Inspection Reports for
PRAIRIEVIEW AT THE GARLANDS (Assisted Living)
6000 Garlands Lane, Barrington, IL, 60010
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
6% better than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
88% occupied
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 9, 2025
Visit Reason
Investigation of a facility reported incident dated 2025-06-29.
Complaint Details
Investigation of Facility Reported Incident 6/29/2025/IL196441; the facility was found compliant.
Findings
The establishment was found to be in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Inspection Report
Routine
Deficiencies: 2
Date: Feb 19, 2025
Visit Reason
The inspection was conducted to assess compliance with pharmaceutical services and medication management, including insulin administration and controlled substances storage.
Findings
The facility failed to administer insulin according to the manufacturer's instructions for one resident and failed to have a properly functioning lock on the drawer containing the emergency supply of controlled substances, potentially affecting all residents.
Deficiencies (2)
F 0755: The facility failed to administer insulin according to the manufacturer's instructions for 1 of 2 residents reviewed, including improper priming and insufficient needle dwell time.
F 0761: The facility failed to have a properly functioning lock on the drawer containing the emergency supply of controlled substances, allowing access without a key.
Report Facts
Residents reviewed for insulin administration: 2
Residents affected by insulin administration deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | Nurse V3 observed preparing and administering insulin and commenting on medication room | |
| Director of Nursing | Nurse V2 provided statements regarding insulin administration and controlled substances policy |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Jan 8, 2025
Visit Reason
Annual Licensure Survey conducted to assess compliance with disaster preparedness regulations, including fire and tornado drills involving residents and staff.
Findings
The facility failed to include and evacuate residents during drills and did not document residents who received assistance with evacuation. This failure creates a substantial probability of severe harm as staff and residents may not respond effectively in an actual emergency.
Deficiencies (1)
Failure to include and evacuate residents during fire and tornado drills and failure to document residents who received assistance with evacuation.
Report Facts
Drills not involving or evacuating residents: 4
Drills not identifying residents who received assistance: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Confirmed findings regarding evacuation drill deficiencies and provided related documentation and policy. |
Inspection Report
Plan of Correction
Census: 44
Capacity: 50
Deficiencies: 0
Date: Jan 8, 2025
Visit Reason
The document is a Plan of Correction submitted for the Assisted Living Annual Licensure Survey conducted on January 8, 2025, addressing disaster preparedness and evacuation drills.
Findings
The facility conducted evacuation drills with staff and residents, implemented a bi-monthly training schedule for all shifts, and established tracking and monitoring procedures for evacuation capability determination drills. The plan includes detailed evacuation routes and staff training documentation.
Report Facts
Apartments: 22
Occupied apartments: 44
Third floor apartments: 22
Second floor apartments: 8
First floor apartments: 20
Evacuation drill completion time: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Barton | Director of Health Care | Named as monitoring evacuation drill schedule and instructor qualifications |
| Scott Weimer | Director of Maintenance | Named as instructor for evacuation capability determination drills |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 20, 2024
Visit Reason
Investigation of a facility reported incident dated 7/3/24.
Complaint Details
Investigation of Facility Reported Incident 7/3/24 IL175225 - Substantiated - No Violations
Findings
The investigation was substantiated but found no violations. The establishment is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 23, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to ensure safe transfer of a resident with a history of multiple falls.
Complaint Details
The complaint investigation found the facility failed to safely transfer resident R13, who is a high fall risk with multiple recent falls. The complaint was substantiated based on observations, interviews, and record reviews.
Findings
The facility failed to ensure a resident (R13) was safely transferred despite her high fall risk and increased weakness. The resident had multiple falls in the prior four months and required substantial assistance with transfers, but staff did not consistently use appropriate lifting devices or techniques.
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. One resident with a history of multiple falls was not safely transferred, increasing risk of harm.
Report Facts
Falls: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (V4) | Provided information about resident R13's fall risk and weakness. | |
| Certified Nursing Assistants (V5 and V6) | Involved in transferring resident R13. | |
| Director of Nursing (V2) | Provided information on resident R13's transfer needs and fall risk. | |
| MDS Nurse (V3) | Commented on resident R13's history of falls and need for reassessment. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 10, 2024
Visit Reason
The investigation was conducted due to a complaint regarding a medication error involving a resident (R1) who was administered a diuretic medication incorrectly, resulting in adverse health effects.
Complaint Details
The complaint investigation found that the medication error was substantiated, causing actual harm to the resident. The error involved incorrect transcription of medication orders and failure of the double-check process.
Findings
The facility failed to transcribe a resident's admission medication orders correctly, causing R1 to receive a diuretic daily instead of as needed. This error led to R1 developing hypotension and dizziness, with actual harm noted.
Deficiencies (1)
F 0760: The facility failed to ensure residents are free from significant medication errors. A resident was given a diuretic medication daily instead of as needed, resulting in hypotension and dizziness.
Report Facts
Residents affected: 1
Sample size: 6
Medication doses administered: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| V5 Registered Nurse | Registered Nurse | Incorrectly transcribed resident R1's medication order |
| V2 Director of Nursing | Director of Nursing | Reported failure of double-check process for medication transcription |
| V6 Pharmacist | Pharmacist | Provided expert opinion on medication risks and error consequences |
| V7 Physician | Physician | Confirmed medication order and potential harm from error |
Inspection Report
Census: 15
Deficiencies: 5
Date: May 24, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, dignity, activities of daily living, pressure injury prevention, incontinence care, catheter care, and infection control at Prairieview at the Garlands nursing home.
Findings
The facility failed to ensure residents were treated with dignity during meals, provide adequate assistance with activities of daily living including incontinence care, implement pressure injury prevention and treatment protocols, maintain proper catheter care, and enforce infection prevention and control practices including enhanced barrier precautions. Multiple residents were found with inadequate care and staff failed to follow facility policies and infection control protocols.
Deficiencies (5)
F 0550: The facility failed to honor residents' rights to dignity during dining for three residents by allowing staff to stand while feeding and use cell phones during feeding.
F 0677: The facility failed to provide adequate assistance with activities of daily living, including incontinence care, for four residents, resulting in prolonged soiling and skin issues.
F 0686: The facility failed to ensure pressure injury treatments and interventions were in place for three residents, including failure to maintain low air loss mattress function and proper wound dressing.
F 0690: The facility failed to provide appropriate peri care to prevent urinary tract infections and failed to maintain urinary drainage bags below the bladder level for two residents.
F 0880: The facility failed to implement infection prevention and control practices, including failure to change gloves and perform hand hygiene during incontinence care, risking cross contamination for all residents.
Report Facts
Resident census: 15
Residents affected: 3
Residents affected: 4
Residents affected: 3
Residents affected: 2
Residents affected: 15
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