Inspection Reports for Avonlea Cottage-Sterling
2201 E LeFevre Rd, IL, 61081
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
High
Moderate
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 13, 2025
Visit Reason
Complaint investigation IL00184720 was conducted on 2/13/2025.
Findings
The complaint investigation was unsubstantiated. 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 Details
Complaint investigation IL00184720 was unsubstantiated.
Inspection Report
Annual Inspection
Deficiencies: 3
Aug 6, 2024
Visit Reason
Annual Licensure Survey conducted from 08/06/2024 to 08/12/2024 to assess compliance with state regulations for Avonlea Cottage/Sterling.
Findings
The facility failed to conduct tornado drills on each shift during February and did not provide written evaluations for all scheduled drills. Additionally, three employees lacked timely initial health evaluations and two-step TB tests. Service plans for three residents were incomplete, missing signatures, evacuation assistance levels, and details on medication use and health services.
Severity Breakdown
Type 3 Violation: 2
Type 2 Violation: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to conduct tornado drills on each shift during February and lacked written evaluations for all drills. | Type 3 Violation |
| Failed to ensure direct care employees had initial health evaluations within 30 days of employment and two-step TB tests within 10 days. | Type 3 Violation |
| Service plans were not signed by required parties and did not address evacuation assistance, health-related services, or medication use for three residents. | Type 2 Violation |
Report Facts
Employees with deficient health evaluations: 3
Residents with deficient service plans: 3
Scheduled tornado drills missing evaluations: 2
Tornado drills conducted in February: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Confirmed tornado drill and evaluation deficiencies and employee health evaluation findings. |
| E2 | Director of Nursing | Employee lacking timely TB test; confirmed service plan deficiencies. |
| E6 | Activity Coordinator | Employee lacking timely TB test. |
| E8 | Aide | Employee lacking initial health evaluation and timely TB test. |
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