Deficiencies per Year
4
3
2
1
0
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 2
Sep 13, 2025
Visit Reason
The inspection was conducted as a complaint investigation involving multiple complaints, including two unsubstantiated complaints and one substantiated facility-reported incident regarding resident safety and appropriateness of admission.
Findings
The facility failed to ensure that one admitted resident (R1) was appropriate for admission, resulting in the resident's elopement, fall, and injury. The facility also failed to comply with the National Fire Protection Association's Life Safety Code related to exit door alarms and the use of wander guards, which are not permitted in Illinois assisted living establishments.
Complaint Details
Complaint investigation 2510267/ IL 184250 and 2510240/ IL 184114 were unsubstantiated. Facility Reported Incident of 9/4/25, IL 197386 was substantiated.
Deficiencies (2)
| Description |
|---|
| Failure to ensure that one admitted resident was appropriate for admission, resulting in elopement and injury. |
| Failure to comply with the residential board and care occupancies chapter of the NFPA Life Safety Code, including issues with exit door alarms and use of wander guards. |
Report Facts
Residents reviewed: 3
Resident R1 admission date: Jul 11, 2022
Incident date and time: Sep 4, 2025
Check interval: 15
Exit door alarm delay: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nurse Supervisor | Interviewed staff member (E2) who provided information about resident R1's behavior and condition |
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