Avantara Joliet: Skin Treatment Skipped for Months - IL
The resident, identified in inspection records as R123, was admitted to the facility with a displaced femur fracture, malnutrition, COPD, and malignant neoplasm of the bronchus. By June 2025, nurses had documented incontinence-associated dermatitis on the resident's buttocks, measuring three centimeters across. A physician ordered zinc oxide ointment to be applied every shift.
It wasn't always applied.
Electronic treatment records for July, August, September, and October 2025 showed multiple instances where nurses had not signed to confirm the treatment was given. Under the facility's own policy, an unsigned record means the treatment did not happen.
The Director of Nursing said exactly that on December 23. "If the ETAR was not signed, the treatment was considered not completed," she told inspectors.
The wound care nurse, a certified specialist, confirmed the same thing. She told inspectors the dermatitis had healed by the time zinc oxide became preventative, but that nurses were still required to sign after every application. The gaps in signatures ran across four consecutive months.
A certified nursing assistant interviewed the day before described the situation more plainly. R123, she said, occasionally experienced skin irritation to the buttocks.
The inspection, a complaint survey, was conducted on December 24, 2025. Inspectors also flagged a separate resident, R48, whose knee wound lacked a treatment order and a corresponding treatment administration record entirely, a gap that left no documentation trail to track whether the wound was worsening.
R123 had been discharged home by October 17, 2025, before inspectors arrived. Whether the skin condition worsened during those months of missed treatments, the records reviewed by inspectors did not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avantara Joliet from 2025-12-24 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Avantara Joliet in JOLIET, IL was cited for violations during a health inspection on December 24, 2025.
By June 2025, nurses had documented incontinence-associated dermatitis on the resident's buttocks, measuring three centimeters across.
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.