Inspection Reports for Amazing Grace Senior Living
7432 W Talcott Ave, Chicago, IL 60631, United States, IL, 60631
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Inspection Report
Complaint Investigation
Deficiencies: 1
Mar 21, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding failure to obtain proper Power of Attorney consent prior to treatment for a resident receiving therapy services.
Findings
The facility failed to obtain the resident's Power of Attorney consent before initiating physical therapy services, despite the resident already receiving therapy outside the establishment and the POA not authorizing the services. The resident was alert and oriented but unable to recall details of the therapy events.
Complaint Details
Complaint Investigation 2581396/IL186674. The complaint involved failure to obtain POA consent prior to therapy treatment for one resident (R1).
Severity Breakdown
Type 3 Violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to obtain resident's Power of Attorney consent prior to treatment for one resident receiving therapy services. | Type 3 Violation |
Report Facts
Residents reviewed for therapy services: 3
Dates of therapy services: Therapy services provided from 12/13/24 to 2/2/25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Nursing/DON | Provided statements regarding therapy services and POA authorization issues |
| E3 | Occupational Therapist/OT | Provided statements about therapy evaluations, orders, and consent process |
Inspection Report
Plan of Correction
Deficiencies: 1
Mar 21, 2025
Visit Reason
The document is a Plan of Correction submitted in response to an IDPH deficiency related to failure to obtain written Power of Attorney consent prior to therapy services for a resident.
Findings
The facility failed to obtain written Power of Attorney consent prior to therapy services for Resident R1, who has Alzheimer's with behavioral disturbances. The POA documentation was not on file until after therapy services had been rendered.
Deficiencies (1)
| Description |
|---|
| Failure to obtain written Power of Attorney consent prior to therapy services for Resident R1. |
Report Facts
Survey Completion Date: Mar 21, 2025
Completion Date of Correction: Apr 28, 2025
In-service Date: Apr 28, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Laura Shafrenak | Executive Director | Signed as Provider Representative and responsible staff for oversight and family communication |
Inspection Report
Plan of Correction
Deficiencies: 2
Dec 17, 2024
Visit Reason
The document addresses deficiencies related to the transfer of ownership and licensing issues at Amazing Grace Senior Living on Talcott, including failure to obtain a probationary license and failure to notify the Illinois Department of Public Health and residents about the ownership change.
Findings
The facility failed to obtain a probationary license upon ownership transfer, did not notify the Illinois Department of Public Health at least 30 days prior, and did not notify residents of the ownership change. Additionally, the facility operated without a valid license following the ownership change and failed to file a new application under the new entity.
Deficiencies (2)
| Description |
|---|
| Failed to obtain a probationary license when ownership transferred, failed to notify IDPH of the transfer, and did not notify residents of the change of ownership. |
| Operated without a valid license following change of ownership and failed to file a new application under the new entity. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Laura Schafemak | Executive Director | Signed the Plan of Correction document. |
Inspection Report
Annual Inspection
Census: 65
Deficiencies: 1
Dec 11, 2024
Visit Reason
The State Agency conducted an annual licensure survey to assess compliance with licensing requirements, including verification of ownership transfer notification.
Findings
The facility failed to notify the state agency of a change of ownership as required by regulation, which has the potential to affect all residents receiving Assisted Living services. The facility was fully operational with a current census of 65 residents.
Deficiencies (1)
| Description |
|---|
| Failure to notify the state agency of a change of ownership of the establishment as required by Section 295.1010. |
Report Facts
Current census: 65
License number: 5107716
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Interviewed during entrance conference; stated the establishment has new ownership |
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