The most recent inspection on October 27, 2025, identified a deficiency related to service plans not being signed and dated by all individuals involved for several residents. Earlier inspections and complaint investigations found the facility generally in compliance, with substantiated complaints and incident reports that did not result in deficiencies. The main issue noted involved incomplete documentation of service plans, while other areas were not cited for deficiencies. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The inspection history shows mostly compliance with some documentation issues appearing recently.
Deficiencies (last 1 years)
Deficiencies (over 1 years)1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The inspection was conducted as an Annual Licensure Survey to assess compliance with regulatory requirements for service plans at the facility.
Findings
The facility failed to ensure that service plans were signed and dated by all individuals involved in their development, affecting 4 of 8 residents reviewed. This resulted in incomplete documentation and noncompliance with both regulatory requirements and the facility's own policy.
Severity Breakdown
Type 3 Violation: 1
Deficiencies (1)
Description
Severity
Service plans were not signed and dated by all individuals involved in their development for 4 of 8 residents reviewed (R1, R2, R3, R6).
Type 3 Violation
Report Facts
Residents reviewed: 8Residents with deficient service plans: 4
Employees Mentioned
Name
Title
Context
E2
Resident Care Director
Confirmed service plans were not signed
E1
Executive Director
Presented facility policy on Individualized Service Plan
Inspection Report Plan of CorrectionDeficiencies: 0Feb 8, 2025
Visit Reason
The document is a plan of correction following a survey to ensure 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 applicable assisted living regulations during the survey.
The inspection was conducted as a complaint investigation and entity reported incident investigations 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.
Findings
The establishment was found to be in compliance with the applicable regulations. Multiple complaint and incident investigations were substantiated but no deficiencies were cited.
Complaint Details
Complaint Investigation IL172489/247333 was substantiated with no deficiency cited. Entity Reported Incident Investigations IL182158, IL176260, IL175844, and IL174735 were substantiated with no deficiencies cited.
Loading inspection reports...
Need Help?
Let us help you or a loved one find the perfect senior home.
