Serenity Estates of Lincolnshire: Record Gap Before Transfer - IL
That gap is at the center of a complaint inspection completed December 26, 2025, at Serenity Estates of Lincolnshire, a nursing facility in the northern Chicago suburbs. Federal inspectors found that the electronic medical record for the resident, identified in inspection documents only as R1, contained no documentation of his condition between the evening of December 17 and his transfer to a hospital on December 18.
The records that did exist told a fragmented story. A pulse reading of 81 and a respiratory rate of 18 were recorded at 9:59 in the morning on December 17. A blood pressure reading of 125/78 followed that evening at 6:03, and an oxygen saturation reading of 96 percent came twenty-three minutes later, at 6:26. After that, nothing, until the transfer itself.
The hospital transfer form was dated December 17, the day before the resident actually left the facility.
Inspectors cited the deficiency under the standard requiring facilities to ensure residents receive proper treatment and care, classifying the level of harm as minimal harm or potential for actual harm, with few residents affected. That classification sits near the lower end of the federal harm scale, but it reflects a documented failure to keep any record of a resident's status across a span that included an overnight period before a hospital-level intervention was needed.
What the record does not show is whether anyone checked on R1 during those hours, whether his condition changed, or whether earlier documentation might have shaped the decision to transfer him or the speed of that decision. The record does not show it because, according to inspectors, the record contains nothing.
A transfer form carrying the wrong date and a medical chart with a silent stretch of nearly a full day are the only paper trail left of whatever happened to R1 between one evening and the next morning, when he was sent to the hospital.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Serenity Estates of Lincolnshire from 2025-12-26 including all violations, facility responses, and corrective action plans.
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: August 20, 2026 · Our methodology
SERENITY ESTATES OF LINCOLNSHIRE in LINCOLNSHIRE, IL was cited for violations during a health inspection on December 26, 2025.
The records that did exist told a fragmented story.
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.