Inspection Reports for Carriage Crossing Senior Living of Rochester

The inspection was conducted due to an investigation of incidents involving resident-to-resident sexual intimacy and failure to report serious incidents timely to the Illinois Department of Public Health.

The facility failed to report serious incidents within 24 hours, did not update service plans to reflect residents' special needs and behaviors, and failed to maintain residents' dignity and privacy. Multiple incidents of inappropriate resident-to-resident sexual contact were documented, and staff failed to report these incidents promptly. Service plans lacked documentation of sexual behaviors and interventions. Residents R3 and R4's bodily privacy and dignity were not adequately protected.

The investigation was complaint-driven, focusing on incidents involving resident-to-resident sexual intimacy and failure to report these incidents timely. The complaint was substantiated with findings of multiple incidents involving residents R2, R3, and R4, and staff failure to report and update care plans accordingly.

Original investigation of Complaints 2542092 / IL 187855 and 2542199 / IL 188047.

The establishment is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.

Investigation of complaints 2542092 / IL 187855 and 2542199 / IL 188047; establishment found in compliance.

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.

No violations were cited. The establishment was found to be in compliance with applicable assisted living regulations.

The inspection was conducted as an original complaint investigation (complaint number 177272).

The allegations were not substantiated and no violations were cited. The facility was found to be in compliance with the applicable Illinois Assisted Living regulations.

Original complaint 177272 was investigated and found to be unsubstantiated with no violations cited.

The inspection was conducted as an incident report investigation following a complaint regarding alleged verbal and physical abuse of a resident (R1) by a staff member.

The facility failed to ensure that resident R1 was free from abuse by a staff member who was verbally and physically aggressive. The staff member was observed on camera roughly handling R1 and using inappropriate language, leading to immediate termination after investigation. The facility retrained staff on abuse and neglect policies and resident care techniques.

The complaint was substantiated based on camera footage and incident reports showing the staff member's verbal and physical aggression toward resident R1. The staff member was terminated and the facility conducted retraining.