in assessment and investigation and creating a substantial probability of severe harm.
A4010 (295.4010 Service Plan) - The facility failed to add the transfer status of a resident to the service plan, creating a substantial probability of severe harm.
A6000 (295.6000 Resident Rights) - The facility failed to assess and address a resident's open fracture injury, leaving the resident in bed with bleeding for an unknown time, creating a substantial probability of severe harm or death.
Report Facts
Residents reviewed: 3
Residents affected: 1
Blood volume: 400
Hours: 4
Inspection Report — Oct 15, 2025
Annual Inspection
Date: Oct 15, 2025
Visit Reason
Annual Licensure survey combined with Complaint and Facility Reported Incident investigations IL00196998/2577764 and IL00196546 citing Section 295.4010.
Complaint Details
Complaint and Facility Reported Incident IL00196998/2577764 and IL00196546 citing Section 295.4010.
Findings
The facility was found to have multiple deficiencies including failure to properly document tornado drills, lack of CPR trained staff on duty at all times, insufficient staffing for resident evacuation, incomplete and outdated service plans for residents, and inadequate documentation of required dementia training for staff.
Deficiencies (4)
A2040 (295.2040 Disaster Preparedness) - The facility failed to correctly document times of tornado drills on each shift in February, ensure resident participation in drills, and identify residents needing assistance during drills.
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The facility failed to ensure at least one direct care staff person on duty at all times had current adult CPR certification and failed to provide sufficient staff to evacuate all residents requiring mechanical lifts within 13 minutes during emergencies.
A4010 (295.4010 Service Plan) - The facility failed to update and include individualized, measurable, and current interventions addressing medical issues, anxiety/behavior, psychotropic medication use, and staff responsibilities for three of ten residents reviewed, contributing to a resident's fall with major injury.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The facility failed to provide proper documentation of 16 hours of on-the-job supervision and training within the first 16 hours of employment for three of six employees required to have dementia training.
Report Facts
Residents affected: 34
Residents affected: 10
Residents affected: 3
Employees affected: 3
Inspection Report — Feb 6, 2025
Complaint Investigation
Date: Feb 6, 2025
Visit Reason
FRI (FACILITY REPORTED INCIDENT) Investigation # IL185380 - Substantiated with 295.6000 cited.
Complaint Details
FRI IL185380: Substantiated. Section 295.6000 cited.
Findings
The facility failed to assure one resident was free from abuse by a staff member. The staff member was terminated following investigation and police involvement.
Deficiencies (1)
A6000 (295.6000 Resident Rights) - The facility failed to assure one resident (R1) was free from abuse by a staff member who hit the resident in the lumbar area after the resident became combative.
Report Facts
Resident affected: 1
Inspection Report — Feb 6, 2025
Plan of Correction
Date: Feb 6, 2025
Visit Reason
This plan of correction answers the Facility Reported Incident investigation conducted on 2/6/25 at Encore at Bolingbrook Memory Care Assisted Living.
Findings
The facility committed to provide staff in-service training on abuse and reporting abuse, conduct monthly education, and continue proper hiring procedures including background checks for all new hires and current employees.
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