The most recent inspection on August 22, 2025, found the facility in compliance with applicable assisted living regulations and did not identify any deficiencies. Earlier inspections showed some deficiencies, including the April 9, 2025 annual survey where inspectors cited issues with disaster preparedness documentation, lack of continuous CPR-certified staff on duty, and incomplete individualization and updating of resident service plans. Complaint investigations conducted in March and August 2025 were unsubstantiated and confirmed compliance with regulatory requirements. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The inspection history suggests improvement, with the most recent review showing resolution of previously noted issues.
Deficiencies (last 1 years)
Deficiencies (over 1 years)3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The inspection was conducted as a facility reported incident investigation related to an incident dated 6/6/2025.
Findings
The facility 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.
Complaint Details
Facility Reported Incident Investigation related to incident on 6/6/2025; compliance was confirmed.
Annual Licensure Survey conducted from 2025-04-03 to 2025-04-09 to assess compliance with state regulations for Sunrise of Fountain Square.
Findings
The facility failed to meet disaster preparedness requirements related to resident inclusion and documentation in drills, lacked continuous CPR-certified direct care staff on duty, and did not individualize or update service plans adequately for residents, particularly regarding medication use, dietary needs, and fall risk interventions.
Severity Breakdown
Type 3 Violation: 1General Violation: 1Type 2 Violation: 1
Deficiencies (3)
Description
Severity
Failed to document resident inclusion and assistance during tornado and fire drills as required by disaster preparedness regulations.
Type 3 Violation
Failed to ensure at least one direct care staff person with current adult CPR certification and demonstrated ability was on duty at all times.
General Violation
Service plans were not individualized or updated to address residents' health-related needs, including medication reasons and monitoring, dietary needs, and fall risk interventions for 8 of 9 residents reviewed.
Type 2 Violation
Report Facts
Drills missing resident inclusion documentation: 6Drills missing resident assistance documentation: 3Drills missing resident assistance documentation: 6Dates without CPR certified direct care staff on duty: 7Residents with service plan deficiencies: 8
Employees Mentioned
Name
Title
Context
E2
Resident Care Director
Confirmed findings related to disaster preparedness drills and service plan deficiencies; provided CPR certification documentation.
E11
Licensed Practical Nurse
Had CPR certification initially without return demonstration; updated certification provided.
E12
Lead Care Manager
Had CPR certification expired in February 2025; coverage could not be verified for certain dates.
E1
Executive Director
Was not aware of the requirement for CPR return demonstration.
The inspection was conducted as a facility reported incident investigation covering incidents #179671, #181839, and #186418.
Findings
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.
