Inspection Reports for
Emerald Place

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.

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 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.

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.

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.

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.

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.

The investigation substantiated a violation at regulation 295.3000 a) for short staffing based on review of residents R1 and R5.

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.

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 investigation conducted under survey numbers #183314 and #180059.

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.