Midway Neurological / Rehab Center

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

Met the expected recovery: 3.6% 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 28 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 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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 404 beds and averages 371.7 residents a day — about 92% occupied, or roughly 32 beds typically open. It runs fairly full. 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 1.62 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.33 is below the 0.55-hour RN benchmark and nurse-aide staffing of 0.85 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 1.28 hrs/resident/day on weekends vs 1.76 on weekdays — 27% thinner on weekends — a notable drop. RN hours go from 0.36 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 23% is below 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.

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.

39 citations, most serious first. The 15 most serious are shown; the remaining 24 are one tap away and print in full.

• Actual harm · Gcited before2026-05-22 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 protect R2's right to remain free from physical abuse from another Resident (R3). This affects 2 of 3 residents (R2, R3) reviewed for abuse in the sample of 3. This failure resulted in R3 striking R2 with a wheelchair leg rest, causing multiple injuries including two fractures to the left hand, lacerations to the left arm, a mild brain bleed, a collection of blood in the lung, rib fractures, and a facial fracture.Findings Include:R3 is no longer lives in the facility.R2 is a [AGE] year-old male admitted to the facility on [DATE] with diagnoses including encephalopathy, cerebral infarction, epilepsy, heart failure, osteoarthritis, dementia, anxiety, hypertension, major depressive disorder, and hemiplegia. R2's Brief Interview for Mental Status (BIMS) score was 6 (dated 3/9/2026).On 5/19/2026 at 11:32 AM, during the initial day of the investigation, observations and interviews were conducted on the facility's fourth-floor dementia unit. At…

  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
• Actual harm · Gcited before2025-06-13 · 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 interview and record review the facility failed to accurately assess a critical clinical sign (Battle sign) and implement their change in condition policy by failing to immediately activate EMS (emergency medical services) 911 to transport a resident with an acute change in mental status. This affected one of three residents R366 reviewed for change in condition and delay of treatment. This failure resulted in R366 being transported to the hospital and diagnosed with a large traumatic subdural bleed (collection of blood between the covering of the brain and the surface of the brain) with midline shift (displacement of the brain tissue across the midline) causing herniation. Findings include: On [DATE] at 10:10 AM, V17 LPN (Licensed Practical Nurse) stated that V17 worked day shift on the second-floor nursing unit on [DATE]. V17 stated that during initial rounds V17 saw R366 in room and talked to her. V17 stated that R366 was in bed with her face covered up with a sheet; V17 did not see R366's face. V17…

  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 before2024-06-27 · 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 ensure that staff provide timely assessment and adequate intervention for a resident who was experiencing complications with an indwelling urinary catheter. This failure affected one (R2) of two residents reviewed for urinary catheter care. This failure resulted in R2 experiencing a delay in assessment and treatment while experiencing a leaking urinary catheter, abdominal fullness, and pain before being transferred to hospital and being treated for urinary retention secondary to malfunctioning urinary catheter and (UTI) urinary tract infection. Findings include: R2 is a [AGE] year-old male admitted to the facility on [DATE], medical diagnosis includes, but not limited to Multiple Sclerosis, quadriplegia, cardiomyopathy, bipolar disorder, other specified myopathies, abnormal posture, vitamin D deficiency, major depressive disorder, essential primary hypertension, acute cholecystitis, epilepsy, hyperlipidemia etc. Minimum Data Set (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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-05-03 · 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 interview and record review the facility failed to develop an individualized plan of care for a resident identified to be at risk for aspirations and assessed to have impairments while eating. The facility also discharged resident from speech therapy before reaching the short-term goals identified in evaluation. This affected one of one resident (R13) reviewed for safe oral intake. This failure resulted in R13 becoming unconscious, CPR (cardiopulmonary resuscitation) being initiated, excessive amount of food found in R13's airway, and resident being admitted to hospital. Findings include: R13's face sheet shows diagnosis of alcohol dependence with alcohol induced persisting dementia, induced by alcohol dependence, heart failure, atherosclerotic heart disease of native coronary artery. R13's MDS (Minimum Data Set) dated 7/19/2023 section C for cognition denotes a score of 9 (cognitive impairments). Section G for functional status denote in part eating, self-performance is extensive assist (resident…

  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 · G2024-05-03 · 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

  Based on observation, interview, and record review the facility failed to develop, implement, evaluate, and reevaluate a plan to prevent a continued insidious unplanned weight loss for one of three residents (R14) reviewed for unplanned weight loss. This failure resulted in R14 having a continued weight loss resulting in a significant weight loss of 18.55% in 90 days. Findings include: On 4/11/25 at 4:30pm V25 (R14's family) said R14 has lost a lot of weight. V25 said R14 lost about 30 pounds. V25 said she knows this because R14 would visit her home from time to time and she could recognize the difference in R14's weight. V25 said R14 has told her that the facility doesn't feed him. On 4/9/24 at 12:08pm R14 observed awake, alert, unable to be interviewed. R14 observed with non-sensical speech, very low tone. R14 cannot be interviewed. R14's physician order sheet dated 11/07/23 denotes orders for no added salt and concentrated sweets diet, regular texture, thin liquids consistency, add double portions at breakfast and sandwich at HS (nighttime). R14 weight record dated 4/8/24 denotes…

  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 · D2026-06-25 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 interview and record review, the facility failed to ensure the immediate availability of essential emergency resuscitation equipment for a resident designated as Full Code. Specifically, staff did not have an ambu bag (manual resuscitation device) readily available when a resident was identified as unresponsive and not breathing during a Code Blue event. This deficient practice affected one of three residents (R3) reviewed for cardiopulmonary resuscitation (CPR). As a result, staff were unable to immediately provide rescue ventilations while CPR was initiated.Findings include:On [DATE] at 3:44PM, V15 (nurse) said he responded to R3's code blue. V15 said he provided chest compression during the code. V15 said when he arrived to R3's room other staff were conducting compressions but unsure which staff. V15 said R3 had a non- rebreather mask on and observed that there was no ambu-bag in use. V15 said he asked for staff to get an ambu bag from another floor. V15 denied any delay in R3 receiving care. V15…

  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 · E2026-05-22 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed to follow their Abuse Prevention Program by not implementing the care planning process, not identifying any problems, goals, and approaches which would reduce the chances of mistreatment for 4 residents (R1, R2, R3, R4) out of 4 residents reviewed for abuse.On 5/21/2026 at 2:02 P.M., V12 (Social Service Director) stated an abuse care plan should be included in a resident's comprehensive care plan. V12 stated an abuse care plan should be added for new residents, a significant change in status, revised and updated as necessary. V12 stated R1, R2, R3, and R4 did not have an abuse care plan implemented in their comprehensive care plan. V12 states it is expected that the residents have an abuse care plan. V12 states R2s care plan should have been in place after R2 sustained multiple injuries from R3.Record Review of Police Report documents on 5/12/2026 local police officer dispatched to facility regarding a battery that occurred between R3 to R2. R3 used a wheelchair leg to strike R2.Record Review of R3's social service notes…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-11 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to obtain a second witness signature for psychotropic medications consent prior to administration of psychotropic medications and failed to ensure resident signature was obtained prior to administration of psychotropic medication. These failures affected two (R1 and R2) residents reviewed for residents' rights to be informed in the total sample of five residents.Findings include:R1's admission Record documented, in part Diagnoses (include but are not limited to) COPD (Chronic Obstructive Pulmonary Disease), suicidal ideations, and psychosis. Responsible Party: Self.R1's (03/17/2026) Minimum Data Set documented, in part Section C. Cognitive Patterns. C0500. BIMS (Brief Interview for Mental Status) Summary Score: 15. Indicating R1's mental status as cognitively intact.R1's (Active Order as Of: 04/10/2026) Order Summary Report documented, in part Vistaril Oral Capsule (Hydroxyzine Pamoate) Give 100 mg by mouth three times a day for Anxiety. Active 03/17/2026. Mirtazapine Oral Tablet (Mirtazapine) Give 15 mg by mouth at bedtime…

  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 · E2025-06-13 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
  Reasonably accommodate the needs and preferences of each resident.
  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 the residents had a table to sit their food tray on to eat their meals. This affects eight of eight residents (R363, R303, R247, R22, R31, R466, R186, R245) reviewed for accommodations of needs. Findings include: On 6/10/25 at 12:03pm during lunch observation R363 was observed in the bed with her meal tray resting on the bed, R363 was eating her meal. R303 was observed with her lunch tray sitting on her lap, R303 was eating her lunch. R247 was observed eating his lunch, the lunch tray was resting on R247's legs while he was eating. R22 was observed with his lunch tray resting on his legs while he was eating his meal. On 6/11/25 at 12:01pm during lunch service R31 was observed sitting on a black tote, and his lunch tray was resting on the bed, R31 was eating his meal. R466 was observed eating his lunch, the lunch tray was resting on his legs while he was eating. R186 was observed with his lunch tray resting on the bed, while he was eating his meal. R245 was observed with her lunch tray sitting 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-13 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 interview and record review, the facility failed to ensure resident's code status was readily accessible to staff by not having the code status documented on the face sheet or in the paper chart/ clinical record. This affected five of five residents (R616, R617, R618, R619 and R166) reviewed for advanced directives. Findings Include: R616 was admitted on [DATE]. R616's face sheet section titled advance directive did not document a code status, it was blank. R616's physician order sheet dated 5/30/25 documents: Full code On 6/11/25 at 4:25pm, R616's entire paper chart was reviewed. No advance directive paperwork was included to indicate R616's code status. The code binder on R616's unit documents: no residents on the do not resuscitate list (DNR) list. V17 (nurse) said, R616's code status was not in his paper chart. V17 said, a resident code status should be in their electronic record and paper chart. R617's was admitted on [DATE]. R617's face sheet section titled advance directive did not document 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-06-13 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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 label all insulin pens and inhalers with open and expiration dates. This affects four of four residents (R154, R261, R60 and R191) reviewed for medication labeling and storage. Findings include: 1. On 6/11/25 at 2:51pm review of medication cart with assist from V33 (Registered Nurse), R154 albuterol inhaler was noted with an open date of 5/27/25, no expiration date noted, R154 Symbicort inhaler noted with open date 5/15/25, no expiration date noted. V33 said the inhaler expires 30 days after opening. V33 said the medication should be dated with an expiration date. 2. R60 Symbicort inhaler, open date 5/18/25, no expiration was date noted, V33 said the inhaler expires 30 days after opening. 3. R261 Albuterol (proair) inhaler was noted to be open, verified with V33, there was no open date or expiration date noted. R261 Trelegy inhaler noted with open date of 5/29/25, no expiration date noted there was no open date or expiration date noted. R261 Lantus insulin pen was noted to be open, verified with V33, there 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-13 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 interviews and records reviewed the facility failed to provide effective interventions to prevent a resident-to-resident physical assault. This affected two of three residents (R568, R277) reviewed for physical abuse. This failure resulted in R277 being assaulted by R568 sustaining a discoloration to his left eye. Findings include: The facility reported incident report states the incident date is 4/4/25. Residents were engaged in a physical dispute. No injuries noted on R568. R277 did appear to have a slight discoloration to the left eye. R568 was transferred to the hospital for further evaluation. Conclusion: No witness were present. R277 alleges that R568 thought he was trying to take his food and he took an aggressive stance towards him. R568 remains in the hospital. R277 is [AGE] years old with diagnosis that include but are not limited to Bipolar Disorder, Schizophrenia, and Major Depressive Disorder. R277's cognition score on 1/13/25 is 15, cognitively intact. Progress note dated 4/3/25 at 12:49PM…

  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 · D2025-06-13 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 one resident medication regimen was free from an unnecessary medication by administering one Quetiapine Fumarate 400MG (milligram) tablet without a physician order and failed to reevaluate the use of a psychotropic medications use at least every 14 days. This affected two of five residents (R7, R333) reviewed for unnecessary medications. Findings include: On 6/10/25 at 4:00pm during the medication observation with V25 (LPN/Licensed Practical Nurse), V25 administered R7 divalproex 500MG Extended Release/ 2 tablets, Benztropine 1MG/ 1 tablet, Famotidine 20MG/1 tablet, Olanzapine 20MG/ 1 tablet, Quetiapine Fumarate 400MG/1 tablet, Senna 8.6MG/ 1 tablet and Lorazepam 1MG/1 Tablet. V25 confirmed 8 pills administered to R7. Review of R7 physician order sheet Quetiapine Fumarate 400MG tablet, Olanzapine 20MG/ 1 tablet, is not listed as an active medication, both denoted on the discontinued medication list. R7 medication administration…

  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 · Dcited before2025-06-13 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 professional standards of care to administer and obtain a physician order prior to administering medications. This affected two of two residents (R188 and R7) reviewed for professional standards of care, physician orders. Findings include: 1. On 6/10/25 at 4:00pm during the medication observation with V25 (LPN/Licensed Practical Nurse), V25 administered R7 divalproex 500MG (milligrams) ER(Extended Release)/ 2 tablets, Benztropine 1MG/ 1 tablet, Famotidine 20MG/1 tablet, Olanzapine 20MG/ 1 tablet, Quetiapine Fumarate 400MG/1 tablet, Senna 8.6MG/ 1 tablet and Lorazepam 1MG/1 Tablet. V25 confirmed 8 pills administered to R7. Review of R7's physician order sheet and medication administration record, R7 did not have an active order for Quetiapine Fumarate 400MG tablet and Olanzapine 20MG/ 1 tablet. 2. On 6/11/25 at 4:52pm during the continuation of medication observation with V15 (Registered Nurse), V15 was observed to administrator R188 Divalproex 500MG ER/ 2 tablets, Benztropine 2MG/1 tablets, Fenofibrate…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · 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 follow physician orders for hand splint and failed to ensure a fabricated right foot orthosis was ordered for a resident with a diagnosis of right drop foot, significant varus of the ankle, weakness of the knee extensor musculature and notable wrist drop, along with weakness of the wrist extensor muscles. This affected one of five resident (R215) reviewed for restorative services. Findings include: R215 was admitted to the facility on [DATE] with a diagnosis of transient cerebral ischemic attack and weakness. During the survey, on 6/10/25, 6/11/25 and 6/12/25 R215 was observed in common areas and room with no right hand splint in place. R215's right arm was flexed at the elbow with right hand fingers contracted. There was no device observed on R215's lower extremities. R215's right foot was observed turning inward. On 6/10/25 at 11:15AM, R215 who was alert and oriented at time of interview said he did not have his splint on today. On…

  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

“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

$55,162 in federal fines across 2 penalties.

• $30,722 — penalty dated 2024-06-27
• $24,440 — penalty dated 2024-05-03

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to INFINITY HEALTHCARE CONSULTING — 69 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

2 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.

About 95% 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 $4.2M 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