Inspection Reports for Prairie Pointe Assisted Living and Memory Care

58 W Park Ave, Sugar Grove, IL 60554, United States, IL, 60554

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Inspection Report Complaint Investigation Deficiencies: 1 Feb 26, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to multiple substantiated incidents involving failure to revise and implement individualized fall interventions for residents.
Findings
The facility failed to revise and implement individualized fall interventions for three residents reviewed for multiple falls, despite repeated incidents and documented fall risk service plans. The interventions remained unchanged despite ongoing falls, and the facility did not implement additional or different interventions as required.
Complaint Details
Complaint Investigation: IL#182882/24710344- Substantiated. Entity Reported Incident Investigations IL#180901, IL#178458, IL#177559 all substantiated with citation of 295.4010.
Severity Breakdown
Type 2 Violation: 1
Deficiencies (1)
DescriptionSeverity
Failure to revise and implement individualized fall interventions for three residents reviewed for multiple falls.Type 2 Violation
Report Facts
Resident age: 93 Resident age: 90 Fall incidents: 3
Employees Mentioned
NameTitleContext
E2Director of NursingInterviewed regarding fall interventions and staffing
E4Registered NurseProvided information about resident R1's fall risk and encouragement
Inspection Report Plan of Correction Deficiencies: 1 Feb 26, 2025
Visit Reason
The document is a Statement of Correction submitted in response to a survey conducted on February 26, 2025, addressing violations related to the Service Plan requirement under regulation 295.4010.
Findings
The facility identified deficiencies related to updating service plans to reflect falls and changes in resident condition, and ensuring proper documentation and communication among staff. The plan outlines corrective actions including updating service plans, staff education, and in-service training.
Deficiencies (1)
Description
Failure to update service plans to reflect falls and changes in resident condition as required by regulation 295.4010.
Report Facts
Survey date: Feb 26, 2025
Employees Mentioned
NameTitleContext
Arelis FloresFacility ManagerSigned the Statement of Correction
Alissa WilsonDON, RNMentioned as cc and involved in education and documentation review
Inspection Report Annual Inspection Deficiencies: 0 Jan 9, 2025
Visit Reason
Annual Survey conducted on 1/9/2025 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 Illinois Assisted Living and Shared Housing regulations during the annual survey.

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