Inspection Reports for Country Lane Memory Care

875 Riverton Road, Riverton, IL, 62561

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Inspection Report Summary

The most recent inspection on November 24, 2025, identified deficiencies related to the facility’s Quality Improvement Program and the absence of dietitian services for residents on therapeutic diets. Earlier inspections showed a mix of compliance and issues, including a complaint investigation in August 2025 that found deficiencies in staffing levels, physician assessments, service plans, and tuberculosis screening for one resident. No fines or enforcement actions were listed in the available reports, though the lack of dietitian services was noted as creating a substantial probability of harm. Complaint investigations were mostly unsubstantiated except for the August 2025 case, which substantiated multiple deficiencies affecting resident care and staffing. The inspection history indicates some ongoing challenges with staffing and resident care documentation, with recent issues focused more on program compliance and specialized services.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 9 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

157% worse than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

8 6 4 2 0
2025

Inspection Report

Annual Inspection
Deficiencies: 2 Date: 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.

Deficiencies (2)
Failure to conduct a recent satisfaction survey as part of the Quality Improvement Program.
Failure to ensure services of a dietitian were in place and available for three residents receiving therapeutic diets.
Report Facts
Residents receiving therapeutic diets: 3 Date of last satisfaction survey: 2023 Dietitian contract date: 2019 Dietitian license expiration: 2021

Employees mentioned
NameTitleContext
E2Director of NursingProvided information about satisfaction surveys and dietitian services; stated dietitian passed away in 2024.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Nov 3, 2025

Visit Reason
The visit was conducted as a complaint investigation identified by case number 25410447/IL198246.

Complaint Details
Complaint Investigation 25410447/IL198246. The complaint was found to be unsubstantiated as the facility was in compliance with relevant regulations.
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.

Inspection Report

Complaint Investigation
Deficiencies: 7 Date: 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.

Complaint Details
Complaint Investigation 2547048/IL196671 regarding violations of residency requirements, physician assessments, service plans, tuberculosis screening, staffing adequacy, and licensing compliance.
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.

Deficiencies (7)
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
NameTitleContext
Director of NursingProvided statements regarding staffing, resident care needs, and verification of deficiencies.
Certified Nursing AssistantProvided information about residents requiring mechanical lifts.
AdministratorProvided information about adult daycare operations and resident mixing.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: 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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