Inspection Reports for
Melody Living Lake in the Hills Assisted Living & Memory Care
525 Harvest Gate, Lake in the Hills, IL 60156, United States, IL, 60156
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
186% worse than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Dec 8, 2025
Visit Reason
Annual Licensure Survey conducted to assess compliance with Illinois Department of Public Health regulations including incident reporting, physician assessments, service plans, Alzheimer's and dementia program training, and resident rights related to electronic monitoring.
Complaint Details
Investigation of complaint 25111370 / IL198673 was unsubstantiated with no violations written.
Findings
The facility was found deficient in multiple areas including failure to report serious incidents within 24 hours, incomplete physician assessments for residents, inadequate service plans not addressing all resident needs and safety concerns, insufficient dementia-specific training for some staff, and failure to comply with resident rights regarding electronic monitoring including lack of consent forms and required signage.
Deficiencies (5)
Failure to report serious incidents and accidents to the Department within 24 hours.
Failure to ensure residents had a completed comprehensive physician assessment signed by a physician.
Service plans did not address all needs and safety concerns of residents, including use of pressure relieving devices, medications increasing fall risk, and electronic monitoring devices.
Failure to ensure all new employees received four hours of dementia-specific orientation prior to assuming job responsibilities without direct supervision.
Failure to ensure residents' rights to dignity, privacy, and choice regarding electronic monitoring were protected, including lack of consent forms and required signage.
Report Facts
Residents reviewed for physician assessment: 9
Residents reviewed for service plan deficiencies: 9
Employees reviewed for dementia training: 9
Residents with electronic monitoring: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Director of Health and Wellness | Interviewed regarding incident reporting and electronic monitoring consent and signage. |
| Z1 | Advanced Practice Nurse (APN) | Signed progress notes used in resident physician assessments. |
| Z2 | Advanced Practice Nurse (APN) | Signed progress notes used in resident physician assessments. |
| Z3 | Advanced Practice Nurse (APN) | Signed progress notes used in resident physician assessments. |
Inspection Report
Deficiencies: 0
Date: Nov 3, 2025
Visit Reason
Investigation of a facility reported incident dated October 28, 2025.
Findings
The survey found the establishment in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act, with no findings.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 29, 2025
Visit Reason
The inspection was conducted following a facility-reported incident on 10/23/2025 concerning failure to follow service plan interventions related to wound care for a resident.
Complaint Details
The visit was complaint-related based on a facility-reported incident dated 10/23/2025. The complaint involved failure to follow wound care service plans, with substantiation implied by the deficiency findings.
Findings
The facility failed to ensure that service plan interventions for wound dressing changes were followed for 1 of 3 residents reviewed. Dressings were found saturated with blood and not changed as ordered, posing a risk of infection, slow healing, and pain. Documentation of dressing changes was incomplete and the facility did not provide evidence of resident refusal or unavailability for care.
Deficiencies (1)
Failure to ensure service plan interventions were followed for wound care and dressing changes for resident R1.
Report Facts
Residents reviewed for service plans: 3
Dressing change frequency: 2
Date of incident: Oct 23, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Director of Health and Wellness | Provided statements regarding nursing responsibilities and dressing change protocols |
| E2 | Registered Nurse | Reported communication with home health nurse about dressing changes |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: May 19, 2025
Visit Reason
The inspection was conducted based on complaint investigations regarding healthcare worker background checks, resident safety related to service plans, and resident rights violations including alleged theft.
Complaint Details
The complaint investigation included allegations of theft of a resident's wallet and fraudulent credit card charges. The resident, who requires assistance to get out of bed, reported the theft and suspects a caregiver. The facility conducted an investigation including interviews and review of surveillance and key fob access logs but was unable to determine the exact circumstances of the theft. The caregiver suspected was terminated for unrelated performance issues. The police were notified and an investigation is pending.
Findings
The facility failed to ensure mandated healthcare worker background checks were fully documented prior to employment for 9 of 10 employees reviewed. The facility also failed to follow the service plan related to safety for one resident who experienced an unwitnessed fall. Additionally, the facility failed to maintain a resident's right to be free from abuse and theft, as a resident's wallet was stolen and fraudulent charges were made on her credit card.
Deficiencies (3)
Failed to ensure all mandated healthcare worker background website checks were completed and documented prior to employment for 9 of 10 employees reviewed.
Failed to follow the service plan related to safety for 1 of 3 residents reviewed, resulting in an unwitnessed fall in a common area bathroom.
Failed to maintain resident rights to be free from abuse and theft; resident's wallet was stolen and fraudulent charges were made on her credit card.
Report Facts
Employees with incomplete background check documentation: 9
Charges on resident's credit card: 14
Resident sample size for safety review: 3
Resident sample size for theft review: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E5 | Caregiver | Suspected in resident wallet theft; terminated for unsatisfactory performance. |
| E1 | Executive Director | Interviewed regarding background checks and theft investigation. |
| E4 | Caregiver | Placed resident's wallet in purse during training of E5; interviewed during theft investigation. |
| E2 | Wellness Director | Provided information on caregiver termination and fall incident. |
| E6 | Memory Care Director | Reported fall incident and bathroom door locking procedures. |
| E7 | Licensed Practical Nurse (LPN) | Reported on fall incident and bathroom door security. |
| E20 | Licensed Practical Nurse (LPN) | Reported on resident fall and condition post-fall. |
| Z1 | Resident's Husband | Provided statements denying involvement in wallet theft. |
| Z2 | Resident's Daughter | Reported wallet missing and expressed concerns about theft. |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: May 19, 2025
Visit Reason
The document is a plan of correction submitted following a survey conducted on May 19, 2025, related to compliance with the Health Care Worker Background Check Act and other regulatory requirements.
Findings
The facility was found to be in compliance with the Health Care Worker Background Check Act but failed to retain documentation of six registry checks in employee files. An audit confirmed no employees had disqualifying crimes. The facility implemented training and auditing processes to ensure ongoing compliance.
Deficiencies (1)
Failure to retain documentation of the six registry checks in employee files to support compliance with the Health Care Worker Background Check Act.
Report Facts
Registry checks: 6
Training date: May 30, 2025
Audit periods: 3
Audit percentages: 50
Audit percentages: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E5 | Caregiver | Named in Health Care Worker Registry Work Eligibility with 'Eligible' status |
| E11 | Dietary | Named in Health Care Worker Registry Work Eligibility with 'Eligible' status |
| E12 | Dietary | Named in Health Care Worker Registry Work Eligibility with 'Eligible' status |
| E13 | Life Enrichment Associate | Named in Health Care Worker Registry Work Eligibility with 'Eligible' status |
| E14 | Caregiver | Named in Health Care Worker Registry Work Eligibility with 'Eligible' status |
| E15 | Caregiver | Named in Health Care Worker Registry Work Eligibility with 'Eligible' status |
| E16 | Caregiver | Named in Health Care Worker Registry Work Eligibility with 'Eligible' status |
| E18 | Caregiver | Named in Health Care Worker Registry Work Eligibility with 'Eligible' status |
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