La Bella of Cahokia

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.

Met the expected recovery: 19.1% 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 21 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 0.17 therapist hours per resident per day in 2026Q1 — more than 16% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 54% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. 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 150 beds and averages 83.4 residents a day — about 56% occupied, or roughly 67 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.36 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 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 2.92 hrs/resident/day on weekends vs 3.54 on weekdays — 18% thinner on weekends. RN hours go from 0.35 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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 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.

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.

63 citations, most serious first. The 25 most serious are shown; the remaining 38 are one tap away and print in full.

• Immediate jeopardy · Lcited before2025-08-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
  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 provide monitoring of a resident requiring continues oxygen with a known history of having smoking materials in the room and failed to implement interventions to ensure a safe environment for 1 of 3 residents (R3) reviewed for smoking. This failure resulted in (R3) continuing to smoke inside room while wearing oxygen placing self and others at risk for safety concerns. Findings include:This failure resulted in an Immediate Jeopardy began on 8/5/2025 when R3 who requires continuous oxygen and suffers from Chronic Obstructive Pulmonary Disease and Dyspnea was found to have odors of smoke of mind altering substances in his room. The survey team validated the abatement on 8/26/25 at 3:27pm. The facility remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of policies and procedures and the in-service training.R3's Care Plan, dated 8/10/2025, documents that (R3) at for safety concerns r/t…

  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
• Immediate jeopardy · Lcited before2025-07-09 · tag F0600 — failed to protect residents from abuse and neglect — widespread
  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 prevent mental abuse by denying access to visitors who abuse, exploits and harasses the residents residing in the facility. This failure has the potential to affect all 91 residents residing in the facility. This failure resulted in a Immediate Jeopardy when on 6/18/25, the facility failed to prevent a group of men from entering the facility, smoking marijuana, saying/singing obscenities such as sit your old a down, f* you n, and swinging a leather belt around, while shooting a music video which included two residents (R1, R4), without their permission, that was posted on social media, now showing over 67,000 viewers. This failure has caused mental and psychosocial harm, leading to residents feeling unsafe in the facility, which is their home. Due to the unknown reason of the men's intrusion into the facility, this could have caused physical, mental, and psychosocial harm to all residents, due to the incident that occurred and not…

  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
• Immediate jeopardy · J2025-06-10 · tag F0578 — failed to honor advance directives / code status — isolated
  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 follow advanced directives for 1 of 4 (R89) residents reviewed for advanced directives in the sample of 67. This failure resulted in an Immediate Jeopardy on [DATE] when R89 was transferred to the hospital with lifesaving measures, against the documented DNR (do not resuscitate) advanced directive status. R89 ultimately expired at the hospital after being subjected to CPR, Mechanical Ventilation and the use of an AED (automated external defibrillator) which subsequently re-started his heart for a period of time. On [DATE] at 2:28 PM V1, Administrator, V2 DON and V3 ADON were notified of the Immediate Jeopardy. The surveyor confirmed by interview and record review, the Immediate Jeopardy was removed on [DATE], after abatement reviews dated [DATE] at 3:05 PM and 3:17 PM, [DATE] at 12:11 PM and [DATE] at 10:57 AM but remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-servicing training.…

  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
• Immediate jeopardy · Jcited before2025-06-10 · 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 3. R240's Electronic Medical Record (EMR) Medical Diagnoses Sheet, documented his code status was Do Not Resuscitate (DNR) with comfort focused measures. The Sheet documented R240 had the following diagnoses: Acute Kidney Failure, Type 2 Diabetes Mellitus, Essential Hypertension, Chronic Kidney Disease stage 2, Congestive Heart Failure, muscle weakness, sepsis, severe sepsis with septic shock, vascular dementia. R240's Physician's Orders (PO), dated 5/13/25, documented R240 was receiving Bactrim DS Oral, tablet 800-160 mg (milligram), Give 1 tablet by mouth two times a day for UTI (urinary tract infection) for 7 days. R240's Progress Note, dated 5/13/25, at 17:17 PM, documented Resident on antibiotic therapy due to UTI. Resident remains afebrile, vital signs WNL (within normal limits), no adverse reactions noted. Will continue to monitor. R240's Vital Summary, dated 5/15/25, at 9:38 PM, documented his blood pressure was 114/70 mmHg (millimeters of mercury); oxygen (O2) saturation level (sats) was at 98% at room…

  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
• Immediate jeopardy · Jcited before2025-06-10 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. R66's Face Sheet, print date of 5/21/25, documented diagnoses of Alzheimer's Disease with late onset, muscle weakness, difficulty walking, R66's Care Plan, revision dated of 3/6/25, documented left heel 'mushy'. R66's Care Plan intervention, initiated on 3/7/25, documented Left multipodus boot to be worn at all times. R66's MDS, dated [DATE], documented she was not at risk for pressure ulcer and did not have any pressure ulcers at that time. On 5/21/25, at 10:06 AM, R66 was seated in a wheelchair (w/c) at the nurse's station near the bird cage. R66 was wearing blue colored crocs with fur-type lining and pink socks. She was not wearing a pressure relieving boot on her left foot. On 5/21/25, from 10:07 AM until 12:06 PM, R66 remained in the small dining room for activities and then for lunch. She continued to wear crocs on both feet and was not wearing a pressure relieving boot on her left foot. At 1:05 PM, V41, CNA, was coming out of R66's room. R66 was sitting in her room in her w/c wearing crocs and socks.…

  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
• Immediate jeopardy · Jcited before2024-12-17 · 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 assess, monitor, and provide timely treatment for R2's knee pain. This failure resulted in when R2 had continued pain and swelling from 11/15/24 until 12/7/24 at which time her femur bone was protruding through her skin. R2 was hospitalized with an open femur fracture requiring surgical intervention which caused pain and suffering, with an increased risk for infection, vascular issues, and subsequently could have resulted in death. The failure to provide ongoing assessment, monitoring, and treatment for R2's ongoing knee pain led to R2's undiagnosed femur fracture to develop into an open fracture. The Immediate Jeopardy began on 11/15/24 when R2's right foot injury was noted, and the facility failed provide ongoing assessment, monitoring, and timely treatment for R2's ongoing symptoms including an increase in swelling and pain. The facility did not seek treatment for R2's ongoing symptoms until R2's femur fracture penetrated through her skin on 12/7/24.…

  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 before2025-10-15 · 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 interview and record review, the facility failed to ensure residents were free from abuse in 2 of 3 residents (R2, R3) reviewed for sexual abuse in the sample of 6. This failure resulted in R2 crying, was emotional and shaken up. For a reasonable, rational person this would result in psychosocial distress.Top of FormFindings include:1.) R1's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including traumatic brain injury.R1's Minimum Data Set (MDS) dated [DATE] documented R1 was moderately cognitively impaired and ambulated by wheelchair.R1's Care Plan dated 8/5/25 documents R1 has a behavior problem of being sexually inappropriate. On 10/10/25 at 1:35 PM, V8 (Certified Nursing Assistant/CNA Supervisor) stated R1 has been on 15-minute checks since 8/22/25 for inappropriate behavior.On 10/14/25 at 9:10 AM, V14 (Nurse Practitioner) stated R1 has a history of sexual aggression and is monitored every shift.On 10/14/25 at 9:15 AM, V4 (Licensed Practical Nurse/LPN), stated R1 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-09-22 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to 1) develop and implement a person-centered plan of care for fall prevention; 2) ensure proper working order of R2's bed for 1 of 3 residents reviewed for falls in the sample of 11. This failure resulted in R2 who was post right below the knee amputation attempting to self-transfer, R2's bed rolled away from him due to a malfunctioning locking mechanism, and with R2 falling to the floor. The impact and trauma from the fall, re-opened the amputation surgical incision site, requiring urgent hospital treatment and surgical revision of the surgical site. Findings Include:R2's admission Sheet, with admission date of 07/25/25, documented R2 has diagnoses of but not limited to Peripheral vascular disease, Type II Diabetes Mellitus (DM), complete traumatic amputation at knee level, right lower leg, subsequent encounter, need for assistance with personal care, acquired absence of right leg below knee, and difficulty in walking. R2's Minimum Data Set…

  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 · G2025-09-22 · tag F0908 — failed to keep essential equipment working — isolated
  Keep all essential equipment working safely.
  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 essential resident equipment was in good working condition for 1 of 1 resident reviewed for physical environment in a sample of 11. This failure resulted in R2 who was post right below the knee amputation attempting to self-transfer, R2's bed rolled away from him due to a malfunctioning locking mechanism, and with R2 falling to the floor. The impact and trauma from the fall, re-opened the amputation surgical incision site, requiring urgent hospital treatment and surgical revision of the surgical site. Findings Include: R2's admission Sheet, with admission date of 07/25/25, documented R2 has diagnoses of but not limited to Peripheral vascular disease, Type II Diabetes Mellitus (DM), complete traumatic amputation at knee level, right lower leg, subsequent encounter, need for assistance with personal care, acquired absence of right leg below knee, and difficulty in walking. R2's Minimum Data Set (MDS), dated [DATE], documented R2 is cognitively…

  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
• Actual harm · Hcited before2025-06-10 · 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 6. R31's Diagnoses Report, print date of 5/27/25, documents he has diagnoses of need for assistance with personal care, hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side, and cerebral infarction. R31's Care Plan, with revisions dated 12/21/21, documented (R31) has an ADL (Activities of Daily Living) self-care deficiency r/t (related to) CVA (stroke with left sided weakness, activity intolerance, confusion and fatigue. The Care Plan, interventions with revision on 8/16/23 documented Toilet Use: x2 extensive assist with toileting. Assist with dressing change and peri care after all toileting and incontinent episodes. The interventions documented Transfer x2 extensive assist with transfers. R31's MDS, dated [DATE], documented he has impairment on one side of lower extremities (hip, knee, ankle, foot). The MDS documents that R31 is dependent for toilet transfer as helper does ALL of the effort, Resident does none of the effort to complete the activity. 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
• Actual harm · Gcited before2024-12-17 · 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 interview and record review the facility failed to provide services per current standards of practice, rising to the level of neglect with R2 sustaining a femur fracture on an unknown date, with the femur bone ultimately penetrating through the skin after 15 days of documented continued pain and extremity abnormality. This failure resulted in R2 being hospitalized with an open femur fracture requiring surgical intervention which caused pain and suffering. Findings include: R2's face sheet, print date of 12/16/24, documented R2 has diagnoses of unspecified fracture of right femur, unspecified severe protein-calorie malnutrition, Alzheimer's disease, atherosclerosis, paranoid schizophrenia, drug induced dyskinesia, contractures, history of cerebral infarction, cognitive communication deficit, osteoporosis, and functional quadriplegia. R2's MDS (Minimum Data Set), dated 12/4/24, documented R2 is moderately cognitively impaired, is non-ambulatory, and is dependent on staff for transfers. R2's hospice aide…

  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 before2024-10-24 · 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 interview and record review, the facility failed to prevent employee to resident physical abuse by a staff member for 1 of 3 residents (R2) reviewed for abuse in the sample of 4. This failure resulted in R2 sustaining a bloody lip causing him to be upset and having pain. Findings include: On 10/22/24 at 3:15 PM R2 was sitting outside on patio. He stated a CNA (Certified Nursing Assistant) hit him about a week ago. He stated they were talking stuff to each other and she hit him one time in the mouth with her fist. He stated it hurt. On 10/23/24 at 12:20 PM R2 stated when V4, CNA, hit him in his mouth with her fist he was very upset. He stated it hurt a lot. He stated V4 got a wet cloth and wiped the blood off his lips. The facility's Illinois Department of Public Health (IDPH) Notification Form dated 10/13/24 at 10:00 PM documents, under description of Accident, Causes, Injuries and Action taken by Establishment as a result of Accident: Reported to Administrator at 10:00 resident told family member CNA…

  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 before2024-10-03 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 administer ordered medications resulting in 1of 1 resident missing multiple doses of intravenous (IV) antibiotics in the sample of 9. This failure resulted in R2 missing multiple doses of IV antibiotics for acute infections prolonging IV antibtiotic course. Findings include: R2's Facesheet documents an admission date of 9/12/2024. Diagnosis include Acute and subacute infective endocarditis, Bacteremia, Enterococcus as the cause of diseases, Dementia, Chronic Obstructive Pulmonary Disease. R2's Minimum Data Set, MDS, dated [DATE] documents R2 is severely cognitively impaired. R2 is dependent on staff for mobility and transfers. R2's Care Plan dated 9/12/2024 documents R2's daughter chose for R2 to be a Full Code. Full Treatment: Primary goal is attempting to prevent cardiac arrest by using all indicated treatments. R2's order sheet dated 9/13/2024 documents Ampicillin Sodium Injection Solution Reconstituted 2 Gm, use 2000 mg intravenously…

  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
• Actual harm · Gcited before2023-12-12 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to perform a safe and appropriate transfer for 1 of 3 residents (R14) reviewed for falls in the sample of 28. This failure resulted R14 obtaining a gash to head and sent out to hospital. Findings include: R14's Face Sheet documents R14 was admitted to the facility on [DATE] with diagnoses including traumatic brain injury, persistent vegetative state, chronic respiratory failure, tracheostomy status, multiple contractures, and bed confinement status. R14's Minimum Data Set (MDS) dated [DATE] documented R14 required total dependence with 2+ person assistance for bed mobility and transfer. R14's Care Plan initiated 8/17/21 documented R14 was dependent on staff for all ADL (Activities of Daily Living) needs related to suffering a closed head injury and remained in a non-verbal, vegetative state, responsive only to touch. The Care Plan documents R14 was at risk for fall and/or injury related to seizures. R14's Fall Risk assessment dated [DATE] documented R14…

  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 before2023-04-28 · 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 follow physician orders to maintain acceptable parameters of nutrition in 5 of 6 residents (R16, R18, R19, R27, and R82) reviewed for nutrition in the sample of 31. This failure resulted in continued, significant weight loss for R18 and R82 and worsening of R27's pressure ulcer. Findings include: 1-R18's Face Sheet documents R18 was admitted to the facility on [DATE] and has diagnoses including cerebral infarction; dysphagia, oropharyngeal phase; diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter; chronic obstructive pulmonary disease, unspecified; spastic quadriplegic cerebral palsy, abnormal weight loss, and contractures of left wrist, left hand, right hand, left ankle and foot, and right ankle and foot. R18's Minimum Data Set (MDS) dated [DATE] documents R18 is severely cognitively impaired, requires total dependence…

  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 before2026-02-25 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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 do temperature readings on food cooked to maintain safe and appetizing temperatures for residents. This failure has the potential to affect all 84 residents residing in the facility.The findings include: On 2/23/26 at 11:30 AM, an observation was made on the facility's kitchen with V8 (Dietary Manager.)On 2/23/26 at 11:38 AM, V8 stated I did have a lot of complaints of cold food when I started, mostly from the residents who eat in their room. I think most of it came from the staff on the halls not delivering the trays to the rooms in a timely manner. I think we have been working on that. On 2/23/26 at 11:43 AM, V10 (Cook) was seen taking food out of oven and onto the steam table. V10 stated the menu today is meatloaf, sweet potatoes, cauliflower, and pineapple upside down cake. The temperature logbook was reviewed with no temperatures documented since 1/30/26. When asked about it, V10 stated I take the temps, I just forget to write them down.On 2/23/26 at 11:55 AM, V8 was advised that no temperatures 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 · Fcited before2026-02-25 · 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 follow proper sanitation and food handling practices for safe food handling, and failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. This failure has the potential to affect all 84 residents residing in the facility.The findings include: On 2/23/26 at 11:30 AM, an observation was made in the facility's kitchen with V8 (Dietary Manager.)On 2/23/26 at 11:43 AM, V10 (Cook), was seen taking food out of oven and onto the steam table. V10 stated the menu today is meatloaf, sweet potatoes, cauliflower, and pineapple upside down cake. The temperature logbook was reviewed with no temperatures documented since 1/30/26. When asked about it, V10 stated I take the temps, I just forget to write them down.On 2/23/26 at 11:45 AM, The stand-up fridge in the kitchen had a temperature reading of 41 degrees Fahrenheit (F.), digital reading from inside. The walk-in fridge did not have a thermometer in the fridge and no external temperature to read. Unable to check…

  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 · Dcited before2026-02-25 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to maintain a resident's right to secure and confidential personal and medical records for 2 of 2 residents (R4, R5) reviewed for resident rights in the sample of 9.The findings include: 1. R4's admission Record, dated 2/25/26, documents R4 was admitted to the facility on [DATE] and was discharged on 12/9/25 with diagnosis of Chronic Obstructive Pulmonary Disease (COPD), Respiratory Failure, Anemia, Obesity, Hyperlipidemia, Hypertension (HTN), and Falls.R4's Care Plan, dated 11/23/25, documents R4 is at risk for falls. R4 has oxygen therapy related to COPD, chronic respiratory failure. R4 has a mood problem. R4 is a smoker.R4's Minimum Data Set (MDS), dated [DATE], documents R4 is cognitively intact and is independent on activities of daily living (ADLs). R4 is always continent of both bowel and bladder.R4's Physician Order, dated 12/4/25, documents May discharge home with PT (physical therapy)/OT (occupational therapy)/HH (home health) services with…

  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 before2026-01-29 · 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 prevent resident to resident abuse for 2 of 6 residents (R2 and R3) reviewed for abuse in a sample of 7. Findings Include: 1. R3's Face Sheet, original admission date of 12/26/22, documented R3 has diagnoses of but not limited to dementia, parkinsonism, bipolar disorder, and hypertension (HTN). R3's MDS (Minimum Data Set), dated 09/24/25, documented R3 is cognitively intact with a Brief Interview for Mental Status (BIMS) of 15 out of 15 and is independent with most of his activities of daily living (ADLs) and with walking 50 feet. R3's Care Plan, not dated, documented the following: R3 refuses to change rooms or be moved off the hall regarding recent altercation with another resident. Goal: R3 will not engage in an altercation until next review. Intervention: R3 was educated to not engage with the resident he recently had an altercation with. Staff will continue to redirect them and keep them apart in common areas. R3 is at risk for being…

  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 · D2025-10-15 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 implement its abuse policy through prevention, reporting and investigating abuse allegations in 2 of 3 residents (R2, R3) reviewed for abuse in the sample of 6. Top of FormFindings include:1.) R1's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including traumatic brain injury.R1's Minimum Data Set (MDS) dated [DATE] documented R1 was moderately cognitively impaired and ambulated by wheelchair.R1's Care Plan dated 8/5/25 documents R1 has a behavior problem of being sexually inappropriate. On 10/10/25 at 1:35 PM, V8 (Certified Nursing Assistant/CNA Supervisor) stated R1 has been on 15-minute checks since 8/22/25 for inappropriate behavior.On 10/14/25 at 9:10 AM, V14 (Nurse Practitioner) stated R1 has a history of sexual aggression and is monitored every shift.On 10/14/25 at 9:15 AM, V4 (Licensed Practical Nurse/LPN), stated R1 has inappropriately touched staff in the past and is on 15-minute checks for monitoring.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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-15 · 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 interview and record review, the Facility failed to report an allegation of abuse for 1 of 3 residents (R3) reviewed for abuse in the sample of 6.Findings include:1.) R3's Face Sheet documents R3 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus type two and muscle weakness.R3's Minimum Data Set (MDS) dated [DATE] documented R3 was cognitively intact and required partial assistance with transfer.R3's Care Plan does not address risk of sexual abuse.On 10/10/25 at 1:43 PM, R3 stated shortly after she was admitted to the facility, she was at the nurse's station and R1 grabbed her sweater and offered her ten dollars for a bl jo*. On 10/10/25 at 2:50 PM, R3 stated she reported this incident to staff working at the time but could not remember their names.On 10/10/25 at 3:15 PM, V1 (Administrator) stated the facility did not have any abuse investigations for R1 and R3. V1 was notified that R3 alleged R1 grabbed her sweater and offered her money for sexual favors shortly after…

  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 before2025-10-15 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 thoroughly investigate abuse allegations from 1 of 3 residents (R2) reviewed for abuse in the sample of 6.Findings include:1.) R1's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including traumatic brain injury.R1's Minimum Data Set (MDS) dated [DATE] documented R1 was moderately cognitively impaired and ambulated by wheelchair.2.) R2's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including intellectual disabilities.R2's MDS dated [DATE] documented R1 was moderately cognitively impaired and ambulated by wheelchair.On 10/10/25 at 12:35 PM, R2 stated, (R1) touched me down there (pointed to genital area). The Facility's Initial Report sent to state surveying agency on 10/5/25 at 5:41 PM documents R1 attempted to touch female resident R2 on her private area at the nurse's station. The Facility's Investigation was provided on 10/10/25 at 12:36 PM. The investigation did not include any staff or…

  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 · D2025-09-22 · tag F0656 — failed to write and follow a full care plan — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to develop and implement a person-centered plan of care for fall prevention for 1 of 3 residents reviewed for falls in a sample of 11. This failure resulted in R2 who was post right below the knee amputation attempting to self-transfer and R2 falling to the floor. The impact and trauma from the fall, re-opened the amputation surgical incision site, requiring urgent hospital treatment and surgical revision of the surgical site. Findings Include: R2's admission Sheet, with admission date of 07/25/25, documented R2 has diagnoses of but not limited to Peripheral vascular disease, Type II Diabetes Mellitus (DM), complete traumatic amputation at knee level, right lower leg, subsequent encounter, need for assistance with personal care, acquired absence of right leg below knee, and difficulty in walking. R2's Minimum Data Set (MDS), dated [DATE], documented R2 is cognitively intact with a Brief Interview for Mental Status (BIMS) of 15 out of 15 and he requires…

  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 · Dcited before2025-08-04 · 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 interview and record review the facility failed to assess and monitor admission weights for 1 of 3 (R3) residents in a sample of 5 reviewed for weight loss.Findings include:R3's admission Record document that R3 was admitted [DATE].R3's Care Plan, dated 7/7/2025, documents that (R3) requires tube feeding r/t (related to) impaired cognition, difficulty chewing/swallowing. Chronic history of emesis with aspiration. 04/11/2025, G-Tube changed to J-Tube in hospital. 6/25/25: J-tube has been removed and replaced with a G-tube.R3's Registered Dietician (RD) Note, dated 3/21/2025, Current weight is unknown, but (R3) looks very thin with muscle & subQ (subcutaneous) fat loss. Based on (R3's) ideal body weight from his height of 141 lbs (pounds), his estimated energy needs are 2243 kcals (35kcal/kg), 77g protein (1.2g/kg), 2243 ml H20 (1 ml/kcal) Resistant is currently NPO & on TF order Jevity 1.5 45cc/hr x 23 hours providing 1552 kcals (69% kcal needs) and 83g protein (100% protein needs). RD to evaluate per…

  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 before2025-07-09 · tag F0609 — failed to report abuse allegations — widespread
  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 observation, interview and record review, the facility failed to recognize potential abuse and immediately report an allegation of abuse to the Department. This has the potential to affect all 91 residents in the facility. Findings include: On 6/18/25, at approximately 6:00 PM, the facility failed to prevent a group of men from entering the facility, smoking marijuana, saying/singing obscenities such as sit your old a down, f* you n, and swinging a leather belt around, while shooting a music video and including two residents (R1, R4), without their permission, in this video that was posted on social media, now showing over 67,000 viewers. On 7/2/25 at 9:30 AM, R4 was observed in the hallway in his wheelchair. R4 stated he found out he was in a video without his permission. R4 stated he was in his room and must have fallen asleep because he was awoken by a loud noise, not a normal noise, and he saw a group of guys cursing, smelling like marijuana, yelling F* old people. R4 stated the lady 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

“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

$702,001 in federal fines across 3 penalties. 2 Medicare payment denials on record.

• $436,495 — penalty dated 2025-06-10
• $255,264 — penalty dated 2024-10-03
• $10,242 — penalty dated 2023-12-12
• Medicare payment denial — starting 2025-07-03 for 132 days
• Medicare payment denial — starting 2024-10-23 for 75 days

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 JENMAX GROUP — 7 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 8 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

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 81% 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 $456K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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