Inspection Reports for
Grace Point Place Memory Care
5701 W 101st St, Oak Lawn, IL 60453, United States, IL, 60453
Back to Facility Profile6 Reports
Inspection Report — May 21, 2026
Annual Inspection
Date: May 21, 2026
Visit Reason
Annual Licensure Survey and Entity Reported Incident Survey IL00201836 and IL00200658, both substantiated.
Findings
The facility was found to have multiple Type 1 violations including failure to conduct required disaster preparedness drills, incomplete service plans for residents with falls and skin breakdown, and failure to meet residency requirements for hospice care residents.
Deficiencies (3)
A2040 (295.2040 Disaster Preparedness) - The facility failed to conduct tornado drills on each shift in February, ensure resident involvement and identification of those needing assistance in fire drills, and maintain timely written evaluations of drills.
A4010 (295.4010 Service Plan) - The facility failed to implement fall prevention interventions for two residents, failed to implement skin breakdown prevention for one resident, and failed to document the amount, type, and frequency of health-related services for three residents requiring outside services.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The facility admitted two residents who required immediate hospice care upon admission but failed to ensure residency requirements were met.
Report Facts
Residents affected: 2
Residents affected: 3
Residents affected: 2
Residents affected: all
Inspection Report — Nov 12, 2025
Complaint Investigation
Date: Nov 12, 2025
Visit Reason
Complaint Investigation Survey 25810828/IL198434
Complaint Details
Complaint 25810828/IL198434: Section 295.4010e) cited.
Findings
The facility failed to update a resident's service plan after multiple falls, resulting in severe harm to one resident. The service plan lacked necessary interventions to prevent further falls.
Deficiencies (1)
A4010 (295.4010 Service Plan) - The facility failed to update a resident's service plan and add interventions to prevent further falls for 1 of 3 residents reviewed, causing severe harm and substantial probability of harm to residents.
Report Facts
Residents affected: 1
Residents reviewed for falls: 4
Residents reviewed for falls with issue: 3
Inspection Report — May 19, 2025
Plan of Correction
Date: May 19, 2025
Visit Reason
This plan of correction answers the Annual Licensure Survey and Complaint Investigation #191511/2593873 conducted on 5/19/2025.
Findings
The facility committed to conduct in-service training for clinical staff, review resident assessments and service plans, conduct ongoing monitoring of residency requirements and emergency drills, and update service plans to include hospice services as needed.
Inspection Report — May 19, 2025
Annual Inspection
Date: May 19, 2025
Visit Reason
Annual Licensure Survey Conducted. Complaint Investigation IL00191511/2593873 was unsubstantiated.
Complaint Details
Complaint IL00191511/2593873: Complaint cannot be substantiated.
Findings
The establishment was found to have deficiencies in residency assessments, disaster preparedness orientation and drills, and service plan documentation for hospice care.
Deficiencies (3)
A2000 (295.2000 Residency Requirements) - The establishment failed to ensure residents were adequately assessed for residency requirements for four residents admitted to hospice services.
A2040 (295.2040 Disaster Preparedness) - The establishment failed to orient six residents to the emergency and evacuation plan within 10 days of admission and failed to ensure required fire and tornado drills were conducted.
A4010 (295.4010 Service Plan) - The establishment failed to address hospice services with interventions and responsible staff in the service plans for three residents.
Report Facts
Residents affected: 4
Residents affected: 6
Residents affected: 3
Inspection Report — Jan 16, 2025
Complaint Investigation
Date: Jan 16, 2025
Visit Reason
Complaint Investigation Survey: IL179945/2498781-Not Substantiated, IL180105/2498900- Not Substantiated. Facility Reported Incident: IL180065- Substantiated, IL183003-Substantiated, IL183159-Substantiated, IL183651- Substantiated.
Complaint Details
Complaint IL179945/2498781: Not Substantiated. Complaint IL180105/2498900: Not Substantiated. Facility Reported Incident IL180065: Substantiated. Facility Reported Incident IL183003: Substantiated. Facility Reported Incident IL183159: Substantiated. Facility Reported Incident IL183651: Substantiated.
Findings
The establishment failed to update and individualize fall interventions for one resident and did not follow safety measures to prevent elopement, resulting in a resident exiting a secured area. Additionally, the establishment lacked a key to unlock a bathroom door, delaying assistance to a resident who fell inside.
Deficiencies (3)
A4010 (295.4010 Service Plan) - The establishment failed to ensure fall interventions are updated and individualized for one resident (R5) of three reviewed for fall, including lack of documented interventions while waiting for a bed change.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to follow safety measures to prevent elopement, resulting in one resident (R5) exiting a secured area without staff intervention.
A9000 (295.9000 Physical Plant) - The establishment failed to have a key to unlock a bathroom door and provide immediate assistance for one resident (R2) who had a fall inside the bathroom, posing a risk to all residents.
Report Facts
Residents affected: 1
Residents affected: 1
Inspection Report — Oct 23, 2024
Annual Inspection
Date: Oct 23, 2024
Visit Reason
Annual Licensure Survey
Findings
The establishment was found to have multiple deficiencies including failure to conduct required fire and tornado drills with resident participation, inadequate staffing and supervision for residents at high risk of falls and elopement, incomplete and unsigned physician assessments and service plans, and failure to implement appropriate interventions for residents with dementia and behavioral issues. The facility also failed to follow policy to prevent elopement from a locked facility for three residents.
Deficiencies (5)
A2040 (295.2040 Disaster Preparedness) - The establishment failed to conduct fire and tornado drills as required and failed to include residents in the drills.
A3000 (295.3000 Personnel Requirments, Qualifns, and Trng) - The establishment failed to adequately supervise and monitor residents assessed as high risk for falls and elopement, with multiple observations of residents unsupervised in common areas.
A4000 (295.4000 Physician/s Assessment) - The establishment failed to ensure physician assessments were completed 120 days prior to admission for one resident and failed to ensure assessments were completed by a physician for four residents.
A4010 (295.4010 Service Plan) - The establishment failed to revise and develop interventions to address resident falls, failed to address frequency of outside health services, failed to supervise residents to prevent elopement, failed to ensure service plans were signed and dated, failed to update service plans for behavioral interventions, and failed to follow service plans to ensure resident safety.
A4060 (295.4060 Alzheimer's and Demential Programs) - The establishment failed to follow policy and procedures to prevent residents from eloping from a locked facility for three residents.
Report Facts
Residents affected: 3
Residents affected: 1
Residents affected: 4
Residents affected: 13
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