Inspection Reports for Brighton Gardens of St. Charles

The inspection was conducted following a facility-reported incident on 10/5/2025 concerning dementia care for a resident who became combative and aggressive during cares.

The facility failed to ensure staff followed a resident's service plan for dementia care, resulting in a combative incident with one resident. Staff did not appropriately de-escalate the situation as outlined in the resident's service plan, which included guidance on cognitive stimulation, behavior management, and redirection.

The complaint investigation was triggered by a facility-reported incident on 10/5/2025 involving a resident with Alzheimer's disease and behavioral disturbances who became combative during incontinence care. The investigation found staff did not follow the resident's service plan, which included instructions to leave and reapproach the resident if combative. Staff engaged with the resident despite agitation, leading to aggressive behavior and potential harm.

The inspection was conducted as a complaint investigation for multiple complaint numbers: #2579843/IL197970, #25710050/IL198050, #25710085/IL198078, and #25710220/IL198131.

No deficiencies were cited in any of the complaint investigations. 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 Investigation #2579843/IL197970, #25710050/IL198050, #25710085/IL198078, and #25710220/IL198131 were all investigated with no deficiencies cited.

The inspection was conducted as a complaint investigation following a facility reported incident dated 2025-09-09.

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 Investigation 2579511/IL197801 related to a facility reported incident on 2025-09-09/IL197482. The facility was found in compliance.

Annual Licensure Survey conducted with multiple complaint investigations resulting in no findings.

The facility was found to be operating with an expired license as of June 2025, which was not displayed during the survey. The Executive Director reported difficulties applying for a new license online.

Multiple complaint investigations were conducted with no findings.

The inspection was conducted due to an entity reported incident involving a violation of employee orientation and ongoing training requirements, specifically related to staff conduct and fraternization with residents.

The facility failed to ensure policies and procedures regarding staff fraternization with residents were followed, resulting in the probable exploitation of one resident (R1). An investigation revealed that a terminated Lead Care Manager (E2) engaged in inappropriate conduct with R1, including fraternization and sending sexually explicit text messages.

This document is a plan of correction following an entity reported incident survey.

The survey found no deficiencies and the establishment was in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.

The inspection was conducted as a complaint investigation following a facility reported incident involving a resident fall resulting in injury.

The facility failed to ensure fall interventions in the resident's service plan were explicitly followed, contributing to a resident's fall incident that caused laceration and head injury requiring hospitalization.

Facility Reported Incident #IL182812 was substantiated. Two other incidents (#IL180978 and #IL181705) were not substantiated.

This document is a Plan of Correction submitted in response to regulatory findings related to resident rights at the facility.

The plan addresses concerns regarding resident safety and communication about unsafe behavior, with specific corrective actions including staff training, monitoring of residents with fall risks, and ongoing review of service plans.