Inspection Reports for Trustwell Living of Springfield

The inspection was conducted as a complaint investigation for complaint number 2549729/IL197899.

The complaint could not be substantiated and no violations were cited. 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.

Complaint 2549729/IL197899 was investigated and found to be unsubstantiated with no violations cited.

The document is a Plan of Correction submitted in response to the June 2025 Annual Survey for Trustwell Living at Springfield Assisted Living.

The Plan of Correction addresses the termination of residency requirements deficiency, detailing corrective actions such as removal of affected residents, review of 30-day notice requirements, education of staff, and ongoing monitoring to ensure compliance.

The inspection was conducted as a complaint investigation regarding the facility's failure to issue proper 30-day involuntary termination notices to residents who no longer met residency requirements.

The facility failed to provide the required 30-day written notice of involuntary discharge to two residents who required two-person assistance, which exceeded the facility's licensed care capabilities. The Executive Director acknowledged not issuing the notices due to lost forms and busy conditions.

Complaint investigation 2546491/IL196421 regarding failure to provide 30-day involuntary discharge notices to residents R1 and R2. The complaint was substantiated based on interviews and record review.

The inspection was conducted as a complaint investigation regarding the facility's failure to ensure residents had physician assessments completed annually and upon significant changes in condition, and to maintain proper resident records including notation of accidents, incidents, and documentation of significant changes in residents' conditions.

The facility failed to ensure physician assessments were completed annually and upon significant changes for residents, specifically for residents R1 and R2. Additionally, the facility did not maintain adequate resident records, lacking documentation of known accidents, incidents, and significant changes in residents' physical, cognitive, or functional conditions, as evidenced by missing progress notes and hospital documentation for resident R1.

Complaint investigation 2544092/IL192028. The facility was found to be behind on obtaining resident physician certifications and lacked documentation of incidents and hospital visits for resident R1. The Executive Director acknowledged deficiencies in documentation and stated plans to conduct chart audits to address the issues.

The inspection was conducted as a complaint investigation related to Complaint# 2541847/IL 187508, following a previous citation for R1 with original investigation IL#186257.

The report references prior citations under multiple regulatory codes but does not provide detailed findings or new deficiencies in this document.

Complaint# 2541847/IL 187508 was investigated, with prior citations noted for R1 in the original investigation IL#186257.

The inspection was conducted following a complaint investigation regarding staff misconduct involving resident privacy violations and failure to complete required employee orientation and dementia-specific training.

The facility failed to ensure proper employee orientation and ongoing training for four employees, including dementia-specific training and on-the-job supervision. Additionally, two employees violated resident rights by taking and distributing inappropriate photos of residents, resulting in their termination.

The complaint involved two residents (R1 and R2) whose privacy was violated by staff members E5 and E6. Photos of R1 were posted on social media showing staff making inappropriate hand gestures, and a nude photo of R2 was threatened to be posted. Both staff were terminated following the investigation.

The inspection was conducted as a complaint investigation for complaint number 2540590/IL185062.

The complaint could not be substantiated and no violations were cited. 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.

Complaint 2540590/IL185062 was investigated and found to be unsubstantiated with no violations cited.

The inspection was conducted as a complaint investigation related to allegations that the facility failed to respond timely to a resident's emergency communication call.

The complaint was substantiated with a violation found for failure to ensure the emergency communication response system was responded to in a timely manner for resident R2. The investigation included interviews and record reviews, revealing a delayed response of several days to a call pendant activation. Other complaints and incident investigations were not substantiated.

Complaint 2540339/IL 184494 was substantiated with a violation related to the emergency communication response system. Other complaints (2540055/IL183534 and IL 184543) were not substantiated and no violations were cited.

The inspection was conducted as a complaint investigation for complaints 2449816/IL181812 and 2449440/IL181143. One complaint was substantiated regarding failure to maintain an establishment contract and service plan for resident R1.

The facility failed to ensure that an establishment contract and service plan were developed and maintained for resident R1. Documentation and interviews confirmed the absence of these required documents, as well as missing assessments and orientation to the evacuation plan. The complaint was substantiated with no other violations cited.

Complaint 2449816/IL181812 was not substantiated with no violations cited. Complaint 2449440/IL181143 was substantiated based on failure to maintain required contracts and service plans for resident R1.

The inspection was conducted in response to original complaints 179826 and 179906 to investigate allegations related to resident rights violations, specifically financial exploitation.

The facility was found to have failed to keep resident R1 free from financial exploitation, as evidenced by a stolen check from R1's room that was given by employee E2 to another person in an attempt to cash it, confirmed by interviews and a police report.

Original Complaint 179826 and 179906; substantiation status not explicitly stated but violations were cited.

The inspection was conducted as an original complaint investigation involving multiple complaint numbers (177567, 177487, 177419, 177273).

The facility failed to report an incident to the Department of Public Health within 24 hours as required, and a resident (R1) sustained an injury to the hand resulting in broken bones while being redirected by staff. This failure to report and the injury indicate neglect and create a substantial probability of harm to residents.

Original complaint investigation involving complaint numbers 177567, 177487, 177419, and 177273. The complaint was substantiated with findings of failure to report incidents timely and neglect resulting in resident injury.

The inspection was conducted in response to an original complaint #177895.

The allegations in the complaint were not substantiated and no violations were cited. 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.

Original complaint #177895 was investigated and found to be unsubstantiated with no violations cited.

The inspection was conducted as a complaint investigation to address allegations related to resident rights violations, neglect, and failure to properly report incidents within the facility.

The facility was found deficient in ensuring residents' rights to be free from neglect and in timely reporting of incidents to the Department of Health. Corrective actions including staff re-education, audits, and improved reporting procedures were planned and implemented.

Complaint investigation related to resident rights violations and incident reporting deficiencies. The facility submitted a Plan of Correction and corrective actions to address the issues.

The document is a Plan of Correction submitted in response to a complaint investigation regarding resident rights, specifically related to financial exploitation concerns at Trustwell Living at Springfield Place Assisted Living.

The facility identified a deficiency related to the right of residents to be free from financial exploitation. Corrective actions include staff training on resident rights and exploitation recognition, audits of residents to ensure no exploitation occurred, and systemic changes to prevent recurrence.

The visit was complaint-related focusing on allegations of financial exploitation of residents. The Plan of Correction addresses corrective actions and monitoring to prevent exploitation.