Inspection Reports for Silverado St. Charles Memory Care Community

The inspection was conducted following a facility-reported incident on 10/22/2025 regarding medication administration issues, specifically related to the supervision and monitoring of residents' narcotic analgesic patches.

The facility failed to monitor narcotic analgesic patches to ensure they were administered for the duration ordered by the physician for 2 of 3 residents reviewed. Patches were found missing or improperly placed, posing a substantial probability of harm. The facility implemented new procedures including shift checks and covering patches with Tegaderm but had not updated policy.

The inspection was conducted as a complaint investigation based on an allegation that a resident was made uncomfortable by staff during a shower.

The establishment failed to notify the Department within 24 hours of the abuse allegation and did not develop or submit a written report of the investigation within the required timeframe. The allegation was investigated internally and found unsubstantiated, but the required reporting to the Department was not completed.

The complaint investigation was triggered by an allegation on 2/12/25 that a resident was made uncomfortable by staff during a shower. The allegation was investigated and determined to be unsubstantiated. However, the facility failed to notify the Department or submit a written report of the investigation as required.

The inspection was conducted as a complaint investigation based on an allegation that a resident was made uncomfortable by staff during a shower.

The facility failed to notify the Department within 24 hours of the abuse allegation and did not develop or submit a written report of the investigation within 14 days as required. The allegation was investigated internally and found unsubstantiated, but the required reporting to the Department was not completed.

The complaint investigation was triggered by an allegation on 2/12/25 that a resident was made uncomfortable by staff during a shower. The allegation was investigated and found unsubstantiated. The facility did not notify the Department or submit a written report of the investigation as required.

The inspection was conducted as a facility reported incident (FRI) investigation related to complaints IL 183658, IL 184048, and IL 178973.

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.

Investigation of facility reported incidents IL 183658, IL 184048, and IL 178973 concluded with the facility in compliance.

The inspection was conducted as an Annual Licensure Survey to assess compliance with personnel requirements, qualifications, and training regulations at Silverado St Charles memory care facility.

The facility failed to have sufficient staff with adequate skills, education, and experience to immediately address monitoring and healing interventions for a resident (R5) who developed a blister on the left heel, which progressed to a facility-acquired unstageable heel ulcer due to lack of timely intervention and monitoring.

The Illinois Department of Public Health conducted an annual survey for Silverado St. Charles to assess compliance with the Assisted Living and Shared Housing Establishment Code Section 295.3000.

The facility failed to meet personnel requirements, qualifications, and training standards, resulting in a Type 2 violation. Specifically, inadequate staffing and failure to provide timely monitoring and healing interventions led to a resident developing a facility-acquired unstageable heel ulcer.