Inspection Report Summary
The most recent inspection on July 10, 2025, found the facility in compliance with applicable assisted living regulations and identified no deficiencies. Earlier inspections showed a generally compliant pattern, with the exception of October 2024 when inspectors cited deficiencies related to documenting risks of refusal of services in service plans and maintaining accurate medication administration records. These issues involved a resident’s refusal of treatment after a fracture and incomplete medication documentation for metformin. Complaint investigations conducted since then were either unsubstantiated or resulted in compliance findings. The inspection history suggests improvement, with no deficiencies noted in the most recent reports following the issues identified in late 2024.
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/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 10, 2025
Visit Reason
The visit was conducted as a complaint investigation identified by number 2545687/IL195093.
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
Complaint investigation 2545687/IL195093 resulted in compliance with applicable assisted living regulations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 3, 2025
Visit Reason
The inspection was conducted as a complaint investigation for case number 2544759/IL193200.
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
Complaint investigation 2544759/IL193200 resulted in compliance with applicable assisted living regulations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 20, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to complaint number 2540929/IL185655.
Findings
The complaint 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.
Complaint Details
Complaint 2540929/IL185655 was investigated and found to be unsubstantiated with no violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 2
Oct 2, 2024
Visit Reason
The inspection was conducted in response to original complaints IL178251 and IL178017 to assess compliance with the Assisted Living and Shared Housing Establishment Administrative Code and Act.
Findings
The facility was found to be in compliance with complaint IL178251, but violations were cited under IL178017 including failure to document risks of refusal of services in the service plan (Type 3 violation) and failure to document administered medication and maintain medication records (Type 1 violation).
Complaint Details
The visit was complaint-related based on original complaints IL178251 and IL178017. The facility was compliant with IL178251 but had violations under IL178017.
Severity Breakdown
Type 3: 1
Type 1: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to document the risks of refusing services or approaches in the service plan for resident R9 who sustained a fracture and whose POA refused treatment. | Type 3 |
| Failure to document administered medication and maintain medication records for resident R7, specifically regarding the medication metformin 500 mg not being taken off hold status in the electronic system after a CT scan. | Type 1 |
Report Facts
Date of resident fall: Aug 2, 2024
Date of X-ray confirming fracture: Aug 4, 2024
Medication hold period: 40
Medication administration undocumented period: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Interviewees E1 and E2 provided information regarding resident R9's refusal of treatment and service plan documentation. | ||
| Interviewee E2 provided information regarding medication administration documentation for resident R7. |
Inspection Report
Annual Inspection
Deficiencies: 2
Oct 1, 2024
Visit Reason
Annual survey conducted on 10/01/24 to assess compliance with state regulations for Cedarhurst of Springfield.
Findings
The facility was found deficient in documenting the risks of refusing services in the service plan and in medication administration records. Specifically, a resident's refusal of treatment for a fractured arm was not documented in the service plan, and medication administration records failed to reflect the correct status of a medication hold and restart.
Severity Breakdown
Type 3: 1
Type 1: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to document the risks of refusing services or approaches in the service plan for a resident with a fractured arm. | Type 3 |
| Failed to document administered medication and maintain medication records, including failure to update medication hold status for metformin. | Type 1 |
Report Facts
Date of resident fall: Aug 2, 2024
Date of X-ray confirmation: Aug 4, 2024
Medication hold period: 40
Medication restart date: Aug 22, 2024
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