Inspection Reports for Terra Vista of Oakbrook Terrace

The inspection was conducted following a facility-reported incident on 10/18/2025 involving falls and injuries among residents, focusing on compliance with service plan requirements to prevent further falls.

The facility failed to maintain updated service plans for three residents with documented histories of multiple falls, resulting in a substantial probability of harm. Service plans were not revised promptly after fall incidents despite multiple falls and injuries documented for residents R1, R2, and R3.

The investigation was triggered by a facility-reported incident involving multiple falls and injuries among residents R1, R2, and R3. The complaint was substantiated by findings that service plans were not updated timely after falls, increasing risk of harm.

The inspection was conducted as a complaint investigation regarding the facility's failure to report a serious incident involving a resident fall with injury.

The facility failed to report a resident fall resulting in a right femur fracture to the Illinois Department of Public Health as required by regulation. The investigation confirmed the fall occurred on 3/8/25 and was not reported despite policy requirements.

Complaint Investigation 2572539/IL188729. Facility reported incidents on 7/1/25 were substantiated with no deficiencies; on 7/11/25 were unsubstantiated. The current investigation found failure to report a serious incident.

The inspection was conducted as a complaint investigation related to COVID-19 outbreak and facility reported incidents.

The complaint investigation was partially substantiated for one complaint regarding a COVID outbreak, but no establishment failure or deficiencies were found. Two other facility reported incidents were not substantiated and no deficiencies were written. The facility was found in compliance with applicable Illinois Assisted Living regulations.

Complaint Investigation #2479601/#IL181429 was partially substantiated related to a COVID outbreak. Facility Reported Incidents #IL182228 and #IL183620 were not substantiated.

Annual Licensure Survey conducted 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.

The facility was found to be in compliance with all applicable regulations, and no deficiencies were written during this annual licensure survey.