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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| E2 | Director of Nursing | Interviewed regarding fall interventions and staffing |
| E4 | Registered Nurse | Provided 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
| Name | Title | Context |
|---|---|---|
| Arelis Flores | Facility Manager | Signed the Statement of Correction |
| Alissa Wilson | DON, RN | Mentioned 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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