Inspection Reports for Sugar Creek Alzheimer’s Special Care Center

The visit was conducted as an original complaint investigation (IL 196750) on 08/21/2025.

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.

Original Complaint Investigation IL 196750; the establishment was found in compliance.

The inspection was conducted following a facility-reported incident involving a resident (R1) who eloped from the Alzheimer's care unit, prompting a complaint investigation into the facility's wandering and elopement prevention policies and practices.

The facility failed to keep a known wandering, cognitively impaired resident (R1) from leaving the establishment unsupervised, resulting in the resident walking approximately one mile across a busy avenue and requiring police intervention and hospital evaluation. The investigation revealed lapses in supervision, staff distraction, and inadequate control of exit doors despite existing policies and procedures.

The complaint investigation was triggered by an incident on 8/2/25 where resident R1 eloped from the facility, was found by local police walking along a roadside, and was transported to the hospital. The resident alleged sexual assault, but no evidence supported this claim. The resident had a history of wandering and a moderate elopement risk score. The facility's review identified staff distraction and an unknown staff member letting the resident out of a locked unit.

Original investigation of FRI IL 195030 to determine compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.

The establishment was found to be in compliance with the applicable assisted living and shared housing regulations during this original licensing investigation.

Original investigation of Complaint 2467184 / IL 177723.

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 Complaint 2467184 / IL 177723 resulted in compliance with applicable regulations.

Annual licensure survey and original investigation of complaint #2466692/IL177054.

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.

Original investigation of complaint #2466692/IL177054; no deficiencies found.