Inspection Reports for
Gurnee Place Memory Care

IL

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8 Reports

2024–2026

Inspection Report — Jan 8, 2026

Annual Inspection
Date: Jan 8, 2026

Visit Reason
Annual Licensure Survey conducted, including Facility Reported Incident IL199215 and Complaint Investigation IL198972 previously cited on 12/2/25.

Complaint Details
Facility Reported Incident IL199215 and Complaint Investigation IL198972 previously cited on 12/2/25.
Findings
The facility was found to have multiple deficiencies including failure to ensure appropriate residency, ineffective quality improvement program, inadequate staff hand hygiene, incomplete physician assessments, outdated service plans, insufficient monitoring of residents, and failure to meet Alzheimer's and Dementia program requirements.

Deficiencies (6)
A2000 (295.2000 Residency Requirements) - The facility failed to ensure residents are appropriate to live in an assisted living or shared housing environment, affecting three of three residents reviewed.
A2060 (295.2060 Quality Improvement Program) - The facility failed to establish and maintain an effective quality improvement program with documented data analysis and follow-up actions.
A3000 (295.3000 Personnel Requirmts, Qualifns, and Trng) - Employees failed to perform hand hygiene appropriately during resident care, risking cross-contamination and infection for three residents reviewed.
A4000 (295.4000 Physician/s Assessment) - Physician assessments were incomplete and not done timely, lacking documentation of tuberculosis status for four residents reviewed.
A4010 (295.4010 Service Plan) - Service plans were not updated to reflect current resident conditions, lacked fall precautions, diet specifications, and signatures, affecting three residents reviewed.
A4060 (295.4060 Alzheimer's and Demential Programs) - Residents were not adequately monitored or supervised in the game room, creating a substantial probability of harm.
Report Facts
Residents affected: 3 Residents affected: 3 Residents affected: 4 Residents affected: 3 Residents affected: 6 Residents affected: 7 Residents affected: 9

Inspection Report — Dec 2, 2025

Date: Dec 2, 2025

Visit Reason
Licensure Desk Audit Survey Conducted per 295.400a)b)c).

Findings
The establishment failed to renew their license as required by 210 ILCS 9/25 sec.25.

Deficiencies (1)
A400 (295.400 License Requirement) - The establishment failed to renew their license as required by law.

Inspection Report — Oct 15, 2025

Complaint Investigation
Date: Oct 15, 2025

Visit Reason
Facility Reported Incident 10/3/25 - IL197998 - 295.6000a)5)13) and Facility Reported Incident 10/7/25 - IL198003 - 295.6000a)5)13).

Complaint Details
Facility Reported Incident 10/3/25 - IL197998 - 295.6000a)5)13). Facility Reported Incident 10/7/25 - IL198003 - 295.6000a)5)13).
Findings
The facility failed to ensure staff did not neglect residents by not providing incontinence care required by their service plans for three residents. Two caregivers were terminated after investigations confirmed neglect.

Deficiencies (1)
A6000 (295.6000 Resident Rights) - The facility failed to ensure staff did not neglect residents by not providing incontinence care required by their service plans for three of three residents reviewed.
Report Facts
Residents affected: 3

Inspection Report — Oct 3, 2025

Complaint Investigation
Date: Oct 3, 2025

Visit Reason
Complaint Investigation Survey IL197508 IL197552. 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.

Findings
The establishment was found in compliance with all applicable regulations during this complaint investigation survey.

Inspection Report — Jun 23, 2025

Plan of Correction
Date: Jun 23, 2025

Visit Reason
This plan of correction answers Complaint Investigation IL 191585 at Gurnee Place Memory Care.

Complaint Details
Complaint IL 191585: violation of Section 295.8000 Food Service with an imposed fine of $1,000.00.
Findings
The facility committed to train staff on facial covering, glove use, hand hygiene, cross contamination mitigation, and food handling certification. The Executive Director will audit meal service weekly for four weeks to ensure compliance.

Report Facts
Fine amount: 1000

Inspection Report — Jun 6, 2025

Complaint Investigation
Date: Jun 6, 2025

Visit Reason
Complaint Investigation 2513944/IL191585. Section 295.8000-a)1)7)a)1) cited.

Complaint Details
Complaint 2513944/IL191585: Section 295.8000-a)1)7)a)1) cited.
Findings
The establishment failed to ensure staff preparing food in the kitchen were certified according to state requirements and failed to follow proper sanitation and food handling practices, potentially affecting all residents.

Deficiencies (1)
A8000 (295.8000 Food Service) - The establishment failed to ensure staff preparing food in the kitchen were certified according to state requirements and failed to follow proper sanitation and food handling practices when handling food.
Report Facts
Residents affected: 37 Shifts: 23

Inspection Report — Feb 6, 2025

Original Licensing
Date: Feb 6, 2025

Visit Reason
CHOW Licensure Survey

Findings
The establishment failed to ensure timely two-step TB testing for new employees and did not conduct required 16 hours of on-the-job training and supervision within the first 16 hours of employment following orientation.

Deficiencies (2)
A3030 (295.3030 Initial Health Eval for Dir Care and FS empl) - The establishment failed to ensure the two-step TB tests for new employees were conducted within the required time frame from their hire date for 4 employees reviewed.
A4060 (295.4060 Alzheimer's and Demential Programs) - The establishment failed to conduct 16 hours of on-the-job training and supervision within the first 16 hours of employment following orientation for 7 employees reviewed.
Report Facts
Employees affected: 4 Employees affected: 7

Inspection Report — Oct 3, 2024

Plan of Correction
Date: Oct 3, 2024

Visit Reason
This plan of correction responds to Complaint Investigation #181864 completed on 2/6/2025, Facility Reported Incident (FRI) #182310, Complaint Investigation #182864, and CHOW (Change of Ownership) Licensure Survey conducted on 2/6/2025.

Findings
The facility committed to terminating employees involved in verbal abuse, providing additional staff training on abuse prevention, revising resident contracts, securing resident valuables, and ensuring timely TB testing and dementia training for employees. Compliance will be monitored by the Director of Healthcare and Executive Director with completion dates ranging from December 2024 to April 2025.

Report Facts
Fine amount: 500

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