Inspection Reports for The Gardens at Park Pointe

1550 Dupont Avenue, Morris, IL, 60450

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Inspection Report Summary

The most recent inspection on December 10, 2025, identified deficiencies related to resident safety, care planning, and staff training, including failures to evaluate residency appropriateness for a resident with aggressive behavior and to provide required dementia training. Earlier inspections were not provided for comparison, so broader inspection patterns are not available. The main issues involved inadequate supervision and service plan revisions, which resulted in harm and risk to residents. No complaint investigations or enforcement actions such as fines or license suspensions were listed in the available reports. Without prior data, it is not possible to determine whether these findings represent an improvement or decline in compliance over time.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

14% worse than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2025

Inspection Report

Annual Inspection
Deficiencies: 4 Date: Dec 10, 2025

Visit Reason
Annual Licensure Survey conducted to assess compliance with Illinois Department of Public Health regulations for assisted living and memory care facility.

Findings
The facility failed to evaluate the appropriateness of residency for a resident with a history of sexual assault and aggressive behavior, resulting in multiple incidents of resident-to-resident physical and sexual abuse. The facility also failed to revise service plans appropriately and provide required dementia training to staff. These failures caused severe harm to residents and posed substantial risk to others.

Deficiencies (4)
Failure to evaluate appropriateness of residency for a resident with history of sexual assault and aggressive behavior.
Failure to develop and revise service plans addressing risk factors and behaviors including sexual and physical aggression.
Failure to provide required 16 hours of dementia training to newly hired direct care staff.
Failure to provide a safe environment free from sexual and physical abuse and to adequately supervise a resident with aggressive and inappropriate sexual behavior.
Report Facts
Residents in sample: 5 Residents involved in failures: 3 Direct care staff without dementia training: 4 Date of inspection: Dec 10, 2025

Employees mentioned
NameTitleContext
E1Executive Director/Director of NursingProvided multiple interviews and explanations regarding resident behaviors, service plans, and training deficiencies.
E2LPNReported awareness of resident altercation and described resident R1 as 'flirty man'.
E3Receptionist (resigned)Witnessed and reported physical altercation between residents R1 and R4.

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