Inspection Reports for Grace Point Place Memory Care

The inspection was conducted as a complaint investigation survey related to failure to update a resident's service plan and add interventions to prevent further falls.

The facility failed to update the service plan for one resident (R1) who had multiple falls, including a fall resulting in a left hip fracture. The service plan was last reviewed before the falls and did not include interventions to prevent further falls, causing severe harm to the resident.

The complaint investigation found that the facility did not revise the service plan immediately after significant changes in the resident's condition, despite multiple falls including one resulting in a hip fracture. The failure was substantiated as causing severe harm.

Annual Licensure Survey conducted including a complaint investigation which was unsubstantiated.

The facility failed to meet residency requirements for four residents admitted to hospice services, failed to orient six residents to emergency and evacuation plans within 10 days of admission, failed to conduct required fire and tornado drills, and failed to adequately address hospice services in the service plans for three residents.

Complaint investigation IL00191511/2593873 was unsubstantiated.

The visit was conducted as an Annual Licensure Survey combined with a Complaint Investigation to assess compliance with Assisted Living and Shared Housing Establishment Code requirements.

The facility failed to meet residency requirements for four residents admitted to hospice services, did not ensure residents were oriented to emergency and evacuation plans within 10 days, and failed to update service plans for hospice services for three residents. Three violations were identified and a Plan of Correction was provided.

The inspection included a complaint investigation as indicated by the report title and content, but substantiation status is not explicitly stated.

The inspection was conducted as a complaint investigation survey related to multiple complaint investigations and facility reported incidents, including substantiated and not substantiated complaints.

The facility was found deficient in updating and individualizing fall interventions for a resident (R5), failure to follow safety measures to prevent elopement resulting in a resident exiting a secured area, and failure to maintain a means of unlocking a bathroom door to provide immediate assistance to a resident who fell inside the bathroom.

Complaint Investigation Survey included IL179945/2498781 and IL180105/2498900 which were not substantiated. Facility Reported Incidents IL180065, IL183003, IL183159, and IL183651 were substantiated.

Annual licensure survey conducted to assess compliance with Illinois Department of Public Health regulations for assisted living facilities.

The facility failed to conduct required fire and tornado drills including resident participation, failed to adequately supervise and monitor residents at high risk for falls and elopement, failed to ensure physician assessments were completed timely and by a physician, and failed to develop and update service plans appropriately including elopement prevention and behavior interventions. The facility also failed to comply with Alzheimer's and Dementia program requirements including preventing elopement from a locked facility.