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Inspection Reports for Cedarhurst of Yorkville

4040 Cannonball Trail, Yorkville, IL, 60560

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Inspection Report Summary

The most recent inspection on October 30, 2025, identified multiple deficiencies in areas including residency requirements, disaster preparedness, incident reporting, personnel qualifications, dementia training, resident dignity, and fire drill compliance. Earlier inspections were not provided for comparison, so broader inspection patterns are not available. Inspectors cited issues mainly related to regulatory compliance in staff training and documentation, emergency preparedness, and resident care, including a substantiated case of physical abuse by an employee and delayed abuse reporting. No fines, immediate jeopardy findings, license suspensions, or enforcement actions were listed in the available reports. Without prior inspection data, it is unclear whether these findings represent a new or ongoing trend.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

129% worse than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2025
Severe (Immediate Jeopardy) High (Actual Harm) Moderate (Potential Harm)
State average

Inspection Report

Annual Inspection
Deficiencies: 8 Date: Oct 30, 2025
Visit Reason
Annual Licensure Survey conducted to assess compliance with residency requirements, disaster preparedness, incident and accident reporting, personnel qualifications and training, resident rights, abuse prevention, and physical plant safety.
Findings
The facility was found deficient in multiple areas including failure to meet residency requirements for residents requiring sliding scale insulin, inadequate disaster preparedness drills, failure to report incidents timely, incomplete personnel files lacking CPR certification and background checks, insufficient dementia training, failure to respect resident dignity resulting in substantiated abuse, delayed abuse reporting, and failure to conduct fire drills within required time constraints.
Deficiencies (8)
Failed to ensure residents meet residency requirements for two residents requiring sliding scale insulin.
Failed to conduct required disaster preparedness drills including fire and tornado drills on a bimonthly basis and document them properly.
Failed to submit incident reports to the department within 24 hours for two residents.
Failed to ensure all nurses were correctly CPR certified and maintain complete personnel files including tuberculosis clearance, background checks, and initial health evaluations.
Failed to ensure all employees completed required 16-hour dementia training or documentation was incomplete.
Failed to respect resident's dignity during care and ensure freedom from abuse; substantiated physical abuse of a resident by an employee.
Failed to report allegation of abuse within 24 hours as required.
Failed to ensure fire drills met required time constraints and proper documentation.
Report Facts
Residents reviewed for residency requirements: 7 Employees reviewed for personnel files: 8 Employees reviewed for dementia training: 8 Fire drills documented: 11 Incident reports not timely submitted: 2 Abuse report delay: 5
Employees mentioned
NameTitleContext
E1Executive DirectorInterviewed regarding incident reporting and abuse investigation.
E2Director of NursingInterviewed regarding CPR certification requirements.
E11Maintenance DirectorInterviewed regarding fire drill documentation and timing.
E12Resident AssistantWitnessed abuse of resident R1 and reported incident.
E13Resident AssistantPerpetrator of substantiated abuse against resident R1; terminated.
E14Licensed Practical NurseNotified of abuse incident and interviewed during investigation.
E29Business Office ManagerInterviewed regarding personnel files, CPR certifications, background checks, and training documentation.

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