The inspection, triggered by a complaint, documented a physical fight between two residents, identified in the report as Resident 1 and Resident 5.
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Inspectors classified it as an isolated violation with no documented actual harm, but with potential for more than minimal harm to the people living there.
No resident was documented as having been harmed.
The inspection, completed September 30, 2025, stemmed from a complaint.
One of those deficiencies was a citation under infection control rules covering COVID-19 vaccination.
The deficiency covered two of the most consequential gaps a long-term care facility can have: dementia care and abuse prevention.
The inspection, conducted September 18, 2025, centered on a single resident, identified in records only as Resident 1.
Inspectors classified the meal and snack problem as a pattern, meaning it wasn't a one-time lapse.
The September 18 inspection was a complaint investigation, not a routine survey.
The facility had given residents a copy of the Illinois Long-Term Care Ombudsman Program's statement of resident rights.
Inspectors visited the facility on September 18, 2025, following a complaint.
The citation came out of a complaint investigation conducted on September 18, 2025.