Inspection Reports for Cedarhurst of Bethalto

903 North Moreland Road, Bethalto, IL, 62010

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Inspection Report Summary

The most recent inspection on November 19, 2025, found the facility in compliance with no deficiencies cited. Earlier inspections showed a mixed record, including substantiated complaints involving verbal and physical abuse incidents. The main issues cited related to resident protection from abuse, including failure to prevent verbal abuse by a visitor and physical abuse by a staff member, as well as delays in reporting abuse incidents. Enforcement actions included suspension and termination of the staff member involved, and visitation restrictions for the visitor; fines or license actions were not listed in the available reports. The facility appears to have addressed prior deficiencies, as the most recent inspections have been free of citations.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

14% better than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2025

Inspection Report

Deficiencies: 0 Date: Nov 19, 2025

Visit Reason
The survey was conducted 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 applicable assisted living and shared housing regulations, with no deficiencies cited.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Nov 12, 2025

Visit Reason
The survey was conducted as a follow-up to a facility reported incident investigation dated 11/6/2025.

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.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Oct 3, 2025

Visit Reason
The inspection was conducted following a facility-reported incident investigation dated 8/27/2025 concerning allegations of verbal abuse by a resident's husband towards the resident.

Complaint Details
The complaint was substantiated based on interviews and record reviews showing the resident was verbally abused by her husband during a visit on 8/27/2025. The facility responded by restricting the husband's visitation and filing a police report.
Findings
The facility failed to ensure residents are free from verbal abuse, as evidenced by the resident's husband verbally abusing her during a visit, causing emotional distress. The facility took action by asking the husband to leave and restricting his visitation rights.

Deficiencies (1)
Failure to ensure residents are free from any form of abuse including verbal abuse.

Employees mentioned
NameTitleContext
E4Licensed Practical NurseObserved resident in tears and confirmed verbal abuse incident on 8/27/25.
E3Reported husband's verbal abuse and involvement in asking him to leave.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Aug 27, 2025

Visit Reason
The survey was conducted as a facility reported incident investigation related to an incident report dated 2025-08-25.

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.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 31, 2025

Visit Reason
The inspection was conducted as part of a complaint investigation related to Allegation of Physical Abuse, following a facility-reported incident investigation dated 5/27/25.

Complaint Details
Complaint #254681 / IL196547 involved an allegation of physical abuse investigated as a facility-reported incident with violations cited.
Findings
Violations were cited at regulatory sections 295.6000 and 295.6010 related to the complaint investigation.

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Jun 6, 2025

Visit Reason
The inspection was conducted following a reported incident involving alleged physical abuse of a resident (R1) by a staff member (E4) on 5/27/2025, which was reported by staff and investigated by the facility.

Complaint Details
The complaint involved an incident on 5/27/2025 where a staff member (E4) was witnessed hitting resident R1 in the face with an adult incontinent brief. The incident was documented with a photo taken by another staff member (E6). The investigation included interviews and statements from involved staff and resulted in suspension and termination of E4. Reporting delays were noted, as the incident was not immediately reported to management.
Findings
The facility failed to protect residents' rights against physical abuse and violation of privacy/dignity, as evidenced by a staff member hitting a resident in the face with an adult incontinent brief and taking a photo of the resident in his underwear during care. The facility also failed to immediately report the abuse incident to management, allowing the perpetrator to remain in direct contact with residents. The staff member involved was suspended and later terminated.

Deficiencies (2)
Failure to ensure residents are protected from physical abuse and violation of privacy/dignity, including hitting a resident in the face with an adult incontinent brief and taking a photo during care.
Failure to immediately report an abuse incident to supervisor/management following facility policy, allowing the perpetrator to remain in direct contact with residents.
Report Facts
Date of incident: May 27, 2025 Date of report: Jun 6, 2025

Employees mentioned
NameTitleContext
E4Resident AssistantPerpetrator who hit resident R1 and was suspended and terminated
E6Resident AssistantEyewitness who took photo of the incident and reported it
E2Director of WellnessNotified of incident and involved in investigation
E3Assistant Director of WellnessConducted resident assessment and involved in investigation
E5Resident AssistantReported incident to management after receiving photo from E6
E1Executive DirectorProvided statements on policy and actions taken including reeducation and termination of E4

Inspection Report

Annual Inspection
Deficiencies: 0 Date: May 2, 2025

Visit Reason
Annual Licensure Survey conducted to assess compliance with the Assisted Living and Shared Housing Establishment Code.

Findings
No violations were cited during the annual licensure survey. The facility is in general compliance with applicable requirements.

Report Facts
Incident Report Date: Apr 25, 2025

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Feb 21, 2025

Visit Reason
The facility conducted an incident investigation related to a reported incident as part of compliance with the Assisted Living and Shared Housing Establishment Code.

Findings
The facility was found to be in general compliance with the requirements of the Assisted Living and Shared Housing Establishment Code for this survey.

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