Inspection Reports for Bridle Brook Assisted Living

1505 Patton Drive, Mahomet, IL, 61853

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Inspection Report Summary

The most recent inspection on October 6, 2025, found the facility in compliance with applicable assisted living regulations and identified no deficiencies. Earlier inspections showed a mixed record, including a substantiated complaint investigation on February 21, 2025, where inspectors cited issues with resident termination procedures, staff training, physician assessments, service plan documentation, Alzheimer’s program compliance, resident rights, and timely abuse reporting. Prior complaint investigations were unsubstantiated, and no enforcement actions or fines were listed in the available reports. The substantiated deficiencies primarily involved resident care and staff training related to memory care and abuse reporting. The facility appears to have addressed these issues by the most recent inspection, indicating improvement over time.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 3.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

Same as Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2024
2025

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Oct 6, 2025

Visit Reason
The visit was conducted as a facility reported incident investigation related to an incident dated 09-06-25 with IL#197534.

Findings
The facility 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

Original Licensing
Deficiencies: 0 Date: Sep 5, 2025

Visit Reason
Original investigation of FRI IL 197344 for licensing compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code 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 investigation.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: May 14, 2025

Visit Reason
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
No violations were cited. The establishment was found to be in compliance with applicable assisted living regulations.

Inspection Report

Complaint Investigation
Deficiencies: 7 Date: Feb 21, 2025

Visit Reason
The inspection was conducted as a complaint investigation related to allegations of improper termination of residency, failure to protect resident rights, inadequate staff training, and failure to report abuse in a memory care assisted living facility.

Complaint Details
The complaint investigation was triggered by an original complaint (185824) regarding improper termination of residency and failure to protect residents. The investigation found substantiated violations including failure to properly terminate residency, inadequate staff training, failure to protect resident rights, and failure to timely report abuse.
Findings
The facility failed to properly terminate the residency of a resident with dementia exhibiting aggressive behavior, did not ensure staff completed mandatory orientation and training, lacked proper physician assessments and signed service plans, failed to meet Alzheimer's and dementia program requirements, violated resident rights by not providing adequate services to prevent aggressive behavior, and failed to report a resident-to-resident abuse incident within 24 hours as required.

Deficiencies (7)
Failed to properly terminate the residency of resident R2 with dementia and aggressive behavior.
Failed to ensure new employees completed orientation and ongoing training, including abuse and neglect prevention.
Failed to obtain proper physician assessments and signatures for residents at admission and annually.
Service plans were not signed and dated by all individuals involved in their development.
Failed to comply with Alzheimer's and dementia program requirements, including appropriate care and residency criteria.
Failed to protect resident rights including dignity, individualized care, and freedom from abuse or neglect.
Failed to report an allegation of resident-to-resident abuse within 24 hours as required by regulation.
Report Facts
Date of resident R2 admission: Nov 13, 2024 Date of resident R2 removal: Feb 3, 2025 Date of abuse incident: Feb 2, 2025 Date abuse reported: Feb 3, 2025 Physician certification date for R1: Jun 19, 2024 Physician certification date for R2: Oct 17, 2024 Service plan date for R1: Jul 3, 2024 Service plan date for R2: Nov 13, 2024

Employees mentioned
NameTitleContext
E1Interviewed staff confirming findings related to residency termination, staff training, service plans, resident rights, and abuse reporting.
E4Witnessed resident-to-resident abuse incident on 2/2/25.
E5Nurse who did not complete mandatory training and did not clock in at shift start.
E3Nurse who did not complete mandatory training and did not clock in at shift start.
Z1Resident representative involved in removal of resident R2 from facility.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Sep 12, 2024

Visit Reason
The inspection was conducted as an incident report investigation related to a complaint.

Complaint Details
Incident cannot be substantiated. No violations cited.
Findings
The incident could not be substantiated and no violations were cited. The facility was found to be in compliance with the applicable Illinois Assisted Living and Shared Housing regulations.

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