Thrive Of Lisle
THRIVE OF LISLE in LISLE, IL — inspection on November 18, 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
Assessment (St.
Louis University Mental Status; a screening tool for early signs of dementia and mild cognitive impairment).
The assessment result showed that R1 scored 11/30, indicating a moderate score within the dementia range (1-20).
The overall impression of assessment summary showed that R1 presents moderate cognitive deficits with deficits in in orientation, attention, recall, executive functioning, and problem solving.
The Minimum Data Set (MDS) dated [DATE] showed that R1's cognition was moderately impaired.
The nurse progress notes dated [DATE] showed that R1 was a Full Code since there was no available record that R1 had an advanced directive. On [DATE] at 11:00 A.M., V3 (Social Service Designee) said that on [DATE], a Social Services Evaluation Form was done. V3 showed that evaluation form.
Review of the form showed that a question Does the resident have Advanced Directive; the answer was No; if No, would the resident like assistance with Advance Directive Planning, the answer was NO. V3 was asked if the answers for both questions were NO', if there were any follow made with R1's family regarding Advance Directive to ensure wishes be honored whether a Full Code of DNAR since there were documented wishes of R1 for a DNAR while at the recent hospitalization prior to admission at the facility. V3 said that there were care plans with R1's family but code status was not discussed or followed through for verification.
The progress notes dated February 22,2025 showed that early morning, R1 was found unresponsive, with no vital signs and CPR (Cardiopulmonary Resuscitation) was initiated, 911 was called and chest compression (CPR) continued by paramedics until R1 got to the hospital.
The hospital record dated February 22,2025 showed that R1 arrived at the hospital with paramedics at 8:49 A.M., medical staff continued with CPR and code ends at 8:53 A.M. R1's time of death was 8:53 A.M.
The death certificate dated February 22,205 showed that R1's cause of death was cardiac arrest, and the primary cause was due to heart failure and atrial fibrillation. On [DATE] at 10:53 A.M., V7 (R1's daughter, and the #1 Emergency Contact for R1 as listed on R1's EMR) have expressed concern that R1's wishes were not honored since R1 was a DNAR.
There was no documentation found in the EMR indicating that the facility contacted the family to verify or discuss the R1's prior DNAR status or wishes related to resuscitation.
The facility's policy for Advance Directives dated [DATE] with most revision date on [DATE] showed: When a resident is admitted to the facility, a discussion of advance directives will take place between the resident or family, if the resident is incompetent, and the facility staff.
This enables the staff to readily and clearly ascertain how to treat the resident in an event of an emergency.
Facility ID: