Grove of Lagrange Park: Fall Prevention Failures - IL
The October 20, 2025 complaint inspection found that the facility's assistant director of nursing, identified in the report as V8, told inspectors that the resident, referred to as R3, did not have a walker when she fell and that V8 had never seen her with one. Two other staff members, V9 and V10, were similarly unaware that a walker was part of her care plan or why it had been prescribed.
R3 has dementia. The facility's own medical director acknowledged that her mental status does not allow her to remember to use the walker on her own. His described solution was to place the walker next to her and remind her to use it, and to have staff approach whenever they noticed her leaving her room. He told inspectors there was no reason an attempt to have her use the walker couldn't be made.
That attempt, apparently, wasn't being made consistently enough for the people responsible for her daily care to know it was happening.
The medical director also told inspectors that residents like R3, those with gait instability, a history of falls, memory problems, coordination issues, and certain medications, are precisely the residents who may need bed alarms and fall interventions. The facility's own fall policy, received by inspectors dated October 15, 2025, states that residents identified as high risk will be provided fall interventions.
R3 was high risk. She fell. The staff who were there didn't know she needed a walker.
CMS rated the level of harm as minimal, affecting few residents. For R3, the gap between what her care plan required and what the people caring for her actually knew closed only after she was already on the floor.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Grove of Lagrange Park, The from 2025-10-20 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: September 5, 2026 · Our methodology
GROVE OF LAGRANGE PARK, THE in LA GRANGE PARK, IL was cited for violations during a health inspection on October 20, 2025.
Two other staff members, V9 and V10, were similarly unaware that a walker was part of her care plan or why it had been prescribed.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.