Rivaya Care Of Des Plaines

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.

28.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 69 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 36.8% 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 38 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 40% 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 231 beds and averages 106.1 residents a day — about 46% occupied, or roughly 125 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.34 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.86 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.81 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.86 hrs/resident/day on weekends vs 3.54 on weekdays — 19% thinner on weekends. RN hours go from 0.99 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%. 1 administrator has left in the past year.

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.

48 citations, most serious first. The 22 most serious are shown; the remaining 26 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-02-23 · 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 record review, the facility failed to protect the resident's right to be free from sexual abuse by staff. This failure applied to one of one (R1) resident reviewed for sexual abuse and resulted in R1 being sexually abused by a facility CNA (Certified Nurse Aide). The Immediate Jeopardy began on 2/4/24 when R1 was sexually abused by a male facility CNA. V1 (Administrator) and V4 (Regional Director of Operations) were notified of the Immediate Jeopardy on 2/20/24 at 2:20PM. The surveyor confirmed by interview and record review, that the Immediate Jeopardy was removed on 2/21/24, but noncompliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-service training. Findings include: R1 is a [AGE] year old female, initially admitted to the facility on [DATE] with medical history that includes: anoxic brain damage, acute and chronic respiratory failure with hypoxia, acute and chronic respiratory failure with hypercapnia, history of…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-02-23 · 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 record review, the facility failed to have a system in place to prevent residents from potential abuse by staff after an allegation of staff to resident sexual abuse was made and while allegation was still pending investigation by law enforcement. This failure applied to one of one (R1) resident reviewed for sexual abuse investigation and has the potential to affect the 146 residents currently in the facility. The Immediate Jeopardy began on 2/14/24 when V5 (CNA) was allowed to return to work with no mitigating interventions put in place to protect residents from further abuse after V5 was identified as being a potential aggressor in an allegation of sexual abuse that is still under investigation with local law enforcement authorities. V1 (Administrator) and V4 (Regional Director of Operations) were notified of the Immediate Jeopardy on 2/20/24 at 2:20PM. The surveyor confirmed by interview and record review, that the Immediate Jeopardy was removed on 2/21/24, but noncompliance remains at…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-10-18 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure one resident's airway (R18) was free of any obstruction and failed to perform effective bag-valve to tracheostomy resuscitation during a code blue. This failure resulted in R18's airway being obstructed with suction catheter tubing in her tracheostomy preventing adequate oxygenation for at least 7 minutes until Emergency services arrived when it was removed. This affected one of three residents reviewed for death. The Immediate Jeopardy began on [DATE] when R18 was not provided effective bag-valve-mask tracheostomy resuscitation. V1 (administrator) and V2 (director of nursing) were notified of the Immediate Jeopardy on [DATE] at 10:53AM. The surveyor confirmed by record review and interview that the Immediate Jeopardy was removed on [DATE], but noncompliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the interventions implemented. Findings include: R18 was admitted to the facility…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2023-10-18 · 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 interviews and record reviews, the facility failed to notify the physician of an acute change in condition on [DATE] and failed to immediately activate 911 for an acute change in condition. R7 was exhibiting lethargy, blue discoloration to fingertips, slow speech, glazed eyes, and a critically low sodium level. This affected one of three resident (R7) reviewed for change of condition, and emergency management response. This failure resulted in R7 being left unmonitored with a declining clinical status for over 14 minutes. R7 was found unresponsive without pulse/respiration by the local EMS team who initiated lifesaving interventions to include CPR. However, R7 expired. The immediate jeopardy began on [DATE] when R7 experienced an acute change in condition and the facility failed to monitor and failed to immediately activate 911. V1(administrator) and V2 (director of nursing) were notified of the Immediate Jeopardy on [DATE] at 2:44pm. The surveyor confirmed by record review and interview the Immediate…

  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 before2025-09-29 · 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 follow fall policy related to prevention of falls and implementation of resident-centered fall interventions on a resident with cognitive impairment. This failure affected one (R1) of five residents reviewed for accidents and supervision and resulted in R1 falling while walking without staff assistance and sustaining a right intertrochanteric hip fracture with associated intramuscular hemorrhage.Findings include:R1 is a [AGE] year-old, male, originally admitted in the facility on 08/20/25 with diagnoses of End Stage Renal Disease; Unsteadiness on Feet; Other Abnormalities of Gait and Mobility; Atherosclerotic Heart Disease of Native Coronary Artery without Angina Pectoris.According to R1's census report, R1 was admitted in the facility on 08/20/25 and was discharged on 08/22/25. On 09/10/25, he came back in the facility and was considered new admission.MDS (Minimum Data Set) dated 09/19/25 documented R1 has memory problem and his cognitive skills 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-09-26 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to monitor and prevent a high risk cognitively impaired resident from sustaining a preventable fall, failed to provide fall preventative devices, failed to develop/implement a plan of care for residents at high risk for falls, and failed to educate staff on identifying and protecting residents from accidental falls. This failure affects 1 (R57) of 1 residents reviewed for falls in the sample of 28. R57 was admitted to the hospital with a left comminuted (multiple bone breaks) femur fracture with surgical intervention as a result of this failure. Findings include: R57 is a cognitively impaired resident with diagnoses including but not limited to End Stage Renal Disease, Major Depressive Disorder, Dependence on Renal Dialysis, Other Abnormalities of Gait and Mobility, Lack of Coordination, Long Term (Current) Use of Anticoagulants, Reduced Mobility, and Weakness. R57's MDS Minimum Data Set (Comprehensive Assessment) dated 05/24/24 documents 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
• Actual harm · G2024-09-26 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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 recognize, evaluate and manage pain for a 1 (R57) resident with severe cognitive impairment of 3 residents reviewed for pain management in the sample of 28 residents. This failure affected R57 receiving inadequate pain medication after an unwitnessed fall, and failure to thoroughly assess and monitor for further pain for over 48 hours until being emergently sent to the hospital for treatment of a femur fracture requiring surgical intervention. Findings include: R57 is a cognitively impaired resident with diagnoses including but not limited to End Stage Renal Disease, Major Depressive Disorder, Dependence on Renal Dialysis, Other Abnormalities of Gait and Mobility, Lack of Coordination, Long Term (Current) Use of Anticoagulants, Reduced Mobility, and Weakness On 09/25/24 at 02:25 PM, Surveyor inquired with V1 Administrator about R57's fall incident and report to IDPH Illinois Department of Public Health. V1 said, R57 fell during the daytime, and she complained of pain. X-ray was ordered, technician came the next…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-08-01 · 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 observations, interviews, and record reviews, the facility failed to medically manage a brittle Type 1 diabetic by failing to follow physician orders in administering insulin orders and obtaining blood glucose levels; failed to administer anti-seizure medications for a resident with a history of seizure disorders; and failed to have a care plan in place for a resident with history of seizure disorders. This failure applies to 1 resident R1 of 3 residents reviewed for quality of care and resulted in the emergent transfer to the ER (emergency room) to receive immediate critical care for treatment and prevention of imminent life-threatening deterioration of dehydration, endocrine crisis, and metabolic crisis. Findings include: R1 is [AGE] years old admitted to the facility on [DATE] with diagnoses include but are not limited to Toxic Encephalopathy, Type 1 Diabetes Mellitus, Seizures, Chronic Respiratory Failure with Hypoxia, Tracheostomy, End Stage Renal Disease, Dependence on Renal Dialysis. On 07/30/24…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-11-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record reviews, the facility failed to implement intervention in preventing the development and worsening of pressure ulcers on a resident with physical and cognitive impairment. This failure applied to one (R36) of three residents reviewed for skin breakdown and resulted in R36's intact skin developing an unstageable pressure ulcer on the right buttock and right ischium; and Stage 3 pressure ulcer on the left ischium worsened into Unstageable. Findings include: R36 is a [AGE] year-old, male, initially admitted in the facility on 12/31/21 with diagnoses of Acute and Chronic Respiratory Failure with Hypercapnia; Human Immunodeficiency Virus (HIV) Disease; Nontraumatic Intracerebral Hemorrhage, Unspecified; Metabolic Encephalopathy; Schizoaffective Disorder, Depressive Type; Anxiety Disorder, Unspecified; Contracture of Muscle, Right Upper Arm and Contracture of Muscle, Left Upper Arm. Per MDS (Minimum Data Set) dated 08/16/23, under Section C, R36 has long and short-term…

  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 before2023-11-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation interview and record review, the facility failed to provide an individualized program for supervision to prevent recurring falls for a resident and prevent a resident who is NPO from eating and drinking by mouth (R12), failed to ensure a proper system was in place for safe and secure transfers and failed to safely transport one resident (R124) while riding on the facility bus. This failure affected two residents (R12 and R124) of seven residents reviewed for accidents. R12 have had four falls since admission, was sent to the hospital after the last fall and returned to the facility with four staples to the right top forehead. R12 has been drinking his G-tube feeding, stealing, and eating food and is currently receiving antibiotic treatment for possible aspiration on food. R124 sustained two fractures to two of the right ribs during transfer. Findings include: 1. R12 is a [AGE] year-old male admitted to the facility on [DATE], with past medical history of acute respiratory failure 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-18 · 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 monitor/supervise a resident requiring assistance in the shower room and failed to ensure effective fall prevention interventions were in place to prevent fall incidents. This affected 2 of 4 residents (R19, R2) reviewed for falls and fall prevention. This failure resulted in R19 being in the shower room, unmonitored, experiencing an unwitnessed fall sustaining a cervical spine fracture requiring immediate surgery. This failure also resulted in R2 having four falls in three weeks. Findings include: On 10/6/23 at 12:24pm, V30 (Nurse) said she was passing medications and overheard R19 reporting to staff at the nursing station that R19 fell in the shower room and bumped her head. V30 was unable to identify staff by name (agency, female, African American) R19 was talking to at time. V30 said R19 said R19 hit her head. Physical assessment completed no visible injuries but when V30 touched the right side of R19's forehead, R19 had pain. R19 had left or…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-10-18 · tag F0777 — isolated
  Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to notify the physician of chest x-ray results for one resident (R7) out of three reviewed for diagnostic imaging. Findings include: On 9/26/23 at 3:30pm, V2 DON stated the outside diagnostic imaging company will fax results or upload results directly into this facility's computer system. V2 stated the nurse should communicate any pending x-ray results on the 24-hour shift report. V2 stated all the nurses should follow-up with pending results and notify the physician of the results when known. On 9/26/23 at 3:28pm, V46 (diagnostic imaging company representative) stated R7's chest x-ray result was faxed to this facility on 9/13/23 at 6:34pm. R7's chest x-ray results, dated 9/13/23, notes study limited by R7's suboptimal inspiration. Faint retrocardiac infiltrate could represent a small focus of pneumonitis. Correlate clinically. Follow-up chest radiographs recommended after medical management. Review of R7's POS (physician order sheet), dated 9/10/23, notes an order for a chest x-ray. There is no documentation found in R7'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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-17 · 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 implement fall preventive measures for R1 who require floor mats next to bedside for safety precautions. This deficiency affects one (R1) of three residents reviewed for Falls prevention program. Findings include:R1 is a [AGE] year-old, alert and orientated to person, place and time, with the following diagnosis in part but not limited to: Chronic obstructive pulmonary disease, atherosclerotic heart disease of native coronary artery without angina pectoris, chronic combined systolic congestive and diastolic congestive heart failure, unspecified asthma, insomnia, epilepsy, unspecified, Chron's disease, muscle wasting and atrophy.Facility incident reported dated 3/31/26 documents unwitnessed fall episode. Resident noted on floor lying in supine position bleeding from head, staff applied first aid to head. Upon assessment R1 remains alert and oriented x 3 (person, place and time), neuro-checks within normal range. Vital signs stable. Small laceration…

  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 · D2026-04-17 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to follow their Staffing Policy by not having the appropriate staff available to meet the needs of the residents resulting in a resident (R1) fall. This failure affected one (R1) of three residents reviewed staffing.Findings include:On 4/14/26 at 12:19PM, V9 (Certified Nurse Aide) said the facility was short staffed on 3/31/26 because the facility always has three certified nurse aides for the second floor and that day there were only two certified nurse aides on the floor. V9 said the nurse for R1 was not on the floor when fall occurred, returned after 911 paramedics arrived at facility. On 4/15/26 at 11:30AM, V2 (Director of Nursing) said due to last minute call off, they were short staff on 3/31/26 only had 2 certified nurse aids on the floor, but they were scheduled to have three certified nurse aids. On 4/15/26 at 1:25PM, V11 (Agency Nurse), said the nurse for R1 was not on the floor when fall occurred. V11 said that day on 3/31/26 the second floor only had two certified nurse aides and V11 was the nurse on the opposite…

  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 · D2026-04-17 · tag F0732 — isolated
  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 ensure facility's daily nurse staffing information form posted at the front desk. This failure has the potential to affect 102 residents receiving care in the facility. Findings include:On 4/15/26 at 1:00PM, V10 (Receptionist) said the daily staff post last updated on 2/17/26, and stated it should be updated daily, said the person responsible for updating but has not been here.On 4/15/26 at 1:17PM, V2 (Director of Nursing) said that daily staff posting hours should be posted daily by staffing coordinator. V2 made aware the last daily staff posting was on 2/17/26. On 4/15/26 at 2:00 PM, V1 (Administrator) said the facility schedules staff based on the minimum required hours allowed, and it should reflect on the facility posting for daily staffing numbers. V1 said the daily staff posting hours should be updated daily and posted in front area, said he is aware the daily staff posting has not been updated since 2/17/26. V1 said there has been miscommunication on who is to update it since change of staff position…

  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 · D2026-04-17 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to ensure medications were administered as ordered by the physician for one of three residents (R3) reviewed for medication administration. Findings include:On 4/14/2026 at 12:40pm V12 (Nurse) observed administering medication. The electronic medication administration record on 4/14/2026 at 09:00 for R3's medications were not signed as administered.On 4/14/2026 at 12:44pm V12 and this writer observed R3 09:00am medications were not signed. V12 said, I was running late this morning I did not have a chance to sign out (R3's) medications. I know I should sign as I administer.On 4/15/2026 at 10:00am V2 (Director of Nursing-DON) said, I expect the nurses to sign out all medications as they are administered.A resident information document indicates R3 is alert and oriented two to three with forgetfulness, bed bound and dependent on staff. A diagnosis of dysphagia, cerebral infarction, dementia, hypertension, major depressive disorder. An order summary report dated 4/15/2026 for cholecalciferol 1000 units two tabs daily,…

  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 · D2026-03-05 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews and record review the facility failed to implement medication self-administration policy affecting 1 of 3 (R1) residents reviewed for medication administration.Findings Include:On 3/5/2026 at 11:00AM during observation, two insulin pens (Lantus and Lispro) and Acetaminophen 325mg bottle were on top of R1's bedside table. Insulin pens and Acetaminophen bottle were not labeled. R1 said staff are aware of the medications at bedside. During the interview R1 said she's not able to self-administer insulin since she returned from hospitalization on 2/25/2026 because her hands are weak, but she was self-administering insulin and checking blood sugar before. R1 stated she's self-administering Acetaminophen/Tylenol now and facility is aware of it. On 3/5/2026 at 11:20 AM, V5 (Registered Nurse) said medications should not be left at bedside. If residents can self-administer, there should be an order and assessment. Orders reviewed with V5 and no order for self-administration for any medications was noted.On 3/5/2026 at 11:23 AM, V3 (Assistant Director of…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-05 · 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, interviews and record review the facility failed to ensure medications were safely stored, affecting 1 of 3 (R1) residents reviewed for medication storage.Findings Include:On 3/5/2026 at 11:00AM during observation, two insulin pens (Lantus and Lispro) and Acetaminophen 325mg were on top of the bedside table. Insulin pens and Acetaminophen bottle were not labeled. Insulin pens and bottles did not have an identification such as resident name, date opened and discard date. R1 said staff are aware of the medications at bedside.On 3/5/2026 at 11:20 AM, V5 (Registered Nurse) said medications should not be left at bedside. Medications should be labeled with name, date open and discard date.On 3/5/2026 at 11:23 AM, V3 (Assistant Director of Nursing) said medications should not be stored at bedside. Medications should include clear labeling. Review of R1's admission record date of 1/30/2025. Diagnosis information includes type 2 diabetes mellitus without complications. Order summary report read order date 12/9/2025 Acetaminophen Oral Tablet 325 MG (Acetaminophen), Give…

  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 · E2025-12-18 · 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 policy review, the facility failed to ensure staff donned required personal protective equipment (PPE) prior to entering rooms of residents on Enhanced Barrier Precaution (EBP) transmission-based protocol for four (R52, R100, R47, R54) of four residents reviewed for infection control is a sample of 42. This failure had the potential to expose residents and staff to the transmission of infectious agents.R52 is a [AGE] year-old male who originally admitted to the facility on [DATE] and continues to reside in the facility. R52 has multiple diagnoses including but not limited to the following: encounter for attention to gastrostomy, tracheostomy status, dependence on respirator [ventilator] status. R52 is on Enhanced Barrier Precautions (EBP) transmission-based protocol R/T Trach, Vent, G-tube, Urinary catheter, Hx CRAB.R100 is a [AGE] year-old male who originally admitted to the facility on [DATE] and continues to reside in the facility. R100 has multiple diagnoses including but…

  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 · D2025-11-25 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to follow maintenance work orders policy by not providing a home-like environment by not implementing an effective remedy, within the expected timeframe, to fix a broken toilet. This failure affected 1 (R1) of 3 residents reviewed for Furnishings / Equipment Not maintained.On 11/25/2025 at 10:19 AM R1 stated he notified housekeeping department, maintenance, social worker, and the administrator on October 6, 2025 that R1's toilet broke and if flushed leaks in his room. R1 stated he reported the malfunctioned toilet to the housekeeping department, maintenance director, social worker, and the administrator. R1 stated it has still not been resolved.On 11/25/2025 state agency observed a broken toilet (at the base of a manual flush valve), with no handrails attached. The toilet bowl had more than half full of yellow urine and was filthy. A transparent garbage bag halfway covering the toilet bowel. R1 stated he tried covering the toilet bowl because of the odor.On 11/25/2025 V1 (Assistant administrator), V2 (Director…

  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 · D2025-06-22 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to notify resident's representative of discharge planning, orders, and arrangements for post-discharge care for one resident (R1) out of three residents reviewed for representative notifications. Findings include: R1 is a [AGE] year-old resident admitted to the facility on [DATE] to 5/22/2025 with diagnoses including but not limited to: anemia, chronic obstructive respiratory disease, heart failure, cocaine abuse, and anxiety disorder. On the (MDS) Minimal data Set assessment of 5/17/2025 Section C the BIMS (Brief Interviewed Mental Status) score was 14/15 and indicates cognitive intact. On MDS of 4/4/2025 GG Section Functional Abilities indicates R1 can wheel 150 feet: Once seated in a wheelchair/scooter, the ability to wheel at least 150 feet in a corridor or similar space independently. R1 can walk 150 feet: Once standing, the ability to walk at least 150 feet in a corridor or similar space with setup or clean-up assistance - helper…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-04 · 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 record review, the facility failed to identify and report an allegation of sexual abuse to the facility's abuse prevention coordinator and further to regulatory state agency for one of four (R1) residents reviewed for abuse in the sample of four. Findings include: R1 is a [AGE] year-old female admitted to the facility with diagnosis including but not limited to End Stage Renal Disease; Cerebral Infarction Due to Unspecified Occlusion Or Stenosis Of Left Posterior Cerebral Artery; Depression; Borderline Personality Disorder; Suicidal Ideations; Bipolar Disorder; Torsade De Pointes; Pulmonary Hypertension; Cocaine Abuse; and Major Depressive Disorder. On 06/03/2025 at 12:12 PM R1 said, I was sitting in the hallway, in my wheelchair and I had a stuffed animal (the lion) in my lap. R2 came up to me, complemented my stuffed animal, and asked if he could touch it. I lifted the stuffed animal for R2 to see, but R2 reached out towards my private part and touched my private part instead. I…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$289,496 in federal fines across 6 penalties. 3 Medicare payment denials on record.

• $14,505 — penalty dated 2025-09-29
• $52,466 — penalty dated 2024-09-26
• $23,647 — penalty dated 2024-08-01
• $76,780 — penalty dated 2024-02-23
• $4,558 — penalty dated 2024-02-06
• $117,540 — penalty dated 2023-10-18
• Medicare payment denial — starting 2024-10-24 for 6 days
• Medicare payment denial — starting 2024-03-20 for 45 days
• Medicare payment denial — starting 2023-11-14 for 81 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 17 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 87% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. 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