Inspection Report Summary
The most recent inspection on September 12, 2025, identified two deficiencies related to staff fire extinguisher training and delayed facility entrance due to administrative absence and incomplete report submissions. Earlier inspections were mostly clean, with no enforcement actions or fines listed in the available reports. The main issues involved staff training and administrative responsiveness during the inspection process. Complaint investigations conducted at the time were unsubstantiated. This suggests a generally stable compliance history with some minor administrative and training issues noted in the latest survey.
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/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Sep 12, 2025
Visit Reason
The inspection was conducted as an annual licensure survey combined with complaint investigations to assess compliance with regulatory requirements.
Complaint Details
Complaint investigations with case numbers 2586277/IL196240 and 2591317/IL196249 were unsubstantiated.
Findings
The survey identified a technical infraction related to four new staff members not receiving fire extinguisher training, which was corrected onsite. The facility also failed to provide requested reportable accident/incident reports causing delays, and there was a lack of timely response from facility administration during entrance, resulting in a cited violation.
Deficiencies (2)
Four new staff members did not receive fire extinguisher training.
Facility entrance was delayed due to absence of administration and failure to provide reportable incidents as requested.
Report Facts
Number of new staff without fire extinguisher training: 4
Dates of survey visits: Initial visit on 2025-08-22 and resumed visit on 2025-09-05
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Interim Health and Wellness Coordinator/Licensed Practical Nurse | Named in relation to delays and lack of timely response during entrance |
| E12 | Associate Executive Director | Named in relation to delays and failure to provide reportable incidents |
| E13 | Receptionist | Named in relation to initial entrance delays |
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