Inspection Reports for Brookdale at Home® Glen Ellyn

Investigation of a facility reported incident dated 2025-09-23.

The establishment was found to be in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and ILCS 9/1 Assisted Living and Shared Housing Act.

Investigation was related to a facility reported incident on 2025-09-23; the complaint was found to be unsubstantiated as the facility was in compliance.

The inspection was conducted as an Annual Licensure Survey to assess compliance with state regulations regarding employee orientation and ongoing training.

The facility failed to provide documentation that all required orientation topics were completed by all employees within the required 10 and 30 days from their hire date. Orientation forms were missing, incomplete, unsigned, or not returned to Human Resources for 8 of 9 employees reviewed.

This document is a Plan of Correction submitted in response to the IDPH Annual Licensure inspection conducted on 8/1/2025 at Brookdale Glen Ellyn Assisted Living.

The Plan of Correction addresses deficiencies related to employee orientation and ongoing training, outlining specific corrective actions including auditing associate files and providing comprehensive orientation and job-specific training to new hires and staff.

The inspection was conducted due to a reported incident involving a resident fall with injury that was not properly reported to the Illinois Department of Public Health within the required 24-hour timeframe.

The facility failed to report a resident fall with injury within 24 hours as required by regulation. Resident R1 fell in the bathroom, sustained a head laceration and knee contusion, was sent to the emergency room, but the initial fall was not reported to the Department. The Director of Nursing confirmed the report was only sent for a later change in condition, not the initial fall.

The inspection was conducted as an Annual Licensure Survey to assess compliance with residency requirements and appropriate service provision at the assisted living facility.

The facility failed to have staff with appropriate skills and failed to provide the required level of service for a resident (R2) admitted with puncture wounds, resulting in harm to the resident and a substantial probability of harm to others. Documentation and wound care were insufficient, and the complexity of the resident's wounds exceeded the facility's licensed capabilities.