Inspection Reports for The Landing on Dundee Senior Living
156 W Dundee Rd, Wheeling, IL 60090, United States, IL, 60090
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 21, 2025, identified a deficiency for failing to report a serious resident injury to the State Agency within the required 24-hour timeframe. Earlier inspections in 2025 also cited deficiencies related to resident safety, emergency response, and physician assessments, including a resident found unsupervised outside the building and delays in emergency care that contributed to a resident’s hospitalization and death. Inspectors noted issues primarily with incident reporting, adherence to safety plans, emergency procedures, and proper medical documentation. A complaint investigation in February 2025 substantiated resident rights violations connected to neglect and reporting failures. The pattern of findings suggests ongoing challenges with safety protocols and reporting, with no clear indication of improvement in the most recent inspection.
Deficiencies (last 1 years)
Deficiencies (over 1 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
129% worse than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Plan of Correction
Deficiencies: 1
Oct 21, 2025
Visit Reason
Investigation of a facility reported serious incident involving resident R1 who sustained fractures after a fall on 10/10/2025.
Findings
The facility failed to report R1's serious accident to the State Agency within the required 24-hour timeframe, taking over 72 hours to notify. R1 sustained acute, comminuted fractures to the left elbow and left hip confirmed by x-rays.
Severity Breakdown
Type 3 Violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report a serious incident involving resident R1 to the State Agency within 24 hours. | Type 3 Violation |
Report Facts
Hours delayed in reporting serious accident: 72
Residents reviewed for Safe Environment: 4
Residents with incident: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E4 RN-Registered Nurse | Reported R1's fall and injury |
Inspection Report
Plan of Correction
Deficiencies: 2
Oct 14, 2025
Visit Reason
The inspection was conducted to evaluate compliance with personnel requirements, service plans, and physician assessments at Landing on Dundee Senior Living.
Findings
The facility failed to ensure that the safety plan was followed for one resident, resulting in the resident being found outside the building unsupervised. Additionally, the facility did not have physician assessments completed by a medical doctor for six of nine residents reviewed, as many assessments were signed only by nurse practitioners.
Severity Breakdown
Type 2 Violation: 1
Type 3 Violation: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure safety plan was followed for one resident, leading to unsupervised wandering and potential harm. | Type 2 Violation |
| Failure to ensure physician assessments were completed by a medical doctor for six residents; assessments were signed by nurse practitioners instead. | Type 3 Violation |
Report Facts
Resident falls: 6
Residents reviewed for physician assessment: 9
Residents with incomplete physician assessments: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Health Services Director | Provided information about frequency of safety checks and physician assessment signatories |
Inspection Report
Plan of Correction
Deficiencies: 4
Feb 7, 2025
Visit Reason
The inspection was conducted to investigate a failure to provide immediate care and follow emergency procedures for a resident found non-responsive, which resulted in the resident's hospitalization and subsequent death.
Findings
The facility failed to provide immediate care and services to a non-responsive resident, did not follow established emergency policies, delayed calling 911 despite family requests, and failed to continuously monitor the resident's safety. These failures contributed to the resident's admission to the hospital with a brain bleed and subsequent death.
Severity Breakdown
Type 1 Violation: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failure to provide immediate care and services to residents identified as non-responsive. | Type 1 Violation |
| Failure to follow establishment policy and procedures during medical emergencies. | Type 1 Violation |
| Failure to immediately utilize outside emergency assistance (911). | Type 1 Violation |
| Failure to assign staff to continuously monitor changes and ensure resident's safety. | Type 1 Violation |
Report Facts
Dates: 2025
Timeframe: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E3 | LPN | Nurse who delayed calling 911 and took resident's vitals instead of immediate emergency response |
| E2 | RN/Director of Nursing | Confirmed that 911 should have been called immediately and that someone should have stayed with the resident |
| E4 | Caregiver | Reported resident was not waking up to E3 |
Inspection Report
Plan of Correction
Deficiencies: 1
Feb 7, 2025
Visit Reason
The document is a plan of correction submitted in response to an IDPH complaint survey conducted on February 7, 2025, addressing resident rights and related deficiencies.
Findings
The plan of correction details training and policy reviews conducted by the Health Service Director, Resident Care Coordinator, and Executive Director to address issues related to resident rights, neglect, reporting, emergency response protocols, and staff education to ensure compliance with regulations.
Complaint Details
The visit was complaint-related as it was triggered by an IDPH complaint survey conducted on 02/07/2025. The plan of correction addresses issues found during this complaint investigation.
Deficiencies (1)
| Description |
|---|
| Resident Rights violations related to neglect and reporting |
Report Facts
Dates of training and corrective actions: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Leticia Ruiz | Executive Director | Named as presenter and involved in conducting in-service training and policy reviews. |
| Susie Sanchez | RN Health Service Director | Named as presenter and involved in conducting in-service training and policy reviews. |
| Kristina Garcia | Resident Care Coordinator | Named as presenter and involved in conducting in-service training on neglect and reporting. |
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