Inspection Reports for
Cedarhurst of Yorkville
4040 Cannonball Trail, Yorkville, IL, 60560
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
8
6
4
2
0
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
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Interviewed regarding incident reporting and abuse investigation. |
| E2 | Director of Nursing | Interviewed regarding CPR certification requirements. |
| E11 | Maintenance Director | Interviewed regarding fire drill documentation and timing. |
| E12 | Resident Assistant | Witnessed abuse of resident R1 and reported incident. |
| E13 | Resident Assistant | Perpetrator of substantiated abuse against resident R1; terminated. |
| E14 | Licensed Practical Nurse | Notified of abuse incident and interviewed during investigation. |
| E29 | Business Office Manager | Interviewed regarding personnel files, CPR certifications, background checks, and training documentation. |
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