Inspection Reports for
Franciscan Village of Lemont
1260 Franciscan Dr, Lemont, IL, 60439
Back to Facility Profile4 Reports
Inspection Report — Nov 6, 2025
Annual Inspection
Date: Nov 6, 2025
Visit Reason
Annual Licensure Survey
Findings
The establishment was found 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 — Jan 9, 2025
Complaint Investigation
Date: Jan 9, 2025
Visit Reason
Facility Reported Incident: IL174662/FRI 5.24.24-Substantiated
Complaint Details
Facility Reported Incident: IL174662/FRI 5.24.24-Substantiated
Findings
The establishment failed to address a resident's history of elopement and exit seeking behavior in the service plan and failed to ensure newly hired staff were aware of this risk. The resident eloped from the memory support unit and was found outside, leading to transfer to another facility.
Deficiencies (2)
A4010 (295.4010 Service Plan) - The establishment failed to address in the service plan a resident's history of elopement and exit seeking behavior and failed to ensure newly hired staff were made aware of this risk, resulting in the resident eloping from the memory support unit.
A6010 (295.6010 Abuse, Neglect, and Financial Exploitation Prevention and Reporting) - The establishment failed to ensure the safety of a resident with a history of elopement, who eloped from the memory support unit unnoticed by a new care aide unfamiliar with the residents.
Report Facts
Resident affected: 1
Inspection Report — Jan 9, 2025
Plan of Correction
Date: Jan 9, 2025
Visit Reason
Plan of Correction responding to the survey dated 1-9-2025.
Findings
The facility committed to monitoring residents with elopement risk, training new hires on the memory care unit, auditing and updating service plans weekly, and presenting audit results to the Quality Assurance Committee to prevent recurrence of deficiencies in Sections 295.6010 and 295.4010.
Inspection Report — Dec 5, 2024
Plan of Correction
Date: Dec 5, 2024
Visit Reason
This plan of correction answers the survey dated 12-05-2024 for deficiencies cited in Section 295.4060 regarding Alzheimer's and Dementia Programs.
Findings
The facility committed to ensuring all employees complete four hours of dementia-specific orientation prior to assuming job responsibilities without direct supervision, with audits planned weekly for four weeks then monthly for three months.
Report Facts
Employees affected: 5
4 CMS Surveys
Inspection Report — Aug 21, 2025
Date: Aug 21, 2025
Visit Reason
The document does not contain an A 000 Initial Comment block specifying the visit type. It is a Statement of Deficiencies for Franciscan Village dated 08/21/2025.
Findings
The facility failed to ensure safe transfer mobility for residents dependent on staff assistance, resulting in a fall with fracture injury to one resident and failure to follow recommended transfer assistance and use of assistive devices for four residents identified as high-risk for falls.
Deficiencies (1)
F0689 - The facility failed to ensure safe transfer mobility and adequate supervision to prevent accidents, resulting in a resident falling from a wheelchair and sustaining a fracture, and failed to follow recommended transfer assistance and use of assistive devices for four high-risk residents.
Report Facts
Residents affected: 4
Inspection Report — Aug 21, 2025
Annual Inspection
Date: Aug 21, 2025
Visit Reason
Annual Licensure Survey
Findings
The facility was found to have multiple deficiencies including failure to provide adequate assistance with activities of daily living, failure to ensure safe transfer mobility resulting in a resident fall and fracture, failure to provide appropriate pain management, medication storage and administration errors, failure to provide fortified foods as recommended, failure to follow diet guidance for mechanical soft diets, unsanitary food preparation and storage conditions, and failure to follow infection control practices during resident care.
Deficiencies (10)
F0677 - The facility failed to provide assistance with activities of daily living including feeding and incontinence care for residents requiring staff assistance.
F0689 - The facility failed to ensure safe transfer mobility for residents dependent on staff, resulting in a resident falling from a wheelchair and sustaining a fracture, and failed to follow recommended transfer assistance and use of assistive devices for high-risk residents.
F0697 - The facility failed to assess and provide interventions for a resident exhibiting pain during care, including delayed administration of pain medication.
F0755 - The facility failed to ensure controlled substance medications were completely sealed in their packaging to maintain accountability.
F0759 - The facility failed to follow physician orders for medication administration, including crushing extended-release medication and omitting a prescribed medication.
F0800 - The facility failed to provide fortified foods for residents with recommendations for such foods.
F0803 - The facility failed to follow menu spreadsheets to serve correct portions for main entree for residents on mechanical soft diets.
F0805 - The facility failed to follow diet guidance for mechanical soft diets by serving inappropriate vegetables and fruits.
F0812 - The facility failed to prepare food, clean dishes, and store pots and pans in sanitary conditions, including dirty food processor, food debris on fryer and stove, rust on shelving, and improper dishwashing monitoring.
F0880 - The facility failed to follow standard infection control practices related to hand hygiene and gloving during provision of activities of daily living care.
Report Facts
Residents affected: 2
Residents affected: 4
Residents affected: 1
Residents affected: 7
Medication opportunities: 28
Medication errors: 2
Residents affected: 6
Residents affected: 4
Residents affected: 6
Residents affected: 97
Residents affected: 3
Inspection Report — Aug 9, 2024
Annual Inspection
Date: Aug 9, 2024
Visit Reason
Annual Licensure Survey
Findings
The facility was found to have multiple deficiencies including failure to reasonably accommodate residents' needs, incomplete care plan participation, inadequate assistance with activities of daily living, failure to provide activities to residents in their rooms, lack of restorative nursing programs, failure to maintain fall prevention measures, failure to monitor significant weight loss, improper food storage and handling, and lapses in infection prevention and control practices.
Deficiencies (9)
F0558 - The facility failed to reasonably accommodate the needs and preferences of residents by not ensuring call lights were within reach for three residents at risk for falls.
F0657 - The facility failed to invite two residents and their representatives to care plan meetings and document invitations or attendance.
F0677 - The facility failed to provide adequate care and assistance with activities of daily living including grooming and personal hygiene for multiple residents.
F0679 - The facility failed to provide an ongoing program of activities to meet the needs and preferences of two residents who preferred in-room activities and pop-in visits.
F0688 - The facility failed to provide restorative nursing programs to three residents with limited range of motion, increasing risk of decline or contractures.
F0689 - The facility failed to ensure fall mats were in place and beds were lowered for a resident at high risk for falls.
F0692 - The facility failed to obtain monthly weights and recognize significant weight loss for a resident, resulting in a 12.47% weight loss over 90 days without timely intervention.
F0812 - The facility failed to discard expired food items and properly store food in the freezer, resulting in ice buildup on food packages and floor.
F0880 - The facility failed to implement infection prevention and control practices including proper hand hygiene, glove changes, and use of PPE during wound care, incontinence care, and meal service for multiple residents.
Report Facts
Residents affected: 3
Residents affected: 2
Residents affected: 10
Residents affected: 2
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 98
Residents affected: 6
Inspection Report — Oct 19, 2023
Annual Inspection
Date: Oct 19, 2023
Visit Reason
Annual Licensure Survey
Findings
The facility was found to have multiple deficiencies including failure to provide adequate personal hygiene assistance, failure to provide appropriate range of motion care, medication administration errors, failure to serve pureed diets correctly, failure to provide therapeutic diets as ordered, failure to offer pneumococcal vaccines per policy, and failure to maintain a working call light in a resident's bathroom.
Deficiencies (9)
F0677 - The facility failed to assist residents identified as needing assistance with personal hygiene, including long, jagged fingernails with black substances underneath for six residents.
F0688 - The facility failed to assess and provide supportive devices to prevent further reduction in range of motion for two residents with clenched fingers lacking supportive devices.
F0697 - The facility failed to ensure a resident received medication to treat hemorrhoidal pain as ordered.
F0759 - The facility failed to administer medications as ordered, resulting in a 17.85% medication error rate including incorrect dosing and omission of medications for three residents.
F0760 - The facility failed to ensure two residents received significant medications for Parkinson's disease and blood thinning as prescribed.
F0805 - The facility failed to serve pureed consistency Chicken Cacciatore and vegetables without lumps or seeds to five residents on pureed diets.
F0808 - The facility failed to serve nutrition supplements and diet consistency as ordered by the physician for four residents, including failure to provide enhanced pudding and serving mechanical soft instead of regular diet.
F0883 - The facility failed to follow policy to offer pneumococcal vaccines PCV15 or PCV20 to six residents who had previously received PPSV23 vaccine.
F0919 - The facility failed to ensure a call light was accessible to a resident lying on the bathroom floor due to a non-functioning bathroom call light pull cord.
Report Facts
Residents affected: 6
Residents affected: 2
Residents affected: 1
Residents affected: 3
Residents affected: 2
Residents affected: 5
Residents affected: 4
Residents affected: 6
Residents affected: 1
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