Deficiencies (last 4 years)
Deficiencies (over 4 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% better than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
293% occupied
Based on a July 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 22, 2025
Visit Reason
Annual Licensure Survey 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 regulations and administrative codes during this annual licensure survey.
Inspection Report
Routine
Census: 82
Deficiencies: 4
Date: Jul 31, 2024
Visit Reason
Routine inspection to assess compliance with infection control, medication storage, food safety, and infection prevention protocols at the nursing home.
Findings
The facility was found deficient in maintaining urinary catheter tubing off the floor, labeling medications with opening dates, sanitizing dishwashing equipment to required temperatures, and following proper hand hygiene and glove use during care. These deficiencies affected a few to many residents.
Deficiencies (4)
F 0690: The facility failed to ensure a resident's urinary catheter tubing was kept off the floor, risking infection control.
F 0761: The facility failed to label medications with the date opened and failed to remove discontinued eye medication from the medication cart.
F 0812: The facility failed to sanitize pots and pans properly as the dish machine did not reach the required 180 degrees Fahrenheit during the sanitizing cycle.
F 0880: The facility failed to follow standard infection control practices regarding hand hygiene and glove use during incontinence care.
Report Facts
Facility census: 82
Residents affected: 81
Residents reviewed: 18
Residents affected: 4
Residents affected: 1
Residents affected: Few
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing/DON | Provided statements regarding catheter tubing and medication labeling requirements | |
| Registered Nurse/RN | Participated in medication cart inspection | |
| Licensed Practical Nurse/LPN | Participated in medication cart inspection | |
| Food Service Manager | Provided information on dish machine sanitizing temperature | |
| Certified Nursing Assistant/CNA | Observed providing incontinence care with improper glove use |
Inspection Report
Deficiencies: 2
Date: Aug 25, 2023
Visit Reason
The inspection was conducted to assess compliance with medication administration and storage policies, focusing on residents' ability to self-administer medications and proper labeling and securing of medications.
Findings
The facility failed to ensure residents were assessed for the ability to self-administer medications and failed to ensure medications were properly secured and labeled. Two residents (R54, R333) were found with medications kept at bedside without proper assessment or physician orders, and some medications were unlabeled or improperly stored.
Deficiencies (2)
F 0554: The facility failed to assess residents for the ability to self-administer medications, resulting in two residents having medications at bedside without proper orders or assessments.
F 0761: The facility failed to ensure medications were properly labeled and secured, with unlabeled medications found at bedside and medications stored outside locked compartments.
Report Facts
Residents affected: 2
Residents reviewed for medication storage: 20
Residents reviewed for medication use: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| V2 | Director of Nursing | Provided statements regarding medication administration policy and storage requirements |
| V4 | Registered Nurse | Provided statement regarding assessment and orders for medication at bedside for resident R333 |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 3, 2023
Visit Reason
The inspection was conducted due to concerns raised by a resident's family about improper administration of a transdermal medication patch, specifically that the resident had multiple patches applied simultaneously contrary to physician orders.
Complaint Details
The complaint was substantiated. Family members reported that the resident had two Exelon patches on at the same time on 7/2/23 and 7/26/23, which was confirmed by staff and the Director of Nursing.
Findings
The facility failed to ensure that a resident receiving a transdermal medication patch had only one patch in place at a time as ordered. On two separate occasions, the resident was found with two patches simultaneously, which could lead to adverse medication effects.
Deficiencies (1)
F 0684: The facility failed to provide appropriate treatment and care according to orders by allowing a resident to have two Exelon transdermal patches applied simultaneously on two separate days. This failure affected one of three residents reviewed for transdermal medication use.
Report Facts
Residents affected: 1
Residents reviewed for transdermal medication use: 3
Sample list size: 6
Medication patch dosage: 4.6
Inspection Report
Routine
Census: 74
Deficiencies: 5
Date: Sep 8, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident dignity, nutritional services, food safety, and infection prevention and control at the nursing facility.
Findings
The facility was found deficient in maintaining resident dignity by not covering a urinary drainage bag, failing to serve dietitian-approved menus, improper food storage and sanitation practices, and inadequate social distancing for residents on droplet isolation. These deficiencies potentially affected all 74 residents.
Deficiencies (5)
F 0550: The facility failed to treat a resident in a dignified manner by not covering the resident's urinary drainage bag while in common areas, violating privacy and dignity policies.
F 0803: The facility failed to ensure residents were served menu items from the dietitian-approved spreadsheet, resulting in residents not receiving prescribed pureed desserts and missing menu items.
F 0812: The facility failed to store and serve food in a sanitary manner, including unlabeled opened food items, improper hand hygiene by staff handling clean dishes, and failure to wear beard restraints, risking foodborne illness.
F 0812: The facility failed to consistently take and record food temperatures in the warming pantries, risking foodborne illness.
F 0880: The facility failed to socially distance residents on droplet isolation in the dining room, increasing risk of infection transmission among residents.
Report Facts
Resident census: 74
Deficiencies cited: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| V10 | MDS Coordinator | Provided interview regarding dignity and privacy bag use for catheterized resident |
| V6 | Cook | Interviewed about meal preparation and pureed desserts |
| V8 | Cook | Observed serving incorrect meal items |
| V1 | Administrator | Interviewed about menu compliance and food safety policies |
| V9 | Dietary Aide | Observed hand hygiene practices during dishwashing |
| V7 | Cook | Observed serving meal without beard restraint |
| V3 | Infection Preventionist | Interviewed about infection control and isolation practices |
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