The most recent inspection on November 5, 2025, found deficiencies related to the facility’s failure to implement policies ensuring the safety of residents at risk of wandering, resulting in one resident eloping unsupervised. Earlier inspections showed mixed results, with a complaint investigation in October 2025 citing insufficient staffing levels and door security issues, while prior reports from March and April 2025 found the facility in compliance with regulations. The main themes of deficiencies involved resident safety related to wandering and staffing adequacy. Complaint investigations were mostly unsubstantiated except for the October staffing-related issue, and no fines or enforcement actions were listed in the available reports. The inspection history suggests some emerging challenges with safety and staffing after a period of compliance.
Deficiencies (last 1 years)
Deficiencies (over 1 years)2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Illinois average
Illinois average: 3.5 deficiencies/year
Deficiencies per year
43210
2025
Inspection Report Plan of CorrectionDeficiencies: 1Nov 5, 2025
Visit Reason
The inspection was conducted due to a facility-reported incident involving a memory care resident who eloped from the establishment unsupervised.
Findings
The facility failed to have and implement policies ensuring the safety of residents at risk of wandering, resulting in one resident eloping unsupervised. The resident was gone for approximately 20 minutes and returned with evidence of having walked through the woods. Staff failed to respond immediately to door alarms despite the resident's known high elopement risk.
Severity Breakdown
Type 1 Violation: 1
Deficiencies (1)
Description
Severity
Failure to develop and implement policies and procedures ensuring the continued safety of residents who may wander, resulting in a resident eloping unsupervised.
The inspection was conducted as a complaint investigation (IL 197872) related to technical infractions concerning staffing and regulatory compliance.
Findings
The facility failed to provide an appropriate number of staff for its resident population. The establishment has 10 memory care beds, and egress door settings only apply to these 10 residents, while other residents must have 24-hour access to enter and exit the building and common areas.
Complaint Details
Complaint Investigation IL 197872 regarding technical infractions related to staffing and regulatory requirements. The technical infraction did not result in harm or significant negative impact and may include a Type 3 violation if repeated.
Deficiencies (1)
Description
Failure to provide an appropriate number of staff for the resident population.
Original investigation of Complaint 2528712 / IL 197480.
Findings
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
Investigation of Complaint 2528712 / IL 197480 resulted in compliance with applicable assisted living regulations.
Inspection Report Original LicensingDeficiencies: 0Apr 12, 2025
Visit Reason
Original investigation of FRI IL 189365 to determine compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Findings
The establishment was found to be in compliance with the applicable assisted living and shared housing regulations during this original licensing inspection.
Annual Licensure Survey to assess compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Findings
The establishment was found to be in compliance with the applicable assisted living regulations during this annual licensure survey.
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