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Inspection Reports for Trenton Village LLC

980 E Broadway, Trenton, IL, 62293

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Inspection Report Summary

The most recent inspection on December 15, 2025, was a complaint investigation referencing prior citations related to earlier complaints. Earlier inspections, including one on September 18, 2025, identified deficiencies involving medication errors, inadequate staff training, and issues with resident care and dignity. Inspectors cited failures in medication administration and storage, improper application of treatments, and insufficient staff training on policies and procedures. The complaint investigations included substantiated findings of medication errors and care concerns, but no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The inspection history shows recurring issues with staff training and resident care that have not yet been fully resolved.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

14% worse than Illinois average
Illinois average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2025
High (Actual Harm)
State average

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Dec 15, 2025
Visit Reason
The inspection was conducted as a piggyback complaint investigation related to prior citations for complaint investigation IL198663.
Complaint Details
Piggyback complaint investigation IL199011 referencing prior citations for complaint investigation IL198663.
Findings
The report references previous citations for regulatory violations under sections 295.3000, 295.6000, and 295.6010 related to the original complaint investigation IL198663.

Inspection Report

Complaint Investigation
Census: 57 Deficiencies: 4 Date: Sep 18, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on two complaint investigations (#2548450/IL197322 and #2548701/IL197457) regarding medication errors, staff training, and resident care issues.
Complaint Details
The complaint investigation was substantiated with findings of medication errors, improper staff training, misuse of social media during work, and failure to provide proper care to residents, including dignity violations.
Findings
The facility failed to ensure staff were properly trained on medication security and social media policies, resulting in a medication error where a resident took a double dose of medication. Additionally, staff misapplied toothpaste instead of barrier cream to a resident's excoriation, causing pain. The facility also failed to treat residents with dignity and respect during care.
Deficiencies (4)
Failed to ensure staff were trained on policies and procedures related to medication security and social media use.
Failed to ensure staff were adequately trained in providing assistance with activities of daily living, resulting in toothpaste being applied to a resident's excoriation instead of barrier cream.
Failed to ensure medications were administered as ordered and securely stored, resulting in a resident taking a double dose of medication.
Failed to ensure residents were treated with dignity and respect during care when toothpaste was applied to a resident's excoriated buttocks causing pain.
Report Facts
Residents present: 57 Residents on Memory Care Unit: 15 Medication doses: 2 Training hours: 16
Employees mentioned
NameTitleContext
E1Executive DirectorConfirmed medication error and social media policy violation
E2Assistant DirectorConfirmed medication error
E3Personal Care AssistantApplied toothpaste instead of barrier cream to resident R7 causing pain
E8Personal Care AssistantConfirmed use of social media during work
E9Personal Care AssistantFailed to lock medication box leading to medication error
E10Activity Department StaffReceived Snapchat message related to social media policy violation
E11LPNWitnessed interview with resident R7
Z3Power of Attorney (POA) for R7Reported on resident R7's condition after toothpaste incident
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