Inspection Reports for Artis Senior Living of Lakeview
3535 N Ashland Ave, Chicago, IL 60657, United States, IL, 60657
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 5, 2025, found deficiencies related to disaster preparedness, updating service plans after resident falls, resident rights including abuse prevention, timely reporting of abuse allegations, and employee record maintenance. Earlier inspections showed a pattern of issues with resident care, particularly fall prevention and abuse, as well as staff training and infection control. Complaint investigations substantiated abuse by a caregiver and failures to report it promptly, along with violations resulting in fines totaling $3,000 across several reports. Most complaints were unsubstantiated, but substantiated cases involved abuse and inadequate service plan updates. The facility’s inspection history indicates ongoing challenges with resident safety and rights, with no clear improvement trend over time.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
8.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
143% worse than Illinois average
Illinois average: 3.5 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Aug 5, 2025
Visit Reason
Annual Licensure Survey combined with Complaint Investigation Survey and 24 hour Investigation Survey.
Complaint Details
Complaint Investigation Survey IL00195714/2586073 was unsubstantiated. 24 hour Investigation Survey IL00196621/2586929 was substantiated.
Findings
The facility was found deficient in disaster preparedness, service plan updates after resident falls, resident rights including freedom from abuse, neglect, and forced labor, failure to report and investigate abuse allegations timely, and failure to maintain required employee records.
Deficiencies (5)
Failed to ensure residents were included in fire and tornado drills and failed to identify residents who require assistance for evacuation.
Failed to update service plans after falls for two residents, lacking interventions to prevent further falls and clarify responsibility for care.
Failed to ensure residents are free from abuse, including verbal abuse and forced showers, affecting multiple residents.
Failed to report and investigate allegations of verbal abuse within 24 hours for one resident.
Failed to maintain required establishment records for staff training and abuse investigations for multiple employees.
Report Facts
Fire drills conducted: 12
Tornado drills conducted: 3
Residents reviewed for falls: 4
Residents reviewed for abuse: 10
Staff files reviewed: 9
Staff files missing: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E28 | Director of Environmental Services | Interviewed regarding disaster preparedness and evacuation assistance. |
| E2 | Director of Health and Wellness | Interviewed regarding resident falls and service plan updates. |
| E13 | Care Partner | Interviewed regarding shower schedules and resident rights. |
| E11 | Care Partner | Interviewed regarding shower schedules and resident rights. |
| E10 | Licensed Practical Nurse | Interviewed regarding shower schedules and allegations of forced showers. |
| E16 | Care Partner | Reported witnessing forced showers on residents R3 and R5. |
| E23 | Licensed Practical Nurse | Reported resident R7's allegations of staff grabbing her wrists and verbal abuse. |
| E1 | Executive Director | Interviewed regarding awareness of abuse incidents and missing employee files. |
| E27 | Former Assistant Director of Nursing | Reported that abuse incident was not properly investigated by Executive Director. |
| E24 | Care Partner | Involved in verbal abuse incident and missing employee file. |
| E25 | Licensed Practical Nurse | Involved in verbal abuse incident and missing employee file. |
| E14 | Director of Business Services | Assisted surveyor in reviewing staff files. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 21, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding employee orientation and ongoing training compliance, specifically related to hygiene and infection control practices.
Complaint Details
Complaint investigation IL00188504 regarding failure to meet employee orientation and ongoing training requirements, specifically hygiene and infection control.
Findings
The investigation found that a kitchen staff member (E6) repeatedly failed to wash hands after changing gloves while handling food, leading to cross contamination. The Executive Director confirmed the requirement for handwashing after glove removal according to facility policy.
Deficiencies (1)
Kitchen staff member failed to wash hands repeatedly after changing gloves during food handling, causing cross contamination.
Report Facts
Staff observed: 3
Hours of ongoing training required: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E6 | Kitchen Assistant | Named in deficiency for failure to wash hands after glove removal |
| E1 | Executive Director | Provided statements confirming handwashing policy and cross contamination risk |
Inspection Report
Enforcement
Deficiencies: 1
Date: May 21, 2025
Visit Reason
The Illinois Department of Public Health conducted a COI survey on May 21, 2025, to assess compliance with the Assisted Living and Shared Housing Establishment Code, resulting in findings of violations.
Findings
The establishment did not meet all compliance requirements, resulting in a general violation and a fine of $1000.00. A Statement of Correction is required within 15 days, with follow-up actions to ensure compliance.
Deficiencies (1)
General violation under code 3020
Report Facts
Fine amount: 1000
Days to submit Statement of Correction: 15
Days to submit hearing request: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Ellis | Executive Director | Named as Executive Director of Artis Senior Living of Lakeview, responsible for corrective actions and signatures |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Mar 21, 2025
Visit Reason
The Illinois Department of Public Health conducted an investigation on 3/21/25 into self-reported incidents and complaints at the facility.
Complaint Details
The allegations were substantiated following review of records and on-site analysis.
Findings
The investigation substantiated the allegations and identified 2 general violations with associated fines totaling $2000.00.
Deficiencies (2)
Violation of code 295.6000
Violation of code 295.6010
Report Facts
Fine amount: 2000
Number of violations: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Edward Pitts | RN-BSN, PSA | Signed letter regarding complaint investigation and findings |
| Patricia Ellis | Executive Director | Approved fine payment and signed plan of correction |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Mar 21, 2025
Visit Reason
The inspection was conducted following substantiated allegations of abuse involving a caregiver and a resident at the facility.
Complaint Details
The complaint was substantiated based on interviews, record reviews, and facility investigation. Abuse by caregiver E5 against resident R2 was confirmed, and failure to report by caregiver E4 was also documented.
Findings
The investigation substantiated that caregiver E5 physically and verbally abused resident R2, including slapping and belittling the resident. Additionally, caregiver E4 witnessed the abuse but failed to immediately report it, allowing E5 to continue working for 8 more hours after the incident.
Deficiencies (2)
Caregiver E5 slapped, demeaned, belittled, and yelled at resident R2, constituting abuse.
Caregiver E4 failed to immediately report witnessed abuse by E5, allowing E5 to continue working for 8 more hours after the incident.
Report Facts
Hours caregiver E5 continued to work after abuse incident: 8
Resident admission date: Oct 15, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E5 | Caregiver | Named as perpetrator of abuse against resident R2. |
| E4 | Caregiver | Witnessed abuse but failed to immediately report it. |
| E1 | Executive Director | Substantiated abuse and confirmed failure to report by E4. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Nov 20, 2024
Visit Reason
The inspection was conducted as a complaint investigation involving multiple complaint cases, including unsubstantiated complaints and one substantiated entity reported incident related to service plan deficiencies.
Complaint Details
Complaint Investigation included cases IL 176890/2486575 and IL 177758/2487212 which were unsubstantiated, and an entity reported incident IL 180410 which was substantiated.
Findings
The facility failed to update the service plan for a high fall risk resident (R1) with a history of falls and injuries, resulting in inadequate fall interventions. The resident's service plan did not reflect changes in mobility or physical therapy recommendations, and the resident was non-compliant with assistive device use. This deficiency potentially affected all residents.
Deficiencies (2)
Failed to update service plan to include fall interventions for a high fall risk resident with history of falls and injury.
Failed to ensure resident rights related to dignity, independence, and appropriate service plan updates were met, including fall interventions for a high fall risk resident.
Report Facts
Fall Risk Assessment Score: 11
Number of fall incidents with injuries: 3
Date of fall incidents: Falls occurred on 2024-08-23, 2024-09-29, and 2024-10-28.
Fall Risk Assessment Score: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E6 | Licensed Practical Nurse | Nurse on duty at time of incident who stated resident walked independently and noted physical therapy recommendations. |
| E10 | Care Partner | Staff who found resident on the floor and described resident's gait as 'a little bit wobbly'. |
| Z2 | Son of Resident | Provided information about resident's condition and fall incidents. |
| E2 | Health and Wellness Director | Provided information about fall causes and service plan updates. |
| Z6 | Care Manager | Observed resident as grossly unbalanced. |
| Z4 | Physical Therapist | Conducted physical therapy assessment and noted resident's unsteady gait and need for walker. |
| Z5 | Physical Therapist | Provided additional physical therapy evaluation noting gait unsteadiness and need for cane. |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Aug 21, 2024
Visit Reason
The Illinois Department of Public Health conducted an Annual Licensure Survey on 8/21/24 to assess compliance with the Assisted Living and Shared Housing Establishment Code.
Findings
The facility did not meet all compliance requirements and was cited for 2 Type 2 violations, resulting in a $1000 fine. The report includes instructions for submitting a Statement of Correction and fine payment.
Deficiencies (2)
Violation of 295.4060 Alzheimer's and Dementia Programs
Violation of 295.6000 Resident Rights
Report Facts
Fine amount: 1000
Fine amount: 500
Fine amount: 500
Days to submit Statement of Correction: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Edward Pitts | RN-BSN, PSA | Author of the inspection letter from Illinois Department of Public Health |
| Patricia Ellis | Executive Director | Signed the Statement of Correction for the facility |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Aug 21, 2024
Visit Reason
Annual Licensure Survey conducted to assess compliance with Illinois regulations for assisted living and memory care programs.
Findings
The facility failed to properly manage a dementia resident with physical aggression, allowed a resident requiring total assistance beyond the facility's scope to continue residency, and organized unsafe activities for a resident with severe dementia. Additionally, the facility failed to provide adequate care and supervision to a resident at high risk for falls, resulting in multiple falls with injuries including a brain bleed and lacerations.
Deficiencies (2)
Failure to manage physical aggression and total care needs of a dementia resident (R2), and organizing unsafe activities for a resident with severe dementia (R3).
Failure to provide adequate care, support, and supervision for a resident (R1) at high risk for falls, resulting in multiple falls with injury including brain bleed and lacerations.
Report Facts
Resident falls with injury: 8
Resident age: 69
MMSE score: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | E1, involved in discussions and responses regarding resident aggressive behavior and falls. | |
| Assistant Director of Nursing | E2, involved in care plan discussions and responses regarding resident aggressive behavior and falls. | |
| Director of Facility Experience/Manager of Memory Care | E3, provided statements regarding resident behavior. |
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