Deficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
43% better than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 26, 2025
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at VI at the Glen nursing home.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 2
Date: Jun 13, 2024
Visit Reason
The inspection was conducted to investigate complaints related to grievance policy implementation and background check procedures for new admissions.
Complaint Details
The complaint involved a resident grievance about stained and torn carpet that was not documented or resolved per policy. The complaint was substantiated with findings of policy noncompliance. Additionally, background checks for new admissions were delayed beyond the required timeframe, also substantiated.
Findings
The facility failed to document a resident grievance regarding carpet replacement and did not conduct timely background checks for 10 of 10 residents reviewed, potentially affecting all 42 residents currently in the facility.
Deficiencies (2)
F 0585: The facility failed to implement their grievance policy by not documenting a resident complaint and applicable resolution for one resident.
F 0607: The facility failed to conduct timely background checks for 10 residents, including checks against the department of corrections and criminal history information, contrary to policy.
Report Facts
Residents currently residing: 42
Residents reviewed for grievance: 27
Residents reviewed for background checks: 10
Inspection Report
Routine
Deficiencies: 4
Date: Aug 25, 2023
Visit Reason
The inspection was conducted to evaluate the facility's compliance with care plan updates, fall prevention protocols, behavioral health care, and medication management, including antibiotic stewardship.
Findings
The facility failed to update fall care plan interventions after each fall incident and did not update care plans for residents on prophylactic antibiotics. The facility also failed to provide psychiatric evaluation and behavioral management interventions for a resident with delusions. Additionally, the facility did not adequately monitor antibiotic use without proper indication and delayed reporting of a fall incident requiring hospitalization.
Deficiencies (4)
F 0657: The facility failed to update fall care plan interventions after each fall incident for residents at risk of falls, including R11, R21, R26, and R39. The care plan for a resident on prophylactic antibiotics was also not updated.
F 0689: The facility failed to follow its fall prevention protocol by not timely notifying the Illinois Department of Public Health of a resident fall requiring hospitalization and failed to ensure effective interventions to reduce fall risk for residents R11 and R39.
F 0740: The facility failed to provide psychiatric/psychological evaluation and behavioral management interventions for resident R26 who presented delusions of food poisoning and refused care and medications.
F 0757: The facility failed to adequately monitor resident R26's antibiotic use without adequate indication or documentation, including lack of care plan and absence from antibiotic stewardship program.
Report Facts
Fall risk assessment score: 11
Antibiotic dosage: 250
Dates of fall incidents: R39 fall incident on 7/24/23; R21 fall on 8/12/23; R11 falls on 11/28/22 and 1/25/23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| V7 Care Plan Coordinator | Care Plan Coordinator | Named in findings related to failure to update care plans for falls and antibiotic use |
| V2 Nursing Supervisor | Nursing Supervisor | Provided information on residents' medical records and antibiotic stewardship |
| V1 Administrator | Administrator | Informed about delayed reporting of fall incident and antibiotic concerns |
| V10 RN | Registered Nurse | Assigned nurse for R26, provided behavioral health information |
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