Inspection Reports for Country Lane Memory Care
875 Riverton Road, IL, 62561
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8
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4
2
0
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Inspection Report
Annual Inspection
Deficiencies: 2
Nov 24, 2025
Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with regulatory requirements for the facility.
Findings
The facility was cited for a technical infraction related to failure to conduct a recent satisfaction survey as part of their Quality Improvement Program, and a Type 2 violation for failing to ensure dietitian services were in place for three residents receiving therapeutic diets. No fines or sanctions were imposed for the technical infraction, but the lack of a current dietitian contract created a substantial probability of harm.
Severity Breakdown
Technical Infraction: 1
Type 2 Violation: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to conduct a recent satisfaction survey as part of the Quality Improvement Program. | Technical Infraction |
| Failure to ensure services of a dietitian were in place and available for three residents receiving therapeutic diets. | Type 2 Violation |
Report Facts
Residents receiving therapeutic diets: 3
Date of last satisfaction survey: 2023
Dietitian contract date: 2019
Dietitian license expiration: 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Nursing | Provided information about satisfaction surveys and dietitian services; stated dietitian passed away in 2024. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 3, 2025
Visit Reason
The visit was conducted as a complaint investigation identified by case number 25410447/IL198246.
Findings
The establishment 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.
Complaint Details
Complaint Investigation 25410447/IL198246. The complaint was found to be unsubstantiated as the facility was in compliance with relevant regulations.
Inspection Report
Complaint Investigation
Deficiencies: 7
Aug 12, 2025
Visit Reason
Complaint investigation regarding the facility's compliance with residency requirements, staffing adequacy, physician assessments, service plans, tuberculosis screening, and licensing adherence.
Findings
The facility failed to ensure adequate staffing to meet resident needs, did not complete required physician assessments, service plans, or tuberculosis screenings for one resident (R4), and did not handle a resident according to the facility's licensed guidelines. Staffing shortages were noted, especially on night shifts, impacting safe evacuation and care.
Complaint Details
Complaint Investigation 2547048/IL196671 regarding violations of residency requirements, physician assessments, service plans, tuberculosis screening, staffing adequacy, and licensing compliance.
Deficiencies (7)
| Description |
|---|
| Failed to ensure adequate staffing was scheduled to provide services according to resident population. |
| Failed to complete a Physician's Assessment prior to residency for one resident (R4). |
| Failed to develop a service plan after residency was established for one resident (R4). |
| Failed to screen one resident (R4) for Tuberculosis prior to establishing residency. |
| Failed to provide an appropriate number of staff for Alzheimer's and Dementia program residents. |
| Failed to ensure a resident with established residency was handled under the guidelines in which the facility is licensed. |
| Failed to ensure the level of assistance specified in the service plan was available at all times and failed to ensure one resident (R4) had a service plan specifying services received. |
Report Facts
Residents present: 31
Residents requiring evacuation assistance: 13
Licensed capacity: 30
Residents requiring full mechanical lift transfers: 2
Staff scheduled on night shift: 3
Staff required for safe evacuation: 5
Adult daycare residents maximum: 4
Days adult daycare resident attends: 3
Date residency contract signed for R4: May 3, 2024
Move-in date for R4: Jun 4, 2024
Date of survey completion: Aug 12, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Provided statements regarding staffing, resident care needs, and verification of deficiencies. | |
| Certified Nursing Assistant | Provided information about residents requiring mechanical lifts. | |
| Administrator | Provided information about adult daycare operations and resident mixing. |
Inspection Report
Annual Inspection
Deficiencies: 0
Apr 29, 2025
Visit Reason
The visit was conducted as an annual licensure inspection to determine 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 applicable assisted living regulations and administrative codes during this annual inspection.
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