Inspection Reports for Cordia Senior Residence
865 N Cass Ave, Westmont, IL 60559, IL, 60559
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Inspection Report
Plan of Correction
Deficiencies: 0
Dec 10, 2025
Visit Reason
Licensure Desk Audit conducted 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.
Findings
The establishment was found to be in compliance with the relevant assisted living and shared housing regulations during this licensure desk audit.
Inspection Report
Annual Inspection
Deficiencies: 3
Oct 15, 2024
Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with regulatory requirements related to residents' service plans.
Findings
The facility failed to properly assess and analyze residents' medical conditions and risks, develop and implement appropriate service plans, and follow previous statements of correction from 2022 and 2023. These failures resulted in a resident developing a facility-acquired pressure injury that worsened and required hospital treatment, and failure to update service plans reflecting significant changes in residents' conditions.
Severity Breakdown
Type 1 Violation: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to assess and analyze resident's diagnosis, medical symptoms, and risk factors requiring monitoring. | Type 1 Violation |
| Failure to develop and implement preventative and significant change plans of service for residents. | Type 1 Violation |
| Failure to follow and implement the statement of correction for 2022 and 2023 regarding service plan development. | Type 1 Violation |
Report Facts
Pressure injury size on May 1, 2024: 4
Pressure injury size on May 22, 2024: 8
Dates of previous citations: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Nursing | Provided statements regarding resident conditions and failure to implement corrections |
| E3 | Licensed Practical Nurse | Described resident conditions and confirmed findings during interviews |
| E1 | Executive Director | Discussed findings and failure to implement statement of correction |
Inspection Report
Annual Inspection
Deficiencies: 1
Oct 15, 2024
Visit Reason
The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements, specifically focusing on the development and implementation of residents' service plans.
Findings
The facility failed to meet the regulatory requirement for developing and implementing comprehensive service plans based on physician assessments and resident needs. This failure resulted in a resident developing a Stage 2 pressure injury that progressed to an infected Stage 3 pressure injury requiring debridement and wound vacuum treatment. The facility also failed to follow previous statements of correction from 2022 and 2023.
Deficiencies (1)
| Description |
|---|
| Failure to assess and analyze resident's diagnosis, medical symptoms, and risk factors requiring monitoring; failure to develop and implement preventative plans of service and follow statements of correction. |
Report Facts
Pressure injury measurements: 4
Pressure injury measurements: 8
Dates of prior surveys: 2022
Dates of prior surveys: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle McKinney | Wellness Director | Named in plan of correction and compliance discussions |
| Andy Duvall | Executive Director | Discussed concerns regarding failure to follow statement of correction |
| E2 | Director of Nursing | Provided statements regarding resident conditions and discussed findings with Executive Director |
| E3 | License Practical Nurse | Described resident conditions and changes during inspection |
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