Inspection Reports for Avonlea Cottage-Sterling

2201 E LeFevre Rd, Sterling, IL, 61081

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Inspection Report Summary

The most recent inspection on February 13, 2025, was a complaint investigation that found no deficiencies and was unsubstantiated. The prior annual inspection on August 6, 2024, identified deficiencies related to emergency preparedness, employee health evaluations, and incomplete resident service plans. Earlier reports were not provided, so it is unclear if these issues had appeared before. No fines, enforcement actions, or license suspensions were listed in the available reports. The recent clean complaint investigation suggests some improvement following the prior cited issues.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 1.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

57% better than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Feb 13, 2025

Visit Reason
Complaint investigation IL00184720 was conducted on 2/13/2025.

Complaint Details
Complaint investigation IL00184720 was unsubstantiated.
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.

Inspection Report

Annual Inspection
Deficiencies: 3 Date: 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.

Deficiencies (3)
Failed to conduct tornado drills on each shift during February and lacked written evaluations for all drills.
Failed to ensure direct care employees had initial health evaluations within 30 days of employment and two-step TB tests within 10 days.
Service plans were not signed by required parties and did not address evacuation assistance, health-related services, or medication use for three residents.
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
NameTitleContext
E1Executive DirectorConfirmed tornado drill and evaluation deficiencies and employee health evaluation findings.
E2Director of NursingEmployee lacking timely TB test; confirmed service plan deficiencies.
E6Activity CoordinatorEmployee lacking timely TB test.
E8AideEmployee lacking initial health evaluation and timely TB test.

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