Inspection Reports for The Woodlands at Canterfield
901 Angle Tarn, West Dundee, IL, 60118
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 21, 2025, found the facility in compliance with no deficiencies identified. Earlier inspections showed mixed results, with the annual inspection on July 2, 2025, citing deficiencies related to staff CPR certification, employee tuberculosis testing, and missed safety checks indicating neglect. No fines, enforcement actions, or license suspensions were listed in the available reports. Complaint investigations were not noted in any report. The facility appears to have addressed prior issues, as indicated by the clean findings in the most recent survey.
Deficiencies (last 1 years)
Deficiencies (over 1 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
71% worse than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Nov 21, 2025
Visit Reason
The document is a plan of correction following a facility reported incident IL198664.
Findings
The facility was found to be in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act, with no deficiencies identified.
Inspection Report
Deficiencies: 0
Date: Oct 7, 2025
Visit Reason
The survey was conducted 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 following a facility reported incident on 2025-08-19.
Findings
The establishment was found to be in compliance with the applicable assisted living and shared housing regulations during this survey.
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jul 2, 2025
Visit Reason
The inspection was conducted as an Annual Licensure Survey to assess compliance with personnel requirements, health evaluations, and resident rights regulations.
Findings
The facility failed to ensure that direct care staff on duty at all times had current CPR certification, that employee tuberculosis testing was completed within required timeframes, and that residents were free from neglect, as evidenced by missed safety checks for one resident.
Deficiencies (3)
Failure to have on duty at all times at least one direct care staff person with current adult CPR certification.
Failure to ensure employee tuberculosis testing was completed within required timeframes for 3 of 8 employees reviewed.
Failure to ensure residents were free from neglect, involving missed safety checks for one resident.
Report Facts
Employees without valid CPR certification: 3
Employees with incomplete or untimely TB testing: 3
Residents reviewed for neglect: 3
Dates with missing CPR certified staff on night shift: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Identified as responsible for missed safety checks for resident R1 and was suspended. | |
| E4 | Business Office Manager | Provided information about CPR certification status and TB testing follow-up. |
| E3 | Resident Services Director | Interviewed regarding neglect incident and family concerns. |
| E9 | Navigate Manager | Mentioned in interview about neglect incident and family concerns. |
Inspection Report
Plan of Correction
Deficiencies: 3
Date: Jul 2, 2025
Visit Reason
The document is a Plan of Correction submitted by Woodlands at Canterfield following a survey conducted on 7/2/25, addressing deficiencies found in personnel CPR certification, resident rights related to abuse prevention, and employee health screening requirements.
Findings
The facility was cited for deficiencies including lack of CPR-certified staff on every shift, failure to prevent abuse or neglect, and incomplete tuberculosis screening for employees. Corrective actions include ensuring CPR-certified staff coverage, abuse prevention training and audits, and mandatory TB screening with ongoing monitoring.
Deficiencies (3)
Lack of at least one direct care staff person on duty at all times with current adult CPR certification.
Failure to ensure residents' right to be free from abuse, neglect, or financial exploitation.
Employees did not have required tuberculin skin tests in accordance with tuberculosis control code.
Report Facts
Completion Date: Aug 29, 2025
Date of Survey: Jul 2, 2025
Audit frequency: 90
Observation audits frequency: 3
Observation audits duration: 30
Monthly audit duration: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Human Resources Director | Business Office Director | Responsible for reviewing CPR certification tracking log and verifying TB screening compliance |
| Resident Services Director | Responsible for verifying CPR certification per shift and conducting safety check audits | |
| Executive Director | Responsible for auditing staff schedules, conducting in-service training, and monitoring corrective actions | |
| Human Resources Manager | Business Office Director | Responsible for verifying and documenting TB screening before employee start date |
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