Inspection Report Summary
The most recent inspection on October 22, 2025, identified deficiencies related to fire drill frequency, unlicensed staff administering narcotic medication, and trip hazards from carpets in poor condition. Earlier inspections showed mixed results, including a substantiated complaint in July 2025 for medication errors and documentation issues, which the facility addressed with a plan of correction. The main themes of deficiencies involve medication administration practices and safety measures such as fire drills and environmental hazards. Complaint investigations included one substantiated medication error with no adverse effects reported, while other complaints were not listed. The inspection history shows ongoing challenges with medication management and safety protocols, with some corrective actions taken but new issues noted in the latest survey.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
29% better than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Census: 23
Deficiencies: 3
Date: Oct 22, 2025
Visit Reason
Annual Licensure Survey conducted on 10/22/2025 to assess compliance with state regulations for Eberhardt Village.
Findings
The facility failed to conduct the required six fire drills annually with at least two during sleep hours, allowed unlicensed staff to administer narcotic medications, and had carpets in poor condition posing trip hazards.
Deficiencies (3)
Failure to conduct six fire drills per year on a bimonthly basis with at least two during night hours when residents are sleeping.
Non-licensed staff administering narcotic medication to a resident.
Carpet throughout the establishment is stained, dirty, and in poor repair, creating trip and fall hazards.
Report Facts
Residents present: 23
Fire drills documented: 5
Hydrocodone/APAP tablets: 19
Dates without nurse coverage: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 Registered Nurse | Executive Director | Confirmed fire drill deficiencies and unlicensed medication administration |
| E2 Wellness Director | Stated staff dispense medication to resident R4 due to difficulty opening bubble packs | |
| E3 Resident Assistant | Admitted to opening narcotic medication and documenting administration when nurse not present | |
| E7 Resident Assistant | Administers narcotic medication to resident R4 and documents when nurses are absent |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jul 16, 2025
Visit Reason
The inspection was conducted as a facility reported incident investigation regarding a medication error where a resident (R1) was given the wrong medication.
Complaint Details
The allegation of medication error was substantiated. The facility failed to ensure correct medication administration and proper documentation. Notifications were made to nurse, physician, family, and the Department.
Findings
The facility failed to ensure that resident R1 received the correct physician-ordered medications and that staff followed medication policies, including proper documentation of as-needed medication administration times. The medication error involved giving Norco instead of the ordered Tramadol, with appropriate notifications made and no adverse effects reported.
Deficiencies (1)
Failure to ensure resident received correct physician ordered medications and failure to follow medication policy including documentation of medication administration times.
Report Facts
Incident date: Jun 9, 2025
Admission date: Jul 27, 2024
Medication dosage: 50
Medication dosage: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Community Director | E1, Community Director, provided statements about medication error and corrective actions |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Jul 15, 2025
Visit Reason
The document is a final updated Statement of Correction for a facility related to a previous survey conducted on July 15, 2025, addressing medication administration and self-administration policy compliance.
Findings
The report addresses corrective actions taken to ensure that residents receive medication assistance appropriately, including self-administration and supervised medication practices. It confirms that all deficiencies related to medication administration have been corrected and that the facility is in compliance with the applicable policies.
Deficiencies (1)
Deficient practice related to medication administration and self-administration policy compliance
Report Facts
Survey date: Jul 15, 2025
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 4, 2024
Visit Reason
Annual Licensure Survey 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
No violations were cited. The establishment was found to be in compliance with the applicable assisted living regulations.
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