Inspection Report Summary
The most recent inspection on December 2, 2025, found the facility in compliance with all applicable assisted living regulations and no deficiencies were noted. Earlier inspections showed a mixed pattern, with prior reports identifying medication administration errors in March 2025 and issues with disaster preparedness related to resident orientation in August 2024. The main themes of deficiencies involved medication management and emergency preparedness, with corrective actions taken promptly after the medication errors were substantiated. Complaint investigations were mostly unsubstantiated except for the March 2025 medication error complaints, which were substantiated and addressed through staff discipline and policy review. The inspection history indicates improvement, with the most recent inspections showing compliance following earlier citations.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 2, 2025
Visit Reason
The inspection was conducted as a complaint investigation for the Revela at O'Fallon facility.
Complaint Details
Complaint Investigation 25411494 IL198708 concluded with the facility in compliance.
Findings
The facility 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
Annual Inspection
Deficiencies: 0
Date: Aug 21, 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 the annual licensure survey.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 14, 2025
Visit Reason
The inspection was conducted in response to a complaint (IL187022) regarding medication administration errors at the facility.
Complaint Details
Complaint IL187022 triggered the investigation. The complaint was substantiated by findings of medication errors involving resident R1.
Findings
The facility failed to ensure residents received the correct medication, resulting in resident R1 not receiving their prescribed medication and receiving an incorrect medication on 02/11/25. The error was identified immediately, no adverse reaction occurred, and corrective actions including retraining and removal of the employee from medication administration were taken.
Deficiencies (1)
Failure to ensure residents receive the correct medication, resulting in a medication error affecting resident R1.
Report Facts
Deficiencies cited: 1
Date of medication error: Feb 11, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nursing staff E2 | Interviewed regarding the medication error incident | |
| Employee E8 | Noticed the medication error and was removed from medication administration pending investigation and retraining |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 11, 2025
Visit Reason
The inspection was conducted in response to a complaint (Complaint #2541529/IL187022) regarding medication administration errors at Revela at O'Fallon.
Complaint Details
Complaint #2541529/IL187022 was substantiated with a Type 2 citation for medication administration errors. The medication error was immediately reported, and corrective actions including staff discipline and policy review were implemented.
Findings
The establishment failed to meet the requirements of Section 295.5000 related to medication reminders, supervision of self-medication, medication administration, and storage. A medication error was reported involving a staff member (E8), who was disciplined and the medication policy was reviewed with staff. Medication administration observations were conducted with no interruptions or chart omissions noted during the medication pass.
Deficiencies (1)
Failure to ensure residents receive the correct medication, resulting in a Type 2 violation under Section 295.5000 Medications.
Report Facts
Fine amount: 500
Citation number: 295.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Loman | Executive Director | Signed the Plan of Correction letter regarding the medication error. |
| Linda Daesch | Resident Care Coordinator / Resident Care Manager | Instructor for multiple Plan of Correction training sessions related to medication pass observation. |
| Shanez Hudson | Signed medication pass observation on 02/12/2025. | |
| Cathy Gain | Signed medication pass observation on 02/12/2025. | |
| Johnisha Sayles | Signed medication pass observation on 02/12/2025. | |
| Jamie Robinson | Signed medication pass observation on 02/13/2025. | |
| Linda McAnulty | Signed medication pass observation on 02/13/2025. | |
| L. N. Heise | LPN | Signed medication pass observation on 02/14/2025. |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Aug 16, 2024
Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with regulatory requirements.
Findings
The facility was found to be non-compliant with Section 295.2040 Disaster Preparedness due to failure to orient residents to emergency and evacuation plans within ten days of admission, with no documentation of such orientation available.
Deficiencies (1)
Failure to ensure residents received orientation to emergency and evacuation plans within ten days of admission, with no documentation of orientation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Confirmed inability to reproduce thorough resident orientation during interview. |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Aug 16, 2024
Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with regulatory requirements.
Findings
The facility was found to have a Type 3 violation related to disaster preparedness, specifically failing to ensure residents received orientation to emergency and evacuation plans within ten days of admission.
Deficiencies (1)
Failed to ensure residents received orientation to emergency and evacuation plans within ten days of admission.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Interviewed and confirmed inability to reproduce a thorough resident orientation for review. |
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