Inspection Reports for Artis Senior Living of Lakeview

3535 N Ashland Ave, Chicago, IL 60657, United States, IL, 60657

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Deficiencies per Year

8 6 4 2 0
2024
2025
High Low Unclassified
Inspection Report Annual Inspection Deficiencies: 5 Aug 5, 2025
Visit Reason
Annual Licensure Survey combined with Complaint Investigation Survey and 24 hour Investigation Survey.
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.
Complaint Details
Complaint Investigation Survey IL00195714/2586073 was unsubstantiated. 24 hour Investigation Survey IL00196621/2586929 was substantiated.
Deficiencies (5)
Description
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
NameTitleContext
E28Director of Environmental ServicesInterviewed regarding disaster preparedness and evacuation assistance.
E2Director of Health and WellnessInterviewed regarding resident falls and service plan updates.
E13Care PartnerInterviewed regarding shower schedules and resident rights.
E11Care PartnerInterviewed regarding shower schedules and resident rights.
E10Licensed Practical NurseInterviewed regarding shower schedules and allegations of forced showers.
E16Care PartnerReported witnessing forced showers on residents R3 and R5.
E23Licensed Practical NurseReported resident R7's allegations of staff grabbing her wrists and verbal abuse.
E1Executive DirectorInterviewed regarding awareness of abuse incidents and missing employee files.
E27Former Assistant Director of NursingReported that abuse incident was not properly investigated by Executive Director.
E24Care PartnerInvolved in verbal abuse incident and missing employee file.
E25Licensed Practical NurseInvolved in verbal abuse incident and missing employee file.
E14Director of Business ServicesAssisted surveyor in reviewing staff files.
Inspection Report Complaint Investigation Deficiencies: 1 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.
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.
Complaint Details
Complaint investigation IL00188504 regarding failure to meet employee orientation and ongoing training requirements, specifically hygiene and infection control.
Severity Breakdown
General Violation: 1
Deficiencies (1)
DescriptionSeverity
Kitchen staff member failed to wash hands repeatedly after changing gloves during food handling, causing cross contamination.General Violation
Report Facts
Staff observed: 3 Hours of ongoing training required: 8
Employees Mentioned
NameTitleContext
E6Kitchen AssistantNamed in deficiency for failure to wash hands after glove removal
E1Executive DirectorProvided statements confirming handwashing policy and cross contamination risk
Inspection Report Enforcement Deficiencies: 1 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)
Description
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
NameTitleContext
Patricia EllisExecutive DirectorNamed as Executive Director of Artis Senior Living of Lakeview, responsible for corrective actions and signatures
Inspection Report Complaint Investigation Deficiencies: 2 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.
Findings
The investigation substantiated the allegations and identified 2 general violations with associated fines totaling $2000.00.
Complaint Details
The allegations were substantiated following review of records and on-site analysis.
Deficiencies (2)
Description
Violation of code 295.6000
Violation of code 295.6010
Report Facts
Fine amount: 2000 Number of violations: 2
Employees Mentioned
NameTitleContext
Edward PittsRN-BSN, PSASigned letter regarding complaint investigation and findings
Patricia EllisExecutive DirectorApproved fine payment and signed plan of correction
Inspection Report Complaint Investigation Deficiencies: 2 Mar 21, 2025
Visit Reason
The inspection was conducted following substantiated allegations of abuse involving a caregiver and a resident at the facility.
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.
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.
Deficiencies (2)
Description
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
NameTitleContext
E5CaregiverNamed as perpetrator of abuse against resident R2.
E4CaregiverWitnessed abuse but failed to immediately report it.
E1Executive DirectorSubstantiated abuse and confirmed failure to report by E4.
Inspection Report Complaint Investigation Deficiencies: 2 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.
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.
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.
Severity Breakdown
Type 2 Violation: 2
Deficiencies (2)
DescriptionSeverity
Failed to update service plan to include fall interventions for a high fall risk resident with history of falls and injury.Type 2 Violation
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.Type 2 Violation
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
NameTitleContext
E6Licensed Practical NurseNurse on duty at time of incident who stated resident walked independently and noted physical therapy recommendations.
E10Care PartnerStaff who found resident on the floor and described resident's gait as 'a little bit wobbly'.
Z2Son of ResidentProvided information about resident's condition and fall incidents.
E2Health and Wellness DirectorProvided information about fall causes and service plan updates.
Z6Care ManagerObserved resident as grossly unbalanced.
Z4Physical TherapistConducted physical therapy assessment and noted resident's unsteady gait and need for walker.
Z5Physical TherapistProvided additional physical therapy evaluation noting gait unsteadiness and need for cane.
Inspection Report Annual Inspection Deficiencies: 2 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.
Severity Breakdown
Type 2: 2
Deficiencies (2)
DescriptionSeverity
Violation of 295.4060 Alzheimer's and Dementia ProgramsType 2
Violation of 295.6000 Resident RightsType 2
Report Facts
Fine amount: 1000 Fine amount: 500 Fine amount: 500 Days to submit Statement of Correction: 15
Employees Mentioned
NameTitleContext
Edward PittsRN-BSN, PSAAuthor of the inspection letter from Illinois Department of Public Health
Patricia EllisExecutive DirectorSigned the Statement of Correction for the facility
Inspection Report Annual Inspection Deficiencies: 2 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.
Severity Breakdown
Type 2 Violation: 2
Deficiencies (2)
DescriptionSeverity
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).Type 2 Violation
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.Type 2 Violation
Report Facts
Resident falls with injury: 8 Resident age: 69 MMSE score: 0
Employees Mentioned
NameTitleContext
Executive DirectorE1, involved in discussions and responses regarding resident aggressive behavior and falls.
Assistant Director of NursingE2, involved in care plan discussions and responses regarding resident aggressive behavior and falls.
Director of Facility Experience/Manager of Memory CareE3, provided statements regarding resident behavior.

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