Inspection Reports for Autumn Leaves of Orland Park

The inspection was conducted following a facility-reported incident involving a resident fall on 10/18/2025, focusing on compliance with incident reporting and service plan requirements.

The facility failed to report a serious incident involving a resident fall to the Illinois Department of Public Health within the required 24-hour timeframe. Additionally, the facility failed to obtain resident representative signatures on service plans for two residents reviewed.

The visit was complaint-related due to a facility-reported incident involving a resident fall on 10/18/2025. The complaint was substantiated as the facility failed to report the incident within the required timeframe.

The inspection was conducted as a complaint investigation survey to determine compliance with Part 295 Assisted and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.

The establishment was found to be in compliance with the applicable assisted living and shared housing regulations.

Complaint Investigation Survey 25910239/IL198146; establishment found in compliance.

The visit was conducted as a complaint investigation identified as 2599461/IL197862.

The complaint investigation was unsubstantiated, and the establishment was found to be 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 Investigation 2599461/IL197862 unsubstantiated

The inspection was conducted as a complaint investigation following allegations of physical abuse of a resident by a caregiver.

The investigation substantiated that a caregiver (E2) physically abused resident R1 by handling them roughly. The caregiver was suspended and subsequently terminated. Additionally, staff failed to report observed abuse, creating a substantial probability of harm to residents.

Complaint investigation #IL181928 was substantiated for physical abuse by caregiver E2 against resident R1. Complaint #IL179646 was unsubstantiated.

The document is a Plan of Correction submitted in response to a complaint survey conducted at Autumn Leaves of Orland Park.

The Plan of Correction addresses alleged deficiencies related to resident rights, abuse, neglect, and financial exploitation, outlining corrective actions, staff education, monitoring, and communication improvements to ensure compliance and resident safety.

The Plan of Correction responds to a complaint survey conducted at Autumn Leaves of Orland Park. It notes that E2 was terminated, R1 discharged, all staff were in-serviced on 11/26/2024 about abuse and resident rights, and no abuse allegations have occurred since the last occurrence.