Inspection Report
Annual Inspection
Deficiencies: 1
Oct 27, 2025
Visit Reason
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: 8
Residents 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 Correction
Deficiencies: 0
Feb 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.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 22, 2025
Visit Reason
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.
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