Astoria Place Living & Rehab: Sexual Abuse Unreported - IL
The allegation involved a CNA identified in inspection records as V5. The resident, referred to in the report as R1, made the report to V7, a wound nurse and licensed practical nurse, during what appears to have been a routine assessment. R1 described the touching as having occurred during a bath or cleaning and told V7 it felt sexually inappropriate. She also gave V7 the name of the staff member she said was responsible.
V7 brought the allegation to the administrator, identified in the report as V1.
What happened next is where the facility's account begins to fracture.
V1, the administrator, confirmed to inspectors on October 24, 2025, that he understood the allegation fell within the definition of sexual abuse. He said it plainly: "Yes, it falls under definition of sexual abuse. She said it was sexually inappropriate." He acknowledged that R1 had provided a description of what happened and had named the employee.
He also acknowledged that the facility never reported the allegation to police.
His explanation was that R1 had refused to involve law enforcement. "Facility did not report alleged sexual abuse to the police because R1 refused it," the inspection report records him saying. He added that a hospital had apparently made some kind of report, but that the facility itself had not. "They should have reported it to me if they knew about it," he said, referring to whoever at the hospital had learned of the allegation.
The facility's own abuse policy, dated June 26, 2025, does not include a resident's refusal as an exception to the reporting requirement. The policy states that a report will be made to the local police department "immediately and not exceeding 2 hours after or within 24 hours of the allegation being made." It defines sexual abuse to include unwanted touching of the breast or perineal area. It states that all allegations must be reported to the administrator immediately.
The policy also incorporates what it describes as elements of Section 1150B of the Social Security Act, which requires long-term care facilities to report to law enforcement any reasonable suspicion of a crime against a resident. The policy lists sexual abuse as an example of a crime covered under this requirement in all political subdivisions, including the city of Chicago.
There is no provision in the policy that allows a facility to decline to make a police report because a resident asked them not to.
V1 appeared to understand this. His account to inspectors did not suggest he believed the facility had followed its own procedures. He confirmed the allegation was made, confirmed he was told about it, confirmed it met the definition of sexual abuse, and confirmed no police report was filed by the facility.
The inspection, a complaint survey, was conducted on October 28, 2025. Inspectors cited the facility under F0609, which covers the obligation to report and investigate allegations of abuse, neglect, and exploitation. The level of harm was cited as minimal harm or potential for actual harm, affecting a few residents.
That citation level reflects regulatory classification, not the nature of what R1 described. A resident told a nurse that a staff member touched her sexually while she was being bathed or cleaned. She named the person. The allegation was passed up the chain to the facility's top administrator. And then, by the administrator's own account, the facility decided that because the resident did not want police involved, no police report was necessary.
The two-hour clock in the facility's own policy exists precisely because these situations are urgent. Sexual abuse allegations in care settings require immediate external reporting not only to protect the resident who came forward, but to protect other residents who share the same facility, the same staff, the same daily routines. The resident's wishes about her own involvement in a police investigation are a separate matter from whether the facility is obligated to report.
V1's comment that the hospital "should have reported it to me if they knew about it" raises a question the inspection report does not fully answer: how did the hospital come to know about the allegation, and when? The timeline between R1's disclosure to V7, the administrator's notification, any hospital involvement, and the eventual complaint inspection is not spelled out in the available records. What is clear is that by the time inspectors arrived, no police report had been made by the facility.
The wound nurse, V7, was the person R1 chose to tell. She was conducting an assessment, and R1 disclosed during that encounter that the touching had happened and that it felt sexually inappropriate. V7 passed the information to the administrator. The inspection report does not describe what, if anything, V7 was told about what would happen next, or whether she was aware that a police report was required within two hours.
The CNA named by R1, V5, continues to be identified in the report only by that designation. The inspection records do not describe what investigative steps, if any, the facility took regarding V5 following R1's disclosure.
Astoria Place Living & Rehab is a long-term care and rehabilitation facility on Chicago's North Side. The October 28 inspection was a complaint survey, meaning someone, a resident, a family member, or another party, had filed a formal complaint that triggered the visit.
R1 was a resident who trusted the facility to keep her safe. She told a nurse what had happened to her. She gave a name. The facility's administrator heard the allegation, understood what it meant, and did not call police. Weeks later, a federal inspector was sitting across from him asking why.
His answer was that the resident had said no.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Astoria Place Living & Rehab from 2025-10-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 24, 2026 · Our methodology
ASTORIA PLACE LIVING & REHAB in CHICAGO, IL was cited for abuse-related violations during a health inspection on October 28, 2025.
The allegation involved a CNA identified in inspection records as V5.
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.