Inspection Reports for Carriage Crossing Senior Living of Arcola

909 Green Mill Rd, Arcola, IL 61910, United States, IL, 61910

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Inspection Report Summary

The most recent inspection on July 24, 2025, identified deficiencies related to emergency evacuation orientation, staffing and training for emergencies, background checks, tuberculin skin testing, and medication administration. Earlier inspections were mostly clean, with no deficiencies noted during the annual inspection in August 2024 or in multiple complaint investigations throughout 2024 and early 2025. The main themes of deficiencies in the latest report involved emergency preparedness and resident care procedures. Complaint investigations prior to the most recent inspection were unsubstantiated and did not result in citations. The pattern suggests a recent emergence of issues after a period of compliance, indicating a need for attention to these areas going forward.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

43% better than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Inspection Report

Routine
Census: 36 Deficiencies: 4 Date: Jul 24, 2025

Visit Reason
The inspection was conducted to assess compliance with state regulations regarding disaster preparedness, personnel qualifications and training, tuberculin skin test procedures, and resident rights at Carriage Crossing Senior Living.

Findings
The facility was found deficient in multiple areas including failure to orient residents to emergency evacuation plans, insufficient staffing and training for emergencies, incomplete background checks for staff, failure to provide required tuberculin skin tests for residents, and failure to administer medications as ordered for a resident.

Deficiencies (4)
Failed to provide orientation of emergency exits and evacuation plans to three of four residents reviewed.
Failed to provide sufficient staff to evacuate residents in emergencies and ensure appropriate training and background checks for staff.
Failed to provide tuberculin skin tests for two of three residents reviewed.
Failed to provide medication as ordered for one of three residents reviewed.
Report Facts
Resident census: 36 Residents not oriented: 3 Residents missing TB tests: 2 Residents with medication errors: 1 Staff on night shifts: 2 Total residents: 36

Employees mentioned
NameTitleContext
E1 Executive DirectorExecutive DirectorStated lack of resident orientation and incomplete background checks; confirmed staffing shortages and training deficiencies.
E2 Director of NursingDirector of NursingReported inability to evacuate residents with current staffing; confirmed missing TB tests; reported medication administration error for resident R2.
E5 Patient Care AssistantPatient Care AssistantHad incomplete background checks at time of hire, later completed.
E6 Registered NurseRegistered NurseLacked fire extinguisher training and continuing education in emergencies and dementia care.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Mar 27, 2025

Visit Reason
The inspection was conducted as an incident investigation related to a complaint identified as IL 188380.

Complaint Details
Allegation cannot be substantiated. No violations cited.
Findings
The allegation could not be substantiated and no violations were cited. The establishment was found to be in compliance with the applicable Illinois Assisted Living regulations.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 23, 2024

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

Complaint Details
Allegation cannot be substantiated. No violations cited.
Findings
The allegation could not be substantiated and no violations were cited during the investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 3, 2024

Visit Reason
The inspection was conducted as an incident report investigation related to allegations against the facility.

Complaint Details
The allegations cannot be substantiated. No violations cited.
Findings
The allegations 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.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Aug 7, 2024

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.

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