Deficiencies per Year
4
3
2
1
0
Moderate
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 5, 2025
Visit Reason
The visit was conducted as a complaint investigation identified by case number 25910715/IL198338.
Findings
The establishment 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 Illinois. No citations were issued.
Complaint Details
Complaint Investigation 25910715/IL198338 - No citation issued.
Inspection Report
Annual Inspection
Deficiencies: 3
Apr 24, 2025
Visit Reason
The inspection was conducted as an Annual Certification and Licensure Survey focusing on Infection Prevention and Control compliance at the facility.
Findings
The facility failed to follow contact isolation protocols by not placing correct signage on resident room doors, not placing a resident on contact isolation in an appropriate room, and not properly containing a resident's breathing mask. These deficiencies affected two residents reviewed for infection control.
Severity Breakdown
SS=D: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to place correct signage on resident room door regarding isolation precautions. | SS=D |
| Failed to ensure that a resident on contact isolation was placed in an appropriate room. | SS=D |
| Failed to ensure that a resident's breathing mask was properly contained in accordance with infection control protocols. | SS=D |
Report Facts
Residents reviewed for infection control: 6
Resident age: 86
Resident age: 79
Date of resident admission: Apr 1, 2025
Date isolation started: Feb 24, 2025
Date of wound swab: May 13, 2025
Plan of correction completion date: May 16, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| V2 | Director of Nursing (DON) | Provided statements regarding lack of documentation for discontinuation of contact isolation and infection control policies. |
| V3 | Infection Prevention Nurse | Provided information about resident isolation status and hospital communication. |
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