Avantara Joliet
Avantara Joliet in JOLIET, IL — inspection on December 24, 2025.
Found 3 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
On December 21, 2025, at 12:08 PM, R105 was sitting up in bed. R105 had hair on her upper lip and chin, which were approximately 0.5 inches long.
The hair on her chin was curled. R105's hair looked disheveled, and she stated she does have knots in her hair. R105 stated her facial hair really bothers her and she wanted it removed. R105 further stated she wanted her hair and teeth brushed daily. R105 stated for the past two months she had asked several staff members multiple times to remove her facial hair. R105 stated her hair, and teeth were brushed only on shower days, usually once or twice per week, and she could not recall the last time her hair and teeth were brushed. R105 stated she required staff assistance with these tasks.
On December 22, 2025, at 8:52 AM, R105's hair was still disheveled with knots, and R105 still had hair on her upper lip and chin.
The hair on her chin was curled.
On December 22, 2025, at 9:37 AM, V2 stated R105 should have her hair washed and have her facial hair removed. R105 stated to V2 she also wants her teeth and hair brushed.
- R99's EMR shows R99 was admitted to the facility on [DATE], with multiple diagnoses including
congestive heart failure and malignant neoplasm of uterus.
R99's MDS dated [DATE], shows R99 is cognitively intact, and needs set up/clean up assistance with oral hygiene and substantial/maximal assistance with personal hygiene. R99's care plan dated June 9, 2025, shows R99 requires assistance with all ADLs.
On December 21, 2025, at 12:13 PM, R99 was sitting up in bed. R99 had disheveled hair with knots. R99 stated she would like her hair and teeth brushed daily. R99 stated she can feel the knots in her hair. R99 stated she gets her hair and teeth brushed once or twice a week on shower days. R99 continued to say she would like her hair and teeth brushed more frequently. R99 stated her hair was brushed last week when she had to go to a doctor's appointment. R99 stated it has been several days since that appointment, and she has not had her hair and teeth brushed. R99 added she needs help from staff to brush her hair and teeth.
On December 22, 2025, at 8:53 AM, R99 still had disheveled hair.
On December 22, 2025, at 9:42 AM, V2 stated R99 should have her hair washed and brushed. V2 stated residents should have their hair and teeth brushed daily. On December 22, 2025, at 9:51 AM, V2 continued to say she expects her staff to check with residents about their grooming needs every morning and she expects the residents to get daily oral care.
The facility's policy titled General Care revised on June 30, 2025, shows under policy statement, the facility will provide care for every resident to meet their needs.
The policy further shows under procedure, the facility will assist the resident to meet his/her ADL needs.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Avantara Joliet
210 North Springfield Avenue Joliet, IL 60435
SUMMARY STATEMENT OF DEFICIENCIES
Review of the POS (Physician Order Sheet) for October 2025 showed a physician's order dated July 2, 2025, directing staff to cleanse the buttocks with mild soap and water and apply Zinc Oxide Ointment every shift.
R123's Skin assessments dated June 5, June 12, June 20, and June 25, 2025, documented that R123 had incontinence-associated dermatitis to the buttocks, measuring 3.0 cm x 3.0 cm.
Review of R123's Electronic Treatment Administration Record (ETAR) and POS for the months of July, August, September, and October 2025 showed that Zinc Oxide Ointment continued to be ordered and applied as a preventative measure for skin impairment.
However, review of the ETAR for these months revealed multiple instances of missing nurse signatures indicating that the Zinc Oxide treatment had not been administered as ordered.
On December 22, 2025, at 2:45 p.m., V22, (Certified Nursing Assistant/CNA), stated that R123 occasionally experienced skin irritation to the buttocks.
On December 23, 2025, at 2:59 p.m., V4, (Wound Care Certified Nurse), stated that R123 developed moisture-associated dermatitis to the buttocks on June 12, 2025, which was identified as incontinence-associated dermatitis. V4 further stated that Zinc Oxide Ointment remained in use after the dermatitis healed as a preventative measure to reduce the risk of recurrence. V4 also confirmed that nurses are required to sign the ETAR to show the treatment was done.
On December 23, 2025, at 2:42 p.m., V2, (Director of Nursing, DON), stated that it is the facility's policy for nurses to sign the ETAR to document treatments were administered as ordered. V2 explained that if the ETAR was not signed, the treatment was considered not completed.
Review of the facility's Skin Care Regimen and Treatment Policy dated July 3, 2025, showed the facility is required to ensure prompt identification, documentation, and appropriate treatment of residents with skin breakdown.
The policy further requires nurses to document all assessments and treatments in the EMR.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Avantara Joliet
210 North Springfield Avenue Joliet, IL 60435
SUMMARY STATEMENT OF DEFICIENCIES
On December 22, 2025, at 12:15 p.m., R101 was lying in bed.
Along with V3, the gastrostomy tube insertion site was assessed and there was no dressing at the G tube site.
The insertion site had encrusted material present, which had seeped through R101's facility gown. V3 stated that R101 must have a dressing applied to the gastrostomy tube insertion site and that the site should be clean per physician order.
The facility's Enteral Tube Feeding Care revised on June 30, 2025, stated, Procedure . 8.
Enteral tube stoma care: Site must be cleansed and covered with dry gauze daily.
Dry gauze should be placed on top of the G tube bumper, otherwise, a slim layer of light breathable gauze can be inserted under the disc.
Facility ID: