Inspection Reports for Carriage Crossing Senior Living of Champaign
1701 Congressional Way, Champaign, IL 61822, United States, IL, 61822
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Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 10, 2025
Visit Reason
Original investigation of Complaint#25610715/IL#198369.
Findings
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 Details
Investigation was related to Complaint#25610715/IL#198369; the establishment was found compliant.
Inspection Report
Annual Inspection
Deficiencies: 4
Oct 9, 2025
Visit Reason
The inspection was conducted as the Annual Licensure Survey to assess compliance with state regulations for the facility.
Findings
The facility failed to conduct the required six fire drills on a bimonthly basis, failed to ensure two of six employees completed the required 8 hours of ongoing training, failed to conduct annual tuberculosis screening for one employee, and failed to ensure one employee completed the required 12 hours of annual in-service education on Alzheimer's and dementia care.
Severity Breakdown
General Violation: 3
Type 2 Violation: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to conduct six fire drills on a bimonthly basis, including night drills. | General Violation |
| Failed to ensure two of six employees completed a minimum of 8 hours of ongoing training applicable to their job responsibilities. | General Violation |
| Failed to conduct annual tuberculosis screening for one of six employees reviewed. | General Violation |
| Failed to ensure one employee completed 12 hours of annual in-service education regarding Alzheimer's disease and related dementia disorders. | Type 2 Violation |
Report Facts
Fire drills conducted: 8
Employees reviewed for training: 6
Employees reviewed for TB screening: 6
Employees reviewed for dementia training: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E7 | Certified Nursing Assistant | Failed to complete ongoing training and annual TB screening |
| E8 | Registered Nurse | Failed to complete ongoing training and annual dementia-specific education |
| E2 | Director of Nursing | Provided information and verified findings related to fire drills and employee assignments |
| E4 | Business Office Manager | Provided information and verified findings related to employee training and TB screening documentation |
Inspection Report
Complaint Investigation
Deficiencies: 4
Sep 18, 2025
Visit Reason
The inspection was conducted as an original complaint investigation (IL197424) regarding allegations of neglect and failure to provide required care and services to residents, specifically focusing on resident R1.
Findings
The facility failed to provide adequate assistance with activities of daily living to resident R1, including toileting, grooming, clothing changes, and wellness checks over multiple days. The memory care unit lacked appropriate cognitive stimulation activities and staff training. The facility also failed to respect resident dignity and did not properly investigate or report neglect allegations, resulting in disciplinary action without suspension of the responsible staff member.
Complaint Details
The complaint investigation was substantiated with findings that resident R1 was neglected from 9/5/25 to 9/7/25, including wearing the same soiled clothing for multiple days and lack of toileting and grooming care. The responsible staff member (E9 Personal Care Assistant) falsified documentation and was given a final written warning but was not suspended. The facility failed to notify the state agency and properly investigate the neglect.
Severity Breakdown
Type 1 Violation: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to provide activities of daily living for one resident (R1), including toileting, grooming, and clothing changes. | Type 1 Violation |
| Failure to provide dementia care residents with activities to support cognitive stimulation and failure to ensure staff had required dementia care training. | — |
| Failure to ensure dignity and provision of services specified in the service plan for one resident (R1). | — |
| Failure to prevent neglect, failure to notify the department, failure to investigate and develop a written report, and failure to remove alleged perpetrator from contact with residents. | Type 1 Violation |
Report Facts
Residents in memory care unit: 14
Total residents in establishment: 43
Staff training hours required: 12
Staff training hours required: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E9 Personal Care Assistant | Personal Care Assistant | Documented providing care that was not given to resident R1, resulting in disciplinary action for falsification of documentation. |
| E2 Wellness Director | Wellness Director | Investigated neglect allegations, confirmed failure to provide care, and stated concerns about activity program and staff training. |
| E1 Operations Director | Operations Director | Confirmed lack of training and activity programs in memory care unit. |
| E10 Personal Care Assistant | Personal Care Assistant | Observed providing confusing commands to resident R1 and stated prior experience with autistic children. |
Inspection Report
Original Licensing
Deficiencies: 0
Nov 19, 2024
Visit Reason
Original investigation for licensing compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 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 survey.
Inspection Report
Annual Inspection
Deficiencies: 0
Nov 19, 2024
Visit Reason
Annual Survey conducted from 11/15/2024 to 11/19/2024 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
The establishment was found to be in compliance with the relevant Illinois Assisted Living and Shared Housing regulations during the annual survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 4, 2024
Visit Reason
The inspection was conducted to investigate two incident reports identified as IL 177190 and IL 177426.
Findings
Both allegations investigated during the visit were found to be unsubstantiated, and no violations were cited.
Complaint Details
The allegations in incident reports IL 177190 and IL 177426 were investigated and found to be unsubstantiated with no violations cited.
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