Sample report — facility and names are fictitious
What your report looks like
This is a complete sample of a FacilityTruth informational report. Every section below is included in the $99 report you receive — delivered as a PDF within 30 minutes of purchase. The facility, dates, and contract language shown are illustrative.
This sample is illustrative
The facility and names below are fictitious. Real reports describe your specific contract using the same neutral structure shown here. FacilityTruth does not provide legal advice and does not tell you whether to sign, what to negotiate, or what your legal rights are. For any legal question, consult a qualified elder law attorney before signing.
In this report
Maplewood Senior Living — Springfield, IL
123 Elm Street · Springfield, Illinois 62701 · Medicare ID: 145892
Report date: April 14, 2026 · Contract version: March 2026 (24 pages, including Exhibits A–D)
Important: This report describes the contract you provided and summarizes publicly available data. It is not legal advice and does not represent the opinion of a licensed attorney. For any legal question about this contract, your rights, or any specific course of action, please consult a qualified elder law attorney before signing. The National Academy of Elder Law Attorneys maintains a directory at naela.org.
Contract overview
This is a 24-page assisted living residency agreement between Maplewood Senior Living of Springfield, Illinois ("the Facility") and the prospective resident ("Resident") with a designated Resident's Representative listed in the signature block. The contract obligates the Facility to provide housing, meals, personal care services consistent with the assigned care level, and medication management as described in Exhibit C. The Resident agrees to pay a Monthly Service Fee, a one-time Community Fee, ancillary fees as described in the schedule, and to abide by the Facility's rules as currently in effect and as subsequently amended.
The contract is structured in four parts. The main agreement (12 pages) covers general terms, fees, services, and termination. Exhibit A is a fee schedule with current rates. Exhibit B is the rules and policies addendum. Exhibit C lists ancillary services and pricing. Exhibit D is a dispute resolution agreement covering arbitration. Each is described in the relevant section below.
Clause-by-clause description
The contract contains a number of provisions worth understanding. Below, we describe each significant clause: what the contract says, what it means in plain English, industry context, and questions you may want to ask.
Financial terms
Monthly rate adjustment provision
Article IV, Section B
In plain English
This contract permits the Facility to change the Monthly Service Fee at any time, in any amount, with 30 days written notice. There is no contractual cap on the size or frequency of changes.
Industry context
Rate adjustment provisions vary substantially. Some contracts include caps tied to a published inflation index or a fixed annual maximum. This contract does not include such a cap.
Questions to consider
For the facility: What has been the typical annual rate adjustment over the past three years? Is there a published policy on adjustment frequency or size beyond what's in the contract?
For an attorney: How does Illinois law treat rate adjustment provisions in assisted living residency agreements? Are there state regulations that affect what notice or limits apply?
Dispute resolution
Arbitration provision in Exhibit D
Article IX, Section A — Exhibit D
In plain English
This contract directs disputes to private binding arbitration rather than court. By signing as written, the Resident and Facility both waive jury trial rights for covered disputes. The clause is contained in a separate Exhibit D rather than in the main agreement.
Industry context
Arbitration provisions are common in senior care contracts. Their scope, presentation (mandatory vs. optional), and any opt-out windows vary substantially. State law varies on what arbitration provisions are enforceable in residency agreements, and federal regulations restrict arbitration as a condition of admission for skilled nursing facilities. Assisted living is regulated at the state level.
Questions to consider
For the facility: Is signing Exhibit D a condition of admission, or is it presented as optional? If optional, what is the documented procedure for declining? Is there an opt-out or withdrawal window after signing?
For an attorney: Arbitration provisions are a significant area of state-specific consumer protection law. We strongly recommend reviewing this clause with a qualified Illinois elder law attorney before signing, including any state-specific protections that affect enforceability.
Discharge & termination
Discharge provision — behavioral grounds
Article VII, Section C.2
In plain English
This clause allows the Facility to terminate the agreement and require the Resident to leave with 5 days notice. The grounds are described as behaviors that pose a risk to safety, well-being, or comfort. The determination is made by Facility management without a documented requirement for independent clinical review.
Industry context
Discharge notice periods range from a few days to 30 days or more depending on the contract and the grounds. Some contracts require independent clinical assessment before behavioral discharges; this contract does not. Federal protections for skilled nursing residents do not apply to assisted living, which is regulated at the state level. Illinois has specific assisted living discharge regulations that operate independently of contract language.
Questions to consider
For the facility: How often have behavioral discharges occurred over the past three years, and under what circumstances? Is there a written internal review process before discharge?
For an attorney: What does Illinois law require for involuntary discharge from assisted living, including any notice periods, documentation, or appeal rights that apply regardless of what the contract says?
Care provisions
Level of care assessment
Article IV, Section D
In plain English
Care level — which determines the monthly fee tier — is assessed by Facility nursing staff every quarter, or more frequently if clinically indicated. The Facility determines the resulting tier and fee. The contract does not describe an independent review or appeals process.
Industry context
Care level assessments are commonly conducted by facility staff. Some contracts include a documented appeals process or describe an external assessment option; this contract does not. The structural alignment question — that higher tiers correspond to higher fees — is something to be aware of.
Questions to consider
For the facility: What assessment tool is used? What is the procedure if the family disagrees with an assessment finding? Is there a written internal review process?
For an attorney: Are there state regulations governing care level disputes in Illinois assisted living?
Financial terms
Hospitalization payment provision
Article IV, Section F
In plain English
If the Resident is hospitalized or temporarily absent, the contract requires continued payment of the full Monthly Service Fee. The contract does not provide for a reduced bed-hold rate during absences.
Industry context
Bed-hold provisions vary. Some contracts provide a reduced rate (often 50–75% of the full fee) for absences over a specified length such as 7 consecutive days. This contract requires full payment during all absences.
Questions to consider
For the facility: Is a reduced bed-hold rate available in practice, even if not specified in the contract? What has been the typical financial impact for residents with extended hospital stays?
For an attorney: Are bed-hold provisions regulated under Illinois law for assisted living facilities?
Financial terms
Ancillary supply markup
Article V, Section B — Exhibit C
In plain English
Ancillary supplies provided by the Facility are billed at the Facility's cost plus a 15% markup. The contract specifies the markup percentage, which is more transparent than contracts that don't.
Industry context
Markup percentages, where specified, range from approximately 10% to 25%+. The 15% markup in this contract is in the middle of typical practice. The contract does not specify whether the Resident may purchase supplies from an outside source.
Questions to consider
For the facility: Is itemized monthly billing for ancillary supplies available? May supplies be sourced externally? What is the typical monthly ancillary cost for a resident at the projected care level?
Financial terms
Community fee and rescission window
Article III, Section A
In plain English
A $3,000 Community Fee is due at signing. The contract provides a 14-day rescission window during which the fee is refundable; after that window the fee is non-refundable.
Industry context
Community fees vary widely in amount and rescission window. Windows of 14 to 30 days are both common. Some states have consumer protection laws that affect enforceability of non-refundable fee provisions.
Questions to consider
For the facility: How is the rescission window calculated — from signing date or from move-in date?
For an attorney: Are there Illinois consumer protection statutes that affect enforceability of non-refundable fee provisions in residency agreements?
Facility track record
The data below is retrieved from publicly available federal and Illinois state government databases. We summarize what's published and provide source links so you can verify the data directly.
Medicare ratings (CMS Care Compare)
| Overall rating | 2 of 5 stars (Below average) |
| Health inspections | 1 of 5 stars (Much below average) |
| Staffing | 3 of 5 stars (Average) |
| Quality measures | 3 of 5 stars (Average) |
| Federal penalty history (3 yrs) | None |
| Data retrieved | April 14, 2026 |
Source: medicare.gov/care-compare. Star ratings are a federal summary measure. They do not capture all aspects of facility quality and should be reviewed alongside other information.
Illinois state inspection citations — last 36 months
Source: Illinois Department of Public Health. Citation severity codes follow the federal scope-and-severity grid (A–L), where higher letters indicate greater scope or severity.
| Date | Citation | Severity |
|---|---|---|
| Jan 2026 | Medication administration error — failure to follow physician orders. Cited for incorrect dosage of blood pressure medication administered to two residents over a three-week period. Second medication-related citation in 24 months. | D |
| Aug 2025 | Failure to update care plan after change in condition. Following a resident fall resulting in a hip fracture, the facility did not update the care plan within state-required timeframe. | D |
| Mar 2025 | Inadequate overnight staffing coverage on two shifts. Plan of correction submitted and accepted by the state. | C |
| Nov 2024 | Improper temperature controls for refrigerated medications. No resident harm documented. | B |
| Jun 2024 | Failure to provide advance notice for a room change. The facility acknowledged the error and compensated the resident. | B |
Questions to consider
Below are questions that may be useful to bring to a conversation with the facility, separated from questions you may want to bring to an attorney. These are conversation starters drawn from the clauses described above. Whether to ask any of them, and how, is your decision.
Questions to consider asking the facility
- What has been the typical annual rate adjustment at this facility over the past three to five years?
- Is signing the arbitration agreement (Exhibit D) a condition of admission, or is it presented as optional? If optional, what is the documented procedure for declining?
- How often have behavioral discharges occurred over the past three years, and under what circumstances? Is there a written internal review process before discharge?
- What care level assessment tool is used, and what is the procedure if the family disagrees with an assessment finding?
- Is a reduced bed-hold rate available during hospitalization, even if not specified in the contract?
- What is the typical monthly ancillary supply cost for a resident at the projected care level? May supplies be sourced externally?
- Is a current copy of the resident handbook available on request?
- Can you walk us through the medication-related citations from 2024 and 2026, and what corrective actions have been taken?
Questions to consider asking a qualified elder law attorney
- What does Illinois law require regarding rate adjustment provisions, hospitalization payment terms, and discharge procedures in assisted living residency agreements?
- Is the arbitration provision in Exhibit D enforceable as written, and what consumer protections apply to arbitration in Illinois assisted living contracts?
- What discharge protections apply under Illinois law regardless of contract language? What notice, documentation, and appeal rights are required?
- Are non-refundable Community Fee provisions enforceable as written under Illinois consumer protection statutes?
- Are there any provisions in this contract that are preempted or limited by Illinois state law?
- Given the facility's recent inspection citation history, what additional protections or contract modifications might be advisable?
Resources
Find a qualified elder law attorney: The National Academy of Elder Law Attorneys maintains a searchable directory of attorneys with elder law specialization at naela.org.
Illinois long-term care ombudsman program: Each state operates an ombudsman program that advocates for residents of long-term care facilities. The Illinois program can be reached through the Illinois Department on Aging. Ombudsmen do not provide legal advice but can be a resource for understanding resident rights and complaint procedures.
Federal Medicare data: Care Compare at medicare.gov/care-compare provides facility ratings, staffing data, and inspection history.
Illinois state inspection data: The Illinois Department of Public Health publishes facility inspection reports.
Important reminder. This report is informational. It describes the contract you provided and summarizes publicly available data. It is not legal advice and does not represent the opinion of a licensed attorney. Whether any clause in this contract is enforceable, what your rights are under Illinois law, and what action you should take are legal questions for a qualified elder law attorney. We strongly recommend consulting one before signing this contract.
Ready to receive your contract's report?
Upload your contract and the facility name. Your report arrives within 30 minutes.