No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Selfhelp Home Of Chicago

908 West Argyle Street, Chicago, IL 60640 · Non profit - Corporation · 72 certified beds · (773) 271-0300 Medicare & Medicaid certified

Call the home — (773) 271-0300 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0604) — cited May 2023Resident-funds citation (F0565)1 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (24% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0565)
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • 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.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1039 W Winona St · (708) 635-9955 · Call to confirm hours
Pharmacy
1069 W Argyle St · (773) 728-1007 · Call to confirm hours
Grocery
1051 W Argyle St · (773) 334-1028 · Call to confirm hours
Park
Ainslie, Margate & Argyle Between Sheridan and Marine Dr · Typically dawn to dusk
Place of worship

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 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 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 5 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.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased2.5%13.4%15.4%better
Long-stay residents who lose too much weight4.4%6.3%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.9%0.9%better
Long-stay residents with a urinary tract infection3.8%1.5%2.0%worse
Long-stay residents with depressive symptoms3.2%54.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.0%3.1%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened24.7%14.3%16.1%worse
Long-stay residents on antianxiety or hypnotic medication21.6%18.3%18.9%worse
Long-stay residents given the seasonal flu vaccine91.1%91.8%95.3%typical
Long-stay residents with pressure ulcers5.2%4.8%4.7%typical
Long-stay residents with worsening bladder/bowel control8.0%20.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table27.0%21.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.5%2.2%1.4%better
Short-stay residents given the seasonal flu vaccine55.7%63.1%79.4%worse
Short-stay residents rehospitalized after admission17.5%26.1%22.6%better
Short-stay residents with an outpatient ER visit4.8%13.9%12.0%better
Long-stay hospitalizations per 1,000 resident days1.382.021.67better
Long-stay outpatient ER visits per 1,000 resident days0.652.221.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

69.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 270 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

69.8%U.S. median 51.5%
Got home and stayed home
10.9%U.S. median 10.7%
Went back to hospital
72.7%U.S. median 56.6%
Met the expected recovery
0.10U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy
0.04hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 72.7% 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 150 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 0.10 therapist hours per resident per day in 2026Q1 — more than 6% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF69.8%CMS range 63.5–76.151.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 8.1–14.110.7%Oct 2022–Sep 2024no 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 discharge72.7%56.6%Oct 2024–Sep 2025CMS 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 discharge54.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge61.3%50.0%Oct 2024–Sep 2025CMS 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 identified98.9%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 dischargenot 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 stay0.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.7%CMS range 5.1–11.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.821.02Oct 2022–Sep 2024CMS 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

1.51
RN hours/ resident / day
0.35
LPN hours/ resident / day
2.99
Aide hours/ resident / day
4.85
Total nurse hours/ resident / day
1.21
RN hoursweekends
24.4%
Total nursing turnover
9.5%
RN turnover

How full it usually is: this home is certified for 72 beds and averages 59.4 residents a day — about 82% occupied, or roughly 13 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 4.85 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.51 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.99 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 4.39 hrs/resident/day on weekends vs 5.03 on weekdays — 13% thinner on weekends. RN hours go from 1.63 to 1.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%.

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

Inspection trend

9
deficiencies at the latest standard inspection (2024-08-14)
9
at the previous standard inspection (2023-05-12)

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.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

  • Actual harm · Gcited before2023-09-06 · 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 follow their fall protocol, failed to provide adequate supervision, and failed to develop specific fall interventions for 1 (R1) of 3 residents reviewed for falls. These failures resulted in R1 sustaining a closed displaced fracture of left femoral neck, and surgical arthroplasty of particle hip. Findings inlude, R1's clinical record documents R1 is a [AGE] year-old with the medical diagnoses of fracture of part of neck of left femur subsequent encounter for closed fracture with routine healing, aftercare following joint replacement surgery, dementia, Parkinson's Disease, urinary incontinence, type II diabetes, major depression disorder, hypertensive heart disease, moderate protein calorie malnutrition, adult failure to thrive, and delirium. R1's Minimum Data Set (MDS) Brief Interview for Mental Status (BIMS) score, dated 4/3/23, of 10 indicates R1 is mildly cognitive impaired. MDS Section G (4/3/23) documents R1 needs extensive assist with toileting…

    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 · F2024-08-14 · tag F0732 — widespread
    Post nurse staffing information every day.
    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 post the daily nursing staffing. This failure has the potential to affect all 59 residents residing in the facility. Findings include: On 8/11/24 at 9:00 am, facility census of 59 residents. On 8/11/24 at 9:00 am, upon entrance to the facility, the facility's daily staff posting was not posted or observed in the lobby. On 8/12/24 at 9:45 am, no facility's daily staff posting or observed in the lobby. On 8/12/24 at 9:45 am, V24 (Receptionist) showed the surveyor the Nursing Department Daily Schedule for 8/12/24 and stated that the daily schedule is the only sheet we have. The daily schedule was behind the receptionist desk, not visible. On 8/13/24 at 11:56 am, V1(Administrator) stated. I (V1) told the DON (Director of Nursing) about the staffing posting and the DON said it was not specific on what they wanted on the posting. I do not know why we got away from doing it. I told the scheduler moving forward what the daily staff posting should look like. We had it posted, just not in the proper format. Surveyor…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-08-14 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure that a medication cart was kept locked. This failure has the potential to affect all 15 residents on the 6th floor unit. Findings include: On 08/11/24 facility presented a census of 15 residents on the 6th floor unit. On 08/11/24 at 9:56 am, Surveyor observed the 6th floor medication cart unlocked, unattended, with the third drawer of the medication cart slightly opened, medication cards exposed, and not in view of licensed nurse. Between 9:56 am and 10:01 am, no licensed nurse in view of medication cart. On 08/11/24 at 10:07 am, V4 (Registered Nurse, RN) returned to the 6th floor medication cart and Surveyor brought this observation to V4(RN). V4 stated It (referring to the 6th floor medication cart) should be locked to make sure no one touches it (referring to the 6th floor medication cart). When V4 was asked regarding the importance of ensuring the medication cart is locked when not in use or in visibility of the nurse, V4 stated, So that the medications are safe. If a patient (resident) gets 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-08-14 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure two residents (R33 and R56) intravenous site (IV) was labeled with a date; failed to ensure staff sanitize the medication tray after use for two residents (R18 and R29); failed to ensure the trash receptacle for residents on isolation was not outside the resident room and was not side by side with the PPE (Personal Protective Equipment) bin for one resident (R211); and failed to ensure a resident (R211) who was positive for COVID 19 maintain contact/droplet isolation precautions in efforts to prevent the spread of COVID 19; including failure to prevent a resident's (R212) exposure. These failures affected five residents (R18, R29, R33, R56, R212 and R211) and has the potential to affect all 15 residents on the 6th floor unit. Findings include: 1. On 08/11/24 facility presented a census of 15 residents on the 6th floor unit. On 08/11/24 at 10:10 am, R211 was observed sitting in a wheelchair, in R212's room, without wearing a…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-14 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure that a indwelling catheter drainage bag was covered in a privacy bag. This failure affected two residents (R4 and R33) reviewed for privacy and dignity in the sample of 34 residents. Findings include: 1. On 08/11/2024 at 10:34 am, R33 was observed in bed resting with R33's indwelling catheter hanging on the lower part of R33's bed, facing the entrance of the doorway, and without a drainage bag cover. On 08/11/2024 at 12:50 pm, surveyor inquired about the R33's indwelling catheter drainage bag with V3 (Registered Nurse, RN, Nursing Supervisor) and V3 stated, Indwelling catheters should be dated with a date of insertion and placed in a privacy bag. When V3 was asked regarding the importance of indwelling catheters being placed inside of a indwelling catheter privacy bag, V3 stated for infection prevention and for the dignity of the resident. R33's face sheet shows that R33 has a diagnosis which includes but not limited neuromuscular dysfunction of bladder, acute and chronic respiratory failure with…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-14 · 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 provide ADL (Activity of Daily Living) care for one dependent resident (R23) to maintain personal hygiene and dignity. This failure affected one resident (R23) out of a sample size of 34. Finding include: R23 has a diagnosis of but not limited to Multiple Sclerosis, Type 2 Diabetes Mellitus, Chronic Diastolic Heart Failure, Hypertensive Heart Disease with Heart Failure and Muscle Weakness. Progress noted dated 8/12/2024 at 3:51pm by V26 (Director of Social Services) documents R23 has a Brief Interview of Mental Status score of 06. On 8/11/2024 at 10:56am surveyor observed R23's fingernails on her right hand to have a black substance under the nails. Surveyor also observed R23 scratching her head several times while interviewing R23. On 8/11/2024 at 11:17am stated that her fingernails are dirty because she has not had her hair washed in at least a month and she has been scratching her head and scalp. R23 said, Of course I would like a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-14 · 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 ensure medications for one resident (R16) was administered to the resident at the scheduled time. This failure affected one resident (R16) and has the potential to affect all residents in the sample size of 34. Findings include: R16 has a diagnosis of but not limited to End Stage Renal Disease, Insomnia, Depression, Benign Prostatic Hyperplasia, Chronic Obstructive Pulmonary Disease, Pulmonary Hypertension and Acute on Chronic Diastolic Heart Failure. Minimum Data Set (MDS) dated [DATE] does not document a Brief Interview of Mental Status score. R16's Order Summary Report with active orders as of 8/12/2024 does not document an order for self-administration of medication or Bedside Medication Storage. R16's Care plan focus dated 12/13/2022 documents, in part, administer meds as ordered. On 8/11/2024 at 12:20pm surveyor observed 2 clear small medicine cups sitting on a small table on the side of the dresser in R16's room. There was 1 small…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-14 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure that the urinary drainage bag was hanging below the bladder. This failure affected one resident (R4) reviewed in a sample of 34. Findings include: R4's admission diagnoses of Obstructive and reflux uropathy, hydronephrosis with renal and urethral calculous obstruction, fall, benign prostatic hyperplasia of lower urinary tract and urine retention. On 8/11/24 at 10:47 am, R4's was sitting in a chair in the room. R4's indwelling catheter drainage bag was hanging on the bed frame above the level of the bladder. R4 Minimal Data Set documents in part, Section C. Brief Interview of Mental Status (BIMS) score of 14. R4 is cognitively intact. Section H. Appliances: A. Indwelling catheter Yes. R4s POS documents Catheter (Foley Catheter) size 16 FR (French) with balloon of 10 ml (Milliliter) for urinary retention. R4's Care plan documents in part, Focus: I have Indwelling Catheter due to Obstructive Uropathy. On 8/11/24 at 10:49 am, V11 RN (Registered Nurse) stated that the urinary bag should be below the groin…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to label and date oxygen equipment (oxygen tubing and nebulizer mask); and failed to properly contain oxygen equipment (nebulizer mask) per the facility policy. These failures affected one residents (R33) reviewed for oxygen equipment, in a total sample of 34 residents. Findings include: R33's face sheet shows that R33 has a diagnosis which includes but not limited neuromuscular dysfunction of bladder, acute and chronic respiratory failure with hypoxia, pressure ulcer of the sacral region stage 4, and Alzheimer's disease. R33's Brief Interview for Mental Status (BIMS) dated 07/30/24 does not document a BIMS score for R33 and indicates that R33 has memory problems. R33 was not able to answer questions asked by surveyor. 08/11/24 at 10:35 am, R33 was observed in bed resting with 3 liters (L) nasal canular (NC) of oxygen administering, R33's oxygen tubing undated, and R33's nebulizer mask undated and uncontained. On 08/11/24 at 12:49 pm, this observation was brought to the attention of V3 (Registered Nurse, RN,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-14 · tag F0813 — isolated
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a personal freezer has a temperature log and a personal refrigerator has no ice built up for 1 (R16) resident and failed to ensure the personal refrigerator has a temperature log for 1 (R46) resident. These failures affected 2 (R16 and R46) residents reviewed for personal food in the total sample of 34 residents. Findings include: 1. On 08/11/2024 at 10:50am, there was a small refrigerator inside R46's room. There was no temperature log on the front or sides of the refrigerator. R46 stated I (R46) have my (R46) ice cream inside the refrigerator. On 08/11/2024 at 10:54am, V6 (RN Nurse Supervisor) checked R46's personal refrigerator and stated there is one [NAME] chocolate ice cream cup and 4 Blue Ribbon cups inside the freezer. V6 also stated there are no expiration dates written on the cups. V6 checked R46's personal refrigerator for temperature log. V6 stated there is no temperature log for R46 personal refrigerator. On 08/11/2024…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-05-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure the kitchen was free of expired food products. This failure has the potential to affect 52 residents residing in the facility receiving food from the kitchen. Findings include: On 5/9/23, surveyor observed: Refrigerator #1: -Horseradish with beets; opened 3/7/23 -Lingonberries stirred with sugar; opened 3/28/23 -Nonfat yogurt; expiration date 4/25/23 -Cottage cheese; expiration date 5/7/23 Walk-in refrigerator (kitchen): -Feta cheese; opened 3/19/23; expiration date 1/3/23 -Light and Fit Nonfat yogurt; expiration 4/28/23 Dry storage containers/bins: -Polenta; prep date 11/10/22; use by date 1/11/23 -CousCous; prep date 3/3/23; use by date 3/30/23 Milk refrigerator (basement): -Lowfat yogurt; best by 4/14/23 On 5/10/23 at 1:21 PM, V34 (Dietary Supervisor) stated, There should be no expired food items in the kitchen. We do FIFO (first in first out) method, where we use the old item first. The team lead and person that gets deliveries and everyone in the kitchen is supposed to check the dates. When 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · F2023-05-12 · tag F0888 — widespread
    Ensure staff are vaccinated for COVID-19
    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 on ensuring and monitoring all HCP (Healthcare Personnel) Covid-19 vaccination status, and failed to ensure all HCP had complete documentation and records as to Covid-19 vaccination status. These failures have the potential to affect all 55 residents living in the facility. Findings include: On 05/09/2023 at 10:54 AM, V3 (Infection Prevention) submitted a document titled Covid-19 Staff Vaccination Status for Providers that listed 178 staff. V3 said it represents staff that are employees of facility. V3 was asked if the list includes contracted staff, agency staff, and providers. V3 said, Not all are included. Another request was made to V3 to provide list the names of contracted companies, how often services are provided that includes, all therapist, nurses, nursing assistants, hospice staff, medical doctors, and other HCP (healthcare personnel). V2 (Director of Nursing) asked, Only for this week? V2 was requested to include at least few months before or since last survey for contracted…

    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 · E2023-05-12 · tag F0565 — failed to support the resident council — pattern
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide residents with private space for resident council meetings, and failed to notify resident representative (Ombudsman) with resident council meeting date changes. These failures have the potential to affect all 55 residents living in the facility. Findings include: On 5/9/2023 at 10:10 AM, V28 (Ombudsman) said the facility sends her a calendar (schedule) for resident council meeting, then when she gets here, the meeting has been changed or already happened, and no one at the facility lets her know of the changes. On 5/11/2023 at 1:15 PM, V27(Activity Director), said she sets and she puts together residents who will attend resident council meetings for the residents, because that is what she was told to do, and the facility had to have resident council meetings. V27 said the residents who attend resident council meetings have dementia, and do not talk much during resident council meetings, and the meetings are not private because staff have to be present in all meetings to take/write the meeting minutes…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-05-12 · 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

    Based on observation, interview, and record review, the facility failed to properly secure controlled medications for 3(R261, R27, R36) residents reviewed in a sample of 15 residents. Findings include: On 5/9/2023 at 1:00 PM, surveyor with V4 (Registered Nurse-RN) while inspecting 7th floor medication room, observed medication refrigerator not locked, with padlock hanging on the side of the fridge lock handle. Inside the medication fridge was observed: Inside the fridge were observed R261 medications as follows: -Two full vials, plus half a vial of Morphine Sulphate (liquid), 30mL, 5mg/mL -One vial of Lorazepam 2mg/mL R261has medical diagnosis that include but not limited to: Severe Aortic Stenosis, polymyalgia rheumatica, sarcopenia, nondisplaced fracture of lateral malleolus of left fibula, initial encounter for closed fracture. R261's Physician orders dated 2/15/2023 document: - Morphine Sulfate (Concentrate) Oral Solution 20 MG/ML (Morphine Sulfate). Give 0.25 ml by mouth every 2 hours as needed for moderate pain (1-5) -Morphine Sulfate (Concentrate) Oral Solution 20 MG/ML…

    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 before2023-05-12 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to dispose/discard expired medications in one two medications carts/medication room/storage reviewed. This failure has the potential to affect 21 residents receiving medications from the 7th floor medication cart/storage room, in a sample of 55. Findings include: On 5/09/2023 at 12:34 PM, surveyor with V4(Registered Nurse-RN), while inspecting medication cart on 7th floor observed expired medications on the cart: 1. Insulin Lispro, labelled with R27's name, with opened by date of 3/27/2023, and another insulin Lispro vile opened, and with expiration date of 4/27/2023. V4 said, Once insulin is opened, it stays for 30 days, and then should be discarded. After 30 days, the opened insulin is no longer potent and should be discarded. Once the insulin is opened, the manufacture's expiration date is surpassed by the date the insulin was opened and should be discarded after 30 days. R27's medical diagnosis include but not limited to: type 2 diabetes mellitus with diabetic nephropathy, unspecified dementia, unspecified…

    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 · D2023-05-12 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    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 residents are free from physical restraints for 1 resident (R47) out 3 residents reviewed for restraints, in a sample of 15. Findings include: On 05/11/2023 at 10:45 AM, R47 was at the nurse's station, behind the desk. R47's wheelchair was pushed close to the desk, with her bilateral lower extremities underneath the desk, preventing her from being able to stand up. R47 was restless and trying to get up. There was no nurse or CNA (Certified Nursing Assistant) at the desk monitoring R47. R47 was placed behind the desk, with her wheelchair locked, and left by herself. On 05/11/2023 at 11:00 AM, V25 (Certified Nursing Assistant) stated, We place (R47) behind the desk because she is a high fall risk, so we put her behind the desk so that she doesn't get up. On 05/11/2023 at 11:17 AM, V24 (Registered Nurse) stated she is the nurse for R47. V24 stated they usually put R47 at the nurse's station because she tends to get up on her own. V24 stated R47 has had multiple falls and needs to have close observation…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, facility failed to follow their policy to use gait belts to transfer residents who require limited to extensive assistance with partial, toe-touch, or non-weight bearing restrictions for 1 (R47) resident out of 4 residents reviewed for falls in a sample of 15. Findings include: On 05/11/2023 at 10:45 AM, R47 was at the nurse's station behind the desk. R47's wheelchair was pushed close to the desk, with her bilateral lower extremities underneath the desk, preventing her from being able to stand up. R47 was restless and trying to get up. There was no nurse or CNA at the desk monitoring R47. On 05/11/2023 at 11:00 AM, V25 (Certified Nursing Assistant) transfered R47 from her wheelchair to her bed, without using a gait belt. V25 held R47 underneath her armpits and lifted R47 from her wheelchair and sat her down on her bed. On 05/11/2023 at 11:15 AM, V24 stated, (R47) is actually one person assist. Everyone is required a gait belt for transfer. We received an in-service about using weight belt. The CNA might have forgotten. The CNAs are…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-12 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to maintain accurate record of residents for 3 out of 15 residents (R111, R17, and R47) for a total sample of 15 residents reviewed for resident's record. Findings include: 1. On 05/09/2023 at 12:25 PM, V3 (Infection Preventionist/IP) was asked about R111, and what the facility is doing to prevent spread of Lyme's disease. V3 said, (R111) had Lyme's disease diagnosis upon admission. (R111's) Lyme's disease is still active and is still being treated with antibiotics. Yes, there is a poster for enhanced barrier precautions near the door of (R111) for staff to use proper PPE including gown and gloves. Documents were requested from V3 (IP), including care plan. V3 presented R111's care plan that does not reflect the following documentation: Dated 05/01/2023 staff to wear gloves and gowns (Enhanced Barrier Precautions) during high-contact resident activities to reduce transmission of resistant organism. V3 was asked about the removal in the care plan of documentation related to wearing of PPE (personal protective…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-12 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow enhance barrier precautions procedure by not wearing proper PPE (personal protective equipment) for 1 resident (R111) that currently treated for Lyme's disease infection, and the facility failed to follow policy for hand hygiene during treatment of wound for 1 resident (R47), in a sample reviewed for Infection Control. Findings include: R111 is [AGE] years old, initially admitted on [DATE] with diagnosis of Lyme's Disease. R111 was unable to be interviewed. R111 has a BIMS (Brief Interview for Mental Status) of 2, indicating R111 is cognitively impaired. R111 has an order for antibiotic (Ceftriaxone) to inject intramuscularly for Lyme's disease until 05/22/2023. R111's care plan by V (Infection Preventionist) for Infection reads as follow: Dated 05/01/2023 staff to wear gloves and gowns (Enhanced Barrier Precautions) during high-contact resident activities to reduce transmission of resistant organism. Dated 05/02/2023 perform…

    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 · Dcited before2022-03-10 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure bottles of eye drops were dated when opened. This failure affected two residents (R21 and R30) of ten residents reviewed for medication storage, in a total sample of 35 residents. Findings include: On 3/7/22 between 11:10am and 11:20am during the observation of medication carts and medication rooms, on the eighth floor with V3 (RN/Registered Nurse), the following medications were observed opened with no open dates: R21's 2.5 ml (milliliters) bottle of Latanoprost Ophthalmic solution 0.005%(Percent). R30's 2.5 ml bottle of Latanoprost Ophthalmic solution 0.005%. V3 was asked if the eye drops should be opened without labeling them with the open dates; V3 stated Latanoprost should have an open date because it will expire after six weeks. On 3/8/22 at 1:15pm, V2 (Director of Nursing) stated V2 spoke with the Pharmacist, and the Pharmacist said it's good for 6 weeks at room temperature after opening. On 3/9/22 at 10:45am, V1 (Administrator) presented the storage guidelines for Xalatan (Latanoprost) revised…

    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 · D2022-03-10 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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 track the status of influenza and pneumococcal vaccinations and consents for three residents (R29, R37, and R40), in a sample of 7 residents. Findings include: 1. On 3/09/22 at 9:25 AM, R29's electronic immunization record had no influenza or pneumococcal vaccines documented. No consents for either vaccine were found in the electronic medical record. R29 was not listed on the influenza or pneumococcal immunization report provided to the surveyor by V10 (Infection Preventionist). R29 was admitted on [DATE]. 2. On 3/09/22 at 10:34 AM, V10 stated V10 is still working on obtaining the Influenza/Pneumococcal consents for the residents requested 3/08/2022. V10 stated R37 is from the assisted living portion of the facility, and V10 will have to obtain the consents from them. R37 is currently in the short-term rehab. On 3/09/22 at 11:53 AM, R37's electronic immunization record had no influenza or pneumococcal vaccines documented. No consents for…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
ALTKORN, DIANEIndividualCORPORATE DIRECTORsince 09/11/2024
BENSINGER, EYTANIndividualCORPORATE DIRECTORsince 05/01/2016
BIERIG, JACKIndividualCORPORATE DIRECTORsince 10/01/1988
EGGENER, RICHARDIndividualCORPORATE DIRECTORsince 09/01/2020
GIMPEL, JAMESIndividualCORPORATE DIRECTORsince 05/01/2020
HARTMANN, NATHANIELIndividualCORPORATE DIRECTORsince 09/01/2018
HIRSCH, AUSTINIndividualCORPORATE DIRECTORsince 01/01/1990
HORK, MARCIndividualCORPORATE DIRECTORsince 08/01/2017
JUSS, RAPHAELIndividualCORPORATE DIRECTORsince 09/01/2004
KANE, NICOLEIndividualCORPORATE DIRECTORsince 09/11/2024
KOHN, ARTHURIndividualCORPORATE DIRECTORsince 04/01/2020
LICHTENFELD, SAMUELIndividualCORPORATE DIRECTORsince 09/11/2024
NECHTOW, STEPHENIndividualCORPORATE DIRECTORsince 01/01/1998
PERLSTEIN, MICHAELIndividualCORPORATE DIRECTORsince 01/01/2010
REIZNER, ILENEIndividualCORPORATE DIRECTORsince 05/01/2020
RIES, MICHAELIndividualCORPORATE DIRECTORsince 01/01/2008
WOLF, DANIELIndividualCORPORATE DIRECTORsince 05/01/1995
WOLF, JERROLDIndividualCORPORATE DIRECTORsince 01/01/2017
WOLF, JUDITHIndividualCORPORATE DIRECTORsince 10/01/2000
DUBOVICK, CHAIMIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 08/30/2024
LEVY, STEVENIndividualCORPORATE OFFICER; ADP OF THE SNFsince 01/31/2019
BOSS, CARMENIndividualOPERATIONAL/MANAGERIAL CONTROLsince 09/27/1999
CAUINIAN, ANNE MARIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 07/09/2018
CHAVEZ, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/20/2019
EDWARDS, ERICAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/15/2021
ELKIN, LAURENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/03/2023
GAN, CARMELITAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/07/1996
LIGGETT, ANNAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/14/2025
METOVIC, SOFIAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 07/25/1989
SANCHEZ ARIAS, ELIZABETHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/08/2019
YEBOAH, ADWOAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/28/2012

CMS files one row per role, so the 35 rows in the source record cover these 31 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.

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.

$9.3M
Net patient revenuemost recent cost report
-17.2%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 5%Medicare 18%Other / private 77%

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

$547per resident / day
operating cost
$16,616per month
≈ monthly operating cost
$466per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Illinois
$8,304/mo
Nursing home (semi-private)
$9,216/mo
Nursing home (private)
$6,219/mo
Assisted living

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 146009. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-08-14, 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.

What to do next