Inspection Reports for Westbrook Senior Living

110 W Schaumburg Rd, Streamwood, IL 60107, IL, 60107

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Inspection Report Annual Inspection Deficiencies: 2 Dec 23, 2024
Visit Reason
Annual Survey conducted on 12/23/2024 to assess compliance with state regulations including disaster preparedness and service plan requirements.
Findings
The facility failed to include residents and visitors in fire drills as required by disaster preparedness regulations, with most drills being simulated rather than actual evacuations. Additionally, service plans for several residents were not properly developed or signed by required parties, with evidence of backdated signatures and missing signatures.
Severity Breakdown
Type 3 Violation: 2
Deficiencies (2)
DescriptionSeverity
Failure to include residents or visitors in fire drills, with drills not involving actual evacuation to assembly points as specified in the emergency plan.Type 3 Violation
Failure to ensure service plans were developed by and signed and dated by the resident and/or resident representative for 4 of 7 residents reviewed.Type 3 Violation
Report Facts
Incomplete fire drills: 5 Residents reviewed for service plan compliance: 7
Employees Mentioned
NameTitleContext
E2Director of NursingAsked about backdated signatures on service plans and exhibited aggressive behavior during survey
E1Executive DirectorPresent during interview about service plan signatures and signed the exit conference

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