The Pearl of Fox River Valley

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

60.3% 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 134 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 42.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 59 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 0.27 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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 112 beds and averages 95.4 residents a day — about 85% occupied, or roughly 17 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.475 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.21 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.92 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 3.23 hrs/resident/day on weekends vs 3.58 on weekdays — 10% thinner on weekends. RN hours go from 1.25 to 1.09 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are more than at the previous inspection — worsening. 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.

30 citations, most serious first. The 13 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · J2023-11-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure that R10 was free from physical, mental, and emotional abuse from an agency staff, V15 (CNA/Certified Nurse Assistant). The facility also failed to implement its policy to keep R10 free from further abuse. This failure resulted in Immediate Jeopardy on 11/5/2023 at 9:00 A.M., when R10 had sustained physical, emotional harm and mental distress from abusive care provided by V15. The facility also failed to implement their abuse policy by not reporting and investigating V15's inappropriate behavior such as yanking resident's bed rail, abrupt with care, ignoring call lights, that had occurred on 11/1/2023, and this had led to physical abuse on 11/5/2023 when V15 jerked R10's arm. The facility also failed to protect other residents from potential abuse when V15 was not suspended from work after the incident with R10. V1 (Administrator), V2 (Director of Nursing) and V28 (Vice President of Operations) were notified of 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-07-11 · 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 ensure safe transport of resident to the shower room when a shower chair was utilized for the transfer in place of a wheelchair. This failure resulted in R24 falling from the chair and fracturing both of her legs. This applies to 1 of 4 residents (R24) reviewed for accidents in the sample of 26. The findings include: R24 is a [AGE] year-old female admitted to the facility on [DATE], with diagnoses that include Multiple Sclerosis, Chronic pain, and Polyneuropathy. R24's MDS (Minimum Data Set) assessment dated [DATE], documents that resident requires substantial to maximal assistance with lying to sitting on side of bed: The ability to move from lying on the back to sitting on the side of the bed and with no back support. R24 was also assessed to be cognitively intact as evidenced by a BIMS (Brief Interview of Mental Status) score of 15/15. The Facility Reported Incident dated June 13, 2024, stated that at approximately 6:30 AM Certified…

  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 · G2023-11-30 · 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 observation, interview and record review, the facility failed to implement their abuse policy regarding immediate reporting and investigation of an alleged abuse. The delay in reporting and investigating meant that V15(CNA/Certified Nursing Assistant) staff continued to work after R10 made allegation of inappropriate behavior, yanking R10's bed rail and was abrupt with care. This failure resulted in R10 sustaining bruises, emotional harm and mental distress from abusive care provided by V15. This applies to one of three residents (R10) reviewed for injuries of unknown origin and abuse. The findings include: The EMR (Electronic Medical Record) showed that R10, an [AGE] year-old, was admitted to the facility on [DATE]. R10's diagnoses included but not limited to atrial fibrillation, thrombocytopenia, S/P (status post) CABG (coronary artery bypass graft), history of DVT (deep vein thrombosis), iron deficiency anemia, myocardial infarction, obsessive-compulsive disorder, CAD (coronary artery disease),…

  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 · Ecited before2025-09-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  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, interview, and record review, the facility failed to implement pressure ulcer prevention measures for 2 of 6 residents (R10,R91) reviewed for pressure ulcers in the sample of 43.The findings include:1) R10's electronic face sheet printed on 9/4/25 showed R10 has diagnoses including but not limited to Parkinson's disease, dementia with behaviors, hypertension, hyperlipidemia, and osteoarthritis. R10's facility assessment dated [DATE] showed R10 has moderate cognitive impairment and is at risk for pressure ulcers. Fall risk evaluation 7/10/25 high risk R10's care plan dated 4/30/24 showed, (R10) has an actual impairment to skin integrity and is at risk for additional skin breakdown related to the following comorbidities but not limited to Parkinson's, unsteadiness on feet, abnormalities of gait and mobility, lack of coordination, hypertension, repeated falls .Interventions: off load heels . R10's skin risk assessment dated [DATE] showed R10 is a high risk for skin breakdown. On 9/3/25 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to supervise 2 residents (R91,R94) during meal times, failed to transfer a resident (R60) with a gait belt, failed to ensure fall precautions were in place for a resident (R16). These failures apply to 4 of 9 residents reviewed for safety/supervision in the sample of 43.The findings include:1) R91's electronic face sheet printed on 9/4/25 showed R91 has diagnoses including but not limited to metabolic encephalopathy, chronic kidney disease stage 4, Alzheimer's disease, major depressive disorder, and congestive heart failure. R91's facility assessment dated [DATE] showed R91 has severe cognitive impairment and requires an altered diet. R91's physician's orders dated 5/7/25 showed, Regular diet, puree texture, nectar thick liquids consistency. R91's speech therapy Discharge summary dated [DATE] showed, diet: puree/nectar thick liquids, 1:1 supervision. On 9/3/25 at 12:33PM, R91 was sitting in his wheelchair in his room feeding himself a pureed…

  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 · Ecited before2025-09-04 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide catheter care, ensure a drainage bag is not laying on the floor, and kept below the level of the bladder for 4 of 5 residents (R6, R13, R58, & R91) reviewed for catheters in the sample of 43.The findings include:1. On 9/2/25 at 10:01 AM, R13 was sitting up in her bed and her indwelling urinary drainage bag was on a hook on her nightstand. R13 was asked what kind of catheter care the facility staff provided and she stated they empty the drainage bag three times a day. They change her catheter for her. R13 stated she does not receive peri care and cleaning of her catheter tubing every day. R13 stated that it is done sometimes by the staff but not daily. R13 stated she does not clean her peri area daily and does not clean the catheter tubing. R13 stated she tries to clean her peri area twice a week when she has a shower. R13 stated she was willing to receive catheter care education. On 9/3/25 at 1:08 PM, V16 stated the catheter care…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-04 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure residents on a pureed diet received a pureed dinner roll during the lunch meal for 8 of 8 residents (R16, R18, R68, R69, R72, R79, R91, and R94) reviewed for pureed diets in the sample of 43.The findings include:On 9/2/2025 at 10:22 AM, an initial tour of the kitchen was conducted. V4 (Dietary Manager) said the residents lunch meal on that day included herbed turkey, California blend vegetables, mashed potatoes and gravy, cookies, and dinner rolls. At 11:27 AM, dietary staff were observed preparing the trays for the lunch meal service. No pureed dinner rolls were observed being provided to the residents on a pureed diet. At 12:55 PM, V22 (Cook) was not in the kitchen at the time. V4 was asked about the pureed dinner rolls not being served to the residents with pureed diets. V4 said she would ask V22 if he put it in with the pureed turkey. On 9/2/2025 at 1:53 PM, V3 (Registered Dietitian-RD) said the dinner rolls should have been served at lunch to the residents on a pureed diet to make sure they get…

  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 · D2025-09-04 · 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 the dignity of a resident was maintained for 1 of 2 residents (R109) reviewed for dignity in the sample of 43.The findings include:On 9/03/2025 at 10:11 AM, during the resident group meeting, R96 said his roommate (R109) had a mess in their bathroom a couple weeks ago. R96 said a housekeeper and a CNA (Certified Nursing Assistant) were going back and forth about whose job it was to clean it up. R96 said he thinks the housekeeper took pictures of the mess in the bathroom. R96 was not able to identify the housekeeper, or the CNA involved in the incident.On 9/3/2025 at 1:18 PM, V1 (Administrator) was asked about the incident regarding a housekeeper and CNA going back and forth in front of residents about whose responsibility it is to clean up a mess in a resident's bathroom. V1 said she was not aware of the incident. At 1:22 PM, V1 and this surveyor went to speak with V5 (Housekeeping Supervisor). V5 said she was told by one of the housekeepers that a CNA would not clean the stool up in a resident'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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-04 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to follow their policy for a resident to self-administer medications for 1 of 1 resident (R108) reviewed for self-administration in the sample of 43. The findings include:R108's face sheet printed on 9/3/25 showed diagnoses including but not limited to congestive heart failure, hypertension, diabetes mellitus, cardiomyopathy, and stage three kidney disease. R108's facility assessment dated [DATE] showed moderate cognitive impairment. R108's September 2025 order summary report showed an order start dated 4/23/25 for: Sildenafil citrate (Viagra) oral tablet 100 milligrams. Give 1 tablet by mouth as needed for erectile dysfunction, supervised self-administration daily on an empty stomach. On 9/2/25 at 10:05 AM, R108 was lying in bed and the bedside table had a pill vial with approximately 12 tablets in it. The label showed it was Viagra and to take one tablet one hour prior to intercourse. R108 stated he has been using it for the last two to…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-04 · 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 apply compression stockings for 2 of 2 residents (R10,R91) reviewed for quality of care in the sample of 43.The findings include:1) R10's electronic face sheet printed on 9/4/25 showed R10 has diagnoses including but not limited to Parkinson's disease, dementia with behaviors, hypertension, hyperlipidemia, and osteoarthritis. R10's facility assessment dated [DATE] showed R10 has moderate cognitive impairment. R10's physician's orders dated 4/30/24 showed, Compression stockings to bilateral lower extremities. On 9/2/25 at 12:10PM, R10 was up in his wheelchair with no compression stockings on his feet. R10 was unable to recall if he wears them or not. On 9/3/25 at 8:52AM, V6 (Wound Care Nurse) and V13 (Certified Nursing Assistant-CNA) assisted R10 to lay down in bed. V6 removed R10's pants and R10 did not have compression stockings on. V13 stated she was not sure if R10 is supposed to have compressions stockings on or not. V6 stated she is…

  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 · D2025-09-04 · tag F0755 — failed to provide safe pharmacy services — isolated
  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 ensure physician prescribed medications were administered as ordered for 1 of 1 resident (R3) reviewed for medication administration in the sample of 43. The findings include: R3's face sheet printed on 9/3/25 showed diagnoses including but not limited to cellulitis of right lower leg, cognitive communication deficit, chronic kidney disease, edema (swelling caused by excess fluid in tissues), and paranoid schizophrenia. R3's September 2025 order summary report showed an order start dated 7/10/25 for: Bumetanide (Bumex/diuretic) tablet 2 milligrams. Give one tablet by mouth in the morning for fluid retention. R3's September 2025 medication administration report (MAR) showed the Bumex medication scheduled to be given at 6 AM daily. The same report showed documentation it was given on 9/2/25 at the scheduled time. On 9/2/25 at 12:25 PM, R3 was seated in a chair in his room. R3 was alert and talkative. A plastic medication cup was on the bedside table next to R3. The cup held a white tablet that had been split in…

  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 · Dcited before2025-09-04 · 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

  Based on observation, interview, and record review, the facility failed to wear personal protective equipment (PPE) during catheter care for a resident (R91) on Enhanced Barrier Precautions, failed to perform glove changes during resident care. This applies to 1 of 1 residents reviewed for infection control in the sample of 43.The findings include:R91's electronic face sheet printed on 9/4/25 showed R91 has diagnoses including but not limited to metabolic encephalopathy, chronic kidney disease stage 4, Alzheimer's disease, major depressive disorder, and congestive heart failure.R91's care plan dated 1/11/25 showed, (R91) is on enhanced barrier precautions .ensure that gown and gloves are used during high-contact resident care activities (like dressing, bathing/showering, transferring, providing hygiene, changing linens, changing briefs or assisting with toileting, device care or use for those with central line, urinary catheter, feeding tube, tracheostomy/ventilator, and wound care for any skin opening requiring a dressing) that provide opportunities for transfer of MDROs…

  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 · D2024-11-21 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 pharmacist's Medication Regimen Review (MRR) failed to identify the transcription omission of a resident's thyroid medication for her hypothyroidism diagnosis at the time of her readmission. This applies to 1 of 3 (R1) residents reviewed for pharmacy services. The finding includes: R1's EMR (Electronic Medical Record) showed R1 was discharged from the facility on 8/16/2024 and readmitted on [DATE] after she had an ER (Emergency Room) visit. R1's admission Record sheet showed R1 had an active diagnosis of hypothyroidism identified on 6/17/2024. On 11/15/2024 at 10:45 AM, R1 was interviewed regarding her medications. During the interview, R1 had difficulty expressing her thoughts and became frustrated at times. R1 said she felt confused, and tired and had trouble seeing close objects like her call light. R1 said she was worried because her community physician (V25) informed her she had not been receiving her thyroid medication and now her levels were too high. R1 said she…

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

  Pharmacy Service 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

$142,448 in federal fines across 2 penalties.

• $10,033 — penalty dated 2024-07-11
• $132,415 — penalty dated 2023-11-22

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to PEARL HEALTHCARE — 15 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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