Inspection Reports for
Admiral at the Lake
929 W Foster Ave, Chicago, IL 60640, United States, IL, 60640
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
3 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
14% better than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Jul 14, 2025
Visit Reason
Annual Licensure Survey conducted to assess compliance with residency requirements, disaster preparedness, health care worker background checks, tuberculosis screening, and Alzheimer's/dementia program training.
Findings
The facility was found deficient in multiple areas including failure to meet residency requirements for one resident, incomplete tornado drills on all shifts, failure to update employee hire dates in the Registry Portal for four employees, lack of documented annual TB risk assessment for one resident, and inadequate dementia-specific orientation training for one employee in the Memory Care unit.
Deficiencies (5)
Failed to ensure residency requirements are met for one resident requiring extensive assistance and hospice care.
Failed to conduct tornado drills on all shifts during February as required.
Failed to update the Registry Portal to include employee hire dates for four employees.
Failed to ensure documented annual TB risk assessment or TB signs and symptoms check for one resident.
Failed to ensure four hours of dementia-specific orientation prior to assuming job responsibilities without direct supervision for one employee in the Memory Care unit.
Report Facts
Employee hire dates missing: 4
Tornado drills conducted: 3
Resident reviewed for residency requirements: 3
Resident reviewed for TB risk assessment: 3
Hours of dementia-specific orientation training completed: 0.75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E8 | Care Partner | Named in deficiency for incomplete dementia-specific orientation training. |
| E3 | Director of Nursing | Confirmed resident R1's condition and discussed staff orientation training. |
| E6 | Facilities Manager | Reported tornado drills had not been conducted this year. |
| E5 | Human Resources Generalist | Confirmed Registry Portal was not updated with employee hire dates. |
| E13 | Care Partner | Observed assisting resident R1 with mobility and care. |
| E14 | Infection Control Nurse | Reported resident R2's TB skin test was not done due to adverse reaction and assessment was not documented. |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Aug 23, 2024
Visit Reason
The inspection was an annual survey conducted to assess compliance with licensure and certification requirements, focusing on environmental safety related to hazardous compounds storage in the memory care unit.
Findings
The facility was found to have failed to maintain hazardous compounds secured and out of reach in the memory care unit, with unlocked utility room doors and accessible hazardous cleaning products posing risks to residents identified as wanderers. Immediate corrective actions were taken to secure these hazards, and staff training and monitoring plans were implemented.
Deficiencies (1)
Facility failed to maintain hazardous compounds secure and out of reach in the memory care unit for 9 residents identified as wanderers, including unlocked utility room door and accessible hazardous cleaning products.
Report Facts
Residents affected: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chantel Chine | Director of Nursing | Created daily spot check plan and completed monitoring audits |
| Sara V. ADON | Assistant Director of Nursing | Co-signed nursing in-service regarding safe keeping of compounds and hazards |
| Mary Beth Lutjen | Conducted culinary services in-service training on kitchen chemical lock-up | |
| E1 | Chief Operating Officer | Agreed that utility room should be locked and hazardous compounds secured |
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