Inspection Report
Plan of Correction
Deficiencies: 0
Dec 24, 2025
Visit Reason
The survey was conducted following a facility reported incident IL199175 on 12/24/25 to assess compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Findings
The establishment was found to be in compliance with the applicable assisted living regulations during this survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 23, 2025
Visit Reason
Original investigation of Complaint 2528016 / IL 197134.
Findings
The establishment is 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
Investigation of Complaint 2528016 / IL 197134 resulted in compliance with applicable assisted living regulations.
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 12, 2025
Visit Reason
The survey was conducted following a facility-reported incident on 2025-08-05 to assess compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Findings
The establishment was found to be in compliance with the relevant assisted living regulations during the survey conducted on 2025-08-12.
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 24, 2025
Visit Reason
The inspection was conducted as an original investigation of complaint 2527427 / IL 196337 and FRI IL 196371, specifically related to alleged violations of resident rights under Section 295.6000 a) 5).
Findings
The facility failed to reposition and provide incontinent care in a timely manner for two of seven sampled residents (R4 and R5). This failure resulted in R5 acquiring a new stage two pressure sore. Observations showed both residents were left in reclined wheelchairs for over three hours without repositioning or incontinent care, contrary to their service plans and facility policy requiring care at least every two hours.
Complaint Details
Original investigation of complaint 2527427 / IL 196337 found violation of Section 295.6000 a) 5) Resident Rights. FRI IL 196371 found no violations.
Deficiencies (1)
| Description |
|---|
| Failure to reposition and provide incontinent care in a timely manner for two residents, resulting in a stage two pressure sore for R5. |
Report Facts
Duration without repositioning or incontinent care: 220
Duration without repositioning or incontinent care: 210
Pressure sore size: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E4 | CNA | Stated that R4 and R5 required two assist and mechanical lift and total care for repositioning and incontinent care |
| E3 | LPN | Assisted in transferring R4 and R5 to bed with mechanical lift |
| E1 | Executive Director | Stated that R4 and R5 are to be provided repositioning and incontinent care at least every two hours |
Inspection Report
Annual Inspection
Deficiencies: 0
Jan 10, 2025
Visit Reason
Annual Licensure Survey to assess compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Findings
The establishment was found to be in compliance with the applicable assisted living regulations during this annual licensure survey.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 27, 2024
Visit Reason
Original investigation of Complaint 2427580 / IL 178266.
Findings
The establishment is 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
Investigation of Complaint 2427580 / IL 178266 resulted in compliance with applicable assisted living regulations.
Inspection Report
Complaint Investigation
Deficiencies: 2
Sep 18, 2024
Visit Reason
The inspection was conducted as a complaint investigation based on multiple complaint investigations related to Sections 295.4060 h)3) and 295.4020 f).
Findings
The facility failed to provide timely repositioning and incontinent care for two residents, and failed to follow its fall policy by not documenting a resident's fall, notifying family and physician, or completing required paperwork.
Complaint Details
The visit was complaint-related involving multiple complaint investigations (#2427187, #2427177, #2427456, #2427486, #2427499). The facility failed to provide required care and follow fall policy for residents R1, R3, and R4.
Severity Breakdown
Type 3 Violation: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to reposition and provide incontinent care timely for two of three residents reviewed for repositioning. | Type 3 Violation |
| Failure to follow fall policy by not documenting a resident's fall, notifying family and physician, and completing required paperwork. | — |
Report Facts
Residents reviewed for repositioning: 3
Residents reviewed for falls: 3
Time without repositioning or incontinent care: 250
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Health Services Director | Stated immobile residents should be repositioned every two hours and was not aware of R1's fall |
| E4 | Caregiver | Transferred R3 and stated she changes R3 every one to two hours at night |
| E8 | Caregiver | Transferred R3 from bed to wheelchair |
| E11 | CNA | Took R3 to her room to change her and stated R3 could not reposition herself |
| E1 | Administrator | Assessed R1 after fall and stated no documentation or notification was made |
Loading inspection reports...
