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Alden Valley Ridge Rehab & Hcc

275 East Army Trail Road, Bloomingdale, IL 60108 · For profit - Corporation · 207 certified beds · (630) 893-9616 Medicare & Medicaid certified

Call the home — (630) 893-9616 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Dec 20241 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • about 22% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
303 E Army Trail Rd Ste. 300 · (630) 545-8300 · Call to confirm hours
Pharmacy
2040 Glen Ellyn Rd · (630) 539-6597 · Call to confirm hours
Grocery
316 E Army Trail Rd · (224) 653-9677 · Call to confirm hours
Park
291 Glen Ellyn Rd · (630) 529-3650 · Typically dawn to dusk

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased2.0%13.4%15.4%better
Long-stay residents who lose too much weight3.9%6.3%5.4%better
Long-stay residents with a catheter left in their bladder0.1%0.9%0.9%better
Long-stay residents with a urinary tract infection0.0%1.5%2.0%better
Long-stay residents with depressive symptoms21.0%54.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.9%3.1%3.3%better
Long-stay residents whose ability to walk worsened3.6%14.3%16.1%better
Long-stay residents on antianxiety or hypnotic medication16.9%18.3%18.9%better
Long-stay residents given the seasonal flu vaccine99.3%91.8%95.3%typical
Long-stay residents with pressure ulcers3.1%4.8%4.7%better
Long-stay residents with worsening bladder/bowel control14.6%20.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table12.8%21.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%2.2%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%63.1%79.4%better
Short-stay residents rehospitalized after admission32.0%26.1%22.6%worse
Short-stay residents with an outpatient ER visit7.2%13.9%12.0%better
Long-stay hospitalizations per 1,000 resident days1.402.021.67better
Long-stay outpatient ER visits per 1,000 resident days0.982.221.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

30.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 72 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

30.1%U.S. median 51.5%
Got home and stayed home
10.9%U.S. median 10.7%
Went back to hospital
69.8%U.S. median 56.6%
Met the expected recovery
0.14U.S. median 0.31
Therapy hours / resident / day
0.08hours / resident / day
Physical therapy
0.05hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 69.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 43 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 39% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF30.1%CMS range 22.6–40.751.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 7.8–15.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge69.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge48.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge37.2%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.2%CMS range 4.2–11.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.931.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.76
RN hours/ resident / day
0.27
LPN hours/ resident / day
1.66
Aide hours/ resident / day
2.69
Total nurse hours/ resident / day
0.71
RN hoursweekends
31.9%
Total nursing turnover
14.3%
RN turnover

How full it usually is: this home is certified for 207 beds and averages 169.2 residents a day — about 82% occupied, or roughly 38 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.69 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.66 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.34 hrs/resident/day on weekends vs 2.83 on weekdays — 17% thinner on weekends. RN hours go from 0.78 to 0.71 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

6
deficiencies at the latest standard inspection (2025-06-06)
9
at the previous standard inspection (2024-08-21)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 11 most serious are shown; the remaining 12 are one tap away and print in full.

  • Actual harm · Gcited before2025-06-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, facility failed to follow up with a Wound Consult ordered on 5/27/25 which resulted in the resident not being seen until 6/5/25. This failure resulted in a delay in Wound consult, assessment and implementation of new interventions for a pressure wound that deteriorated to an unstageable pressure injury.The findings include:R95's most recent pressure ulcer risk assessment (dated 04/22/25) showed R95 is at Mild Risk for developing pressure ulcers.On 06/03/25 at 9:51 AM, R95 was sleeping in bed. At 9:53 AM, V38 (CNA-Certified Nursing Assistant) said R95 had some redness on her backside. V38 said she was unsure if R95 had any wounds because she only cleans the skin around a dressing when providing incontinence care. At 10:07 AM, V32 (R95's POA-Power of Attorney) said that the facility had not mentioned anything about R95 having any pressure sores or open skin.On 06/04/25 at 2:10 PM, V16 (ADON-Assistant Director of Nursing/IP-Infection Preventionist) reviewed the EBP (Enhanced Barrier Precautions) list and said that R95 was not on the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-06-06 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to practice safe food preparation, and properly label/date/seal/store food items in the facility kitchen. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen. Findings include: The facility's Long-Term Care Facility Application for Medicare and Medicaid (Form CMS-Centers for Medicare and Medicaid Services-671) dated 6/3/25 documents that the total census was 162 residents. On 6/3/25 at 10:29 AM, V20 (Dietary Manager) said they only have 1 NPO (Nothing By Mouth) resident. On 6/3/25 starting at 9:30 AM, the facility kitchen was toured independently and the following was found: In Main Kitchen Area: 1.4 different prescription pills were found sitting on a plate on the food preparation counter. V25 (Dietary Aide) said the pills were hers. 2. The robo-coup blender and large plastic storage container of thickener with the lid off were located within splash distance of the handwashing sink. In the walk-in cooler: 3. There was no room to walk in the cooler, there were…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-06-06 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. On 6/3/25 at 10:33 AM, R87 was in bed. Her hair was not combed and greasy. R87 stated, It's been a while since they shampooed my hair. I would like my hair washed and combed. R87's MDS dated [DATE] shows she is moderately impaired in cognition. R87's care plan dated (5/12/25) shows she has an ADL functional performance deficit due to diagnosis of major depressive disorder, hypokalemia, iron deficiency anemia, hyperlipidemia, CHF (Congestive Heart Failure), GERD (Gastro-esophageal reflux disorder), and Osteoarthritis of hip. Intervention: Assist with ADL tasks as needed. 3. On 6/3/25 at 11:14 AM, R2 was in bed. She had hair on her chin and upper lip. R2 stated, I wanna be shaved. It doesn't look good. R2's MDS dated [DATE] shows she is cognitively intact. R2's care plan dated (7/24/24) shows she has an ADL Self Care Performance deficit due to diagnosis of encounter for surgical aftercare following surgery. Intervention: Assist with ADL tasks as needed. 4. On 6/3/25 at 11:20 AM, R121 was in bed. Her hair was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-06-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to safely secure an oxygen cylinder. to prevent from tipping over and potentially causing a fire or explosion. This applies to 1 out of 3 residents (R143) reviewed for oxygen tanks in a sample size of 32. The findings include: On 6/3/2025 at 10:11 AM, 6/4/2025 at 9:05 AM and 6/4/2025 at 9:21 AM, a portable oxygen cylinder was unsecured on the floor. The oxygen cylinder was located on the head part on the right side of R143's bed and was half full. R143 said he does not use oxygen. On 6/5/2025 at 8:35 AM , V2 (DON-Director of Nursing) said portable oxygen cylinders should be secured in a container to keep from tipping over. She said oxygen is flammable and if it tips over, may cause a fire or explosion. R143's POS (Physician Order Sheet) showed no order for oxygen and his MDS (Minimum Data Sheet) dated 5/15/2025 documents that R143 has intact cognitive functions. Facility's undated Policy and Procedure on Oxygen storage documents the following: Policy Oxygen will be stored in accordance with applicable…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-06 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to treat a resident with respect and dignity during a meal. This applies to 2 of 3 residents (R46 and R73) who were reviewed for feeding assistance in a sample of 32. Findings included: During an observation of the lunch meal at 12:27 PM on 06/04/2025, V37 (Certified Nursing Assistant), after completing assisting R73, without changing her sitting arrangement, overstretching to reach R46 to feed her by passing over R73. On 06/05/2025 at 10:00 AM, V37 said she should have sat between V46 and V73, or changed R73 to a different table after feeding her. V37 stated that she understands her residents should be treated with respect and dignity. The review of R46's EMR (Electronic Medical Records) showed that R46's diagnoses included Alzheimer's disease, dysphagia, psychosis, anemia, gastroesophageal reflux disease, and anxiety disorder. Minimum Data Set (MDS) dated [DATE] indicated R46's cognition is severely impaired, is not interviewable, and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-06 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure infection control practices. This applies to 2 of 2 residents (R11 and R21) observed for infection control in a sample of 32. Findings include: 1. On 06/03/25 at 3:25 PM, R21 was in the dining room reclined and slouched in a highback wheelchair. On the table in front of R21 was a brown semi-liquid substance with some dried areas that had the odor of excrement. R21 was playing with the brown substance using her left fingers, like finger painting on the table. V4 (Activity Aide) brought R21 to the nurse's station and, without donning gloves, used a dry paper towel to wipe the right armrest and R21's right arm, which was covered in the brown substance. After wiping R21's arm and armrest, V4 threw away the soiled paper towel and, without performing hand hygiene, punched in the code to access the clean utility room. Without performing hand hygiene, V4 donned gloves to clean off the table in the dining room. On 06/03/25 at 3:47 PM, V6…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-12 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews the facility failed to submit an initial resident abuse allegation to the Illinois Department of Public Health (IDPH) for an allegation of sexual abuse. This applies to 1 of 2 residents (R2) reviewed for abuse reporting. The findings include: Review of the facility's Abuse Policy, dated 09/20, stated in part, Initial Reporting of Allegations shall be completed immediately upon notification of the allegation. The written report shall be sent to the Department of Public Health. The EMR (Electronic Medical Record) shows R2 was admitted to the facility on [DATE] with multiple diagnoses, including dementia, cardiac disorders with a pacemaker, venous thrombosis, type 2 dialysis, and chronic kidney disease, R3's MDS (Minimum Data Set) dated 09/11/2024 shows R3 is cognitively severely impaired requires two staff assistance for mobility and transfer. The facility investigation report dated 11/04/2024 showed R3 (R2's family member), who is on the second floor, reported to V4 (Director…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-08-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents were transferred and/or repositioned in a safe manner for 4 of 33 residents (R69, R66, R114, and R130) reviewed for safety and supervision in the sample of 33. The findings include: 1. On 8/19/24 at 10:50 AM, V10 (Certified Nursing Assistant/CNA) and V11 (CNA) finished changing R69. V10 was on one side of R69's bed and V11 was on the other side. V10 and V11 each hooked their respective arms under R69's underarms and pulled R69 up in bed. Then, V10 and V11 proceeded to pull R69 forward by R69's underarms using the same method described above to reposition R69's pillow. On 8/19/24 at 11:24 AM, V16 (CNA) said when boosting a resident in bed there should be a person on each side of the bed and they should use the bed pad or flat sheet to pull the resident up in bed. V16 said it is not safe to pull a resident up by their arms. R69's admission Record shows she is a [AGE] year old female. R69's current care plan provided by the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-08-21 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a COVID-19 positive resident remained in isolation, failed to ensure a resident identified as a close contact with COVID-19 symptoms was wearing a mask, failed to ensure staff donned personal protective equipment (PPE) when providing care for a resident on enhanced barrier precautions (EBP), failed to ensure residents with feeding tubes were placed on EBP, and failed to perform hand hygiene and change gloves during pericare to prevent cross contamination. These failures apply to 8 of 33 residents (R44, R91, R9, R60, R57, R33, R17, R19) reviewed for infection control in the sample of 33. The findings include: 1. R44's Facesheet printed on 8/21/24 showed R44 to be a [AGE] year old female resident readmitted to the facility on [DATE]. This document showed a new diagnosis of COVID-19 on 8/12/24. R44's COVID-19 Results Worksheet showed R44 being COVID-19 positive on 8/12/24. R44's Order Summary printed on 8/21/24 showed an order for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-21 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide a resident with privacy during activities of daily living (ADL) care for 1 of 33 residents (R17) reviewed for privacy in the sample of 33. The findings include: R17's admission Record shows he was admitted tot he facility on September 7, 2007 with diagnoses including dementia, non pressure chronic ulcer of skin, depressive episodes, and kidney disease. R17's Care Plan initiated on June 10, 2024 shows R17 is incontinent of bowel and bladder. On August 19, 2024 at 9:56 AM, V4 and V5 (Certified Nursing Assistants/CNA) were preparing to provide incontinence care for R17. V5 CNA folded R17's incontinence brief downward in between in legs while he was laying on his back. R17's curtain was not closed and R17's roommate was in his bed, facing R17, and talking with V4 and V5. R17's front peri area was exposed. On August 20, 2024 at 1:32 PM, V14 CNA said resident's curtains should be closed during incontinence care so the resident has privacy. The State of Illinois Residents' Rights revised November 2018 shows,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to ensure staff-dependent residents were provided incontinence care for 2 of 33 residents (R34, R51) reviewed for activities of daily living (ADL's) in the sample of 33. The findings include: 1. R34's current care plan showed R34 was dependent on staff for incontinence care and toileting. R34 was cognitively intact. On 8/19/24 at 9:32 AM, R34 was in bed, eating breakfast. R34 stated, They really treat me good here but, lately it seems like it's taking longer for someone to come change me. There have been times that I have waited over five hours for someone to come. I wear a brief. This last time someone changed me today was around 4 AM. At 9:38 AM, V12 (Certified Nursing Assistant/CNA) entered R34's room to provide cares. V12 stated this was her first time providing incontinence care to R34 for the day. V12 removed R34's brief which was saturated with urine. Urine had leaked out of R34's brief, onto R34's sheet and mattress. 2. R51's current care plan showed R51 was dependent on staff for incontinence care and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 12 citations
  • Potential for harm · Dcited before2024-08-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to have a physician ordered treatment in place for a resident with open areas to his buttocks for 1 of 33 residents (R17) reviewed for quality of care in the sample of 33. The findings include: R17's admission Record shows he was admitted to the facility on [DATE] with diagnoses including dementia, non pressure chronic ulcer of skin, depressive episodes, and kidney disease. R17's Care Plan that was provided by the facility did not include any skin issues on R17. On August 19, 2024 at 9:56 AM, V4 (Certified Nursing Assistant/CNA) and V5 (CNA) provided incontinence care to R17. When R17 was turned onto his side, there was multiple open areas noted to R17's buttocks. There was spots of dried blood on R17 incontinence brief. R17 said Ow! each time V5 wiped R17's buttocks. V5 said she was going to tell the nurse about R17's buttocks. There was no dressing or treatment in place to R17's buttocks. On August 20, 2024 at 1:07 PM, V14 (CNA) and V3…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to ensure pressure injury treatments and pressure relieving interventions were in place for 1 of 7 residents (R9) reviewed for pressure injuries in the sample of 33. The findings include: R9's care plan dated 10/19/2018 showed R9 was at risk for developing pressure injuries due to her history of a previous pressure injury to her left buttock, inability to reposition herself, and history of bowel incontinence. The care plan showed R9 had diagnoses of multiple sclerosis, spinal stenosis, and quadriplegia. The plan showed R9 was cognitively intact. R9's wound note dated 2/21/23 showed a Stage III pressure injury to R9's left buttock had resolved and was completely healed. R9's progress note dated 6/5/24 showed an open area and redness was identified to R9's left buttock. R9's wound note dated 6/11/24 showed R9 was seen by the facility's wound physician for a re-opened Stage III pressure injury, to her left buttock, that measured 9 centimeters (cm) x 9.5 cm x 0.2 cm. R9's wound note dated 8/6/24 showed R9's left…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to perform peri care in a manner to prevent urinary tract infection and failed to maintain the catheter bag below the level of the bladder to prevent infection for three of three residents (R33, R19, R9) reviewed for incontinence care and catheter care in the sample of 33. The findings include: 1. R19's admission Record shows she was admitted to the facility on [DATE] with diagnoses including hemiplegia, dementia, anxiety disorder, and heart failure. R19's Care Plan revised on July 8, 2024 shows R19 experiences bowel and bladder incontinence due to dementia, chronic kidney disease stage three, diabetes, atrial fibrillation, and anxiety. R19's Medication Administration Record shows she has been treated for a urinary tract infection in the past. On August 19, 2024 at 10:56 AM, V6 (Certified Nursing Assistant/CNA) and V4 (CNA) provided incontinence care on R19. R19 had a large amount of stool in her incontinence brief. R19 was turned on her…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-21 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure a resident's tube feeding bag was labeled with the time it was initiated for 1 of 4 residents (R60) reviewed for tube feeding in the sample of 33. The findings include: On 8/19/24 at 9:49 AM, R60 was lying in bed with her tube feeding infusing. R60's tube feeding formula bag was dated 8/18/24, however, no time was documented. On 8/20/24 at 10:56 AM, V17, (Registered Nurse), said the G-tube bags should be labeled with the formula, dose, date and time since the bag and the tubing are good for 24 hours before they need to be changed. On 8/21/24 at 11:07 AM, V2, (Director of Nursing), said the tube feeding bag is good for 24 hours once hung; it needs to be labeled with the date and time it was started. R60's Order Summary Report dated 8/19/24 shows an order to infuse tube feeding at 60 ml (milliliters)/hour for 24 hours.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-21 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure medications were dispensed according to standards of practice. The facility failed to ensure residents were assessed to self-administer medications. These failures apply to 3 of 33 residents (R9, R65, R158) reviewed for medication administration in the sample of 33. The findings include: 1 .On 8/20/24 at 8:45 AM, R9 was lying in bed. A medication cup, containing sixteen different pills of size and color, was on the table directly in front of R9. When R9 was asked about the pills, R9 stated, I think those are my morning medications. No nursing staff were noted in R9's room. On 8/20/24 at 8:54 AM, V9 (Registered Nurse/RN) stated, No residents on the second floor (R9's floor) can self-administer their medications or have meds in their room. We must watch them take their medications to make sure they take them or don't choke. We would need a physician order to let a resident administer their own medications. On 8/20/24 at 1:38 PM, V1…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-09-13 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure Activities of Daily Living (ADL) cares including showers and shaving were being completed for 4 of 31 residents (R123, R125, R52 and R35) reviewed for ADL's in the sample of 31. The findings include: 1.) On 9/11/23 at 10:43 AM, R123 said his biggest complaint about the facility is the fact he is not getting showered regularly, and also has not been shaved in 2-3 weeks. He said he is supposed to receive showers on Tuesday and Friday evenings. R123 had scruffy facial hair and a partial beard growing. He said, When I ask about a shower or shaving I get told they are too busy or short staffed and cannot do it but look at me I have never had a beard. R123's facility assessment completed on 7/3/23 shows his cognition is intact. R123's ADL care plan initiated on 9/13/22 shows he requires extensive staff assistance with his ADL's including grooming and showering. The facility shower schedule reviewed on 9/12/23, shows R123 should receive…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-09-13 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure pureed rice was prepared and served in a smooth, palatable consistency for 4 of 14 (R105, R154, R68, and R64) residents reviewed for food palatability in the sample of 31. The findings include: The facility's Diet Type Report dated 9/11/23 shows R105, R68, R64, and R154 are all on a pureed diet. During the initial kitchen tour on 9/11/23 at 9:21 AM, V13, Cook, said they are having chicken, broccoli and rice for the lunch meal. On 9/11/23 at 10:58 AM, V13 said when making pureed foods he wants to make it to a smooth, pudding like consistency. V13 said he tastes the pureed foods to make sure they are very smooth. On 9/11/23 at 12:53 PM, a sample tray of the pureed lunch meal was obtained and tasted by the survey team. The pureed rice had an unappetizing, chunky texture which required chewing. The facility's Puree Prep Policy (revised 8/18) shows puree food will be palatable, attractive and prepared in a safe manner and will be puree to mashed potato or applesauce consistency.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-09-13 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to ensure symptomatic residents were immediately isolated and tested for COVID-19 to prevent to spread of infection and failed to ensure appropriate personal protective equipment was used when entering a contact/droplet isolation room for 5 of 31 residents (R10, R83, R100, R115 and R121) reviewed for infection control in the sample of 31. The findings include: 1. On 9/11/23 at 9:30 AM, R100 was laying in bed coughing and had a hoarse voice. R100 said that he had been coughing since yesterday (9/10/23). V17 (Certified Nursing Assistant) provided incontinence care and a transfer for R100. R100 was not on isolation. On 9/12/23 at 1:23 PM, there was a sign outside of R100's room that showed that he was on contact droplet isolation. The sign showed, Droplet Precautions-Everyone must: .Make sure their eyes, nose and mouth are fully covered before room entry [picture of a person with a faceshield on and a picture of a person with goggles on] .Remove face protection before room exit. There was an isolation cart outside of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-13 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to treat residents in a dignified manner. This applies to 1 of 31 (R10) residents reviewed for dignity in the sample of 31. The findings include: On 9/11/2023 at 10:48 AM, two urinals were observed sitting by the window full of urine near R10's bed, unemptied. On 9/11/2023 at 10:48 AM, R10 said the urinals had been there since the previous day. R10 said facility staff don't empty his urinals when they come by. R10 said he is sick of this and it happens all the time. On 9/11/2023 at 12:22 PM and 1:41 PM, two urinals were observed still sitting by the window full of urine near R10's bed, unemptied. On 9/13/2023 at 9:30 AM, V4 Director of Nursing (DON) said facility staff are responsible for helping residents who use urinals, including set up and emptying the urinals for the residents. V4 said facility staff should be rounding on residents at least every two hours and should be addressing residents care needs during those times, unless the resident requests sooner. V4 said R10 is alert and oriented. R10's Minimum…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure treatment orders were implemented for a resident with a fungal infection and failed to ensure a resident's eye was assessed and treatments ordered in a timely manner for 2 of 31 residents (R83 and R100) reviewed for quality of care in the sample of 31. The findings include: 1. R83's Face Sheet shows that she was admitted to the facility on [DATE] with diagnoses of: cellulitis of buttock, local infection of the skin, dermatitis and non-pressure chronic ulcer of buttock. R83's Infectious Disease Hospital Consult Note dated 8/16/23 shows, Assessment/Plan: Probable fungal dermatitis/diaper rash of the buttocks .Recommend: Topical nystatin (antifungal) to the buttocks at least 3 weeks. R83's Medication List from the local hospital dated 8/16/23 shows nystatin topical to be applied three times a day. R83's Wound Physician Notes dated 8/22/23 shows, Assessment and Plan: Diaper dermatitis-Apply miconazole (antifungal) 2% cream bid (twice a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-09-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview and record review the facility failed to ensure a resident was safely transferred using a gait belt for 1 of 31 residents (R100) reviewed for safety in the sample of 31. The findings include: On 9/11/23 at 9:30 AM, V17, Certified Nursing Assistant (CNA) assisted R100 to sit on the side of the bed. V17 stated, I know, you are weak and not feeling good today. V17 then assisted R100 to transfer to the wheelchair by holding onto the back of his pants and under his arm. R100 appeared very unsteady. V17 then assisted R100 back to bed by lifting him from under his arm to help him stand from the wheelchair. On 9/13/23 at 9:13 AM, V6 (Physical Therapist) said that they did not see R100 on 9/11/23 because he was not feeling good. V6 said that if R100 is sick and weak, a gait belt should be used when helping him transfer. The facility's Gait Belt/Transfer Belt Policy dated 9/2020 shows, To assist with a transfer or ambulation. A gait belt will be used with weight-bearing residents who require hands on assistance.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-13 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure the resident dining area was safe and free from electrical hazards. This applies to 1 of 31 residents (R58) reviewed for safety hazards in the sample of 31. The findings include: On 9/11/23 at 12:45 PM, R58 was sitting in the dining room in her wheelchair. R58 had her back to the wall/window and her wheelchair was locked in place. R58's arms and legs are in constant motion (symptom of her diagnosis) and R58 constantly places her right hand in her mouth. On the wall behind R58 the plate covering the electrical outlet was broken and coming off of the wall. Two times R58 grabbed onto plate with her right hand and pulled at it, spinning it around with her wet fingers behind the plate. During the second time of holding onto the outlet V14 (MDS Coordinator) who was sitting at the table next to R58, saw what R58 was doing and removed her hand from the outlet cover. On 9/12/23 at 8:28 AM, V15 (Maintenance) stated, The staff usually text me…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE ALDEN NETWORK — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 5 of 52.9+2.1 vs chain
Health inspection 4 of 53.0+1.0 vs chain
Staffing 2 of 52.1-0.1 vs chain
Quality measures 5 of 53.6+1.4 vs chain
The other 26 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Alden Debes Rehab & HccRockford, IL 1 of 5Alden Estates of Countryside, IncJefferson, WI 1 of 5Alden Lakeland Rehab & HccChicago, IL 1 of 5Alden Long Grove Rehab &hc CtrLong Grove, IL 1 of 5Alden Park StrathmoorRockford, IL 1 of 5Alden Terrace Of McHenry RehabMcHenry, IL 1 of 5Alden Town Manor Rehab & HccCicero, IL 1 of 5Princeton Rehab & HccChicago, IL 2 of 5Alden Estates Cts Of HuntleyHuntley, IL 2 of 5Alden Estates Of Orland ParkOrland Park, IL 2 of 5Heather Health Care CenterHarvey, IL 2 of 5Wentworth Rehab & HccChicago, IL 3 of 5Alden Estates Of NapervilleNaperville, IL 3 of 5Alden Lincoln Rehab & H C CtrChicago, IL 3 of 5Alden Meadow Park HccClinton, WI 3 of 5Alden Of WaterfordAurora, IL 4 of 5Alden Courts Of ShorewoodShorewood, IL 4 of 5Alden Courts Of WaterfordAurora, IL 4 of 5Alden Des Plaines Rehab & HcDes Plaines, IL 4 of 5Alden Estates Of BarringtonBarrington, IL 4 of 5Alden Estates Of NorthmoorChicago, IL 4 of 5Alden North Shore Rehab & HccSkokie, IL 5 of 5Alden Estates Of EvanstonEvanston, IL 5 of 5Alden Estates Of ShorewoodShorewood, IL 5 of 5Alden Estates Of SkokieSkokie, IL 5 of 5Alden Poplar Creek Rehab & HccHoffman Estates, IL

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
THE ALDEN GROUP, LTD.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 08/14/1990
AUDRA ELISCO GRANTOR TR DATED 11/02/2004Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 03/01/2018
LAUREN MAGNUSSON GRANTOR TR DATED 11/02/2004Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/28/2018
RANDI SCHULLO GRANTOR TR DATED 11/02/2004Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/28/2018
ELISCO, ARINIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2013
ELISCO, CHARLESIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2013
MAGNUSSON, GARRETTIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2013
MAGNUSSON, PAIGEIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2013
SCHULLO, JOSEPHIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2013
SCHULLO, NICOLEIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2013
SCHULLO, RANDIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICERNO PERCENTAGE PROVIDEDsince 02/16/2010
BANK LEUMI USAOrganization5% OR GREATER SECURITY INTERESTsince 08/29/2012
CARRIERI, LAURENIndividualW-2 MANAGING EMPLOYEEsince 05/25/2015
CARL, JOANIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 08/14/1990
SCHLOSSBERG, FLOYDIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 08/14/1990
ALDEN MANAGEMENT SERVICES, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROLsince 08/14/1990
CIEMNY, JANINEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/07/2008
MOLITOR, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/16/2008

CMS files one row per role, so the 21 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$14.9M
Net patient revenuemost recent cost report
-4.0%
Operating marginrevenue minus expenses
$3.4M
Related-party expense22% of expenses
Who pays — share of resident-days
Medicaid 73%Medicare 2%Other / private 25%

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $3.4M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$268per resident / day
operating cost
$8,138per month
≈ monthly operating cost
$258per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Illinois Medicaid page.

Typical monthly cost in Illinois
$8,304/mo
Nursing home (semi-private)
$9,216/mo
Nursing home (private)
$6,219/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 145379. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-06, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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