Citadel Of Bourbonnais,the

Location & what’s nearby

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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

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.

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.

43.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 142 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 24.4% 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 78 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 0.25 therapist hours per resident per day in 2026Q1 — more than 33% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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.

Staffing

How full it usually is: this home is certified for 107 beds and averages 90.1 residents a day — about 84% occupied, or roughly 17 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 3.46 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.90 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 3.02 hrs/resident/day on weekends vs 3.64 on weekdays — 17% thinner on weekends. RN hours go from 0.69 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%.

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

Deficiencies are more than at the previous inspection — worsening. 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

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.

21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.

• Actual harm · Gcited before2025-10-07 · 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 — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure that a resident who requires maximum assistance with bed mobility was turned safely during provision of care. This failure resulted in R1 rolling out of bed and landing with his face on the floor, sustaining a laceration to his left forehead. R1 was sent to the emergency room and received 12 stitches on his forehead. This applies to 1 of 3 residents (R1) reviewed for fall incidents in the sample of 3.The findings include: R1 had multiple diagnoses including, atherosclerotic heart disease of native coronary artery without angina pectoris, unspecified anxiety disorder and personal history of traumatic brain injury, based on the face sheet.R1's annual MDS (Minimum Data Set) dated September 30, 2025, showed R1 was severely impaired with cognitive skills for daily decision making. The MDS showed that R1 had functional limitation to both lower extremities. The same MDS showed that R1 required total assistance from the staff with toileting hygiene and lower body dressing and required substantial/maximum…

  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
• Actual harm · Gcited before2023-12-29 · 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 — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to transfer a resident safely from a shower chair. This failure resulted in R1 sustaining a left tibial fracture after a fall in the shower room. This applies to 1 of 3 residents (R1) reviewed for falls in a sample of 3. The findings include: R1's Face sheet shows diagnoses of diabetes with diabetic neuropathy, cerebral infarction, repeated falls, muscle weakness, and lack of coordination. R1's MDS (Minimum Data Set) dated 7/20/23 shows her cognition is intact. On 12/28/23 at 9:52 AM an observation was made of the main shower room where R1's fall occurred. There are 3 shower stalls on the right-side wall, and 1 shower stall on the left wall. The last/furthest shower stall on the right side has an approximately 4-foot-long horizontal grab bar, which is about 6 inches to the left of the shower, above the tile floor. On 12/27/23 at 11:15 AM, R1 said at the time of her 9/14/23 fall, there was a towel on the floor, and she told V7 (CNA/Certified Nurse Assistant) that she thought she was going to fall if she tried to…

  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 · Fcited before2024-09-27 · 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 maintain the facility's kitchen in a manner to prevent foodborne illness. This applies to all 90 residents in the facility receiving dietary services. Findings include: On 09/24/24 at 03:14 PM, V20 (Culinary Director) confirmed all 90 residents residing in the facility receive meals form dietary services. 1. On 09/24/24 at 11:01 AM, one red sanitization bucket in use tested at 100 ppm (Parts Per Million). On 09/24/24 at 10:23 AM, V20 (Culinary Director) stated the quat sanitizer for the red sanitization bucket should test between 300 and 400 ppm. On 09/25/24 at 11:15 AM, V20 stated the red sanitization bucket use quat for sanitization concentration range should be between 150 to 400 ppm. V20 states they don't document the actual reading; they just place a check mark that the sanitizer concentration is in range. On 09/24/24 at 03:14 PM, V20 stated the pots and pans log is where they document the testing for the red sanitization buckets. The facility did not provide a policy specific to the red sanitization…

  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 before2024-09-27 · 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 provide ADL (Activities of Daily Living) care to residents. This applies to 5 residents (R7, R18, R47, R50, & R66) who were reviewed for activities of daily living in a sample of 22. Findings include: 1. On 09/24/24 at 12:27 PM, R18 had long jagged nails with brown substances under the nails and dry flaking skin on her legs. R18 said it had been over a month since she had been provided nail care. R18's 7/30/24 MDS (Minimum Data Set) showed that R18's cognition is intact, and personal hygiene showed that R18 needs partial/moderate assistance. R18's 7/16/24 care plan showed that R18 has an ADL self-care performance deficit related to diabetes, depression, and anti-depression medication, with interventions including staff assistance with personal hygiene. 2. On 09/24/24 at 12:15 PM, R50 was in her bed and her toenails were long and jagged, and her fingernails were long and jagged and with brown substances under the nails. R50's scalp had an…

  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 · D2024-09-27 · 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 provide care with dignity to 2 residents (R38, R70) reviewed for dignity in a sample of 22. Findings include: 1. On 09/24/24 at 11:58 am V5 (Certified Nursing Assistant/CNA) was observed in the dining room during lunch time standing over R70 at the foot of R70's wheelchair, while assisting R70 to eat. At 12:05 pm V5 was observed still standing over R70 assisting her with eating, holding R70's bowl while R70 would feed herself and V5 also feeding R70. At 12:06 pm V3 (Assistant Director of Nursing/ADON) was observed taking over for V5. V3 was observed at the foot of R70's wheelchair, holding R70's bowls of food while R70 spoon-fed herself with V3 also spoon feeding R70. R70's 1/19/24 MDS (Minimum Data Set) showed that R70's cognition is severely impaired, and she requires supervision or touch assistance for eating. R70's 8/1/22 care plan showed that she has an ADL (Activity in Dailly Living) self-care performance deficit related to diagnoses including functional impairment and dementia with interventions…

  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 · D2024-09-27 · 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

  Based on observation, interview, and record review, the facility failed to properly position 1 resident to maximize her eating abilities. This applies to (R50) who was reviewed for quality of life in a sample of 22. Findings include: On 09/24/24 from 11:58 AM to 12:09 pm, R70 was observed in the dining room during lunch, laying on her back in her adaptive wheelchair. The chair was in an upright position but R70's back and buttocks were on the seat of the chair. At 11:58 AM V5 (Certified Nursing Assistant/CNA) was observed assisting and feeding R70 in this position, at 12:06 PM, V3 (Assistant Director of Nursing) was observed assisting and feeding R70 in this position. At 12:09 PM V6 (CNA) was observed assisting and feeding R70 in this position. R70's 1/19/24 MDS (Minimum Data Set) Section C showed that R70's cognition is severely impaired and Section GG eating, showed that R70 needs supervision or touch assistance while eating. R70's 8/1/22 care plan showed that R70 has an ADL (activities in daily living) self-care performance deficit related to functional impairment related to…

  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 before2024-09-27 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 offer restorative strengthening exercises as recommended from physical therapy to a resident with weakness to both lower extremities who was discharged from skilled therapy. This applies to 1 of 1 resident (R88) reviewed for restorative nursing in a sample of 22. The findings include: On 09/24/24 at 12:18 PM, R88 was in bed. R88 stated he had been living in the facility for two months. R88 said he does not receive therapy, and no one comes in to help him exercise his legs. R88 stated I can't use my left leg. R88 stated he asked for help with exercises, and no one assisted him. R88 stated when he was admitted to the facility, her received therapy for his hands and arms, but not his lower extremities. On 09/26/24 at 4:00 PM, R88 stated he has never worked with restorative nursing for exercising. R88 stated no one has come in to work on arm exercises or riding a bike with me. I would not refuse restorative nursing. I want exercises for my…

  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 before2024-09-27 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 implement dietary supplements recommended by the dietician. This applies to 1 of 2 residents (R31) reviewed for nutrition in a sample of 22. Findings include: R31 was readmitted to the facility on [DATE] with diagnoses that includes cerebral infarction, type 2 diabetes, muscle wasting and atrophy, hematuria, wedge compression fracture of lumbar vertebra, anemia, acute kidney failure, congestive heart failure, hypothyroidism, hypertension, and hyperlipidemia. R31's MDS (Minimum Data Set) dated 8/14/24 shows he is cognitively intact. R31 was assessed to have a greater than 5% weight loss in six months. The dietary oral /dehydration/nutritional assessment completed by V25 (Clinical Nurse Manager) states R31 was not on a therapeutic nutrition supplement. R31's care plan dated 8/26/24 states on 8/15/24 R31 to receive (nutritional supplement) cc (Cubic Centimeters) noon and PM meals. Registered dietician to evaluate and make recommendations as…

  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 before2024-09-27 · 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

  Based on observation, interview, and record review, the facility failed to follow infection control practices for enhanced barrier precautions, hand hygiene, and urinary drainage bag management. This applies to 3 residents (R7, R22, R65) reviewed for infection control in a sample of 22. The findings include:1. On 9/24/24 at 2:24 PM, an enhanced barrier precaution sign was seen on the door to R7's room. V7 (Certified Nursing Assistant/CNA) was then seen emptying R7's indwelling catheter drainage bag wearing only gloves, no gown. R7's urine was noted to be dark brown with thick sediment seen in the tubing. After V7 finished emptying R7's indwelling urinary catheter drainage bag, V7 clipped the urinary drainage bag onto R7's bed with the bottom of the drainage bag resting on the floor. The floor in the room was noted to be sticky by R7's bed when walking on it. R7's POS (Physician Order Sheet) shows an order for enhanced barrier precautions related to urinary catheter. The POS shows an order dated 8/26/24 for referral to Infectious Disease doctor for salmonella in the urine. R7's MDS…

  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 · D2023-11-03 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 complete assessments for medication self-administration and failed to obtain orders to keep medications at the bedside. This applies to 2 of 3 residents (R8, R57) reviewed for medications in sample of 18. The findings include: 1. On 10/31/23 at 10:58 AM, during initial tour, surveyor went to R57's room. R57 and R60 are husband and wife and share a room together. Neither R57 nor R60 were in their room; per staff, they were in the hospital. There was a container of Triamcinolone Acetonide 0.1% ointment on R57's bedside table. On the label of the container of the Triamcinolone Acetonide, it showed it belonged to another resident (R68), who was in a different room. On 11/1/23 at 1:20 PM, surveyor went with V2 (Director of Nursing/DON) to R57's room. R57 had still not come back from the hospital. The container of the Triamcinolone Acetonide that belonged to R68 was inside his drawer. R60, (R57's wife) stated I just came back from the hospital. (R57) is my husband and he's still in the hospital. This ointment has…

  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 before2023-11-03 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 apply assistive devices to prevent contractures. This apples to 2 of 2 residents (R23, R34) reviewed for assistive devices in a sample of 18. The findings include: 1. R34's face sheet showed R34 had diagnoses including cerebral infarction, hemiplegia affecting left non-dominant side, abnormalities of gait and mobility, lack of coordination, congestive heart failure, and muscle weakness. R34's MDS (Minimum Data Set) dated 8/29/23 showed R34 was cognitively intact and required supervision for eating, substantial assistance for oral hygiene and upper body dressing, and was dependent on staff for toileting, showering/bathing, lower body dressing, and applying or removing footwear. R34's care plan showed left hemi arm sling to LUE (left upper extremity) for support when out of bed. R34's POS (Physician Order Sheet) showed an order for left hemi arm sling to LUE for support, when out of bed starting 5/24/23. The POS also showed an order for a left resting hand splint to prevent worsening contractures s/p (status…

  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 · D2023-11-03 · tag F0813 — isolated
  Have a policy regarding use and storage of foods brought to residents by family and other visitors.
  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 remove expired food items, clean residents' refrigerators, provide refrigerator thermometers, and monitor daily temperatures. This applies to 3 of 3 residents (R15, R50, R72) reviewed for refrigerators in a sample of 18. The findings include: 1. On 10/31/23, the following observations were made during the initial tour: At 10:53 AM, inside R50's refrigerator, there was no thermometer. The following items were noted: 1 unopened (1/2 pint) milk (2% reduced fat) that expired on 10/6/23 (25 days earlier). There was an opened carton of 1/2 pint milk (2% reduced fat) halfway full that expired on 9/29/23 (32 days earlier), 1 carton of whipped unsalted butter--best by 10/19/23, and 1 carton (8 oz--ounces) of cream cheese that expired on 10/18/23. The refrigerator was cluttered and dirty with stains. R50 was not in her room. R50's face sheet documents an admission date of 7/12/23 to the facility. 2. At 2:11 PM, R72's refrigerator was inspected. R50 and R72 are roommates. There was no thermometer inside R72's…

  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

“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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CITADEL HEALTHCARE — 14 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 →

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

CMS files one row per role, so the 26 rows in the source record cover these 14 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.

This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 17% 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

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