Avantara Joliet: Skin Treatment Gaps Found in Inspection - IL
The resident, identified in inspection records only as R123, was admitted to the facility with a displaced fracture of the left femur, malnutrition, COPD, and a malignant neoplasm of the bronchus. By June 2025, inspectors documented that R123 had developed dermatitis on the buttocks, measuring three centimeters by three centimeters. A physician ordered nurses to cleanse the area with mild soap and water and apply Zinc Oxide Ointment every shift.
The order stayed active through July, August, September, and October. The signatures did not.
Review of the Electronic Treatment Administration Record for all four months showed multiple instances where nurses had not signed to confirm the treatment was completed. The facility's own Director of Nursing told inspectors on December 23 that an unsigned record means the treatment was not done.
The wound care nurse confirmed the dermatitis had healed by the time the ointment became a preventive measure, but said nurses were still required to sign the record each time they applied it. A certified nursing assistant told inspectors the day before that R123 "occasionally experienced skin irritation to the buttocks."
The inspection was conducted on December 24, 2025, following a complaint. A second resident, identified as R48, had a separate wound to the knee that inspectors said lacked a proper treatment order and documentation to prevent worsening and control infection. That finding was also cited in the same report.
The Director of Nursing confirmed the signature requirement to inspectors without disputing that it had gone unmet across multiple months. No explanation for the pattern of missing entries appears in the inspection record.
R123 had been discharged home on October 17, 2025, weeks after the last month of incomplete documentation.
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 21, 2026 · Our methodology
Avantara Joliet in JOLIET, IL was cited for violations during a health inspection on December 24, 2025.
By June 2025, inspectors documented that R123 had developed dermatitis on the buttocks, measuring three centimeters by three centimeters.
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.