Inspection Reports for Cordia Senior Residence

865 N Cass Ave, Westmont, IL 60559, IL, 60559

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Inspection Report Summary

The most recent inspection on December 10, 2025, found the facility in compliance with assisted living and shared housing regulations and identified no deficiencies. Earlier inspections, including one on October 15, 2024, cited deficiencies related to the assessment and development of residents’ service plans, specifically failures to properly monitor medical conditions and implement corrective plans. These issues contributed to a resident developing a pressure injury that worsened and required hospital treatment. No fines, enforcement actions, or substantiated complaints were listed in the available reports. The inspection history shows improvement, with the most recent audit indicating compliance after prior concerns about service plan management.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

43% better than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Inspection Report

Plan of Correction
Deficiencies: 0 Date: 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 Date: 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.

Deficiencies (3)
Failure to assess and analyze resident's diagnosis, medical symptoms, and risk factors requiring monitoring.
Failure to develop and implement preventative and significant change plans of service for residents.
Failure to follow and implement the statement of correction for 2022 and 2023 regarding service plan development.
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
NameTitleContext
E2Director of NursingProvided statements regarding resident conditions and failure to implement corrections
E3Licensed Practical NurseDescribed resident conditions and confirmed findings during interviews
E1Executive DirectorDiscussed findings and failure to implement statement of correction

Inspection Report

Annual Inspection
Deficiencies: 1 Date: 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)
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
NameTitleContext
Michelle McKinneyWellness DirectorNamed in plan of correction and compliance discussions
Andy DuvallExecutive DirectorDiscussed concerns regarding failure to follow statement of correction
E2Director of NursingProvided statements regarding resident conditions and discussed findings with Executive Director
E3License Practical NurseDescribed resident conditions and changes during inspection

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