Inspection Reports for Ascension Living Fox Knoll Village
421 N Lake St, Aurora, IL 60506, United States, IL, 60506
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Inspection Report
Annual Inspection
Census: 21
Deficiencies: 3
Aug 16, 2024
Visit Reason
The inspection was conducted as an Annual Licensure Survey to evaluate compliance with service plan requirements for residents at Ascension Living Fox Knoll Village.
Findings
The facility failed to develop adequate service plans identifying risk factors and specific needs of residents, including interventions to prevent injuries and address significant changes in cognition and functional status. This failure contributed to multiple fractures and a subdural hematoma in one resident and posed potential risk to all 21 residents.
Severity Breakdown
Type 2 Violation (Repeat Violation): 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to develop a service plan identifying risk factors and specific needs of residents. | Type 2 Violation (Repeat Violation) |
| Failure to identify specific interventions to address residents' needs and implement prevention plans. | Type 2 Violation (Repeat Violation) |
| Failure to conduct a significant change assessment of cognition to address decline, wandering behavior, and functional changes in a resident. | Type 2 Violation (Repeat Violation) |
Report Facts
Residents affected: 21
Resident fall dates: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Nursing | Provided information confirming deficiencies in service plans and identified residents' conditions and risks |
Inspection Report
Annual Inspection
Census: 21
Deficiencies: 1
Aug 16, 2024
Visit Reason
The Illinois Department of Public Health conducted an Annual Licensure Survey on 8/16/24 to assess compliance with the Assisted Living and Shared Housing Establishment Code.
Findings
The facility did not meet all compliance requirements, resulting in a Type 2 Repeat Violation related to Section 295.4010 Service Plan. Deficiencies included failure to develop adequate service plans addressing residents' risk factors, cognitive changes, and interventions, potentially affecting the care of 21 residents.
Severity Breakdown
Type 2 Violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to develop a service plan identifying risk factors and specific needs of residents, including interventions to prevent injuries and complications, and failure to revise service plans after significant changes in residents' conditions. | Type 2 Violation |
Report Facts
Fine amount: 1000
Residents affected: 21
Completion date: Sep 15, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Edward Pitts | RN-BSN, PSA | Signed letter as representative of Illinois Department of Public Health Assisted Living division |
| E2 | Director of Nursing | Identified resident conditions and confirmed risk factors during inspection |
| Director of Clinical Services | Responsible for reassessment and development of new service plans in plan of correction |
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