Inspection Report
Plan of Correction
Deficiencies: 0
Aug 6, 2025
Visit Reason
The survey was conducted as a facility reported incident 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 and shared housing regulations.
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 5, 2025
Visit Reason
The inspection was conducted as an original investigation following a complaint made by resident R1 alleging rough treatment by employee E5.
Findings
The investigation confirmed that employee E5 treated resident R1 roughly by jerking her arms and throwing her into bed, causing pain but no fractures. E5 was suspended during the investigation and subsequently terminated.
Complaint Details
Resident R1 complained that employee E5 was rough with her by lifting her arms too high and throwing her into bed, causing pain to her shoulder and hip. The complaint was substantiated by investigation findings.
Deficiencies (1)
| Description |
|---|
| Failure to prevent rough treatment of resident R1 by employee E5. |
Report Facts
Dates related to investigation: Complaint made on 2025-03-03, suspension and investigation started same day, employee terminated on 2025-03-10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E5 | Employee | Named in complaint and found to have treated resident roughly; suspended and terminated |
| E1 | Executive Director | Received complaint, initiated investigation, suspended employee E5 |
| E3 | CNA | Reported resident R1's complaint to E1 and witnessed resident in pain |
Inspection Report
Plan of Correction
Deficiencies: 1
Apr 5, 2025
Visit Reason
The document is a Statement of Correction submitted in response to the FRI Survey conducted on 4/5/2025 at The Glenwood of Mahomet, addressing alleged deficient practices related to resident rights.
Findings
The facility implemented corrective actions including in-service training for employees on resident rights, assigned ongoing training upon hire and annually, and established quality assurance measures to ensure continued compliance.
Deficiencies (1)
| Description |
|---|
| Alleged deficient practice related to resident rights requiring employee training and monitoring. |
Report Facts
Residents potentially affected: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Burwell | Executive Director | Executive Director who signed the Statement of Correction and conducted in-service training |
Inspection Report
Plan of Correction
Deficiencies: 3
Feb 24, 2025
Visit Reason
The document is a Statement of Correction submitted in response to the Annual Survey conducted on 2/24/2025 for The Glenwood of Mahomet.
Findings
The Statement of Correction addresses alleged deficient practices related to Tuberculin Skin Test Procedures, Physician Assessment, and Employee Orientation and Ongoing Training. Corrective actions, systematic measures, and quality assurance processes have been implemented to prevent recurrence of deficiencies.
Deficiencies (3)
| Description |
|---|
| Section 295.4050 Tuberculin Skin Test Procedures - Type 3 Violation |
| Section 295.4000 Physician Assessment - failure to ensure comprehensive physician assessments prior to move-in, annually, and for significant changes in resident condition |
| Section 295.3020 Employee Orientation and Ongoing Training - failure to ensure staff completed all required ongoing training |
Report Facts
Residents potentially affected: 23
Completion Dates: Mar 18, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Burwell | Executive Director | Signed Statement of Correction and responsible for corrective actions |
| Cheyenne Yaden | EMT | Administered Tuberculosis Skin Test |
| Vanessa Avalos | Read Tuberculosis Skin Test results | |
| Aamira Tahir Malik | Physician | Signed Physician's Assessment/Certification Form |
| Jimmy Cywulski | RDCS | Trainer for staff training on 3/13/25 |
| Jeymoli RPS | Trainer for Physician Assessment training on 3/13/25 |
Inspection Report
Annual Inspection
Deficiencies: 3
Feb 24, 2025
Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with state regulations for the facility.
Findings
The facility was found deficient in multiple areas including failure to ensure staff completed all required ongoing training, failure to ensure residents had annual physician assessments, and failure to ensure all employees received required Tuberculin skin testing upon hire.
Severity Breakdown
Type 3 Violation: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure staff completed all required ongoing training including promoting resident dignity, hygiene and infection control, abuse prevention, and assistance with activities of daily living. | Type 3 Violation |
| Failed to ensure residents had physician assessments completed annually as required. | Type 3 Violation |
| Failed to ensure all employees received Tuberculin skin testing or chest x-ray upon hire in accordance with the Control of Tuberculosis Code. | Type 3 Violation |
Report Facts
Training hours required: 8
Resident admission date: Sep 9, 2023
Physician certification date: Oct 20, 2023
Resident admission date: May 1, 2018
Physician certification date: Dec 5, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Director of Wellness | Named in deficiency for lack of Tuberculin skin testing documentation |
| E3 | Care Partner | Named in deficiencies for lack of ongoing training and lack of Tuberculin skin testing documentation |
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