Inspection Reports for Riverside Senior Life Bourbonnais

85 E Burns Rd, Bourbonnais, IL, 60914

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Inspection Report Summary

The most recent inspection on September 20, 2025, found deficiencies related to medication administration, specifically an unauthorized change in the frequency of a potassium medication for one resident. Earlier inspections from January 24, 2025, also identified deficiencies involving failure to revise service plans to address fall incidents and elopement risks for several residents. Inspectors cited issues with monitoring injuries and implementing safety interventions in care plans. Complaint investigations were mostly unsubstantiated, with no enforcement actions or fines listed in the available reports. The pattern of deficiencies suggests ongoing challenges with medication management and individualized care planning, with no clear indication of improvement or worsening over time.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

14% worse than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2025

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Sep 20, 2025

Visit Reason
The inspection was conducted as a complaint investigation related to medication administration at Riverside Senior Life Bourbonnais.

Complaint Details
Complaint Investigation IL196845 - No violations cited. Facility Reported Incident IL197216 295.5000j)2) cited.
Findings
The facility failed to administer medications as ordered by the physician for one resident out of three reviewed. Specifically, a potassium medication order was incorrectly changed from twice a day to once a day without physician authorization, constituting a Type 3 violation.

Deficiencies (1)
Failed to administer medications as ordered by the physician for one resident, including incorrect change of potassium medication frequency.
Report Facts
Residents reviewed for medication administration: 3 Potassium dosage: 20

Employees mentioned
NameTitleContext
Nurse CoordinatorE2 stated the potassium order was changed incorrectly
LPNE3 admitted to mistakenly changing the potassium order

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Jan 24, 2025

Visit Reason
Annual Licensure survey conducted to assess compliance with Section 295.4010 regarding service plans for residents.

Findings
The facility failed to revise service plans adequately for residents with fall incidents and elopement risks. Specifically, service plans did not address multiple falls for two residents, including monitoring of injuries and safety interventions, and did not include specific interventions for a resident who eloped from the facility.

Deficiencies (2)
Failure to revise service plans to address fall incidents for 2 of 4 residents reviewed, including lack of interventions for monitoring cast care, immobilizer application, and facial bruising.
Failure to address specific interventions and monitoring for a resident who eloped from the establishment.
Report Facts
Documented falls: 8 Staff count: 4

Employees mentioned
NameTitleContext
Executive DirectorProvided statements regarding resident elopement and fall incidents

Inspection Report

Annual Inspection
Capacity: 74 Deficiencies: 1 Date: Jan 24, 2025

Visit Reason
An annual survey was conducted by the Illinois Department of Public Health to assess compliance with the Assisted Living and Shared Housing Establishment Code.

Findings
The establishment did not meet all compliance requirements, resulting in one Type 3 violation related to the service plan. The violation involved failure to revise service plans addressing fall incidents and safety monitoring for residents.

Deficiencies (1)
Failure to revise the service plan by not addressing fall incidents for 2 of 4 residents and not addressing specific interventions for a resident who eloped.
Report Facts
Residents affected: 74 Fall incidents: 8 Fall incidents not addressed: 4 Residents reviewed for falls: 4 Residents with fall incidents: 2

Employees mentioned
NameTitleContext
Edward PittsPSAAuthor of the inspection letter and contact for the survey

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