Inspection Report
Renewal
Census: 19
Capacity: 47
Deficiencies: 0
Jul 22, 2025
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with licensing statutes and rules for Bishop Hills Elder Care.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. The license status is recommended to remain unchanged.
Report Facts
Number of staff interviewed and/or observed: 8
Number of residents interviewed and/or observed: 19
Capacity: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Deb Smith | Administrator | Named as the facility administrator |
| Connie Clauson | Authorized Representative | Named as the authorized representative of the licensee |
Inspection Report
Renewal
Deficiencies: 0
Nov 3, 2023
Visit Reason
The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.
Findings
The review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the facility's license.
Report Facts
License duration: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lauren Wohlfert | Licensing Staff | Signed the renewal notification letter |
Inspection Report
Complaint Investigation
Capacity: 47
Deficiencies: 3
Oct 30, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident B fell out of bed and laid on the floor for hours, indicating inconsistent care.
Findings
The investigation established violations related to Resident B being left on the floor for hours after a fall, failure to conduct hourly safety checks as per the service plan, and omission of critical information regarding assistive devices in Resident B's service plan.
Complaint Details
Complaint received on 2023-10-26 alleging Resident B fell out of bed on 2023-10-17 and was left on the floor until 5:00am. The complaint was substantiated with violations established.
Deficiencies (3)
| Description |
|---|
| Resident B fell and was left on the floor for hours without timely assistance. |
| Resident B's service plan did not include required information on the use and monitoring of a baby monitor device. |
| Resident B's service plan omitted information about the trapeze device attached to the bed, including staff responsibilities and safety measures. |
Report Facts
Capacity: 47
Complaint Receipt Date: Oct 26, 2023
Investigation Initiation Date: Oct 27, 2023
Inspection Date: Oct 30, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debra Smith | Administrator | Interviewed regarding Resident B's care and incident details |
| Connie Clauson | Authorized Representative | Named as authorized representative in the report |
| Kimberly Horst | Licensing Staff | Author of the Special Investigation Report |
Inspection Report
Complaint Investigation
Capacity: 47
Deficiencies: 2
Sep 28, 2023
Visit Reason
The investigation was initiated due to a complaint alleging inadequate care for Resident A, including concerns about falls and hygiene issues such as dried feces found on the resident.
Findings
The investigation found that Resident A was combative and resistant to care, had multiple falls within a 30-day period, and the facility failed to update the service plan or implement appropriate interventions to prevent falls. A violation was established related to the facility's failure to provide adequate protection and supervision consistent with the resident's service plan.
Complaint Details
Complaint received on 09/28/2023 alleging Resident A was transferred to the emergency department due to a fall and was found with dried feces in her Depend. The complaint also alleged inadequate interventions to prevent falls. Violation was established related to fall prevention; violation not established related to care inconsistent with service plan.
Deficiencies (2)
| Description |
|---|
| Failure to update Resident A's service plan to reflect level of care needed including incontinence, combative behaviors, and use of PRN medication. |
| Failure to implement appropriate interventions to prevent Resident A's multiple falls. |
Report Facts
Falls: 9
Capacity: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debra Smith | Administrator | Interviewed regarding Resident A's care and incident. |
| Kimberly Horst | Licensing Staff | Author of the Special Investigation Report. |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report. |
Inspection Report
Renewal
Deficiencies: 0
Nov 5, 2022
Visit Reason
The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the license.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lauren Wohlfert | Licensing Staff | Signed the renewal notification letter |
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