Inspection Report
Annual Inspection
Deficiencies: 2
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)
| Description |
|---|
| 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
| Name | Title | Context |
|---|---|---|
| E2 | Director of Health and Wellness/Nursing | Interviewed regarding medication administration and elopement incidents |
| E3 | Assistant Director of Nursing | Completed medication pre-admission assessment and involved in medication documentation |
Inspection Report
Annual Inspection
Census: 90
Deficiencies: 2
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.
Severity Breakdown
Type 3: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to provide functioning username and password for access to resident electronic charts, impeding completion of resident record review. | Type 3 |
| Failed to provide reliable computer access to resident electronic medical records, interfering with completion of resident medical record reviews during annual licensure activities. | Type 3 |
Report Facts
Residents affected: 9
Facility census: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Named in relation to providing multiple usernames and passwords that failed to provide access to electronic medical records. |
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