Inspection Reports for
Riverside Senior Life Bourbonnais
85 E Burns Rd, Bourbonnais, IL, 60914
Back to Facility Profile5 Reports
Inspection Report — Mar 23, 2026
Complaint Investigation
Date: Mar 23, 2026
Visit Reason
Facility Reported Incident Investigation, IL200229. For this survey, 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.
Complaint Details
Facility Reported Incident Investigation IL200229: No deficiency cited.
Findings
The establishment was found in compliance with no deficiencies cited.
Inspection Report — Feb 5, 2026
Annual Inspection
Date: Feb 5, 2026
Visit Reason
Annual Licensure Survey Conducted with Original investigation of Complaint #25711640/IL#198769, Facility Reported Incident Investigation to incident of 11-21-25/IL#199155, Facility Reported Incident 11/22/25: IL#198704.
Complaint Details
Original investigation of Complaint #25711640/IL#198769. Facility Reported Incident Investigation to incident of 11-21-25/IL#199155. Facility Reported Incident 11/22/25: IL#198704.
Findings
The establishment was found to have multiple deficiencies including failure to document fire drill evacuations, inadequate fall assessments and monitoring for a resident who fell twice, incomplete physician assessments, unsigned service plans, medication administration errors, and failure to protect residents from physical abuse.
Deficiencies (6)
A2040 (295.2040 Disaster Preparedness) - The establishment failed to include a list of residents involved in fire drills and their level of evacuation assistance, and failed to document actual evacuation to assembly points and drill duration.
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The establishment failed to conduct fall assessments and appropriately monitor one resident who fell twice and sustained fractures, creating a substantial probability of severe harm.
A4000 (295.4000 Physician's Assessment) - The establishment failed to ensure a Physician's Assessment was completed and signed by a physician for one resident reviewed.
A4010 (295.4010 Service Plan) - The establishment failed to ensure service plans were signed by all involved individuals for six residents and failed to develop and implement appropriate interventions for a resident who fell, causing harm.
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The establishment failed to follow medication administration policy, resulting in a nurse administering another resident's medications to a resident, causing harm.
A6000 (295.6000 Resident Rights) - The establishment failed to protect residents from physical abuse when one resident struck another in the back during a verbal exchange.
Report Facts
Residents reviewed for falls: 6
Residents reviewed for medications: 6
Residents reviewed for service plans: 6
Residents affected: 1
Residents affected: 2
Inspection Report — Sep 20, 2025
Complaint Investigation
Date: Sep 20, 2025
Visit Reason
This survey included Complaint Investigation IL196845 with no violations cited and Facility Reported Incident IL197216 with 295.5000 j)2) cited.
Complaint Details
Complaint IL196845: No violations cited. Facility Reported Incident IL197216: Section 295.5000 j)2) cited.
Findings
The facility failed to administer medications as ordered by the physician for one resident due to a nurse mistakenly changing the medication order without physician approval.
Deficiencies (1)
A5000 (295.5000 Medication Reminders, Supervision of Self Med) - The facility failed to administer medications as ordered by the physician for one resident out of three reviewed, due to a nurse mistakenly changing the potassium order from twice daily to once daily without physician authorization.
Report Facts
Residents affected: 1
Residents reviewed: 3
Inspection Report — Jan 24, 2025
Annual Inspection
Date: Jan 24, 2025
Visit Reason
Annual Licensure survey citing Section 295.4010 Service Plan.
Findings
The establishment failed to revise service plans to address fall incidents and elopement safety monitoring for two residents. Specific interventions for cast care, immobilizer application, and elopement risk were not included in the service plans.
Deficiencies (1)
A4010 (295.4010 Service Plan) - The establishment failed to revise the service plan by not addressing fall incidents for two residents, including monitoring cast care and immobilizer application, and did not address elopement safety monitoring for one resident.
Report Facts
Residents affected: 2
Inspection Report — Jan 24, 2025
Plan of Correction
Date: Jan 24, 2025
Visit Reason
This plan of correction answers the annual inspection survey conducted on 1/24/25.
Findings
The facility committed to implement interventions to revise service plans addressing fall incidents and monitoring elopement risks. They will conduct in-service training for nurses and audit all service plans within 30 days of submitting this plan of correction.
Report Facts
Residents affected: 74
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