Inspection Reports for Charter Senior Living of Godfrey

The survey was conducted as a plan of correction following a facility reported incident investigation dated 10/15/2025.

The facility 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.

The visit was conducted as part of the Annual Licensure Survey to assess compliance with state regulations.

The facility failed to establish an effective quality improvement program that includes oversight, resident satisfaction, and data-driven performance monitoring. Specifically, the establishment did not provide evidence of surveying residents and their families to evaluate care quality.

The inspection was conducted following a reported incident of verbal abuse by a caregiver towards residents in the memory care unit, triggered by a complaint and subsequent investigation.

The facility failed to ensure residents were free from verbal abuse by a caregiver, resulting in a substantiated finding of verbal aggression towards multiple residents. The accused caregiver was terminated, and staff were re-educated on abuse policies. The facility also failed to timely report the alleged verbal abuse internally, causing delayed investigation and potential harm to residents.

The complaint investigation was substantiated. The Executive Director confirmed the verbal abuse incident involving caregiver E3 towards residents R1, R2, and R3. The caregiver was suspended and later terminated. Staff interviews revealed previous unreported verbal abuse incidents. Staff received re-education and retraining on abuse prevention and reporting policies.

The inspection was conducted as a follow-up related to a facility reported incident investigation dated 6/26/25 involving allegations of resident abuse and neglect by a caregiver.

The facility was found to have violated Resident Rights and Abuse, Neglect, and Financial Exploitation Prevention and Reporting regulations, with substantiated findings of verbal abuse by a caregiver towards residents. The Executive Director suspended the accused caregiver and conducted staff training on abuse prevention and reporting.

The complaint investigation was substantiated. The Executive Director was notified of verbal abuse by a caregiver on 6/18/25. The caregiver was terminated following investigation. Staff were re-educated on abuse policies and reporting requirements. Multiple staff interviews confirmed verbal aggression incidents.

The document is a plan of correction related to a facility reported incident investigation dated 6/9/25 at Charter Senior Living of Godfrey.

The facility is reported to be in general compliance with the Requirements of the Assisted Living and Shared Housing Establishment Code for this survey.

The inspection was conducted following a facility report incident investigation related to an event on 03/09/2025 involving a resident found unresponsive on the floor.

The facility failed to ensure staff were trained and aware of residents' Individual Service Plans, specifically regarding a resident's Do Not Resuscitate (DNR) status. This failure resulted in staff not recognizing the resident's code status during an emergency, leading to inappropriate resuscitation attempts.

The inspection was conducted following a facility report incident investigation related to an incident on 03/09/2025 involving a resident found unresponsive on the floor.

The facility failed to ensure staff were trained and aware of residents' Individual Service Plans, specifically regarding a resident's Do Not Resuscitate (DNR) status. This failure contributed to improper emergency response during the incident where the resident was found unresponsive and later declared deceased.

The inspection was conducted as an incident investigation related to a resident's fall on 11.07.24, referenced as IL181158.

The facility failed to ensure that the resident's Individual Service Plan was updated in a timely manner following the resident's fall on 11.07.24, which could cause substantial probability of harm. The staff did not follow acceptable standards of care.

The visit was complaint-related, investigating an incident involving a resident's fall on 11.07.24. The deficiency was substantiated by record review and interview with the Regional Nurse Specialist.