7 Reports
Inspection Report — Jul 2, 2026
Plan of Correction
Date: Jul 2, 2026
Visit Reason
Plan of Correction responding to a survey citing deficiencies in Sections 295.3000, 295.4040, 295.5000, and 295.600.
Findings
The facility committed to corrective actions including implementing an on-call licensed nurse system during overnight hours, educating staff on isolation precautions and medication administration, conducting weekly audits of medication administration records, and reporting findings to the Quality Assurance and Performance Improvement Committee to ensure sustained compliance.
Inspection Report — Jun 11, 2026
Complaint Investigation
Date: Jun 11, 2026
Visit Reason
Complaint Investigation: IL00202106/2686685- Substantiated. Violations cited: 295.3000 a), 295.4040 a), 295.5000 f) 5), 295.6000 a) 13).
Complaint Details
Complaint IL00202106/2686685: Substantiated with violations cited in sections 295.3000 a), 295.4040 a), 295.5000 f) 5), and 295.6000 a) 13).
Findings
The establishment failed to ensure a licensed nurse was on duty to assess and provide pain medication as needed, failed to follow policy for isolation of a resident positive for C. Difficile, failed to administer medications as ordered for two residents, and failed to ensure timely assessment and notification for a resident with high blood sugar.
Deficiencies (4)
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The establishment failed to ensure a licensed nurse was on duty to assess and provide pain medication as needed affecting 17 of 17 residents reviewed for pain medication and failed to ensure a nurse was on duty to assess one resident with hyperglycemia resulting in a delay in care.
A4040 (295.4040 Communicable Disease Policies) - The establishment failed to follow their Policy and Procedure for one resident positive for C. Difficile, failing to place the resident on isolation precautions upon admission, creating a risk of spreading infection.
A5000 (295.5000 Medication Reminders, Supervision of Self-Medication, Medication Administration and Storage) - The establishment failed to administer Vancomycin as ordered for one resident with C. Difficile and failed to administer pain medication as ordered for one resident with Rheumatoid Arthritis.
A6000 (295.6000 Resident Rights) - The establishment failed to ensure pain medication was administered as ordered for one resident and failed to ensure a nurse was onsite to assess one resident with a history of high blood sugar, causing substantial probability of severe harm.
Report Facts
Residents affected: 17
Residents affected: 2
Residents affected: 1
Residents affected: 1
Inspection Report — May 30, 2026
Complaint Investigation
Date: May 30, 2026
Visit Reason
Complaint Investigation 2685637/IL201751. For this survey, the establishment is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Complaint Details
Complaint 2685637/IL201751: Complaint investigation found the establishment in compliance with no violations cited.
Findings
The establishment was found in compliance with all applicable regulations during this complaint investigation.
Inspection Report — Apr 7, 2026
Complaint Investigation
Date: Apr 7, 2026
Visit Reason
Facility Reported Incident Investigation IL 00200492- 295.4010 d) and Complaint Investigation: IL201118 - Resident identified in the complaint did not reside in Assisted Living.
Complaint Details
Facility Reported Incident Investigation IL 00200492- 295.4010 d). Complaint Investigation: IL201118 - Resident identified in the complaint did not reside in Assisted Living.
Findings
The establishment failed to update and implement appropriate interventions to prevent falls for one resident with a history of multiple falls and non-compliance with the use of the call pendant, resulting in a fall with major injury.
Deficiencies (1)
A4010 (295.4010 Service Plan) - The establishment failed to update and implement appropriate intervention to prevent falls for one resident with a history of multiple falls and non-compliance with the use of the call pendant, resulting in a fall with major injury.
Report Facts
Residents affected: 1
Residents reviewed: 3
Inspection Report — Jun 28, 2025
Complaint Investigation
Date: Jun 28, 2025
Visit Reason
Complaint Investigation 2585963/IL195556. For this survey, the establishment is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Complaint Details
Complaint 2585963/IL195556: Complaint cannot be substantiated. No violations cited.
Findings
The establishment was found in compliance with all applicable regulations during this complaint investigation.
Inspection Report — May 21, 2025
Plan of Correction
Date: May 21, 2025
Visit Reason
The plan of correction answers a survey citing Section 295.4010 Service Plan.
Findings
The facility committed to update service plans to reflect home health recommendations, conduct weekly meetings with home health providers, and audit residents on home health services weekly to ensure compliance.
Inspection Report — Apr 25, 2025
Annual Inspection
Date: Apr 25, 2025
Visit Reason
Annual Licensure Survey conducted with facility reported incidents #178444 (referred to SNF), #181070 (substantiated), and complaint investigation #184929 (unsubstantiated).
Complaint Details
Facility Reported Incident #178444: Referred to SNF. Facility Reported Incident #181070: Substantiated. Complaint Investigation #184929: Unsubstantiated.
Findings
The facility failed to develop, update, and implement fall service plans incorporating physical therapy assessments and recommendations, resulting in falls with injuries for three residents. The facility also failed to follow its fall policy and procedure, leading to resident harm.
Deficiencies (1)
A4010 (295.4010 Service Plan) - The facility failed to develop, update, and implement fall service plans incorporating physical therapy assessments and recommendations, address current fall risk factors, follow facility fall policy and procedure, and protect three residents from injury due to falls.
Report Facts
Residents affected: 3
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