Hearthwood Snf Senior Living

Penalties

• Apr 15, 2025 — IDPH fine (Nursing Home Care Act) ($500)
• Apr 15, 2025 — IDPH fine (Nursing Home Care Act) ($1,100)

Inspection findings

1. Nov 26, 2025 Health · 1 finding
   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 10, 2025 · CMS health inspection

2. Apr 15, 2025 IDPH docket NH 25-S0518 · 3 findings
   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.1620a).

     Statement of deficiencies (PDF)

   • Not serious Scope/severity C

     Type C Illinois Nursing Home Care Act violation

     Type C: less than minimal harm (1-132). Sections of the Illinois Administrative Code cited: 300.6906)d)2). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.696.

     Statement of deficiencies (PDF)

   • Not serious Scope/severity C

     Type C Illinois Nursing Home Care Act violation

     Type C: less than minimal harm (1-132). Sections of the Illinois Administrative Code cited: 300.2100). No Fine Total Fine: $1,600.00

     Statement of deficiencies (PDF)

3. Feb 21, 2025 Fire Safety · 12 findings
   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected Mar 7, 2025 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Mar 7, 2025 · CMS fire safety

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Mar 5, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Mar 5, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Mar 5, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 5, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0947 Nursing and Physician Services Deficiencies

     Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

     Corrected Mar 5, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0225 Egress Deficiencies

     Have stairways and smokeproof enclosures used as exits that meet safety requirements.

     Corrected Mar 7, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Mar 7, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Mar 17, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Mar 7, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Mar 21, 2025 · CMS fire safety

4. Apr 25, 2024 Health · 11 findings
   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0133 Construction Deficiencies

     Install a two-hour-resistant firewall separation.

     Corrected May 16, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected May 16, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 5, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected May 16, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0916 Gas, Vacuum, and Electrical Systems Deficiencies

     Have a battery powered remote alarm panel in a location accessible by operating personnel.

     Corrected Jun 4, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected May 21, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected May 16, 2024 · CMS fire safety

5. Jul 14, 2023 Fire Safety · 7 findings
   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Aug 7, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0133 Construction Deficiencies

     Install a two-hour-resistant firewall separation.

     Corrected Aug 7, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Aug 7, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Aug 7, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Aug 7, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Aug 7, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Aug 7, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• AGUILAR, ANGEL — operational/managerial control, NOT APPLICABLE, since 12/13/2024
• AGUILAR, ANGEL — managing control - governing body, NOT APPLICABLE, since 12/13/2024
• AGUILAR, ANGEL — adp of the snf, NOT APPLICABLE, since 01/27/2025
• BORN, JOHN — adp of the snf, NOT APPLICABLE, since 04/08/2026
• BORN, JOHN — managing control - governing body, NOT APPLICABLE, since 12/13/2024
• BORN, JOHN — operational/managerial control, NOT APPLICABLE, since 12/13/2024
• FRONING, PAUL — corporate director, NOT APPLICABLE, since 12/13/2024
• SCHALLER, CURT — corporate director, NOT APPLICABLE, since 12/13/2024
• ALFRED I DUPONT CHARITABLE TRUST — 5% or greater indirect ownership interest, since 05/23/2025
• ALLSTATE INSURANCE COMPANY — 5% or greater indirect ownership interest, since 05/23/2025
• COMMONFUND REAL ESTATE AND INFRASTRUCTURE OPPORTUNITY FUND III LP — 5% or greater indirect ownership interest, since 05/23/2025
• FFII CARILLON HOLDING LLC — 5% or greater indirect ownership interest, since 05/23/2025
• FFII CARILLON OWNER LLC — adp of the snf, NOT APPLICABLE, since 12/27/2024
• FFII CARILLON OWNER LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 12/13/2024
• FOCUS SENIOR HOUSING FUND II LP — 5% or greater indirect ownership interest, since 05/23/2025
• FOCUS SH II HOLDINGS III LLC — 5% or greater indirect ownership interest, since 05/23/2025
• FOCUS SH II R CARILLON LLC — 5% or greater indirect ownership interest, since 05/23/2025
• FOCUS SH II REIT — 5% or greater indirect ownership interest, since 05/23/2025
• FOCUS SH II TRS III LLC — 5% or greater direct ownership interest, 100%, since 12/01/2024
• FSHF II CO-INVESTMENT B LP — 5% or greater indirect ownership interest, since 05/23/2025
• FSHF II CO-INVESTMENT C LP — 5% or greater indirect ownership interest, since 05/23/2025
• HANCOCK WHITNEY BANK — 5% or greater mortgage interest, NOT APPLICABLE, since 05/23/2025
• LIFE CARE SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 01/02/2025
• LIFE CARE SERVICES LLC — adp of the snf, NOT APPLICABLE, since 01/02/2025
• MERIT MEDICAID CONSULTANT LLC — adp of the snf, NOT APPLICABLE, since 01/24/2025
• MERIT MEDICAID CONSULTANT LLC — operational/managerial control, NOT APPLICABLE, since 12/31/2024
• THE STATE OF OHIO, OHIO BUREAU OF WORKERS' COMPENSATION — 5% or greater indirect ownership interest, since 05/23/2025