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Inspection Reports for The Sheridan at Oak Brook

IL, 60523

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Inspection Report Summary

The most recent inspection on September 2, 2025, identified deficiencies related to medication administration records and supervision of a cognitively impaired resident, which resulted in injury and delayed recognition of elopement. Earlier inspections showed issues with access to electronic medical records that interfered with review processes. The main themes across reports involve medication management and resident supervision, as well as documentation and access to electronic records. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports, and no complaint investigations were noted. The inspection history indicates ongoing challenges in recordkeeping and supervision without a clear pattern of improvement or worsening.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

43% better than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025
Moderate (Potential Harm) Unclassified
State average

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Sep 2, 2025
Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with state regulations regarding medication administration, resident rights, and supervision.
Findings
The facility failed to maintain proper medication administration records and supervision of self-administered medications for one resident, resulting in a high probability of medication errors. Additionally, the facility failed to provide adequate supervision to prevent elopement of a cognitively impaired resident, resulting in injury and delayed recognition of the elopement.
Deficiencies (2)
Failure to maintain medication administration records and ensure proper supervision of self-administered medications for resident R3.
Failure to provide adequate supervision to prevent elopement of resident R6, resulting in injury and delayed recognition.
Report Facts
Residents reviewed for medications: 8 Residents reviewed for elopement: 7 Resident affected by medication deficiency: 1 Resident affected by elopement deficiency: 1 Resident age: 72 Mental status exam score: 14 Mental status exam score: 4
Employees mentioned
NameTitleContext
E2Director of Health and Wellness/NursingInterviewed regarding medication administration and elopement incidents
E3Assistant Director of NursingCompleted medication pre-admission assessment and involved in medication documentation

Inspection Report

Annual Inspection
Census: 90 Deficiencies: 2 Date: Sep 12, 2024
Visit Reason
The visit was an annual unannounced on-site review conducted by the Illinois Department of Public Health to determine compliance with licensure requirements and standards for the assisted living and memory care facility.
Findings
The facility failed to provide functioning usernames and passwords for access to resident electronic medical records, which impeded completion of the resident record review. This deficient practice affected 9 residents selected for review out of a census of over 90 residents.
Deficiencies (2)
Failed to provide functioning username and password for access to resident electronic charts, impeding completion of resident record review.
Failed to provide reliable computer access to resident electronic medical records, interfering with completion of resident medical record reviews during annual licensure activities.
Report Facts
Residents affected: 9 Facility census: 90
Employees mentioned
NameTitleContext
E1Executive DirectorNamed in relation to providing multiple usernames and passwords that failed to provide access to electronic medical records.
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