Inspection Reports for
Park Place Christian Community

1150 Euclid Avenue, Elmhurst, IL, 60013

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 2.7 deficiencies/year

Deficiencies are regulatory findings recorded during state inspections.

23% better than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Nov 5, 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 and shared housing regulations during this annual licensure survey.

Inspection Report

Routine
Census: 36 Deficiencies: 4 Date: Apr 23, 2025

Visit Reason
Routine inspection of Park Place Christian Community nursing home to assess compliance with resident dignity, medication storage, food safety, infection control, and sanitation standards.

Findings
The facility failed to ensure residents were treated with dignity during feeding, failed to secure resident medications properly, failed to label, date, seal, and store food items correctly, and failed to implement adequate infection prevention and control practices including hand hygiene and soiled linen handling.

Deficiencies (4)
F 0550: The facility failed to treat residents with dignity while feeding, as staff stood over residents instead of sitting, affecting 2 residents.
F 0761: The facility failed to ensure resident medications were secured, with medications found unsecured in residents' rooms, affecting 6 residents.
F 0812: The facility failed to label, date, seal, and store food items properly, and failed to remove expired items and sanitize the food preparation counter, affecting all residents receiving oral nutrition.
F 0880: The facility failed to implement infection prevention and control, including inadequate hand hygiene during resident care and improper handling of soiled linens, affecting 4 residents and all 36 residents for linen handling.
Report Facts
Residents affected: 2 Residents affected: 6 Residents affected: 36 Residents affected: 4

Employees mentioned
NameTitleContext
V2Director of NursingNamed in findings related to dignity, medication storage, infection control, and hand hygiene
V8Certified Nurses' AssistantNamed in dignity and feeding practice deficiencies
V3Wound NurseNamed in infection control deficiency related to wound care and hand hygiene
V9NurseNamed in infection control deficiency related to feeding and hand hygiene
V4Director of Dining ServicesNamed in food safety and sanitation deficiencies
V11Certified Nursing AssistantNamed in infection control deficiency related to incontinence care and hand hygiene
V12Certified Nursing AssistantNamed in infection control deficiency related to incontinence care and hand hygiene

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jan 21, 2025

Visit Reason
Annual Licensure Survey conducted 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 the annual licensure survey.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Sep 22, 2024

Visit Reason
The inspection was conducted due to a complaint investigation regarding a resident fall incident and failure to provide adequate supervision and safe transfer during toileting.

Complaint Details
The investigation was triggered by complaints related to two falls of resident R1 within a two-week period. The falls were substantiated, with findings confirming inadequate assistance and failure to use a gait belt during transfer, resulting in injury.
Findings
The facility failed to safely transfer a resident (R1) during toileting without using a gait belt and without providing required assistance, resulting in an acute comminuted fracture of the resident's left femur. The resident had multiple falls over a two-week period and required total assistance for transfers and toileting.

Deficiencies (1)
F 0689: The facility failed to ensure a nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents. This failure led to a resident sustaining an acute fracture due to unsafe transfer without a gait belt and insufficient assistance.
Report Facts
Falls: 2 BIMS score: 8

Employees mentioned
NameTitleContext
V2Director of NursingProvided statements regarding the falls and transfer procedures
V3Certified Nurse AssistantAssisted resident during toileting when the fall occurred without using a gait belt
V4Registered NurseAssigned nurse at time of fall and assisted resident post-fall
V9Occupational TherapistProvided occupational therapy and assessment of resident's functional level
V10Primary PhysicianNotified of resident's fall and fracture

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: May 2, 2024

Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to ensure proper use and documentation of PRN psychotropic medications, specifically anti-anxiety medication, for one resident (R13).

Complaint Details
The investigation was complaint-driven, focusing on the use of psychotropic medications for resident R13. The complaint was substantiated with findings of inadequate documentation and monitoring.
Findings
The facility failed to ensure that PRN antianxiety medication orders had clinician documented rationale for use beyond 14 days, failed to identify and monitor target symptoms/behaviors, and failed to implement non-pharmacological interventions prior to PRN medication use for resident R13. Documentation and monitoring of behaviors prior to medication administration were inadequate.

Deficiencies (1)
F 0758: The facility did not document clinician rationale for PRN Lorazepam use beyond 14 days and failed to monitor target symptoms or implement non-pharmacological interventions prior to administration for resident R13. Medication was administered multiple times without documented behaviors justifying use.
Report Facts
Residents reviewed for unnecessary medications: 12 Residents affected: 1 Lorazepam dosage: 1

Employees mentioned
NameTitleContext
V9RN NurseProvided statements about medication administration and lack of non-pharmacological interventions
V6Restorative CNA, Certified Nursing AssistantProvided observations about resident behavior and care
V8CNAProvided observations about resident behavior and care
V2DON (Director of Nursing)Provided statements about resident care, medication orders, and family involvement

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Sep 28, 2023

Visit Reason
The inspection was conducted due to complaints regarding the facility's failure to ensure timely medication delivery and administration to residents, resulting in missed medication doses.

Complaint Details
The investigation was complaint-driven, focusing on medication delays for residents R3, R4, and R5. The complaint was substantiated as the facility failed to ensure timely medication administration and proper communication with physicians and pharmacy.
Findings
The facility failed to obtain medications from the pharmacy in a timely manner, causing three residents to miss physician-ordered medication doses. Documentation was lacking to show physician notification or stat delivery requests for the delayed medications.

Deficiencies (1)
F 0755: The facility failed to provide pharmaceutical services to meet the needs of residents and employ or obtain the services of a licensed pharmacist. Medications for three residents were not available on admission or as ordered, resulting in missed doses.
Report Facts
Residents affected: 3 Medication delivery times: 2 Medication delay duration: 12

Employees mentioned
NameTitleContext
V14Registered NurseDocumented medication orders and noted medications were not available for resident R3.
V15Registered NurseDocumented medication orders and noted medications were not available for resident R4.
V16Registered NurseDocumented medication orders and noted medications were not available for resident R5.
V12PharmacistProvided information on pharmacy order entry and delivery schedules.
V13Registered NurseReported that resident R4 did not receive evening medications due to unavailability.
V17Attending PhysicianStated expectation that facility follows hospital discharge instructions and obtains medications timely.

Inspection Report

Deficiencies: 1 Date: Jun 8, 2023

Visit Reason
The inspection was conducted to evaluate the facility's compliance with infection prevention and control standards, specifically related to hand hygiene and gloving during incontinence care.

Findings
The facility failed to follow infection control practices related to hand hygiene and glove use during incontinence care for 2 of 14 residents reviewed. Staff were observed not performing hand hygiene when changing gloves and wearing soiled gloves during care.

Deficiencies (1)
F 0880: The facility failed to provide and implement an infection prevention and control program. Staff did not perform hand hygiene or change gloves appropriately during incontinence care for residents R16 and R25.
Report Facts
Residents reviewed for infection control: 14 Residents affected: 2

Employees mentioned
NameTitleContext
Certified Nursing AssistantV13 involved in improper hand hygiene and glove use during care
Certified Nursing AssistantV14 involved in incontinence care with improper glove use
Director of NursingV4 provided interview on hand hygiene policy and expectations

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