Inspection Report
Plan of Correction
Deficiencies: 0
Dec 20, 2025
Visit Reason
The document is a plan of correction following a facility reported incident IL199049, related to 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 relevant Illinois Assisted Living and Shared Housing regulations during this survey.
Inspection Report
Annual Inspection
Deficiencies: 5
Sep 30, 2025
Visit Reason
Annual licensure survey including facility reported incident and complaint investigation.
Findings
The facility failed to meet multiple regulatory requirements including disaster preparedness drills, physician's assessments, service plan development, tuberculosis screening, and physical plant fire drill compliance. Deficiencies included failure to orient residents on emergency plans, incomplete fire drills documentation, missing physician signatures on assessments, incomplete service plans, lack of TB screening documentation, and failure to meet fire drill time constraints and resident participation requirements.
Complaint Details
Complaint investigation IL196663 was part of the survey process.
Severity Breakdown
Type 2 Violation: 3
Type 3 Violation: 2
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to orient 6 of 7 residents on emergency and evacuation plans within 10 days of admission; failure to conduct tornado drills on each shift in February; failure to involve residents in fire drills; failure to identify residents needing assistance during drills; failure to evaluate drill dates and times within fire drill expectations. | Type 2 Violation |
| Admission assessment not completed by a physician for 1 of 7 residents; assessment signed by a Family Nurse Practitioner and undated. | Type 3 Violation |
| Service plans for 6 of 7 residents lacked signatures and dates of involved individuals; failure to revise service plans to address pain management, outside services, and use of mechanical lift. | Type 2 Violation |
| Failure to provide tuberculosis screening documentation for 1 of 7 residents; TB test document for another resident lacked resident name. | Type 3 Violation |
| Failure to meet fire drill time constraints; failure to ensure all residents attend and participate in fire drills; failure to list residents needing assistance during evacuation drills. | Type 2 Violation |
Report Facts
Residents reviewed: 7
Fire drills reviewed: 16
Residents not oriented: 6
Residents with incomplete service plans: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Provided statements regarding fire drills and tornado drills. |
| E2 | Assisted Living Wellness Director | Provided statements regarding physician assessments, TB screening, and service plans. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 7, 2025
Visit Reason
The inspection was conducted as a complaint investigation following a reported incident on 5/7/25 regarding resident rights and treatment.
Findings
The facility failed to ensure residents were treated with dignity, as evidenced by an incident where a nurse spoke inappropriately to residents while administering medications. The investigation concluded that abuse was not substantiated, but the nurse received an in-service on communication and tone.
Complaint Details
Complaint Investigation 2575154/IL194004 found no substantiated abuse. The incident involved nurse E9 speaking inappropriately to residents R1 and R2 during medication administration. The nurse received an in-service on communication and tone.
Deficiencies (1)
| Description |
|---|
| Failure to ensure residents were treated in a dignified manner, including inappropriate communication by a nurse during medication administration. |
Report Facts
Date of incident: Jul 3, 2025
Date of reported incident: May 7, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E9 | Licensed Practical Nurse | Named in communication and dignity deficiency related to medication administration |
| E3 | Assistant Wellness Director | Conducted investigation and concluded abuse was not substantiated |
| E10 | Caregiver | Provided witness statements regarding nurse's communication |
| E8 | Caregiver | Provided witness statement regarding nurse informing resident about rude action |
Inspection Report
Complaint Investigation
Deficiencies: 1
Jul 3, 2025
Visit Reason
The inspection was conducted as a complaint investigation following a facility reported incident regarding resident dignity and treatment.
Findings
The facility was found to have failed to ensure residents were treated in a dignified manner during medication administration, involving a nurse (E9) who raised her voice and used inappropriate language with residents. The investigation concluded that abuse was not substantiated, but corrective actions including staff training on communication and residents' rights were implemented.
Complaint Details
The complaint investigation was triggered by an incident on 7/3/2025 involving residents R1 and R2 and nurse E9. The investigation concluded that abuse was not substantiated. E9 received in-service training on communication and tone with residents.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure residents were treated in a dignified manner during medication administration. |
Report Facts
Residents reviewed for dignity: 3
Residents in sample: 6
Date of incident: Jul 3, 2025
Date of in-service training: May 8, 2025
Date of abuse recognition training: Jul 31, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hope Boyd | Executive Director | Signed plan of correction letter |
| E9 | Licensed Practical Nurse | Named in dignity and communication complaint |
| E3 | Assistant Wellness Director | Conducted investigation and stated abuse was not substantiated |
| Carmen Fleury | LPN | Trainer for communication in-service on May 8, 2025 |
Inspection Report
Complaint Investigation
Deficiencies: 1
May 30, 2025
Visit Reason
The inspection was conducted as a complaint investigation survey related to allegations of theft and exploitation of residents' personal property at StoryPoint Romeoville AL.
Findings
The facility failed to ensure residents were free from theft of personal property, affecting 5 of 5 residents reviewed. Multiple incidents of missing jewelry and money were reported, with investigations hindered by non-functioning security cameras during the relevant periods. A caregiver was suspended pending investigation, and police involvement was noted.
Complaint Details
The complaint investigation found multiple unsubstantiated complaints and facility reported incidents. The theft allegations were substantiated for 5 residents (R1-R5), with investigations ongoing and police involved. Video surveillance was not available due to a technical glitch during the theft periods.
Deficiencies (1)
| Description |
|---|
| Failure to ensure residents were free from theft of personal property, violating resident rights under Section 295.6000. |
Report Facts
Residents reviewed for theft/exploitation: 5
Incident dates: Thefts occurred between May 13 and May 22, 2025.
Missing ring appraisal value: 975
Missing ring appraisal value: 450
Amount of missing money: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Wellness Director | E2 stated suspicions about a new employee and described investigation efforts including camera issues and police involvement. | |
| Executive Director | E1 described investigation details, staff interviews, and suspension of a caregiver pending investigation. | |
| Caregiver (V10/E10) | Newest staff member suspended pending investigation related to theft allegations. |
Inspection Report
Plan of Correction
Deficiencies: 1
May 30, 2025
Visit Reason
The document is a plan of correction submitted in response to findings from a facility inspection dated 5/30/2025 regarding allegations of theft and exploitation of residents' personal property at StoryPoint Romeoville.
Findings
The facility failed to ensure residents were free from theft of personal property, affecting 5 of 5 residents reviewed. Investigations revealed missing jewelry and money, with video surveillance footage unavailable due to a system glitch. One caregiver was suspended pending investigation. The facility implemented corrective actions including staff training, reporting standards, background checks, and safety measures.
Deficiencies (1)
| Description |
|---|
| Community failed to ensure residents were free of theft of their personal property affecting 5 residents. |
Report Facts
Residents reviewed for theft/exploitation: 5
Sample size: 13
Incident dates: 2025-04-24 to 2025-05-27
Incident dates: 2025-05-13 to 2025-05-22
Appraisal value: 975
Appraisal value: 450
Amount missing: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hope Boyd | Signed the plan of correction letter | |
| E1 | Executive Director | Involved in investigation and search of residents' apartments |
| E2 | Assistant Wellness Director | Provided statements about investigation and camera system issues |
| V10 | Caregiver | Suspended pending investigation related to theft allegations |
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