Inspection Reports for
Porter Place
17833 S Harlem Ave, Tinley Park, IL 60477, United States, IL, 60477
Back to Facility Profile5 Reports
Inspection Report — Apr 25, 2026
Complaint Investigation
Date: Apr 25, 2026
Visit Reason
FACILITY REPORTED INCIDENT SURVEY IL00200141, IL00200258, IL00200843 - 295.1100 e) 295.2040 b) 5) 295.4000 a) 295.4010 a) b) 1 ) 2) 3) c) d) e) 295.4050 295.4060 a) 3) A) 6)
Complaint Details
Facility Reported Incident Survey IL00200141, IL00200258, IL00200843
Findings
The establishment failed to disclose licensed staff ratios in the Alzheimer's special care disclosure, orient residents to emergency plans timely, complete physician assessments by physicians, maintain and update service plans properly, ensure TB skin tests were documented, and provide adequate staffing to prevent frequent falls and injuries among residents. Multiple residents experienced numerous falls and one sustained a broken arm due to insufficient supervision and care.
Deficiencies (6)
A1100 (295.1100 Alzheimer's and Related Dementias Special Care) - The establishment failed to ensure the general licensed health care provider to resident ratio was listed on the Alzheimer's Disease and Related Dementias Special Care Disclosure.
A2040 (295.2040 Disaster Preparedness) - The establishment failed to orient residents to emergency and evacuation plans within 10 days after arrival for three residents reviewed.
A4000 (295.4000 Physician's Assessment) - The establishment failed to ensure physician assessments were completed by a physician for two residents reviewed, as assessments were signed by nurse practitioners only.
A4010 (295.4010 Service Plan) - The establishment failed to ensure service plans were reviewed annually for one resident, signed by a registered nurse and manager for one resident, and reviewed and revised immediately after significant changes for three residents reviewed.
A4050 (295.4050 Tuberculin Skin Test Procedures) - The establishment failed to ensure Tuberculin skin tests were completed and results available in charts for two residents reviewed.
A4060 (295.4060 Alzheimer's and Dementia Programs) - The establishment failed to ensure continued safety and provide sufficient staff with adequate skills and training to meet the needs of three residents, resulting in numerous falls and one broken arm.
Report Facts
Residents reviewed: 3
Residents reviewed: 3
Residents reviewed: 3
Residents currently residing: 50
Falls: 32
Falls: 16
Falls: 2
Falls: 4
Inspection Report — Jan 27, 2026
Complaint Investigation
Date: Jan 27, 2026
Visit Reason
Complaint Investigation: IL199710/269079- 295.4010 d), IL199646/2690629- 295.3000 a); 295.6000 a) 13), IL199790/2690934, IL199342. Entity Reported Incident Investigation: IL199738- 295.4010 d), 295.6000 a) 13), 295.6010 a)1), IL199735-295.4010 d), 295.6000 a) 13), 295.6010 a)1), IL199148- 295.2000 a), 295.4010 d), IL199054- 295.2000 a), 295.4010 d).
Complaint Details
Complaint IL199710/269079, IL199646/2690629, IL199790/2690934, IL199342 and Entity Reported Incident IL199738, IL199735, IL199148, IL199054 investigated with cited violations as listed in findings.
Findings
The establishment failed to prevent multiple falls for residents R3 and R4 and failed to address increasing aggressive behavior of residents R1 and R8. Resident R2 did not consistently receive prescribed end-of-life pain medication. The facility also failed to report an incident involving resident R7 within 24 hours as required.
Deficiencies (5)
A2000 (295.2000 Residency Requirements) - The establishment failed to assess and provide sufficient interventions to prevent multiple falls with or without injuries affecting two residents (R3, R4) requiring higher level of supervision and identified as fall risks.
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The establishment failed to ensure staff had adequate skills to administer medication for one resident (R2) receiving end of life pain medication, resulting in narcotic medication being given by an unlicensed employee.
A4010 (295.4010 Service Plan) - The establishment failed to implement measurable, individualized interventions to prevent multiple falls for residents R3 and R4 and failed to address increasing aggressive behavior of residents R1 and R8, affecting three residents reviewed for service plans.
A6000 (295.6000 Resident Rights) - The facility failed to ensure residents are adequately receiving pain medication for end of life for one resident (R2) and failed to provide a safe environment for two residents (R7, R11) resulting in physical abuse.
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation Prevention and Reporting) - The establishment failed to notify the State agency within 24 hours of an incident involving resident R7, violating incident reporting requirements.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 4
Inspection Report — Oct 8, 2025
Complaint Investigation
Date: Oct 8, 2025
Visit Reason
This document reports on multiple complaint investigations and facility reported incidents, all listed as unsubstantiated except for Complaint 2597480/IL196890, 2598609/IL197413, and several others with cited violations.
Complaint Details
Complaint 2597498/IL196875: Unsubstantiated. Complaint 2597480/IL196890: 295.4020f) cited. Complaint 2598609/IL197413: 295.5000h)1)2)5) cited. Complaint 2598806/IL197550: 295.4020f) cited. Complaint 2599136/IL197657: 295.4020f) cited. Facility Reported Incident 7/21/25 - IL196863: Unsubstantiated. Facility Reported Incident 8/03/25 - IL196864: Unsubstantiated.
Findings
The facility failed to provide assistance with bathing for one resident and failed to ensure medications were stored securely and controlled substances disposed of properly after resident discharge. The facility's policies and staff interviews confirmed these deficiencies.
Deficiencies (2)
A4020 (295.4020 Mandatory Services) - The facility failed to ensure a resident received assistance with bathing for 1 of 3 residents reviewed for bathing in the sample of 5.
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The facility failed to ensure medications were kept locked and inaccessible to residents and failed to ensure controlled substances were disposed of after a resident discharged for 2 of 2 residents reviewed.
Report Facts
Residents affected: 1
Residents reviewed: 3
Residents reviewed: 7
Residents affected: 2
Inspection Report — Dec 11, 2024
Annual Inspection
Date: Dec 11, 2024
Visit Reason
Annual licensure survey. 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 the annual licensure survey.
Inspection Report — Nov 27, 2024
Complaint Investigation
Date: Nov 27, 2024
Visit Reason
Complaint #IL181402 was unsubstantiated. Facility Reported Incidents (FRI) #IL179578, #IL175513, #IL174256, and #IL173985 involved citations of Section 295.4010 and 295.6010.
Complaint Details
Complaint #IL181402: unsubstantiated. FRI #IL179578: Section 295.4010 cited. FRI #IL175513: Section 295.4010 cited. FRI #IL174256: Sections 295.4010 and 295.6010 cited. FRI #IL173985: Section 295.4010 cited.
Findings
The facility failed to develop and implement individualized goals and interventions to address resident falls for four residents, and failed to investigate unexplained bruising and injury for one resident.
Deficiencies (2)
A4010 (295.4010 Service Plan) - The facility failed to revise and implement individualized service plans to address multiple falls and aggressive behavior for four of six residents reviewed, creating a substantial probability of severe harm.
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation Prevention and Reporting) - The facility failed to investigate unexplained bruising and injury for one resident reviewed for injury.
Report Facts
Residents affected: 4
Residents reviewed: 6
Falls: 10
Falls: 16
Falls: 14
Falls: 3
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