Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 28, 2025
Visit Reason
The inspection was conducted as a complaint investigation for Ascension Living Resurrection Village to determine compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Findings
The establishment was found to be in compliance with the applicable assisted living regulations and administrative codes during this complaint investigation.
Complaint Details
Complaint Investigation 2585963/IL195556; the establishment was found compliant.
Inspection Report
Plan of Correction
Deficiencies: 1
May 21, 2025
Visit Reason
This document is a Plan of Correction submitted by Ascension Living Resurrection Village to address deficiencies related to service plans, specifically regarding residents receiving home health services and ensuring appropriate updates and communication.
Findings
The facility identified deficiencies in updating service plans to reflect home health recommendations for residents receiving such services. Corrective actions include updating affected residents' plans, reviewing charts of other residents receiving home health services, and implementing weekly meetings with home health providers to ensure ongoing communication and updates.
Deficiencies (1)
| Description |
|---|
| Failure to update service plans to reflect appropriate recommendations from home health services. |
Report Facts
Residents audited weekly: 5
Monitoring period: 3
Inspection Report
Annual Inspection
Deficiencies: 1
Apr 25, 2025
Visit Reason
Annual Licensure Survey conducted to assess compliance with service plan regulations and facility policies, including complaint investigation and facility reported incidents.
Findings
The facility failed to develop, update, and implement adequate fall service plans incorporating physical therapy assessments and recommendations, resulting in three residents sustaining injuries from falls. The facility also failed to follow its fall policy and procedure, leading to resident harm.
Complaint Details
Complaint investigation #184929 was unsubstantiated. Facility reported incidents #178444 was referred to SNF and #181070 was substantiated.
Deficiencies (1)
| Description |
|---|
| Failure to develop, update, and implement fall service plans incorporating physical therapy assessments and recommendations, addressing current fall risk factors, and following facility fall policy and procedure. |
Report Facts
Resident falls with injury: 3
Fall dates: R1 fell on 11/10/24, R2 fell on 10/18/24, R3 fell on 2/16/25.
Resident ages: R1 is 92 years old, R2 is 80 years old, R3 is 101 years old.
Fall risk scores: R1 moderate risk, R2 scored 9 and 7 indicating higher risk, R3 assessed with unsteady gait.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Nursing | Interviewed regarding fall service plans and physical therapy recommendations; acknowledged failures in service plan updates and fall prevention. |
| Z1 | Physical Therapist | Provided physical therapy assessments and recommendations for residents R2 and R3. |
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