Inspection Reports for Hearthwood Senior Living

829 Carillon Dr, Bartlett, IL, 60103

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Inspection Report Summary

The most recent inspection on April 24, 2025, identified deficiencies related to wound care and medication administration, including missed dressing changes and doses of prescribed medications, which led to hospitalization of one resident. Earlier inspections showed issues with documentation, service plan signatures, and physician assessments, indicating ongoing challenges with care planning and recordkeeping. Inspectors cited failures in timely wound care, medication management, and compliance with facility policies. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports, and no complaint investigations were noted. The pattern suggests persistent areas needing improvement, particularly in resident care coordination and documentation.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

14% better than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Inspection Report

Deficiencies: 4 Date: Apr 24, 2025

Visit Reason
This inspection was conducted as a Change of Ownership Survey to evaluate compliance with resident rights and care standards at Carillon Crossing AL.

Findings
The facility failed to ensure that one resident (R3) received timely dressing changes for weeping lower extremity wounds and that physician-prescribed medications, including Lasix, were administered as ordered. These failures resulted in R3 being hospitalized twice within three weeks for wound infection and fluid overload, and posed a risk to other residents receiving similar care.

Deficiencies (4)
Failure to provide dressing changes to weeping lower extremities as ordered by the physician.
Failure to administer physician-prescribed medications as ordered, including missed doses of Lasix.
Inadequate documentation and unclear responsibility for wound care and dressing changes.
Facility's self-medication assessment form does not comply with its own policy and procedure requirements.
Report Facts
Resident age: 88 Missed Lasix doses: 4 Self-medicators: 17

Employees mentioned
NameTitleContext
E2Staff member who provided explanations regarding missed medication doses and wound care documentation

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Apr 24, 2025

Visit Reason
This document is a Statement of Correction submitted in response to findings from the IDPH CHOW Survey conducted on 04/24/2025 at Carillon Crossing AL.

Findings
The facility implemented corrective actions including transferring resident R3 to a Skilled Nursing Facility for higher level care and wound management, and provided re-education on Residents' Rights to nursing staff. Ongoing compliance will be monitored by the Assisted Living Director or designee.

Report Facts
Completion date for plan of correction: Jul 22, 2025 Survey completion date: Apr 24, 2025

Employees mentioned
NameTitleContext
Jacques Edward Jean LouisDirector of Assisted Living & Memory CareNamed as contact in the Statement of Correction submission

Inspection Report

Annual Inspection
Census: 61 Deficiencies: 2 Date: Sep 24, 2024

Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with state regulations for the facility.

Findings
The facility failed to have signed and dated service plans for all residents involved in their development, affecting all 61 residents. Additionally, the facility did not ensure comprehensive physician assessments were completed upon admission, annually, and upon significant changes in residents' conditions for the 7 residents sampled.

Deficiencies (2)
Failure to have signed and dated service plans for residents and their representatives involved in service plan development.
Failure to assure comprehensive physician assessments were completed upon admission, annually, and upon significant changes in residents' conditions.
Report Facts
Residents affected: 61 Residents sampled: 7

Employees mentioned
NameTitleContext
EDStated the software does not allow signatures on service plans
DONStated physician assessments were not completed when residents' conditions changed

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