Village At Victory Lakes, The
VILLAGE AT VICTORY LAKES, THE in LINDENHURST, IL — inspection on October 30, 2025.
Found 1 citation. 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
Based on interview and record review the facility failed to ensure a resident was served the noon meal at the scheduled time.
This applies to 1 of 5 residents (R1) reviewed for dietary services in the sample of 5.
The findings include: On 10/30/25 at 10:20 AM, V9 (R1's spouse) said on 10/26/25, R1 did not fill out the meal ticket form and this was his 2nd time he missed a meal.
She had to alert the staff R1 did not receive the lunch meal. On 10/30/25 at 12:02 PM, V6 (Certified Nursing Assistant-CNA) said on 10/26/25, she was R1's CNA.
That day it was really busy, V9 came up to her after the noon meal was served and said R1 did not get a noon meal tray. V6 said she called the kitchen, and they said his tray should have gone out, she looked and looked and could not find his tray.
She went to the kitchen between 1:00 PM to 1:30 PM to get a meal tray for R1 and the kitchen had closed up and did not have any food remaining for the noon meal. V6 said she got R1 a grilled cheese sandwich. V6 said PM staff delivers meal tickets for the following day, the residents choose their meals, and the tickets are picked up by a different shift.
The day staff don't know if the kitchen did not receive a meal ticket for a resident until the meals come, sometimes the kitchen will call and let us know if they did not receive a meal ticket for a resident, but she did not receive a call. R1 needs staff assistance filling out his meal tickets.
She is not sure what happened to R1's meal tray and confirmed he did not receive the scheduled noon meal. On 10/30/25 at 1:00 PM, V8 (Dining Service Director) said room trays for the noon meal are delivered between 11:00 AM to 12:00 PM.
Meal tickets are printed the day before for the following day, CNA's delivery the meal tickets and should assist the resident on making their selection and tickets are placed in a folder and picked up the following morning.
Dietary should print out the census and count the meal tickets and confirm all meal tickets were received. We rely on the floor staff to pass the tickets, pick up the tickets, delivery trays and inform dietary of any missed meals.
The kitchen closes down sometime after 1:00 PM, if a resident did not get their meal they have alternatives. He was not aware of R1 not receiving his noon meal on 10/26/25, if the kitchen received a meal ticket the resident should receive a meal. R1's Physician Order Sheets dated October 2025 shows orders for mechanical soft diet.
The facility's Meal Service Times and Late Meals policy revised 2024 states, The community will provide three meals daily, at regular times comparable to standard mealtimes in the community or accordance with resident needs, preferences, requests and individualized plan of care.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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