Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 22, 2025
Visit Reason
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.
Inspection Report
Annual Inspection
Deficiencies: 3
Apr 9, 2025
Visit Reason
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: 1
General Violation: 1
Type 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: 6
Drills missing resident assistance documentation: 3
Drills missing resident assistance documentation: 6
Dates without CPR certified direct care staff on duty: 7
Residents 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. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 4, 2025
Visit Reason
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.
Complaint Details
Facility Reported Incident Investigation Conducted: #179671-#181839-#186418
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