Inspection Reports for Emerald Place
1879 Chestnut Ave. Glenview, IL 60025, IL, 60025
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 8, 2025, identified deficiencies related to failure to protect residents from sexual abuse by another resident and failure to timely report the abuse to the Illinois Department of Public Health. Earlier inspections showed a pattern of deficiencies involving staffing shortages, service plan accuracy, disaster preparedness, and communicable disease policies, including substantiated complaints about inadequate COVID-19 testing and reporting. Prior reports also noted issues with resident care, such as insufficient assistance with feeding, incomplete wound care interventions, and inadequate dementia program staffing and training. Complaint investigations included substantiated findings for short staffing and COVID-19 protocol failures, while most other complaints were either unsubstantiated or resolved with acceptable plans of correction. The facility’s inspection history reflects ongoing challenges with staffing and resident protection, with recent findings continuing some earlier themes.
Deficiencies (last 1 years)
Deficiencies (over 1 years)
22 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
529% worse than Illinois average
Illinois average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
37 residents
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
The inspection was conducted to determine compliance with the Assisted Living and Shared Housing Establishment Code following a complaint investigation and a facility reported incident.
Complaint Details
The visit was complaint-related, and an acceptable Statement of Correction was required and received. No substantiation status is explicitly stated.
Findings
Findings and violations were identified during the inspection, requiring an acceptable Statement of Correction (SOC), which has since been received by the Department.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sheila A. Driver | Deputy Director | Signed the letter documenting receipt of the acceptable Statement of Correction. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Oct 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to allegations of sexual abuse by one resident against others and failure to report the abuse timely to the Illinois Department of Public Health.
Complaint Details
Complaint Investigation 2599365/ IL197759 was unsubstantiated. Facility Reported Incident 9/28/25 IL197851 involved failure to protect residents from sexual abuse and failure to timely report the abuse to the Department.
Findings
The facility failed to protect residents' rights to be free from sexual abuse by another resident, resulting in two residents being sexually abused. Additionally, the facility failed to notify the Illinois Department of Public Health within 24 hours of the abuse allegation, reporting it three days late.
Deficiencies (2)
Failure to protect residents' rights to be free from sexual abuse by another resident.
Failure to notify the Department within 24 hours of an allegation of abuse.
Report Facts
Residents reviewed for abuse: 3
Days late reporting incident: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse | E9 observed and reported the sexual abuse incidents | |
| Director of Nursing | E2 confirmed the incidents and acknowledged late reporting to IDPH |
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 1
Date: Sep 19, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to a facility-reported incident concerning communicable disease policies and COVID-19 outbreak management.
Complaint Details
Complaint Investigation 2597147/IL196764 related to failure to follow COVID-19 testing and reporting guidelines. The complaint was substantiated by findings of inadequate testing and incomplete reporting of COVID-19 positive residents.
Findings
The facility failed to follow COVID-19 guidelines for testing residents and reporting positive cases to the local health department, involving all 16 residents reviewed who tested positive. The facility did not conduct required testing after the last positive cases on 8/5/25 and failed to report all positive cases to the health department.
Deficiencies (1)
Failure to meet Section 295.4040 Communicable Disease Policies, including inadequate COVID-19 testing and reporting to local health department.
Report Facts
Residents tested positive for COVID-19: 16
Facility census: 37
Residents tested positive on 8/2/25: 11
Residents tested positive on 8/4/25: 2
Residents tested positive on 8/5/25: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff Developmental Director | Mentioned as managing the COVID outbreak. | |
| Former Clinical Staff Director | Mentioned as managing the COVID outbreak. | |
| Licensed Practical Nurse | Provided information about COVID outbreak and testing. | |
| Clinical Service Director | Provided information about COVID testing protocols and outbreak management. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 9, 2025
Visit Reason
The inspection was conducted as a complaint investigation for the facility Emerald Place.
Complaint Details
Complaint Investigation 2595052/IL193793 concluded with the facility in compliance.
Findings
The Emerald Place was found to be in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Jun 4, 2025
Visit Reason
Annual Licensure Survey conducted to assess compliance with state regulations for Emerald Place, a regulated care facility.
Findings
The inspection identified multiple deficiencies including failure to meet residency requirements for a resident needing two-person assistance, inadequate disaster preparedness drills, lack of CPR certification for staff, incomplete healthcare worker background checks, insufficient service plan updates after resident falls and wounds, and inadequate Alzheimer's and dementia program staffing and training. Staffing shortages were frequently reported, impacting resident supervision and care.
Deficiencies (6)
Failed to meet residency requirements for a resident requiring two-person assistance with activities of daily living and emergency evacuation.
Failed to conduct tornado drills on all shifts and document resident participation and staff involvement in drills.
Failed to ensure CPR certification documentation for all direct care staff and have at least one CPR certified staff on duty during night shift.
Failed to conduct and document healthcare worker background checks and employment verification for multiple staff.
Failed to revise service plans to include individualized fall interventions after falls with major injury and wound care interventions for residents.
Failed to ensure staff complete required dementia-specific training and maintain documentation; failed to provide sufficient staffing to meet needs of residents with cognitive impairments.
Report Facts
Residents requiring mechanical lifts: 11
Memory care residents: 31
Residents on Hospice care: 10
Falls for resident R2: 2
Fall risk assessment score for R2: 19
Fall risk assessment score for R3: 22
Length of wound on R4: 3
Staff training hours required: 12
Staff training hours required: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E10 | Staff Development Director | Mentioned regarding CPR certification, healthcare worker background check verification, and staff training. |
| E2 | Clinical Services Director | Provided information on resident transfers and service plan revisions. |
| E11 | Environmental Services Director | Confirmed no tornado drills conducted. |
| E12 | Resident Care Assistant | Reported short staffing and residents left unsupervised. |
| E13 | Resident Care Assistant | Reported short staffing concerns. |
| E14 | Resident Care Assistant | Reported short staffing and transferring residents alone. |
| E15 | Resident Care Assistant | Reported short staffing concerns. |
| E16 | Life Enrichment Director | Reported staffing shortages impacting activities and resident supervision. |
| E17 | Resident Care Assistant | Confirmed residents arriving wet due to staffing shortages. |
| E18 | Resident Care Assistant | Reported residents left unsupervised and heavy workload. |
| E19 | Resident Care Assistant | Reported heavy workload and staffing shortages. |
| E20 | Licensed Practical Nurse | Reported residents left unsupervised and staffing shortages. |
| E21 | Resident Care Assistant | Reported night shift staffing shortages and transferring residents alone. |
| E22 | Licensed Practical Nurse | Reported frequent staffing shortages. |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Jun 4, 2025
Visit Reason
The inspection was an annual survey conducted to assess compliance with residency requirements, disaster preparedness, personnel qualifications, background checks, service plans, and dementia program requirements.
Findings
The facility identified deficiencies related to residency requirements, disaster preparedness drills, personnel CPR certification tracking, healthcare worker background checks, service plan reviews, and dementia education programs. Plans of correction with completion dates were provided for each deficiency.
Deficiencies (6)
Residency requirements, qualifications, and training
Disaster preparedness including tornado and fire drills
Personnel requirements, qualifications, and training including CPR card collection
Health care worker background check verification
Service plans review for accuracy and proper interventions
Alzheimer’s and dementia program education and staffing levels
Report Facts
Completion Date: Jun 30, 2025
Completion Date: Jul 30, 2025
Completion Date: Jun 30, 2025
Completion Date: Jun 5, 2025
Completion Date: Jul 30, 2025
Completion Date: Aug 31, 2025
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 20, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to substantiated short staffing violations involving residents R1 and R5.
Complaint Details
The complaint investigation was substantiated for short staffing involving residents R1 and R5, with an exit date of 2025-02-03 and correction date of 2025-02-28.
Findings
The investigation substantiated a violation at regulation 295.3000 a) for short staffing based on review of residents R1 and R5.
Deficiencies (1)
Short staffing violation at 295.3000 a)
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 3
Date: Feb 3, 2025
Visit Reason
The inspection was conducted as a complaint survey based on deficiencies cited under IL180059/2498878 and IL183314/24910549, focusing on staffing adequacy and service plan compliance.
Complaint Details
The visit was complaint-related with deficiencies cited under IL180059/2498878 and IL183314/24910549. Staffing shortages and inadequate feeding assistance were key issues. The facility staff and management provided conflicting statements about staffing adequacy.
Findings
The facility failed to provide adequate staffing to meet residents' needs, particularly for nursing services and feeding assistance, affecting multiple residents. Additionally, the service plan for one resident at risk for wounds was incomplete, lacking individualized interventions to promote wound healing and prevent skin breakdown. Residents requiring physical assistance with meals were not fed in a timely or dignified manner.
Deficiencies (3)
Failed to provide adequate number of staff to meet the needs of residents, affecting five residents reviewed for Nursing Services.
Failed to ensure service plan interventions to promote wound healing and prevent skin breakdown for one resident at risk for developing wounds.
Failed to provide adequate number of staff to feed residents in a dignified and timely manner for six residents needing physical assistance with meals.
Report Facts
Residents affected by staffing deficiency: 5
Residents needing physical assistance with meals: 6
Resident census: 34
Wound size: 1
Wound size: 0.8
Wound size: 2.5
Braden Scale score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Provided statements regarding staffing adequacy and resident care. |
| E3 | Staff Development Director | Provided statements denying complaints about feeding delays or cold food due to staffing. |
| E4 | Lead Resident Care Assistant | Observed feeding residents and assisting with transfers; reported staffing shortages. |
| E5 | Resident Care Assistant | Observed feeding residents and reported staffing shortages. |
| E6 | Resident Care Manager | Relieved E4 during feeding and assisted with resident care. |
| E7 | Life Engagement Director | Assisted feeding residents during observation. |
| E8 | Lead Life Engagement Assistant | Reported staffing issues and caregiver shortages. |
| E9 | Lead Resident Care Assistant | Reported staffing shortages and assisted feeding residents. |
| E10 | Lead Resident Care Assistant | Observed assisting feeding residents and passing plates. |
| E11 | Resident Care Assistant | Reported staffing shortages and resident care needs. |
| E14 | Licensed Practical Nurse | Reported staffing shortages and assisted feeding residents. |
| Z1 | Hospice Nurse | Provided wound care instructions and supplies for resident R1. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Feb 3, 2025
Visit Reason
The inspection was conducted as a complaint investigation under survey numbers #183314 and #180059.
Complaint Details
Complaint investigation conducted under survey numbers #183314 and #180059.
Findings
The facility identified deficiencies related to staffing adequacy, accuracy and intervention in service plans, and resident rights concerning dining assistance. Plans of correction include hiring additional staff, reviewing and educating on service plans, and offering extended dining hours to accommodate residents needing physical assistance.
Deficiencies (3)
Personal Requirements, Qualifications and Training - staffing adequacy and recruitment
Service Plans - ensuring accuracy and proper interventions to promote wound healing and prevent skin breakdown
Resident Rights - offering extended dining hours to accommodate residents needing physical assistance
Report Facts
Completion Date: Feb 28, 2025
Completion Date: Mar 31, 2025
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