Deficiencies (last 1 years)
Deficiencies (over 1 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% better than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 22, 2025
Visit Reason
The inspection was conducted as a facility reported incident investigation related to an incident dated 6/6/2025.
Complaint Details
Facility Reported Incident Investigation related to incident on 6/6/2025; compliance was confirmed.
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.
Inspection Report
Annual Inspection
Deficiencies: 3
Date: 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.
Deficiencies (3)
Failed to document resident inclusion and assistance during tornado and fire drills as required by disaster preparedness regulations.
Failed to ensure at least one direct care staff person with current adult CPR certification and demonstrated ability was on duty at all times.
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.
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
Date: Mar 4, 2025
Visit Reason
The inspection was conducted as a facility reported incident investigation covering incidents #179671, #181839, and #186418.
Complaint Details
Facility Reported Incident Investigation Conducted: #179671-#181839-#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.
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