Inspection Reports for Clarendale of Algonquin
2001 W Algonquin Rd, Algonquin, IL 60102, United States, IL, 60102
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 8, 2025, identified deficiencies related to medication administration, specifically an incorrect dosage of amantadine given due to a transcription error. Earlier inspections from May 2025 cited issues with disaster preparedness, including failure to conduct tornado drills on each shift and document resident participation, as well as noncompliance with health care worker background check requirements and missing dementia care continuing education for the memory care manager. Complaint investigations were mostly unsubstantiated except for the medication error substantiated in October 2025. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility submitted a plan of correction addressing these issues, indicating efforts toward compliance, though deficiencies have appeared intermittently over the recent inspection period.
Deficiencies (last 1 years)
Deficiencies (over 1 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
100% worse than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 8, 2025
Visit Reason
The inspection was conducted as an investigation of incidents reported on 9/12/2025 and 9/18/2025, specifically related to medication administration issues at the facility.
Complaint Details
Investigation of Incident of 9/12/25 found no violations. Investigation of Incident of 9/18/25 resulted in citation 295.5000f)1)4)5). The medication error involved a nurse's handwritten correction that led to the pharmacy transcribing an incorrect dose of amantadine 150 mg twice daily instead of 50 mg twice daily, administered from September 13 to September 18, 2025.
Findings
The facility failed to ensure medications were administered as ordered for one resident (R2), resulting in an incorrect dosage of amantadine being given due to a clerical error in medication orders and documentation.
Deficiencies (1)
Failure to ensure residents' medications were given as ordered, specifically incorrect amantadine dosage due to a medication order transcription error.
Report Facts
Medication dosage error duration: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Health Services | Reported on medication order issues and communication with resident's daughter. |
| Z1 | Resident's Daughter | Reported discrepancy in medication dosage and requested medication information. |
| E5 | Licensed Practical Nurse | Made the handwritten correction on the medication order that led to the dosage error. |
| E7 | Nurse Practitioner | Handwrote the order to change amantadine to capsule form. |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: May 8, 2025
Visit Reason
The inspection was conducted as the Annual Licensure Survey to assess compliance with state regulations including disaster preparedness, health care worker background checks, and Alzheimer's and dementia program requirements.
Findings
The facility failed to conduct tornado drills on each shift during February, failed to document resident participation in drills, did not comply with annual employment verification requirements for some employees, and the memory care manager lacked required annual dementia care continuing education.
Deficiencies (3)
Failure to conduct a tornado drill on each shift during February and failure to document resident participation in fire and tornado drills.
Failure to comply with Health Care Worker Background Check Act by not providing employment verification and updating demographic information for employees annually (2 of 9 employees).
Failure to ensure the memory care manager completed required annual continuing education regarding dementia care.
Report Facts
Employees reviewed for background check compliance: 9
Employees non-compliant with background check: 2
Tornado drills conducted in February 2025: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E4 | Memory Care Manager | Failed to have documented employment verification and lacked required annual dementia care continuing education |
| E7 | Executive Director | Failed to have documented employment verification |
| E3 | Director of Plant Operations | Interviewed regarding fire and tornado drills |
| E5 | Business Office Manager | Interviewed regarding employee records and training documentation |
| E2 | Director of Health Services | Interviewed regarding annual training for Memory Care Manager |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: May 8, 2025
Visit Reason
Annual inspection conducted on 5/7/2025-5/8/2025 to assess compliance with state regulations including disaster preparedness, health care worker background checks, and Alzheimer's and dementia program requirements.
Findings
The facility failed to conduct tornado drills on each shift during February and did not document resident participation in fire or tornado drills. The facility also failed to comply with the Health Care Worker Background Check Act by not providing employment verification for 2 of 9 employees. Additionally, the memory care manager did not complete the required annual continuing education regarding dementia care.
Deficiencies (3)
Failure to conduct a tornado drill on each shift during February and failure to document resident participation in drills.
Failure to comply with Health Care Worker Background Check Act by not providing employment verification and updating demographic information for employees.
Memory care manager did not complete required annual continuing education regarding dementia care.
Report Facts
Number of employees reviewed for background check compliance: 9
Number of employees failing background check compliance: 2
Date of tornado drill conducted: Feb 19, 2025
Number of shifts requiring tornado drills: 3
Hire date of Memory Care Manager (E4): Jul 2, 2021
Hire date of Executive Director (E7): Jun 15, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E4 | Memory Care Manager | Failed to have documented employment verification and required annual dementia care continuing education. |
| E7 | Executive Director | Failed to have documented employment verification. |
| E3 | Director of Plant Operations | Interviewed regarding fire and tornado drills. |
| E5 | Business Office Manager | Interviewed regarding employee records and training documentation. |
| E2 | Director of Health Services | Interviewed regarding lack of annual training for E4. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 3, 2025
Visit Reason
Investigation IL00185990 was conducted on 3/3/2025 to assess 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
Investigation IL00185990 was conducted; the establishment was found compliant.
Findings
The establishment was found to be in compliance with the applicable Assisted Living and Shared Housing regulations during this investigation.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: 6022136 View POC 002 Clarendale Combined SOC
Visit Reason
This document is a plan of correction submitted by the facility addressing identified deficiencies related to health care worker background checks, Alzheimer's and Dementia program training, and disaster preparedness including tornado and fire drills.
Findings
The plan outlines immediate actions taken, identification of similar occurrences, systematic changes to prevent recurrence, and monitoring procedures to ensure compliance with regulatory requirements.
Report Facts
Date of Completion: 2025
Date of Completion: 2025
Date of Completion: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James McMullin | Director of Plant Operations | In-serviced on tornado drill policy and fire drill forms (Exhibits A and E) |
| Jim Capriotti | Executive Director | In-serviced Director of Plant Operations and responsible for audits (Exhibits A, B, D, E, F, H) |
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