Inspection Reports for Emerald Place

1879 Chestnut Ave. Glenview, IL 60025, IL, 60025

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Deficiencies per Year

8 6 4 2 0
2025
Severe High Moderate Low Unclassified

Census Over Time

28 32 36 40 44 Feb '25 Sep '25
Inspection Report Complaint Investigation Deficiencies: 0 Oct 8, 2025
Visit Reason
The inspection was conducted to determine compliance with the Assisted Living and Shared Housing Establishment Code following a complaint investigation and a facility reported incident.
Findings
Findings and violations were identified during the inspection, requiring an acceptable Statement of Correction (SOC), which has since been received by the Department.
Complaint Details
The visit was complaint-related, and an acceptable Statement of Correction was required and received. No substantiation status is explicitly stated.
Employees Mentioned
NameTitleContext
Sheila A. DriverDeputy DirectorSigned the letter documenting receipt of the acceptable Statement of Correction.
Inspection Report Complaint Investigation Deficiencies: 2 Oct 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to allegations of sexual abuse by one resident against others and failure to report the abuse timely to the Illinois Department of Public Health.
Findings
The facility failed to protect residents' rights to be free from sexual abuse by another resident, resulting in two residents being sexually abused. Additionally, the facility failed to notify the Illinois Department of Public Health within 24 hours of the abuse allegation, reporting it three days late.
Complaint Details
Complaint Investigation 2599365/ IL197759 was unsubstantiated. Facility Reported Incident 9/28/25 IL197851 involved failure to protect residents from sexual abuse and failure to timely report the abuse to the Department.
Severity Breakdown
Type 1 Violation: 1 Type 3 Violation: 1
Deficiencies (2)
DescriptionSeverity
Failure to protect residents' rights to be free from sexual abuse by another resident.Type 1 Violation
Failure to notify the Department within 24 hours of an allegation of abuse.Type 3 Violation
Report Facts
Residents reviewed for abuse: 3 Days late reporting incident: 3
Employees Mentioned
NameTitleContext
Licensed Practical NurseE9 observed and reported the sexual abuse incidents
Director of NursingE2 confirmed the incidents and acknowledged late reporting to IDPH
Inspection Report Complaint Investigation Census: 37 Deficiencies: 1 Sep 19, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to a facility-reported incident concerning communicable disease policies and COVID-19 outbreak management.
Findings
The facility failed to follow COVID-19 guidelines for testing residents and reporting positive cases to the local health department, involving all 16 residents reviewed who tested positive. The facility did not conduct required testing after the last positive cases on 8/5/25 and failed to report all positive cases to the health department.
Complaint Details
Complaint Investigation 2597147/IL196764 related to failure to follow COVID-19 testing and reporting guidelines. The complaint was substantiated by findings of inadequate testing and incomplete reporting of COVID-19 positive residents.
Severity Breakdown
Type 2 Violation: 1
Deficiencies (1)
DescriptionSeverity
Failure to meet Section 295.4040 Communicable Disease Policies, including inadequate COVID-19 testing and reporting to local health department.Type 2 Violation
Report Facts
Residents tested positive for COVID-19: 16 Facility census: 37 Residents tested positive on 8/2/25: 11 Residents tested positive on 8/4/25: 2 Residents tested positive on 8/5/25: 3
Employees Mentioned
NameTitleContext
Staff Developmental DirectorMentioned as managing the COVID outbreak.
Former Clinical Staff DirectorMentioned as managing the COVID outbreak.
Licensed Practical NurseProvided information about COVID outbreak and testing.
Clinical Service DirectorProvided information about COVID testing protocols and outbreak management.
Inspection Report Complaint Investigation Deficiencies: 0 Jul 9, 2025
Visit Reason
The inspection was conducted as a complaint investigation for the facility Emerald Place.
Findings
The Emerald Place 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 2595052/IL193793 concluded with the facility in compliance.
Inspection Report Annual Inspection Deficiencies: 6 Jun 4, 2025
Visit Reason
Annual Licensure Survey conducted to assess compliance with state regulations for Emerald Place, a regulated care facility.
Findings
The inspection identified multiple deficiencies including failure to meet residency requirements for a resident needing two-person assistance, inadequate disaster preparedness drills, lack of CPR certification for staff, incomplete healthcare worker background checks, insufficient service plan updates after resident falls and wounds, and inadequate Alzheimer's and dementia program staffing and training. Staffing shortages were frequently reported, impacting resident supervision and care.
Severity Breakdown
Type 3 Violation (REPEAT): 1 Type 2 Violation: 2 General Violation: 1
Deficiencies (6)
DescriptionSeverity
Failed to meet residency requirements for a resident requiring two-person assistance with activities of daily living and emergency evacuation.Type 3 Violation (REPEAT)
Failed to conduct tornado drills on all shifts and document resident participation and staff involvement in drills.Type 2 Violation
Failed to ensure CPR certification documentation for all direct care staff and have at least one CPR certified staff on duty during night shift.
Failed to conduct and document healthcare worker background checks and employment verification for multiple staff.Type 2 Violation
Failed to revise service plans to include individualized fall interventions after falls with major injury and wound care interventions for residents.
Failed to ensure staff complete required dementia-specific training and maintain documentation; failed to provide sufficient staffing to meet needs of residents with cognitive impairments.General Violation
Report Facts
Residents requiring mechanical lifts: 11 Memory care residents: 31 Residents on Hospice care: 10 Falls for resident R2: 2 Fall risk assessment score for R2: 19 Fall risk assessment score for R3: 22 Length of wound on R4: 3 Staff training hours required: 12 Staff training hours required: 16
Employees Mentioned
NameTitleContext
E10Staff Development DirectorMentioned regarding CPR certification, healthcare worker background check verification, and staff training.
E2Clinical Services DirectorProvided information on resident transfers and service plan revisions.
E11Environmental Services DirectorConfirmed no tornado drills conducted.
E12Resident Care AssistantReported short staffing and residents left unsupervised.
E13Resident Care AssistantReported short staffing concerns.
E14Resident Care AssistantReported short staffing and transferring residents alone.
E15Resident Care AssistantReported short staffing concerns.
E16Life Enrichment DirectorReported staffing shortages impacting activities and resident supervision.
E17Resident Care AssistantConfirmed residents arriving wet due to staffing shortages.
E18Resident Care AssistantReported residents left unsupervised and heavy workload.
E19Resident Care AssistantReported heavy workload and staffing shortages.
E20Licensed Practical NurseReported residents left unsupervised and staffing shortages.
E21Resident Care AssistantReported night shift staffing shortages and transferring residents alone.
E22Licensed Practical NurseReported frequent staffing shortages.
Inspection Report Annual Inspection Deficiencies: 6 Jun 4, 2025
Visit Reason
The inspection was an annual survey conducted to assess compliance with residency requirements, disaster preparedness, personnel qualifications, background checks, service plans, and dementia program requirements.
Findings
The facility identified deficiencies related to residency requirements, disaster preparedness drills, personnel CPR certification tracking, healthcare worker background checks, service plan reviews, and dementia education programs. Plans of correction with completion dates were provided for each deficiency.
Deficiencies (6)
Description
Residency requirements, qualifications, and training
Disaster preparedness including tornado and fire drills
Personnel requirements, qualifications, and training including CPR card collection
Health care worker background check verification
Service plans review for accuracy and proper interventions
Alzheimer’s and dementia program education and staffing levels
Report Facts
Completion Date: Jun 30, 2025 Completion Date: Jul 30, 2025 Completion Date: Jun 30, 2025 Completion Date: Jun 5, 2025 Completion Date: Jul 30, 2025 Completion Date: Aug 31, 2025
Inspection Report Complaint Investigation Deficiencies: 1 Feb 20, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to substantiated short staffing violations involving residents R1 and R5.
Findings
The investigation substantiated a violation at regulation 295.3000 a) for short staffing based on review of residents R1 and R5.
Complaint Details
The complaint investigation was substantiated for short staffing involving residents R1 and R5, with an exit date of 2025-02-03 and correction date of 2025-02-28.
Deficiencies (1)
Description
Short staffing violation at 295.3000 a)
Inspection Report Complaint Investigation Census: 34 Deficiencies: 3 Feb 3, 2025
Visit Reason
The inspection was conducted as a complaint survey based on deficiencies cited under IL180059/2498878 and IL183314/24910549, focusing on staffing adequacy and service plan compliance.
Findings
The facility failed to provide adequate staffing to meet residents' needs, particularly for nursing services and feeding assistance, affecting multiple residents. Additionally, the service plan for one resident at risk for wounds was incomplete, lacking individualized interventions to promote wound healing and prevent skin breakdown. Residents requiring physical assistance with meals were not fed in a timely or dignified manner.
Complaint Details
The visit was complaint-related with deficiencies cited under IL180059/2498878 and IL183314/24910549. Staffing shortages and inadequate feeding assistance were key issues. The facility staff and management provided conflicting statements about staffing adequacy.
Severity Breakdown
Type 2 Violation: 3
Deficiencies (3)
DescriptionSeverity
Failed to provide adequate number of staff to meet the needs of residents, affecting five residents reviewed for Nursing Services.Type 2 Violation
Failed to ensure service plan interventions to promote wound healing and prevent skin breakdown for one resident at risk for developing wounds.Type 2 Violation
Failed to provide adequate number of staff to feed residents in a dignified and timely manner for six residents needing physical assistance with meals.Type 2 Violation
Report Facts
Residents affected by staffing deficiency: 5 Residents needing physical assistance with meals: 6 Resident census: 34 Wound size: 1 Wound size: 0.8 Wound size: 2.5 Braden Scale score: 15
Employees Mentioned
NameTitleContext
E1Executive DirectorProvided statements regarding staffing adequacy and resident care.
E3Staff Development DirectorProvided statements denying complaints about feeding delays or cold food due to staffing.
E4Lead Resident Care AssistantObserved feeding residents and assisting with transfers; reported staffing shortages.
E5Resident Care AssistantObserved feeding residents and reported staffing shortages.
E6Resident Care ManagerRelieved E4 during feeding and assisted with resident care.
E7Life Engagement DirectorAssisted feeding residents during observation.
E8Lead Life Engagement AssistantReported staffing issues and caregiver shortages.
E9Lead Resident Care AssistantReported staffing shortages and assisted feeding residents.
E10Lead Resident Care AssistantObserved assisting feeding residents and passing plates.
E11Resident Care AssistantReported staffing shortages and resident care needs.
E14Licensed Practical NurseReported staffing shortages and assisted feeding residents.
Z1Hospice NurseProvided wound care instructions and supplies for resident R1.
Inspection Report Complaint Investigation Deficiencies: 3 Feb 3, 2025
Visit Reason
The inspection was conducted as a complaint investigation under survey numbers #183314 and #180059.
Findings
The facility identified deficiencies related to staffing adequacy, accuracy and intervention in service plans, and resident rights concerning dining assistance. Plans of correction include hiring additional staff, reviewing and educating on service plans, and offering extended dining hours to accommodate residents needing physical assistance.
Complaint Details
Complaint investigation conducted under survey numbers #183314 and #180059.
Deficiencies (3)
Description
Personal Requirements, Qualifications and Training - staffing adequacy and recruitment
Service Plans - ensuring accuracy and proper interventions to promote wound healing and prevent skin breakdown
Resident Rights - offering extended dining hours to accommodate residents needing physical assistance
Report Facts
Completion Date: Feb 28, 2025 Completion Date: Mar 31, 2025

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