Inspection Reports for
Avantara Elgin

The facility was found to have multiple deficiencies including failure to maintain resident dignity, improper medication administration, inadequate pressure ulcer prevention, failure to follow physician orders, insufficient supervision, improper catheter care, failure to provide pureed diet items as ordered, and lapses in infection control practices.

The survey found two deficiencies related to medication regimen review and transcription errors resulting in a resident missing thyroid medication for 79 days.

Facility Reported Incident dated June 13, 2024 involving resident R24 falling from a shower chair causing fractures.

The facility failed to ensure safe transport of a resident to the shower room using a shower chair that abruptly stopped and tipped, resulting in fractures. The facility removed the faulty chair, pounded down metal strips, ordered new chairs, and acknowledged best practice is to use wheelchairs for transport.

The facility was found to have multiple deficiencies including failure to document and resolve resident grievances, failure to obtain resident weights as ordered, failure to obtain treatment orders for pressure ulcers, unsafe transport of a resident resulting in fractures, inadequate indwelling catheter care, and failure to puree foods to a smooth consistency.

The facility failed to ensure incontinence care was provided per a resident's request for one of four residents reviewed. The facility's policy requires incontinence care at least every two hours and as needed to prevent skin breakdown and urinary tract infections.

Complaint # not explicitly stated in document; investigation substantiated abuse by agency CNA V15 towards resident R10.

The facility substantiated abuse by agency CNA V15 towards resident R10, resulting in bruising, emotional harm, and mental distress. The facility failed to immediately report and investigate the abuse allegation, allowing V15 to continue working until removed after the investigation.

Complaint investigation regarding failure to provide COVID-19 vaccination to a resident who requested it.

The facility failed to provide the COVID-19 vaccine to one resident who requested it despite family requests and vaccine availability.

The facility was found to have multiple deficiencies including failure to respond timely to resident grievances, inadequate assistance with ambulation, improper wound care, medication administration errors, improper medication storage temperatures, and failure to follow infection control protocols.

The facility failed to provide requested medical records to a resident's representative, did not conduct or respond to grievance investigations properly, failed to provide adequate ADL care including toileting and repositioning, and was understaffed to meet residents' needs.

The facility was found to have multiple deficiencies related to care plan coordination, assistance with showers, and addressing significant weight loss in residents. The survey identified failures in notifying family and physicians, updating care plans, and providing adequate assistance with feeding and hygiene.

Complaint Investigation regarding failure to supervise residents with wandering and elopement risks resulting in Immediate Jeopardy.

The facility failed to supervise residents at risk for elopement, maintain functioning exit door alarms, and follow its elopement policy, resulting in two residents eloping and being unsupervised for approximately 90 minutes. The Immediate Jeopardy was removed after corrective actions including reassessment of residents, 1:1 monitoring, and plans to upgrade alarm systems.