Inspection Reports for Sunrise of Park Ridge
1725 Ballard Rd, Park Ridge, IL 60068, United States, IL, 60068
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Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 11, 2025
Visit Reason
The inspection was conducted as a complaint survey to investigate 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 complaint survey.
Complaint Details
Complaint Survey 25910986/IL198477; the establishment was found compliant.
Inspection Report
Plan of Correction
Deficiencies: 3
Sep 14, 2025
Visit Reason
The inspection was conducted to assess compliance with state regulations regarding service plans, fall interventions, medication reminders, supervision of self-medication, medication administration, and storage at Sunrise of Park Ridge.
Findings
The facility failed to revise service plans and implement timely fall interventions for residents with cognitive impairment, lacked an effective fall management policy, and failed to ensure proper medication storage and control, resulting in medication diversion. These deficiencies created a substantial probability of harm to residents.
Severity Breakdown
Type 2 Violation: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to revise a service plan following multiple falls and/or implement appropriate fall interventions for residents with cognitive impairment. | Type 2 Violation |
| Failed to have an effective fall management policy and procedure in place to prevent resident falls. | Type 2 Violation |
| Failed to ensure that a resident's medication was stored and controlled properly by not performing an accurate count with two authorized staff members at each shift change, leading to medication diversion. | Type 2 Violation |
Report Facts
Fall incidents for resident R1: 4
Move-in date for resident R1: Apr 28, 2025
Move-in date for resident R4: Oct 5, 2024
Fall incident date for resident R4: Sep 6, 2025
Fall interventions initiation date for resident R4: Sep 12, 2025
Medication missing incident date: Jun 22, 2025
Medication order start dates: Jun 15, 2025
Medication order end dates: Jun 30, 2025
Medication received date: Jun 17, 2025
Medication administration date: Jun 18, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Nursing / Resident Care Director | Provided statements regarding fall interventions and medication diversion investigation. |
| E3 | Licensed Practical Nurse | Reported resident R1 as high fall risk and described fall incidents; involved in narcotic counts and reporting missing medication. |
| E5 | Licensed Practical Nurse | Reported counting narcotics alone and unaware of missing medication. |
| E6 | Licensed Practical Nurse | Involved in narcotic count when medication was found missing; did not respond to contact attempts. |
| E7 | Licensed Practical Nurse / Night Supervisor | Signed receipt of controlled medication; did not respond to contact attempts. |
| E8 | Licensed Practical Nurse | Double-checked narcotic count with E6 and confirmed missing medication. |
| E9 | Registered Nurse / Nurse Manager | Informed about missing medication and investigation; described narcotic counting procedures. |
| E10 | Registered Nurse / Wellness Nurse | Counted narcotics on 06/21/2025 and provided written statement; on active military leave. |
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