Alden Lincoln Rehab & H C Ctr
504 West Wellington Avenue, Chicago, IL 60657 · For profit - Corporation · 96 certified beds · (773) 281-6200 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 4 actual-harm citations
- a high number of inspection citations overall (36) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $8,512 in federal fines (most recent 2024-03-25)
- its payroll-based staffing rating is low (2/5)
- its facility-reported quality-measure rating is low (2/5)
- about 18% of its spending goes to commonly-owned related companies
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
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
| Overall quality measures | 2 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 21.5% | 13.4% | 15.4% | worse |
| Long-stay residents who lose too much weight | 3.3% | 6.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.5% | 0.9% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.6% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 13.4% | 54.2% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 3.5% | 3.1% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 15.8% | 14.3% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 4.7% | 18.3% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 73.2% | 91.8% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 2.9% | 4.8% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 21.4% | 20.6% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 14.2% | 21.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 5.2% | 2.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 5.6% | 63.1% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 21.0% | 26.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 8.9% | 13.9% | 12.0% | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
45.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 89 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 62.1% 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 29 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 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 27% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 45.2%CMS range 33.0–56.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.8%CMS range 7.0–15.1 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 62.1% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 58.6% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 41.4% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 21.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 71.4% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 7.1% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.2%CMS range 3.5–12.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.13 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 96 beds and averages 83.0 residents a day — about 86% occupied, or roughly 13 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 2.98 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.68 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 2.57 hrs/resident/day on weekends vs 3.14 on weekdays — 18% thinner on weekends. RN hours go from 0.54 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 41% is about the same as 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 unchanged from the previous inspection. 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.
36 citations, most serious first. The 14 most serious are shown; the remaining 22 are one tap away and print in full.
- Actual harm · Gcited before2026-02-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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, interviews and record review the facility failed to provide supervision during a shower. This failure resulted in one (R1) resident sustaining a fall with injury in a sample of eight reviewed for falls.Findings include:R1's face sheet dated 02/24/2026 documents in part that R1 was admitted on [DATE] with diagnosis of Multiple fractures of the pelvis, non-displaced fracture of posterior wall of right acetabulum, chronic diastolic heart failure, diabetes mellitus, atrial fibrillation, muscle weakness, poly osteoarthritis, major depressive disorder, malignant neoplasm prostate, cardiac defibrillator.R1's Minimum date set section C for brief mental status dated 1/16/2026 displays that R1 has a score of 14 which means R1 is cognitively intact; section GG Functional abilities dated 10/24/2026 documents in part that R1 required partial/moderate assistance for showers/bathes which means staff does less than half the effort, staff lifts, holds or supports trunk or limbs to assist R1 but provides…
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.
- Actual harm · Gcited before2024-10-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 follow their facility's change in condition policy and failed to follow the Care Plan for one resident (R3) reviewed for resident injury. This failure resulted in R3 falling and sustaining bilateral subdural hemorrhages; and, R3 was admitted to the intensive care unit. Findings include: R3 no longer resides in the facility. R3 was discharged to the hospital on 9/23/24. R3's Facility Reported Incident (IL178511), that occurred on 9/23/24, documents, in part, On 9/23/24 at approximately 8:00 am, resident was observed by staff coming out of room bent forward and fall in the hallway, and staff immediately went to assist resident . MD (physician) gave order to send her (R3) to ER (emergency room) for evaluation. Facility was notified at approximately 5:00 pm that resident will be transferred to (Hospital) for bilateral subdural hematoma . R3's face sheet, documents, in part, diagnosis including but not limited to Alzheimer's disease with early onset;…
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.
- Actual harm · G2024-05-06 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide 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: 1. Failed to ensure Registered Dietician/Clinical Dietician's enteral feeding recommendation was implemented. 2. Failed to notify Nurse Practitioner (NP) or physician that enteral feeding recommendation was not carried out. 3. Failed to ensure that enteral feeding and flushing were administered as ordered by physician. These failures resulted in R1's significant / severe weight loss of 11.3lbs (pounds) = 10.7% x 30 days and elevated BUN (Blood Urea Nitrogen) level reviewed for improper nursing care in a sample of 3. The finding include: R1's health record documented admission date on 2/14/24 with diagnoses not limited to Unspecified dementia, severe, with other behavioral disturbance, Adult failure to thrive, Encounter for attention to gastrostomy, Type 2 diabetes mellitus with diabetic chronic kidney disease, Unspecified severe protein-calorie malnutrition, Chronic combined systolic (congestive) and diastolic (congestive) heart failure,…
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.
- Actual harm · Gcited before2024-03-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure (R2's) functional assessment was accurate, failed to timely revise (R3's) care plan (post fall) to prevent an additional fall, failed to ensure that staff are aware of resident fall prevention interventions, failed to implement fall prevention interventions, and failed to provide supervision for three of three residents (R1, R2, R3) reviewed for falls. These failures resulted in the following: R3 fell on 3/9/24 and sustained a head laceration requiring staple repair. R3 also fell on 3/10/24 (the following day) and sustained a laceration to bridge of nose, laceration to upper lip, nasal fracture and (left) 3rd-8th rib fractures. R2 fell on 1/15/24 and sustained a head laceration requiring staple repair. R1 fell on 3/4/24 and sustained an eyebrow laceration. Findings include: R3's diagnoses include dementia, epilepsy, history of falling and traumatic brain injury. R3's (1/11/24) BIMS (Brief Interview Mental Status) determined a score of 4 (severe impairment). R3's (1/11/24) functional assessment affirms…
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.
- Potential for harm · D2026-02-26 · tag F0725 — failed to have enough nursing staff — isolatedProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 that nursing staff was in facility as assigned on their schedule; this failure resulted in residents having to receive medications and treatments with a delay. This failure effected four (R2, R6, R7, R8) out of eight residents reviewed for nursing services. Finding include:R2's face sheet dated 02/24/2026 documents in part that R2 was admitted on [DATE] with diagnosis of Diabetes mellitus, neuropathy, essential hypertension, urinary tract infection, peripheral vascular disease, human immunodeficiency virus, bipolar disorder, hyperlipidemia, sleep disorder, malignant neoplasm prostate.R2's Minimum date set section C for brief mental status dated 12/30/2025 displays that R2 has a score of 12 which means R2 is cognitively intact.R6's face sheet dated 02/25/2026 documents in part that R6 was admitted [DATE] with diagnosis of Chronic diastolic heart failure, tachycardia, major depressive disorder, insomnia, protein calorie malnutrition, anemia,…
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.
- Potential for harm · Dcited before2025-11-24 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 follow the provider's order and care plan intervention for one (R1) resident out of three reviewed for wound care treatments. Findings Include:R1's clinical records show an admission date of 4/10/25 with included diagnoses but not limited to non-pressure chronic ulcer of other part of right lower leg with fat layer exposed, chronic diastolic (congestive) heart failure, and lymphedema. R1's Minimum Data Set assessment dated [DATE] shows R1 is cognitively intact with BIMS (Brief Interview for Mental Status) of 15. R1's comprehensive care plan documents in part (date initiated on 4/11/25): [R1] has an actual skin alteration and at risk to develop pressure injury related to altered some ADL [Activities of Daily Living] function and decreased mobility. R1 has right leg-non pressure. Goal: Site(s) will not become infected through next review (date initiated 9/16/25; target date 10/13/25). Intervention reads in part: Treatment as ordered (date initiated…
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.
- Potential for harm · Dcited before2025-09-12 · tag F0609 — failed to report abuse allegations — isolatedTimely 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
Based on interview and record review, the facility failed to report the allegation of sexual abuse for one resident (R1) within the stipulated two hours time frame. Findings Include: On 9/11/25 at 10:05 AM, V1 (Administrator) stated that at approximately 1:00 PM on 9/9/25, the facility was notified via email by V15 (Ombudsman) that she received a call from V3 (Wound Nurse/Licensed Practical Nurse/LPN) about a possible sexual abuse towards R1. V1 stated that he is the abuse coordinator, it is his expectation that all allegations of abuse will be reported to him immediately for investigation, and the initial reportable should be sent to Illinois Department of Public health/IDPH within two hours of notification. V1 stated that V3 should have reported the allegation to him, and he should have sent the initial reportable to IDPH around 3pm and not at 5:44 PM, because he must still follow two hours of reporting allegation of abuse. On 9/11/25 at 12:38 PM, via telephone, V3 (Wound Nurse/LPN) stated that she has been in the facility since March 28, 2025, and she attended in-service on types…
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.
- Potential for harm · Dcited before2025-06-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure a resident's environment was free of accident hazard. This failure affected 1 (R1) resident reviewed for falls in the total sample of 4 residents. Findings include: Review of R1's and R4's census lists documented R1 and R4 were roommates beginning 11/20/2024. On 06/20/2025 at 10:57am, R1 was walking slowly from the activity/dining room to her room. R1 stated, I had fallen but I cannot tell how. I forgot already. On 06/20/2025 at 1:19pm, V7 (Licensed Practice Nurse) stated, I know (R1). She fell before and she has a left hip fracture. She is limping when she walks. Before the recent fall on 05/14/2025, she was allowed to walk in the unit without supervision. On 05/14/2025 at dinner time, (R4) was in the dining room but she (R1) was not. I (V7) did not see her (R1) in the dining room at that time, at 4:30pm. Then at around 4:50pm, I heard her screaming aray! in her room. Which translates as ouch!. I went to her room, and I observed her sitting on the floor, between her bed and her roommate's (R4) bed. She was wearing…
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.
- Potential for harm · Dcited before2025-05-24 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably 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 the call device was placed within a resident ' s reach and failed to ensure staff inquired what a resident needed when responding to a call device. These failures affected 2 (R2 and R3) residents reviewed for call devices in the total sample of 5 residents. Findings include: On 05/23/2025 at 12:15pm, R2 ' s call device was behind the nightstand, not within her reach. V13 (Licensed Practice Nurse) checked the call device string and stated it is tangled. V13 untangled the call device string and clipped to R2 ' s left side. V13 stated placement of the call light should be within R2's reach. So, we can know when she needs assistance. On 05/23/2025 at 12:20pm, V14 (Certified Nursing Assistant) stated the last time I went to her room was an hour ago. I did not check for the placement of R2's call light. On 05/23/2025 at 12:31pm, the call device overhead light indicator on R3 ' s room was lit. On 05/23/2025 at 12:33pm, V14 went inside the room and informed R3 that staff are getting ready to serve lunch. V14…
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.
- Potential for harm · Dcited before2025-05-24 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 interview and record review, the facility failed to develop a careplan for a resident ' s known behavior and failed to ensure fall interventions were implemented. These failures affected 2 (R1 and R3) residents reviewed for careplan in the total sample of 5 residents. Findings include: On 05/23/2025 at 2:25pm, V7 (Certified Nursing Assistant) stated I know (R1) ' s incident was after supper, on the second floor dining room, as I was wheeling her (R1) out and before I made a turn to the exit, out of the dining room, she grabbed the wheel of (R5) ' s wheelchair. Her (R1) left hand got caught on the wheel of (R5) ' s wheelchair and she lunged and fell. On 05/23/2025 at 2:45pm, V7 stated I am familiar with her (R1). When I first came in, the senior CNAs told me that she grabs on to things and to be careful. The first time I was assigned to her, I already noticed behaviors of grabbing onto things each time I wheel her out of the dining room to her bed, she will hold onto something like the rail. She grabs stuff all day long. If you have to toilet her and change her diaper, she…
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.
- Potential for harm · Dcited before2025-05-24 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to institute interventions for a resident ' s known behavior to provide safety for the resident and other residents. This failure resulted in a resident falling and sustaining a closed fracture of the phalanx (small bone) of index finger and contusion of the head. This deficient practice affected 1 (R1) resident reviewed for quality of care in the total sample of 5 residents. Findings include: On 05/23/2025 at 2:25pm, V7 (Certified Nursing Assistant) stated I know (R1) ' s incident was after supper, on the second floor dining room, as I was wheeling her (R1) out and before I made a turn to the exit, out of the dining room, she grabbed the wheel of (R5) ' s wheelchair. Her (R1) left hand got caught on the wheel of (R5) ' s wheelchair and she lunged and fell. On 05/23/2025 at 2:45pm, V7 stated I am familiar with her (R1). When I first came in, the senior CNAs told me that she grabs on to things and to be careful. The first time I was assigned to her, I already noticed that behavior of grabbing onto things each time I wheel her…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-01-31 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 interviews and record reviews the facility failed to provide a person-centered plan of care that is consistent of functional abilities to meet the needs of 1 (R1) out 1 resident for a total of 4 residents reviewed for care plan. Findings include: R1 is [AGE] years old, currently living in facility. R1's initial admission date was 08/24/2024 with medical diagnosis of severe dementia, major depressive disorder, history of anterior displaced type II Dens fracture on 11/16/2023. On 01/30/2025 at 12:16 PM, R1 was seen with neck collar, and non-verbal when name was called. R1 does not respond to verbal stimuli. V8 (Certified Nursing Assistant) went inside the room to turn off the call light. V8 was asked how R1 transfers. V8 replied that R1 needs mechanical lift during transfer and uses Geri-chair, not wheelchair if needed to be transferred from bed to chair. V8 stated that R1 needs stretcher when going out to an appointment and does not use wheelchair. V8 stated because R1 needs stretcher, ambulance needs to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-31 · tag F0676 — failed to keep up residents' daily-living abilities — isolatedEnsure residents do not lose the ability to perform activities of daily living unless there is 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, interviews, and record reviews, the facility failed to follow the functional abilities assessment and transfer care plan for 1 resident (R1) who sustained left femur fracture, out of 1 resident of a total sample of 4 residents reviewed for nursing care. Findings include: R1 is [AGE] years old, currently living in facility. R1's initial admission date was 08/24/2024 with medical diagnosis of severe dementia, major depressive disorder, history of anterior displaced type II Dens fracture on 11/16/2023. On 01/30/2025 at 12:16 PM, R1 was seen with neck collar, and was non-verbal when name was called. R1 does not respond to verbal stimuli. V8 (Certified Nursing Assistant) went inside the room to turn off the call light. V8 was asked how R1 transfers. V8 replied that R1 needs mechanical lift during transfer and uses Geri-chair, not wheelchair if needed to be transferred from bed to chair. V8 stated that R1 needs stretcher when going out to an appointment and does not use wheelchair. V8 stated…
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.
- Potential for harm · Dcited before2024-10-31 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to determine and assess a resident to determine if self-administration of medications is appropriate, failed to obtain a physician's order for medication self-administration, failed to develop a person-centered care plan addressing self-administration of medications, failed to obtain physician orders for resident's medications, and failed to follow-up on the medication administration for 1 (R1) out of 3 residents reviewed. Findings Include: On 10/29/24 at 10:37 AM, R1 was sitting up in [R1's] bed alert and able to verbalize needs. R1 showed Surveyor multiple loose pills inside a small clear pouch on top of R1's bedside table. When Surveyor asked what those pills are, R1 answered, These are my 6:00 AM and 9:00 AM medications. I have here three pills of Sevelamer, one Losartan, one Eliquis, one antibiotic, two 25 mg of Metoprolol, and one renal vitamin. I have not taken these because I haven't eaten anything yet. On 10/29/24 at 10:58 AM,…
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.
Show the remaining 22 citations
- Potential for harm · Dcited before2024-10-03 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to accurately complete Fall Assessments for 2 residents (R2, R3). This failure has the potential to affect 2 residents reviewed for resident injury. Findings include: R2's Facility Reported Incident (IL178510), that occurred on 8/6/24, documents, in part, On 08/06/2024 at approximately 10:45 pm, resident was observed by staff on the floor in the hallway . NP (nurse practitioner) gave orders to send her (R2) to ER (emergency room) for evaluation. Facility was notified on 08/07/2024 that resident was admitted for left shoulder and left hip fracture . Upon review of R2's post fall, Fall Risk Assessment, dated 8/6/24, completed by V5 (Licensed Practical Nurse/LPN), it was observed that question #5 History of Falls (past 3 months) was not answered (incomplete). R2's face sheet, documents, in part, diagnosis including but not limited to displaced fracture of shaft of left clavicle, subsequent encounter for fracture with routine healing; unspecified intracapsular fracture of left femur, subsequent encounter for closed fracture 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.
- Potential for harm · E2024-07-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide safe and appropriate respiratory care for a resident when needed.
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 observations, interviews, and record reviews, the facility failed to ensure the nebulizer equipment was changed weekly on 1 resident (R8), failed to label with date the nasal canula on 3 residents (R49, R53 & R333) and failed to label with date the humidifier bottle for 1 resident (R333). These failures have the potential to affect 4 residents (R8, R49, R53 and R333) reviewed for respiratory care in the total sample of 45 residents. Findings include: On 07/22/2024 at 11:44am, R8's nebulizer tubing was dated 7/8/24. The tubing was attached to a nebulizer mask that was inside a plastic container. On 07/22/2024 at 11:50am, this surveyor requested V8 (Licensed Practice Nurse) to check the date on R8's nebulizer tubing and stated the nebulizer tubing is dated 7/8/24. I (V8) have to check our policy on when to change the nebulizer tubing. On 07/24/2024 at 10:27am, V2 (Director of Nursing) stated the nebulizer set up includes the nebulizer machine, tubing, and mask. The nebulizer tubing and mask should be…
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.
- Potential for harm · Ecited before2024-07-25 · tag F0761 — failed to label and store drugs safely — patternEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to label opened multi dose vials. This failure has the potential to affect one resident (R66) and all 24 residents on the first floor (total of 25 residents) reviewed for medications in the sample of 45 residents. Findings include: Facility document titled, (Facility) Daily Census [DATE] shows a total of 24 residents residing on the first floor. On [DATE] at 10:38am, with V26 (Licensed Practical Nurse/LPN), during observation of medication storage on the 1st floor, the following was observed: 1st floor medication refrigerator had an opened house stock vial of Tuberculin Purified Protein Derivative with no label of when it was opened. When this surveyor inquired about the missing open date, V26 (LPN) replied, I think we just go by the expiration date on the medication. I'll have to check with pharmacy. If a medication is expired it is no good, it doesn't work like it's supposed to. On [DATE] at 11:02am, with V17 (Registered Nurse/RN), during…
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.
- Potential for harm · Dcited before2024-07-25 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably 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 a resident's call light was accessible and within reach to call for staff assistance which affected 1 (R25) resident in the sample of 45 residents reviewed for accommodation of needs. Findings include: On 7/22/24 at 10:50am, R25 was observed in his room, sitting up in a wheelchair, watching television. R25's call light was observed wrapped around R25's dresser drawer behind R25 not within R25's reach. When asked where the call light was, R25 replied, I don't know. Somewhere back there (pointing behind him). I cannot reach it. I just yell for staff if I cannot find the call light. I always need help from the staff. On 7/22/24 at 10:55am, while in R25's room, V2 (Director of Nursing/DON) was asked if R25 can reach the call light. V2 replied, No, R25 cannot reach it. The call light needs to be within R25's reach. V2 took the call light and secured it to R25's gown and R25 said, That's a good idea. R25's face sheet documents, in part, diagnoses of history of falling, unequal limb length tibia and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-25 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide 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
Based on observation, interview, and record review, the facility failed to ensure equipment used after bladder irrigation were discarded after use in an effort to prevent cross contamination. This failure affected 1 (R8) resident reviewed for indwelling catheter care in the total sample of 45 residents. Findings include: On 07/22/2024 at 11:44am, there was an EBP (enhanced barrier precautions) sign posted by R8's room. On top of R8's dresser was a piston syringe dated 7/6/24 and a bottle of .9% Saline solution dated 6/29/24 with R8's identifier. On 07/22/2024 at 11:50am, this surveyor requested V8 (Licensed Practice Nurse) to check the dates on R8's piston syringe and saline solution bottle. V8 stated the piston syringe was dated 7/6/24 and the bottle of saline has an open date of 6/29/24. The piston syringe should be changed every 72hours and the saline solution should be discarded after 30 days upon opening to prevent infection. On 07/24/2024 at 10:30am, V2 (Director of Nursing) stated the saline solution used for irrigating the bladder should be discarded after use to reduce 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.
- Potential for harm · Dcited before2024-07-25 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to perform hand hygiene in between assisting one resident (R49) during dining service and failed to don Personal Protective Equipment (PPE) when performing care on one resident (R50) on Enhanced Barrier Precautions (EBP) isolation in an effort to prevent the spread of infectious microorganisms. These failures affected two residents (R49 and R50) in the sample of forty-five residents reviewed and have the potential to affect all thirty residents residing on the third floor. Findings include: On 07/22/24 at 12:30 PM V12 Certified Nursing Assistant (CNA) observed in 3rd floor dining area wiping spilled liquid from table. V12 then observed grabbing 2 sandwiches while still holding wet paper towels from spill and proceeded down the hall. On 07/22/24 at 12:34 PM V12 stated Those sandwiches were for R49. I shouldn't have been holding the sandwiches for another resident while finishing cleaning up another resident's spill. On 07/24/24 at 12:33 PM V2…
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.
- Potential for harm · Ecited before2024-05-06 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review the facility failed to follow their policy and procedures to ensure signage outside of the resident's room indicating Enhanced Barrier Precaution (EBP) was posted; failed to ensure PPE (Personal Protective Equipment) was made available and accessible outside of the resident's room or nearby and failed to ensure proper PPE were worn by staff when providing high contact resident care activities to 1 (R1) resident. These failures have the potential for cross contamination to 29 residents residing on the 2nd floor as of census 5/5/24. The findings include: R1's health record documented admission date on 2/14/24 with diagnoses not limited to Unspecified dementia, severe, with other behavioral disturbance, Adult failure to thrive, Encounter for attention to gastrostomy, Type 2 diabetes mellitus with diabetic chronic kidney disease, Unspecified severe protein-calorie malnutrition, Chronic combined systolic (congestive) and diastolic (congestive) heart failure, Hypertensive heart and chronic kidney disease with heart failure, Diaper…
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.
- Potential for harm · Dcited before2024-04-12 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 record reviews and interviews the facility failed to maintain assessment, monitor, and addressed in the plan of care resident lower leg and feet per policy on prevention and treatment of skin alteration. Facility also failed to consistently document as being performed physician order for antibiotic treatment on resident lower leg and feet for 1 resident (R1) out of 4 residents reviewed for nursing care. These failures affected 1 resident (R1) that was transferred to the hospital diagnosed with gangrene on the feet. Findings include: R1 was initially admitted on [DATE] with diagnosis of diabetes mellitus, venous insufficiency, peripheral vascular disease. R1's physician order for treatment of lower extremities (below the knee and feet): Bacitracin ointment antibiotic are as follows: - Dated 11/29/2022 until 2/28/2023 to apply on left foot once daily. - Dated 2/28/2023 - 7/13/2023 to apply on both feet (left and right) once daily. - Dated 7/13/2023 - 8/24/2024 to apply on both feet (left and right) twice…
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.
- Potential for harm · Dcited before2024-03-25 · tag F0609 — failed to report abuse allegations — isolatedTimely 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
Based on record review and interview the facility failed to provide a descriptive summary of an abuse allegation to IDPH (Illinois Department of Public Health) including names/titles of staff, substantiated/unsubstantiated outcome of investigation, termination or return of accused staff, and failed to ensure that staff report abuse allegations immediately to the abuse coordinator and/or designee for one of three residents (R3) reviewed for abuse, this failure has the potential to affect 84 residents. Findings Include: The (3/17/24) facility census includes 84 residents. On 3/7/24 at 3:12pm, IDPH received the Initial Incident/Accident Notification Report which states Date of Occurrence: 3/1/24. On 3/7/24, facility was informed by a former employee that (R2) informed her that a male staff member hit (R3) last Friday (6 days prior). [Names and/or titles of staff were excluded]. On 3/12/24 at 5:04pm, IDPH received the (3/1/24) Final Incident/Accident Notification Report which excludes outcome of the investigation (substantiated/unsubstantiated) and whether the accused staff member 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.
- Potential for harm · D2024-03-25 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview the facility failed to revise the comprehensive care plan with appropriate preventive interventions for one of three residents (R3) reviewed for falls. Findings include: The (08/2020) fall management program states the facility is committed to minimizing resident falls and/or injury to maximize each resident's physical, mental and psychosocial wellbeing. While prevention of all resident falls is not possible, it is the facility's policy to act in a proactive manner to identify and assess those residents at risk for falls, plan for preventive strategies and facilitate a safe environment. Procedure: Plan of care reviewed and updated at time of occurrence, quarterly and as needed in order to minimize risk for fall incidents. R3's (1/11/24) functional assessment affirms supervision or touching assistance is required for walking. R3's (11/10/22) care plan states resident is at risk for falls related to history of fall, use of psychotropic medications, poor safety awareness, unsteady gait, poor balance, incontinence, and diagnoses of epilepsy and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-20 · tag F0740 — failed to provide behavioral / mental-health care — isolatedEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
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 record reviews the facility failed to ensure a behavioral plan of care was put in place timely and failed to provide the necessary Psychiatric Services for one (R1) of three residents (R1, R2 and R3) reviewed for behaviors. Findings include: R1 is [AGE] years old with BIMS score of 7 which means that R1 has severe cognitive impairment. R1 was initially admitted on [DATE]. On 10/19/2023 at 11:23 AM, R1 was seen sitting on her wheelchair in the dining room. V5 (Certified Nursing Assistant) who was in the dining room stated that R1 has no problem with eating things that are not food. V5 said to her knowledge, it is R2 that eats things that are not food if it is in front of her. V4 (Certified Nursing Assistant) who stated that she was assigned to R1 and that R1 eats things that are not food when it is colored white like tissue. V3 (Registered Nurse) at the Nurse's Station stated that R1 eats her clothing by tearing it into pieces. R2 eats things that are not food if it is placed in front of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2023-06-09 · tag F0727 — failed to provide required RN coverage — widespreadHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide the services of a registered nurse at least 8 hours a day, seven days a week. This failure affected all 78 residents residing in the facility reviewed for lack of staff. Findings include: On 06/07/2023 at 2:43pm, V15 (Assistant Administrator/Staffing Coordinator) stated If there is a call off then we try to get coverage and call other staff members, we do not use agency to staff. Since I've been doing the schedule, there has always been a Registered Nurse/RN in the building. V1 (Administrator) told me that there needs to be an RN in the building at all times because an RN has a broader knowledge of health care and has undergone more training than an LPN (Licensed Practical Nurse). RN's can provide more care because they have a greater skill set than an LPN. An RN is in the facility to supervise an LPN. Facility RN time sheets and payroll-based journal (PBJ) reviewed for the past 9 months and documents that there was not an RN who worked in the facility on the following dates: 10/01/2022, 10/02/2022, 10/29/2022,…
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.
- Potential for harm · Ecited before2023-06-09 · tag F0558 — failed to accommodate residents' needs and preferences — patternReasonably 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 call lights were placed within reach at all times for 4 residents (R14, R46, R62, R227) and failed to ensure 1 resident (R69) had a call light. Findings include: On 6/6/23 at 11:05 AM, in R227 and R69 room, observed R227 bed to have a red string coming from the call light switch clipped to the left side, head of bed. R227 was seated in a wheelchair on the right side at the foot of the bed unable to reach the string. Surveyor did not observe a second string coming from the call light switch to R69 bed. R69 was lying in bed. On 6/6/23 at 11:07 AM, R227 said I don't have a call light. No one gave me a call light. I'm paralyzed on the right side. R227 demonstrated limited mobility in the left leg and left arm and hand. R227 said R227 had been in the facility since Friday. On 6/6/23 at 11:13 AM, R69 said There is no call light for this bed. I have to scream if I need help. On the other side of the curtain there is a string, but I can't reach it. Someone would have to give it to me. On 6/6/23 at 1:00 PM,…
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.
- Potential for harm · Ecited before2023-06-09 · tag F0761 — failed to label and store drugs safely — patternEnsure 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 observations, interviews and records review, the facility failed to safely secure controlled medications. This deficiency has the potential to affect four residents (R22, R15, R14, R54) residents residing on the first floor. Findings include: On 06/06/23 10:08am, first floor medication cart and storage room were inspected with V11(Licensed Practical Nurse). In the cart's narcotic storage box was R22's bingo card with medication tramadol 50 mg tablets. Medication 27's security seal on the bingo card was broken, and the medication was taped back on the bingo card with a brown bandage. V11 said I did not open the medication. I don't know who opened and taped it back. Once medication is opened, it is supposed to be discarded if not used. On the first-floor medication storage room was a medication fridge which was observed to have no lock. Inside the fridge was a medication box that was not locked. V11 said this fridge is never locked, and the narcotic box does not have a key to lock it, therefore we leave it open. Inside the narcotic box was observed: R15's medication-Lorazepam…
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.
- Potential for harm · Ecited before2023-06-09 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and records review, the facility failed to follow the infection control process by failing to clean/sanitize a multi-resident use pill crusher during medication administration to one resident (R54). This failure has the potential to affect twenty-seven residents receiving medications on the third floor. Findings include: On 6/6/2023 at 12:39pm V7(Assistant Director of Nursing-ADON, Restorative, Licensed Practical Nurse-LPN) and V8 (LPN on Orientation) during medication administration observation were observed taking the multi-resident use pill crusher to R54's room to crush and administer medication carbidopa- levodopa 25-100 mg. The pill crusher has multiple plastic pill crusher sleeves stored on the side in an open compartment within the pill crusher. Once in R54's room, V7 instructed V8 to crush the medication and then give it to R54. R54 took his medication and V7 and V8 left R54's room with the pill crusher and set on top of the medication cart. Surveyor observed V7 and V8, and none of them cleaned the pill crusher after coming out of R54's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-06-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interview and record review, the facility failed to follow their policy to follow the resident's plan of care in order to minimize the risks for fall incidents and/or injuries to the resident for 1 (R46) out of 6 residents reviewed for falls in a sample 18. Findings include: On 06/06/2023 at 11:00 AM, surveyor observed R46 laying on her bed. R46's bed is in high position. Call light was laying on the floor. R46 stated, that she cannot walk and that she cannot reach the call light. On 06/06/2023 at 12:37 PM surveyor observed V4 (Certified Nursing Assistant) feeding R46's roommate in R46's room. On 06/06/2023 at 01:05 PM, surveyor again observed R46 laying in her bed, still in high position. Surveyor did not observe any CNA or nurse in the room changing the resident. Surveyor asked V3 (Registered Nurse) to come with him to R46's room. At the room, surveyor asked V3 if R46's bed is high position. V3 stated yes and then went in and lowered the bed. V3 stated R46 is a high fall risk, and the bed should have been in low position. On 06/07/2023 at 11:00 AM, V7…
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.
- Potential for harm · E2022-05-05 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — patternProvide 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 Based on observation, interview and record review, the facility failed to ensure that the Low Air Loss (LAL) mattresses were not layered with multiple layers of linens for two residents (R34 and R80) and failed to provide wheelchair pressure reduction cushions for four residents (R4, R24, R28, and R62), reviewed for pressure ulcer prevention in the sample of 45 residents. Findings include: On 05/02/22 at 10:18 am, Surveyor toured the facility's second-floor unit. At 10:21 am, R24 was observed sitting in a wheelchair outside of R24's room without a wheelchair pressure relieving cushion in place. At 10:44 am, R28 was observed sitting in a wheelchair inside of R28's room without a wheelchair pressure relieving cushion in place. At 10:46 am, R4 was observed sitting in a wheelchair inside of R4's room without a wheelchair pressure relieving cushion in place. On 5/02/22 at 10:47 am, R62 was observed sitting in a wheelchair inside of R62's room without a wheelchair pressure relieving cushion in place. On 05/04/22 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.
- Potential for harm · E2022-05-05 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure that two nurses document together on the shift-to-shift controlled substances count sheet which has the potential to affect 49 residents on the first and third floors of the facility. Findings include: On 5/2/22 at 2:46 pm, V8 (Licensed Practical Nurse, LPN) and this surveyor performed a controlled substances audit of the first floor's medication cart. V8 unlocked the medication cart and then unlocked the controlled substance box within the cart. After the audit was completed, this surveyor reviewed the red binder containing the controlled substance shift count sheets for May 2022 which documented V8's initials pre-signed as the off-duty nurse for 5/2/22 for the second shift (3:00 pm to 11:00 pm). When V8 was asked when the controlled substance shift count is performed, V8 stated, It's done in the morning at 7:00 am, 3:00 pm and at night at 11:00 pm. V8 stated, I (V8) have to do it (controlled substance shift) with my reliever nurse. Two nurses, and we will check the medications together. We do this…
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.
- Potential for harm · D2022-05-05 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to ensure the indwelling catheter drainage bag was covered. This failure affected 1 (R46) resident reviewed for privacy and dignity in the sample of 45 residents. Findings include: On 05/02/2022 at 10:22am, R46's indwelling catheter drainage bag had no cover. On 05/02/2022 at 10:23am, surveyor inquired about the indwelling catheter drainage bag. V3 (Resident Care Coordinator) stated, It is not in privacy bag. It should be in a privacy bag for dignity. On 05/04/2022 at 11:36am, surveyor inquired about covering for indwelling catheter drainage bag. V2 (Director of Nursing) and V9 (Nursing Consultant) stated, The indwelling catheter drainage bag should be in a privacy bag for dignity. We don't have a policy specific for privacy bag for indwelling catheter drainage bag. R46's (Printed: 05/03/2022) Order summary Report documented, in part Diagnoses: Encounter for fitting and adjustment of urinary device . benign prostatic hyperplasia with lower urinary tract symptoms. Order Summary: CATHETER: MAY CHANGE CATHETER BAG…
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.
- Potential for harm · D2022-05-05 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living 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 observation, interview and record review, the facility failed to maintain a homelike environment by changing soiled mattress linens and by cleaning dirt around a window in a resident's room which affected R34 and R73 in the sample of 45 residents reviewed for environment. Findings include: R73's Minimum Data Set (MDS), dated [DATE], Section C, documents, in part, a Brief Interview of Mental Status (BIMS) score of 4 which indicates that R73 has severe cognitive impairment. On 5/2/22 at 10:48 am, during the initial tour, this surveyor entered R73's room and observed R73's fitted mattress sheet with large, dark brown bowel movement stains, which appeared old, noted in the center on R73's bed sheet. R73 was sitting next to the bed in a wheelchair and reaching for papers on top of soiled mattress sheet. On 5/2/22 at 12:40 pm, V7 delivered R73's lunch meal tray into R73's room. On 5/2/22 at 12:41 pm, this surveyor entered R73's room and observed the same bowel movement stains on R73's fitted mattress sheet.…
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.
- Potential for harm · Dcited before2022-05-05 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 smoking risk assessment quarterly for a smoking resident which affected one (R64) resident reviewed for smoking in the sample of 45 residents. Findings include: Facility undated document, titled (Facility) Smoking Hours, Areas, Residents, documents, in part, Residents Who Smoke: . (R64). On 5/3/22 at 9:29 am, this surveyor requested from V1 (Administrator), V2 (Director of Nursing, DON) and V9 (Nurse Consultant) for R64's last three smoking risk assessments. R64's most current smoking risk assessment was dated 7/12/21. On 5/4/22 at 11:52 am, V23 (Social Services Director) stated that V23 is assigned to the residents on R64's floor in the facility. V23 stated that V23 performs MDS assessments for social services assessments which are done on admission, quarterly and annually. When asked who is responsible for performing the smoking risk assessment for residents, and V23 stated, Nursing. On 5/4/22 at 12:47 pm, V9 (Nurse Consultant) stated that…
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.
- Potential for harm · Dcited before2022-05-05 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide 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
Based on observation, interview and record review, the facility failed to ensure the indwelling catheter drainage bag is not touching the floor in an effort to prevent the spread of infectious microorganisms. This failure affected 1 (R46) resident reviewed for infection control in the sample of 45 residents. Findings include: On 05/02/2022 at 10:22am, R46's indwelling catheter drainage bag has no cover and was touching the floor. On 05/02/2022 at 10:23am, surveyor inquired about the indwelling catheter drainage bag. V3 (Resident Care Coordinator) stated, It's touching the floor. It should not be touching the floor; it is an infection control issue. On 05/04/2022 at 12:06pm, surveyor inquired if indwelling catheter drainage bag should be touching the floor. V2 (Director of Nursing) stated, The bag should not be touching the floor. It is an infection control issue. R46's (Printed: 05/03/2022) Order summary Report documented, in part Diagnoses: Encounter for fitting and adjustment of urinary device . benign prostatic hyperplasia with lower urinary tract symptoms. Order Summary:…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$8,512 in federal fines across 1 penalty. 1 Medicare payment denial on record.
- $8,512 — penalty dated 2024-03-25
- Medicare payment denial — starting 2024-04-23 for 14 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 THE ALDEN NETWORK — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 2.9 | +0.1 vs chain |
| Health inspection | 3 of 5 | 3.0 | ≈ chain avg |
| Staffing | 2 of 5 | 2.1 | -0.1 vs chain |
| Quality measures | 2 of 5 | 3.6 | -1.6 vs chain |
The other 26 homes this chain runs (chain average 2.9★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| THE ALDEN GROUP, LTD. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 02/13/2008 |
| AUDRA ELISCO GRANTOR TR DATED 11/02/2004 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 03/01/2018 |
| LAUREN MAGNUSSON GRANTOR TR DATED 11/02/2004 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/28/2018 |
| RANDI SCHULLO GRANTOR TR DATED 11/02/2004 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/28/2018 |
| ELISCO, ARIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/01/2013 |
| ELISCO, CHARLES | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/01/2013 |
| MAGNUSSON, GARRETT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/01/2013 |
| MAGNUSSON, PAIGE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/01/2013 |
| SCHULLO, JOSEPH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/01/2013 |
| SCHULLO, NICOLE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/01/2013 |
| SCHULLO, RANDI | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER | NO PERCENTAGE PROVIDED | since 02/16/2010 |
| MIDCAP FUNDING IV TRUST | Organization | 5% OR GREATER SECURITY INTEREST | — | since 07/01/2010 |
| SALEH, MARY | Individual | W-2 MANAGING EMPLOYEE | — | since 06/30/2014 |
| CARL, JOAN | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 02/09/1995 |
| SCHLOSSBERG, FLOYD | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 02/09/1995 |
| ALDEN MANAGEMENT SERVICES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 02/09/1995 |
| MARASA, MARGO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 09/12/2011 |
| MOLITOR, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 06/16/2008 |
CMS files one row per role, so the 21 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.
6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 18% 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. 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Illinois Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 145126. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-07-25, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.