Carlton At The Lake, The
CARLTON AT THE LAKE, THE in CHICAGO, IL — inspection on November 21, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
related to abuse prohibition, neglect, exploitation, misappropriation of property such as: Appropriate interventions to deal with aggressive and/or catastrophic reactions of residents.
Abuse identification and recognizing signs of abuse.
How staff should report their knowledge related to allegation without fear of reprisal.
How to recognize signs of burnout, frustration and stress that may lead to abuse; and to what constitutes abuse, neglect, exploitation, and misappropriation of resident property.
Understanding of behavior that increase risk of abuse.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/21/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Carlton at the Lake, The
725 West Montrose Avenue Chicago, IL 60613
SUMMARY STATEMENT OF DEFICIENCIES
Based on interviews and record reviews, the facility failed to follow their ‘Abuse and Neglect' policy and report an allegation of abuse to the Illinois Department of Public Health (IDPH) for one (R1) out of three residents reviewed for abuse.
Findings include: R1's admission Record documents in part diagnosis of anxiety disorder.During interviews with R1 on 11/14/2025 at approximately 9:39 AM and 11:00 AM, R1 stated facility hired security to antagonize and intimidate R1. R1 stated V9 (Security) curls [V9's] lips and mean mugs R1. R1 stated V9 puts hand on the gun in front of R1 to intimidate R1. R1 stated [R1] had to call police a few days ago (11/11/2025) because V9 threatened R1 and held gun. R1 stated a receptionist (later identified as V7) and V12 (Human Resources) were present for the incident. On 11/14/2025 at 10:16 AM, V2 (Assistant Administrator / Abuse Coordinator) stated being aware that R1 called police because R1 alleged that V9 was threatening R1. V2 stated did not report the incident to Illinois Department of Public Health and there is no open reportable related to it. On 11/14/2025 at 11:10 AM, V9 (Security) stated R1 was recording staff without consent. V9 stated when staff reminded R1 of facility policy, R1 got mad and called the police. V9 stated R1 told the 911 dispatchers that V9 pointed the gun to R1. V9 denied pointing a gun to R1 or intimidating R1. V9 stated reporting the incident to V2. On 11/14/2025 at 1:36 PM, V7 (Receptionist) stated R1 called the police and informed the 911 dispatcher that security was threatening R1 with a gun. On 11/18/2025 at 9:47 AM, V12 (Human Resources) stated R1 was recording staff without consent.
Staff reminded R1 that R1 cannot record, but R1 got more upset. V12 stated R1 kept pointing to the no gun sign at the front desk and saying facility wasn't allowed to have security. V12 stated R1 then called police.Facility's Abuse and Neglect policy (last revised 6/26/2025) documents in part: All allegations of abuse will be reported to IDPH immediately not exceeding 2 hours after the initial allegation is received.
Facility ID:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.