Inspection Reports for The Courtyard at McHenry
3300 Charles J Miller Memorial Hwy, McHenry, IL 60050, United States, IL, 60050
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Inspection Report
Plan of Correction
Deficiencies: 0
Oct 8, 2025
Visit Reason
The survey was conducted following a facility reported incident dated 2025-08-21.
Findings
The establishment was found to be in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS9/1 Assisted Living and Shared Housing Act.
Report Facts
Incident date: Aug 21, 2025
Inspection Report
Annual Inspection
Deficiencies: 5
Jun 24, 2025
Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with Illinois Department of Public Health regulations for assisted living facilities.
Findings
The facility was cited for multiple repeat violations including failure to conduct tornado drills on each shift during February, failure to document resident involvement in fire drills, failure to report a serious incident within 24 hours, incomplete physician assessments prior to admission and annually, incomplete service plans addressing residents' needs, and failure to meet Food Service Sanitation Code requirements.
Severity Breakdown
Type 2 Violation: 2
Deficiencies (5)
| Description | Severity |
|---|---|
| Failure to conduct tornado drills on each shift during February and failure to document resident involvement in fire drills. | — |
| Failure to report a serious incident to the Illinois Department of Public Health within 24 hours involving one resident. | — |
| Failure to ensure physician assessments were completed no more than 120 days prior to admission and at least annually for two residents. | — |
| Failure to ensure service plans addressed activities of daily living and frequency of health-related services for three residents. | Type 2 Violation |
| Failure to meet Food Service Sanitation Code and local requirements including improper food labeling and storage. | Type 2 Violation |
Report Facts
Number of tornado drills conducted: 2
Number of residents reviewed for physician assessments: 7
Number of residents reviewed for service plans: 7
Date of local health department kitchen inspection: Apr 28, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Interviewed regarding tornado drill documentation and incident report submission. |
| E2 | Vice President of Clinical Services | Interviewed regarding physician assessments and service plans. |
Inspection Report
Annual Inspection
Deficiencies: 5
Jun 24, 2025
Visit Reason
The Illinois Department of Public Health conducted an Annual Licensure and Facility Reported Incident survey to assess compliance with the Assisted Living and Shared Housing Establishment Code.
Findings
The facility was found to have multiple compliance deficiencies including failure to conduct tornado drills on each shift, failure to report serious incidents within 24 hours, incomplete physician assessments, inadequate service plans, and failure to meet food service sanitation requirements. Fines totaling $3,250 were imposed.
Deficiencies (5)
| Description |
|---|
| Failure to conduct a tornado drill on each shift during February and failure to document resident involvement in drills. |
| Failure to report a serious incident to the Illinois Department of Public Health within 24 hours. |
| Failure to ensure physician's assessments were completed no more than 120 days prior to admission and annually thereafter. |
| Failure to ensure service plans addressed activities of daily living and frequency of health-related services. |
| Failure to meet Food Service Sanitation Code requirements for food storage and labeling. |
Report Facts
Fine amount: 3250
Residents involved in physician assessment failure: 2
Residents involved in service plan failure: 3
Residents involved in incident reporting failure: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christy McFarlane | Administrator | Named as instructor and attendee in multiple employee training sign-in sheets related to disaster preparedness, incident reporting, physician's assessment, service plan, and food service. |
| Melissa Inks | Associate Administrator | Attendee in multiple employee training sign-in sheets related to disaster preparedness, incident reporting, physician's assessment, service plan, and food service. |
| Angeli Chios | Wellness Director | Attendee in employee training sign-in sheets for incident reporting, physician's assessment, and service plan. |
| Chris Sioson | Associate Director of Health and Wellness | Attendee in employee training sign-in sheets for incident reporting, physician's assessment, and service plan. |
| David Hardig | Dining | Attendee in food service training sign-in sheet. |
| Shannon Lawrence | Dining | Attendee in food service training sign-in sheet. |
| Mariah Flanagan | Attendee in food service training sign-in sheet. | |
| Michelena Harvard | Attendee in food service training sign-in sheet. | |
| Esperanza Molina | Cook Kitchen | Attendee in food service training sign-in sheet. |
| Francisca Molina | Cook | Attendee in food service training sign-in sheet. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Dec 5, 2024
Visit Reason
The inspection was conducted as an investigation of a complaint regarding a sexual assault incident between two residents at the facility.
Findings
The facility failed to develop an initial service plan for one resident and failed to update the service plan for another resident after a significant incident that changed their service needs. This failure involved 2 of 3 residents reviewed and created a substantial probability of harm.
Complaint Details
The complaint involved an incident on 11/07/2024 where resident R1 was sexually assaulted by resident R2. Multiple interviews and a police report were reviewed. The police closed the matter with no charges filed.
Severity Breakdown
Type 2 Violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to develop an initial service plan for a resident and failure to update a service plan after a significant incident affecting residents' service needs. | Type 2 Violation |
Report Facts
Residents reviewed for service plan requirement: 3
Date of incident: Nov 7, 2024
Date of neurologist visit: Nov 12, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Wellness | Interviewed regarding lack of care plan for resident R2. |
| E3 | Caregiver & Witness | Witnessed and reported the incident involving R2 and R1. |
| E4 | RN | Interviewed about speaking to R2 regarding behavior. |
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