Inspection Reports for Stillwater Senior Living, LLC
1111 University Drive, IL, 62025
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
High
Inspection Report
Complaint Investigation
Deficiencies: 2
Jun 3, 2025
Visit Reason
The inspection was conducted following substantiated facility reported incidents on 5-16-25 and 5-25-25, specifically investigating medication administration and supervision related to a complaint that a resident (R2) did not receive a newly ordered antibiotic.
Findings
The facility failed to ensure that resident R2 received medication supervision for a newly ordered antibiotic, resulting in R2 missing 9 doses of the antibiotic and prolonging treatment of a Urinary Tract Infection. The failure was due to lack of communication and medication reminder updates for Wellness Partners supervising medication administration.
Complaint Details
The complaint investigation was substantiated. Facility reported incidents on 5-16-25 and 5-25-25 were substantiated with violations cited related to medication supervision and administration failures.
Severity Breakdown
Type 2 Violation: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure resident received medication supervision of a newly ordered antibiotic, resulting in missed doses and prolonged treatment of Urinary Tract Infection. | Type 2 Violation |
| Failed to provide medication reminders and supervision of self-administered medication as required, causing substantial probability of harm to the resident. | Type 2 Violation |
Report Facts
Missed antibiotic doses: 9
Medication order duration: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Confirmed failure in medication communication and supervision causing missed doses for resident R2. |
Inspection Report
Plan of Correction
Deficiencies: 2
Jun 3, 2025
Visit Reason
The document is a post-survey statement of correction related to facility reported incidents IL 193170 and IL193374, addressing violations found during the survey conducted on 6/3/25.
Findings
Two Type 2 violations (295.4010 and 295.500) were identified. The facility provided education to staff, conducted audits of resident service plans, and implemented corrective actions to ensure compliance with medication packaging and service plan updates.
Severity Breakdown
Type 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Violation of 295.4010 related to inaccuracies in resident service plans. | Type 2 |
| Violation of 295.500 related to medication packaging and communication errors. | Type 2 |
Report Facts
Date of Survey: Jun 3, 2025
Date of Education Provided: Jun 2, 2025
Date of Audit: Jun 5, 2025
Date of Medication Education: May 26, 2025
Date of Medication Error Education: Jun 4, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Emily Bruegge-Klein | Executive Director | Met with management and nursing team post survey and provided education |
Report
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6025336__View 2567__001__b 2567.pdf
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6025336__View 2567__004__b 2567.pdf
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6025336__View 2567__005__b 2567.pdf
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