Inspection Reports for Encore Memory Care at Bolingbrook
351 Lily Cache Ln, Bolingbrook, IL 60440, United States, IL, 60440
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Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 6, 2025
Visit Reason
The inspection was conducted as a facility reported incident (FRI) investigation regarding an allegation of abuse by a staff member against a resident.
Findings
The facility failed to assure one resident (R1) was free from abuse by a staff member. The investigation confirmed that a caregiver (E4) hit the resident in the lumbar area after the resident became combative. The caregiver was suspended and subsequently terminated following the incident.
Complaint Details
The complaint was substantiated. The incident involved a caregiver hitting a resident after the resident became combative. The caregiver was suspended and terminated. The local Police Department was notified and investigated the incident.
Severity Breakdown
TYPE 3 VIOLATION: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to assure one resident was free from abuse by a staff member. | TYPE 3 VIOLATION |
Report Facts
Date of incident: Jan 25, 2025
Date of survey: Feb 6, 2025
Date of caregiver termination: Jan 27, 2025
Caregiver hire date: Nov 16, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E3 | Nurse | Witnessed the incident and reported the abuse |
| E4 | Caregiver | Perpetrator of abuse against resident, terminated after investigation |
Inspection Report
Complaint Investigation
Deficiencies: 1
Feb 6, 2025
Visit Reason
The Illinois Department of Public Health conducted an investigation on 2/6/2025 of a self-reported incident at Encore at Bolingbrook Memory Care Assisted Living regarding a concern that resulted in the termination of an individual's employment.
Findings
The investigation determined that the allegation of abuse by a staff member against one resident was substantiated. The facility provided a Statement of Correction including staff in-service training and ongoing education to address the violation.
Complaint Details
The complaint investigation was substantiated based on review of records and on-site analysis by IDPH staff.
Severity Breakdown
Type 3 Violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to assure one resident was free from abuse by a staff member. | Type 3 Violation |
Report Facts
Days to submit Statement of Correction: 15
Date of in-service training: Feb 4, 2025
Make-up day for in-service training: Feb 11, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Edward Pitts | RN-BSN, PSA | IDPH staff conducting the investigation and recipient of the Statement of Correction. |
| Giga Yanong | Administrator | Administrator of Encore at Bolingbrook Memory Care who submitted the Statement of Correction. |
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