Norwood Crossing

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

51.8% 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 219 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 47.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 116 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 0.36 therapist hours per resident per day in 2026Q1 — more than 62% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 131 beds and averages 108.3 residents a day — about 83% occupied, or roughly 23 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.16 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.40 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.51 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.91 hrs/resident/day on weekends vs 4.26 on weekdays — 8% thinner on weekends. RN hours go from 1.50 to 1.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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.

34 citations, most serious first. The 14 most serious are shown; the remaining 20 are one tap away and print in full.

• Actual harm · Gcited before2026-04-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to supervise one resident (R1) who was a high risk for falls. This failure resulted in R1 falling to the floor and sustaining a broken clavicle. This failure affected one of three residents reviewed for falls.Findings include:R1's diagnoses include but are not limited to epilepsy, muscle weakness, difficulty walking, lack of coordination, muscle wasting and atrophy, dementia.R1's Minimum Data Set (MDS) dated [DATE] has a Brief Interview for Mental Status (BIMS) score of 11, indicating R1's cognition is moderately impaired. R1's progress note dated 02/25/26 at 5:39pm documents in part, Late Entry: Root cause: Poor safety awareness.R1's rehab progress note dated 02/20/26 documents in part, Chief complaint: mobility and ADL (Activities of Daily Living) dysfunction. Picking up object = partial/moderate assistance.R1's progress note dated 02/25/26 at 11:47pm documents in part, Resident noted laying on the floor, on her back in front of the nurse station. Upon…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-01-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to provide adequate supervision for one resident [R5] who is a high fall risk out of three residents reviewed for falls. This failure resulted in R5 experiencing an unwitnessed fall and sustaining an acute nondisplaced fracture of the L5 superior endplate with extension to the left L5 transverse process (Lumbar Fracture). Findings Include, R5 clinical record indicate in part; R5 is a sixty-nine year old with the Medical diagnosis includes but not limited to malignant neoplasm of right main bronchus, secondary malignant neoplasm of brain, severe protein calorie malnutrition, atrial fibrillation, osseous and subluxation, major depressive disorder, wedge compression fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing, muscle weakness, difficulty in walking, need for assistance with personal care, malignant neoplasm of unspecified part of unspecified bronchus or lung , adult failure to thrive, and presence of left artificial hip joint. R5's minimum data set section [C] dated 11/27/24…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-06-14 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to obtain monthly weights and recognize, evaluate, and address weight loss for three (R17, R66, and R61) residents out of a total sample of 22 residents. This failure resulted in R17 having a 15.7 percent decrease in weight in six months between 12/4/2023 (121 pounds) and 6/4/2024 (102 pounds). Findings include: 1. On 6/11/2024 at 10:48 AM and at 1:26 PM, R17 was observed sleeping in bed with an intravenous (IV) in the left hand and 0.9 percent Dextrose with Sodium Chloride running at a rate of eighty milliliters per hour. On 06/11/24 at 2:47 PM V9 (Registered Nurse) stated that R17 felt weak, threw up and had diarrhea the morning of 6/11/2024. R17's blood pressure was also low. V9 called the doctor who ordered intravenous (IV) fluid. R17 was interviewed and stated that she was dizzy the morning of 6/11/2024. R17 stated I don't like the food here. R17 stated that she felt better after receiving the IV fluid and resting. On 06/11/24 at 03:17 PM R17'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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-08-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews the facility failed to provide adequate supervision and failed to follow their fall policy by failing to develop and implement indivualized fall prevention interventions for one of three residents (R1) reviewed for falls on the sample list of three. This failure resulted in R1 sustaining a closed displaced fracture of the left femoral neck requiring surgical intervention. Findings Include: R1's clinical record documents: R1's medical diagnosis of displaced intertrochanteric fracture of left femur, Alzheimer's disease, dementia with behavior disturbances, anxiety, essential hypertension, unsteadiness on feet, reduced mobility, need for assistance with personal care, and history of falling. R1's minimum data set [MDS] assessment Brief Interview Mental Status score= 99, which indicates R1 is severely cognitively impaired. R1's MDS section G documents R1 is total dependence for self-performance. Surface to surface transfer R1 is not steady, only able to stabilize with staff…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-02 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and records reviewed the facility failed to ensure one resident (R1) remained free from verbal and physical sexual abuse from a resident (R2) who had a history of inappropriate sexual behavior with another resident (R3) prior. This failure affected three of three residents reviewed for abuse on the sample list of five. Findings include: On 1/14/26 the facility reported an incident involving R1 and R2 on 1/14/26. R1 reported to staff he was in bed when R2 approached him, made inappropriate verbal comments and placed his (R2's) hand over R1's upper leg. R1 said he told R2 he did not want to engage in this type of interaction.R1 is [AGE] year old male with diagnosis, including but not limited to Difficulty Walking, Muscle Atrophy, Weakness, Need for Assistance with Personal Care, Blindness, Symptoms and Signs Involving Cognitive Functions and Awareness, and Major Depressive Disorder.R2 was [AGE] year old male with diagnosis (prior to incident), including but not limited to Peripheral Autonomic…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-02 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and records reviewed the facility failed to report an allegation of abuse to the state agency. This failure affects two of three residents (R2/R3) reviewed for abuse in the sample of five. Findings include: R2's progress notes dated 12/5/25 written by V2 states writer notified residents attempted to touch another male inappropriately while both in the common area. Staff observed resident reaching towards other male resident leg and groin area. Staff noticed due to resident's distress and intervened. R2 proceeded to attempt multiple times after that. Writer notified administrator, POA, physician, and supervisor.On 5/1/26 at 1:08PM R3 observed in the dining room, in a wheelchair, has assistive devices for support of right leg and upper right body. Interviewed R3 in his room. R3 answers yeah, smiles, gives audible laughter for most responses can give thumbs up, shakes head left to right to say no. Noted facial expressions change depending on question. R3 says yes and visibly smiles when…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-02 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and records reviewed the facility failed to investigate an allegation of abuse for one resident (R3). This failure affects two of three residents (R2/R3) reviewed for abuse on the sample list of five. Findings include: R2's progress notes dated 12/5/25 written by V2 states writer notified residents attempted to touch another male inappropriately while both in the common area. Staff observed resident reaching towards other male resident leg and groin area. Staff noticed due to resident's distress and intervened. R2 proceeded to attempt multiple times after that. Writer notified administrator, POA, physician, and supervisor.On 5/1/26 at 1:08PM R3 observed in the dining room, in a wheelchair, has assistive devices for support of right leg and upper right body. Interviewed R3 in his room. R3 answers yeah, smiles, gives audible laughter for most responses can give thumbs up, shakes head left to right to say no. Noted facial expressions change depending on question. R3 says yes and visibly smiles…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-02 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to have an effective pest control program by having gnats flying around residents room and kitchen area. This failure has the potential to affect all 107 of the residents in the facility. Finding includes:On 03/30/2026 at 9:05 am, the other surveyor at facility stated she observed gnats in the hallway flying around upon her entrance to the facility, surveyor had to swat the gnats away to avoid the gnat from touching her face.On 03/30/2026 at 10:22 AM, V3 (MDS coordinator) stated she has seen a few gnats in her office. V3 stated her office is on the second floor in the office building, I have only been working here for the last three weeks.On 03/30/2026 at 11:00 AM,V4 (Cook) stated he has seen gnats flying around in the kitchen everywhere, and I am not sure what will help with get rid of the gnats.On 03/30/2026 at 11:03 AM, V5(Cook ) stated he has worked here for a year now and previously observed gnats flying around daily we use to use…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to a.) provide adequate supervision and monitoring for fall risk residents and b.) follow their policy to ensure accident prevention measures were in place by not ensuring a dependable locking mechanism on a soiled utility room door. These failures affect R22, R34, R55, R60, R63, R67 and all residents residing on the second floor. Findings include: 1.On 07/22/2025 at 10:37AM, inside the solarium (identified as the fourth-floor dining room) R22, R34, R55, R60, R63, and R67 were observed sitting inside of the fourth-floor dining room unsupervised and unattended. R55, and R22 were sitting in wheelchairs. R34, R60, R63, and R67 were sitting in geriatric chairs. R63, R22, and R60 observed with seat pad alarms in their seats. On 07/22/2025 at 10:38AM, V7 (Registered Nurse/RN) walks inside of the dining room and administers medications to a resident and exits the dining room at 10:39AM leaving the residents unsupervised and unattended again. All six residents were unsupervised and unattended until 10:42AM, when two…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-25 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, facility failed to provide medication in compliance with standards of professional practice for five residents (R19, R32, R39, R58, R77) out of 7 residents reviewed for medication administration in a sample of 24 residents.Findings include: On 07/22/2025 at 10:11AM, V4 (registered nurse) during medication administration, V4 had 5 residents (R19, R32, R39, R58, R77) that did not receive their scheduled 9:00 AM medications. Per the standards of professional practice, scheduled medications may be administered one hour before or one hour after of the medication schedule and are considered late when given more then an hour past the scheduled time. On 07/24/2025 at 10:12 AM, V4 (registered nurse) stated, I have 5 residents remaining to administer medications to. Per the standards of practice, you have one hour before the scheduled time and an hour after the scheduled time to pass the medications. Anything after one hour past the scheduled medication time is considered…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-25 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to follow standards of practice by failing to label medications when opened; and (b) failing to label medications with an expiration date an (c) dispose of expired medical supplies. This failure affects residents receiving medications from the second and third floor medication cart. Finding Include: On [DATE] at 10:43 AM, during a certification and licensure survey, the surveyor audited the 2nd floor odd side Medication Cart with V26 (registered nurse). The surveyor found: a bottle of R17's Humalog insulin vial with an open date of [DATE] and no marked date when the medication expires; a bottle of Gas Relief (Simethicone) 100 chewable tablets with no marked date when the medication was opened and no marked date of when the medication expires; a bottle of Vitamin B-12 1000mcg (micrograms) 130 tablets with no marked date when the medication was opened and no marked date of when the medication expires; a bottle of Vitamin D 50mcg 100 tablets…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-25 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to practice infection control and prevention and ensure the appropriate personal protective equipment (PPE) was worn by staff caring for a resident on enhanced barrier precautions. This failure affects one (R6) reviewed for infection control on the sample of 24. Findings include: On 07/22/2025 at 1:20PM, surveyor located on the fourth floor of the facility and observes a sign posted on R6's door that reads in part Enhanced Barrier Precautions Everyone Must: clean their hands, including before entering and when leaving the room. Providers and Staff must also: wear gloves and gown for the following High-Contact Resident Care Activities. Dressing, Bathing/Showering, Transferring, Changing Linens, Providing Hygiene, changing briefs or assisting with toileting. Do not wear the same gown and gloves for the care of more than one person. On 07/22/2025 at 1:21PM, V14 (Certified Nursing Assistant/CNA) observed inside of R6's room providing incontinence care and changing R6's diaper. V14 is observed without a gown on 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-25 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure ADL (Activities of Daily Living) care was provided for dependent residents who required assistance with bladder and bowel incontinence for one of one resident (R56) reviewed for ADL care in the sample of 24. Findings include:R56's face sheet documents resident is an [AGE] year-old admitted to the facility with diagnoses including but not limited to: Acute Respiratory Failure with Hypoxia, Chronic Obstructive Pulmonary Disease, Need for Assistance with Personal Care, Lack of Coordination, and Muscle Weakness.R56's MDS (Minimum Data Set, 7.16.2025) documents a BIMS (Brief Interview for Mental Status) of 15 denoting R56 is cognitively intact. R56's MDS documents a functional status of 1 for toileting hygiene/toilet transfer denoting R56 is dependent-helper does ALL of the effort. Resident does not complete the activity. The assistance of 2 or more helpers is required for the resident to complete the activity.R56 's bowel and bladder…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide 1:1 feeding assistance in a timely manner for one (R2) resident out of seven residents in a total sample of 24. Findings include: On 07/23/2025 at 12:31 PM, R2 lying in bed, awake, head of the bed slightly elevated. R2 stated in Spanish si, yes, when asked if he wanted to eat. When asked in Spanish if he ate, R2 stated no. R2's meal contents on the food tray is untouched, uneaten, and was sitting at R2's overhead bedside table.On 07/23/2025 at 12:40 PM, V22 (Certified Nursing Assistant/orientee) sitting on a chair, touching screen on the wall. On 07/23/2025 at 12:43 PM, R2's food tray is still untouched, uneaten sitting at R2's overhead bedside table.On 07/23/2025 at 12:46 PM, V20 (Certified Nursing Assistant) walked into R2's room. V20 stated that she will be changing R2's incontinence brief at this time and after will provide feeding assistance to R2. V20 stated that V20 was feeding another resident prior to attending to R2. V20…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$40,474 in federal fines across 2 penalties. 2 Medicare payment denials on record.

• $12,628 — penalty dated 2025-01-26
• $27,846 — penalty dated 2024-06-14
• Medicare payment denial — starting 2026-04-28 for 52 days
• Medicare payment denial — starting 2025-02-18 for 9 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.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $1.4M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in IL