Inspection Reports for Ciel of Long Grove
1190 Old McHenry Rd, Long Grove, IL 60047, United States, IL, 60047
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Inspection Report
Complaint Investigation
Deficiencies: 2
Sep 26, 2025
Visit Reason
The inspection was conducted as an investigation of a facility-reported incident involving a resident fall on 2025-08-19, where the facility failed to ensure immediate nursing assessment and prompt reporting of the fall incident.
Findings
The facility failed to ensure that a resident who fell was immediately assessed by a licensed nurse and that the fall was promptly reported to nursing staff. This failure affected one resident (R1) who was later diagnosed with a subdural hematoma requiring surgical intervention, creating a substantial probability of severe harm.
Complaint Details
The investigation was triggered by a facility-reported incident on 2025-08-21 regarding a resident fall on 2025-08-19. The complaint was substantiated as the facility failed to immediately assess the resident and report the fall, resulting in delayed treatment of a subdural hematoma.
Severity Breakdown
Type 1 Violation: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to have staff with adequate qualifications and training to meet residents' needs, specifically failing to immediately assess a resident after a fall and promptly report the incident. | Type 1 Violation |
| Failure to protect a resident's right to be free from neglect by not ensuring prompt reporting and immediate nursing assessment after a fall incident. | Type 1 Violation |
Report Facts
Residents reviewed for accidents: 3
Time waited for nurse response: 15
Date of resident fall: Aug 19, 2025
Date of facility incident report: Aug 21, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E4 | Physical Therapy Aide | Observed resident on floor, pressed alarm pendant multiple times, verbally informed caregiver, and assisted resident to get up |
| E3 | Caregiver | Informed by E4 of fall but did not verify resident identity or report incident to nurse or Health and Wellness Director |
| E2 | Health and Wellness Director | Provided facility protocol for falls and confirmed failures in reporting and assessment |
| E1 | Executive Director | Witnessed interviews regarding the fall incident |
| Z1 | Physician | Evaluated resident via video conference, ordered hospital transfer, and confirmed severity of injury |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 10, 2024
Visit Reason
The inspection was conducted as a complaint investigation and a facility reported incident review.
Findings
Both the facility reported incident (#IL176703) and the complaint investigation (#2477395/#IL178025) were substantiated with no deficiencies written. The establishment was found to be in compliance with the applicable Illinois Assisted Living and Shared Housing regulations.
Complaint Details
Complaint investigation #2477395/#IL178025 was substantiated with no deficiencies written.
Inspection Report
Annual Inspection
Deficiencies: 2
Aug 8, 2024
Visit Reason
Annual Licensure Survey conducted to assess compliance with state regulations for service plans and Alzheimer's/dementia program training requirements.
Findings
The facility failed to update a resident's service plan after fall incidents, including lack of fall root cause analysis and communication between therapy and staff, contributing to additional falls and hospitalization. Additionally, the facility did not ensure dementia-specific training was completed by an employee prior to job responsibilities.
Severity Breakdown
Type 2 Violation: 1
Type 3 Violation: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to update resident's service plan and conduct fall root cause analysis after fall incidents. | Type 2 Violation |
| Failure to ensure dementia-specific training was completed prior to employee assuming job responsibilities. | Type 3 Violation |
Report Facts
Resident sample size: 7
Employee sample size: 9
Resident age: 101
Resident admission date: Dec 30, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bindu | Nurse Practitioner | Provided post-fall evaluation and treatment for resident R5 |
| E1 | Executive Director | Acknowledged training deficiencies and corrective measures |
| E2 | Health and Wellness Director | Confirmed therapy visits and fall root cause analysis issues |
| E10 | Business Office Manager | Acknowledged typographical error in training date |
Loading inspection reports...
