Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Annual Inspection
Deficiencies: 4
Oct 20, 2025
Visit Reason
Annual Licensure Survey conducted on 10/20/2025 to assess compliance with disaster preparedness, personnel requirements, physician assessments, and other regulatory standards.
Findings
The facility was found to have multiple deficiencies including failure to conduct required bi-monthly fire drills, lack of 24-hour CPR-certified staff with proper demonstration, failure to complete annual physician assessments by a physician for some residents, and technical infractions related to electronic monitoring in residents' rooms.
Severity Breakdown
Technical Infraction: 1
Type 2 Violation: 2
Type 3 Violation: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Technical infraction for failure to address use of electronic monitoring in residents' rooms and failure to have representative complete consent form. | Technical Infraction |
| Failure to perform fire drills on a bi-monthly basis as required, with drills only conducted quarterly. | Type 2 Violation |
| Failure to have at least one direct care staff person on duty 24 hours a day with CPR certification including demonstration of ability to perform CPR. | Type 2 Violation |
| Failure to have an annual physician's assessment completed by a physician for one resident in the sample reviewed. | Type 3 Violation |
Report Facts
Fire drills conducted: 4
Residents reviewed for physician assessment: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Nursing (DON) | Provided information regarding fire drills, CPR certification, and physician assessments. |
| E1 | Executive Director | Mentioned as conducting fire drills. |
| E3 | Caregiver | Scheduled for shifts without CPR certification including demonstration. |
| E4 | Caregiver | Scheduled for shifts without CPR certification including demonstration. |
| E5 | Caregiver | Scheduled for shifts without CPR certification including demonstration. |
| Z1 | Nurse Practitioner (NP) | Signed physician assessment for resident R2 instead of a physician. |
Inspection Report
Renewal
Deficiencies: 0
Dec 30, 2024
Visit Reason
The visit was conducted as a 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 and shared housing regulations during this licensure survey.
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