Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 18, 2025
Visit Reason
The document is a plan of correction following a facility reported incident IL198483, indicating 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 this survey.
Inspection Report
Annual Inspection
Deficiencies: 0
Aug 28, 2025
Visit Reason
Annual Licensure Survey to assess 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 annual licensure survey.
Inspection Report
Complaint Investigation
Census: 7
Deficiencies: 2
Jun 3, 2025
Visit Reason
The inspection was conducted as a Facility Reported Incident Survey (IL192148) to investigate multiple falls experienced by a resident (R1) due to insufficient staff monitoring and care.
Findings
The facility failed to ensure appropriate staff numbers and monitoring for residents, resulting in multiple unwitnessed falls with and without injury for residents R1 and R3. Observations showed inadequate supervision in common areas and inconsistent adherence to service plans requiring frequent resident checks.
Complaint Details
The visit was complaint-related due to multiple falls of resident R1. The complaint was substantiated by observations and record review showing inadequate staff monitoring and failure to implement fall prevention interventions as per service plans.
Deficiencies (2)
| Description |
|---|
| Failed to ensure one resident (R1) had appropriate staff numbers to provide appropriate services, resulting in multiple falls. |
| Failed to ensure two residents (R1, R3) were properly monitored, resulting in multiple falls with or without injury. |
Report Facts
Number of residents observed in dining area: 7
Number of falls documented for resident R1: 15
Number of falls documented for resident R3: 7
Frequency of required resident checks: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Resident Care Director | Interviewed regarding resident R1's impulsivity and fall risk; stated family did not respond to requests for 24-hour caregiver. |
| E3 | Resident Care Coordinator | Interviewed about fall prevention interventions; did not state monitoring frequency as per service plan. |
| E4 | Lead Care Manager | Interviewed about fall prevention interventions; did not state monitoring frequency as per service plan. |
| E5 | Care Manager | Interviewed about fall prevention interventions; did not state monitoring frequency as per service plan. |
Inspection Report
Plan of Correction
Deficiencies: 0
Jun 2, 2025
Visit Reason
This document is a Plan of Correction submitted by Sunrise of Gurnee in response to regulatory findings related to resident falls and personnel requirements.
Findings
The plan addresses fall incidents involving residents, including root cause analysis, personalized interventions, staff retraining, and monitoring measures. It also covers personnel qualifications and staffing adjustments to ensure resident safety and adequate supervision.
Report Facts
Target correction date: Jun 9, 2025
Target correction date: Jun 11, 2025
Target correction date: Jun 16, 2025
Correction monitoring period: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Dilg | Executive Director | Legal Entity Representative signing the Plan of Correction and responsible for oversight |
| Resident Care Director | Involved in root cause analysis, intervention implementation, staff retraining, and monitoring | |
| Wellness Nurse Supervisor | Involved in root cause analysis, intervention implementation, staff retraining, and monitoring | |
| Resident Care Coordinator | Reviewed resident care levels, trained caregivers, and involved in staffing adjustments | |
| Reminiscence Supervisor | Involved in staff schedule coverage and retraining |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 14, 2025
Visit Reason
Complaint investigation #24110096/#IL182326 was conducted 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 complaint was substantiated; however, there was no establishment failure and no deficiencies were written. The establishment was found to be in compliance with applicable regulations.
Complaint Details
Complaint investigation #24110096/#IL182326 was substantiated but no establishment failure was found and no deficiencies were cited.
Inspection Report
Annual Inspection
Deficiencies: 2
Aug 20, 2024
Visit Reason
Annual Licensure Survey conducted to assess compliance with Illinois Department of Public Health regulations for Sunrise of Gurnee.
Findings
The facility failed to conduct physician's assessments for residents who experienced significant changes in condition upon admission to hospice care, affecting 3 residents. Additionally, the facility did not address a resident's wound in the individualized service plan.
Severity Breakdown
Type 3 Violation: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to conduct physician's assessment for residents who underwent a significant change in condition by becoming hospice residents (3 residents affected). | Type 3 Violation |
| Failure to address a resident's wound in the individualized service plan (1 resident affected). | Type 3 Violation |
Report Facts
Residents reviewed for Physician's Assessment: 7
Residents with missing physician's assessment upon hospice admission: 3
Residents reviewed for Service Plan: 7
Residents with wound not addressed in service plan: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Confirmed residents did not have physician's assessment and certification conducted upon significant change in condition and hospice admission; also confirmed wound not addressed in service plan |
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