Avenora Elmhurst

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.

59.1% 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 95 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.2% 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 0.15 therapist hours per resident per day in 2026Q1 — more than 12% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 108 beds and averages 41.4 residents a day — about 38% occupied, or roughly 67 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 1.44 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 0.82 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 1.37 hrs/resident/day on weekends vs 1.47 on weekdays — 7% thinner on weekends. RN hours go from 0.40 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% 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.

36 citations, most serious first. The 15 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · J2024-06-05 · 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 interview and record review, the facility failed to protect R1, a resident with dementia from sexual activity from R2, another resident with dementia with known sexual behaviors and a history of wandering into other resident's rooms. This failure resulted in R1 experiencing sexual abuse at the facility when R2 went into R1's room at night and went into R1's bed and sexually assaulted her in her bed. R1 is unable to give consent to the sexual activity and a reasonable person would not want to be touched without consent. This applies to 1 of 3 residents (R1) reviewed for sexual assault in the sample of 3. This failure resulted in an immediate jeopardy. The findings include: The immediate jeopardy began on May 22, 2024, when R2 sexually assaulted R1 on the overnight shift during the hours of 12:45 AM-2:00 AM as documented on the Police Incident Report. V1 (Administrator) and V2 (Director of Nursing) were notified of the Immediate Jeopardy on May 30, 2024, at 2:27 PM. The facility presented an abatement…

  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 before2026-05-09 · 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 observations, interviews and record review, the facility failed to provide adequate supervision to a resident with impaired upper extremity range of motion. This failure resulted in the resident spilling hot oatmeal on self and acquiring a burn. The facility also failed to follow their policy to ensure that immediate treatment procedures are followed after a burn incident.This applies to 1 of 1 resident (R1) reviewed for accidents and supervision in the sample of 3.The findings include:R1's face sheet showed that he was a [AGE] year old male admitted on [DATE], with multiple diagnoses including acute lymphoblastic leukemia, personal history of non-Hodgkin lymphomas, other pancytopenia, pressure ulcer of sacral region, stage 3, other symptoms and signs involving the musculoskeletal system, other specified disorders of muscle, type 1 diabetes mellitus, adult failure to thrive.R1's 5-day MDS (minimum data set) dated April 26, 2026, showed that R1 was cognitively intact and required set up or clean up…

  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 before2024-10-10 · 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, interview, and record review, the facility failed to identify a pressure injury prior to becoming unstageable, failed to implement offloading, and failed to develop and implement a care plan after the development of pressure ulcers for 1 of 5 residents (R14) reviewed for pressure in the sample of 16. This failure resulted in R14 developing two unstageable pressure injuries, one to each heel. The findings include: R14's face sheet showed a [AGE] year old female admitted to the facility on [DATE] from a local hospital. R14's 6/7/24 history and physical showed she was admitted post fall to a local hospital with a right distal femur fracture and surgical repair. R14 had significant weakness and deconditioning. This note showed no skin lesions and incision sites to the right hip and knee. On 10/08/24 at 10:19 AM, R14 was in her room in a wheelchair barefoot. There were blue protective boots on a chair in the room. R14's feet rested on the bottom metal bar of the bedside table in front of her.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-10-10 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to identify a significant weight loss, failed to notify a resident's physician and/or dietician for a significant weight loss, failed to develop care plan interventions to address a resident's significant weight loss. These failures apply to 1 of 2 residents (R27) reviewed for nutrition in the sample of 16. This resulted in R27 sustaining a 5.87% weight loss in 1 week. The findings include: R27's electronic face sheet printed on 10/10/24 showed R27 has diagnoses including but not limited to hydrocephalus, hypertension, mood disorder, dementia with behaviors, and major depressive disorder. R27's facility assessment dated [DATE] showed R27 has severe cognitive impairment and has experienced no weight loss. R27's weight log showed, 7/23/24 167lbs 8/1/24 157.2lbs. (5.87% weight loss in 1 week). R27's nursing progress notes and dietician notes showed no notification to either R27's physician or dietician regarding his significant weight loss of 5.87% in one…

  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 before2024-08-30 · 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 safely position a resident (R1) in bed during care and safely transfer the resident after a fall. This failure resulted in the resident falling out of bed and sustaining multiple rib fractures. The facility also failed to identify a resident's (R2) transfer status in the plan of care, safely transfer the resident, and apply a wheelchair positioning device for the resident with a known behavior of unsafely leaning to the side. This applies to 2 of 4 (R1 and R2) residents reviewed for safety. The findings include: 1. R1's EMR (Electronic Medical Record) showed R1 was admitted to the facility on [DATE] with multiple diagnoses including chronic obstructive pulmonary disease, dementia, age-related osteoporosis with recurrent pathological fracture, osteoarthritis, acquired absence of the right upper limb, abnormalities of gait and mobility, and muscle weakness. R1's MDS (Minimum Data Set) dated 8/05/2024 showed R1 was cognitively intact and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-08 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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 hygiene/grooming care for residents who require assistance with activities of daily living (ADL) care. This applies to 4 of 6 residents (R20, R30, R36, R38) reviewed for ADL care in the sample of 15. The findings include: 1. Face sheet shows R20 is 60 years-old who has multiple medical diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and muscle wasting and atrophy, not elsewhere classified, multiple sites. R20's Minimum Data Set, dated [DATE], shows R20 is alert and oriented, and requires extensive assistance to total dependence on staff for ADL care. On January 5, 2026, at 10:36 AM, R20 was resting in bed, displaying long dirty fingernails with brown/black substances underneath nails, and unkept facial hair (beard and mustache). On January 6, 2026, at 10:12 AM, R20 was resting in bed. R20 remained with long dirty fingernails and unkept overgrown facial hair (Beard and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-08 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews the facility failed to develop care plan interventions for a resident that refuses personal care and meals. This failure applies to 1 of 3 (R30) residents reviewed for care planning in a total sample of 15. The findings include: R30 is an [AGE] year-old male with a diagnosis history including Dementia, Protein Calorie Malnutrition, Depression, Anxiety Disorder, and Anorexia who was admitted to the facility 10/21/2024. On January 05, 2026 at 10:30 AM R30 was lying in his bed wearing a gown, with his hair extremely oily. R30 exhibited agitation when asked how he was feeling. On January 06, 2026 at 1:10 PM R30 was in is his room lying in his bed with extremely oily hair and a thick large layer of white flakes on the front of his shirt. V7 (Certified Nursing Assistant) said the flakes are probably dandruff and she hasn't seen R30 showered since she started working at the facility three months ago. On January 06, 2026 at 1:23 PM V19 (Licensed Practical Nurse) said…

  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 · E2025-05-09 · tag F0627 — pattern
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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 provide written documentation of residents' transfer or discharge from the facility. This applies to 4 of 4 residents (R1, R2, R3, R4) reviewed for inappropriate discharges in a sample of 4. The findings include: 1. R1's face sheet showed he was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy, hydronephrosis, Stage 3 chronic kidney disease, dementia, unsteadiness on feet, disorders of the muscle, alcohol abuse, hypertension, and hyperlipidemia. R1 was transferred to the hospital and discharged from the facility on April 16, 2025. On May 8, 2025 at 2:43 PM, V8 (Family Member) said she did not want R1 to be discharged from the facility but upon transfer to the ER (Emergency Room) on April 16, 2025, was told he would not be allowed to return. V8 said she was in the process of having R1 transferred to a different facility and did not want him sent to the hospital. V8 said she would have wanted R1 to return to 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-26 · 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

  Based on interview and record review the facility staff failed to immediately notify the nurse when a resident had a change in condition and could no longer stand and/or bear weight on her leg after a transfer. This resulted in a delay in care and treatment for R1 who had a hip dislocation. This applies to 1 of 3 residents (R1) reviewed for change in condition in the sample of 3. The findings include: The Incident Report for R1 dated 2/1/25 showed, R1 complained of pain in her left leg and stated her left leg got twisted when she was being transferred after her shower. The nurse assessed R1's left leg and noted it was swollen and had poor alignment. R1 was sent to the hospital. On 2/25/25 at 11:07 AM, R1 was sitting in a wheelchair in the dining room for an activity. R1 had an abductor pillow between her legs that was not properly placed. The abductor pillow did not line up on each side with her legs. The abductor pillow was crooked and the straps were not securely in place. R1 stated she had the pillow because she had hip surgery. R1 was questioned regarding an incident in 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-10-10 · 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 kitchen utensils were stored correctly and change gloves while handling equipment/utensils to prevent cross contamination. This failure has the potential to affect all 33 residents in the facility. The findings include: The Long-Term Care Facility Application for Medicare and Medicaid form dated 10/8/24 for the facility showed a census of 33 residents. On 10/8/24 at 11:51 AM, V9 (Cook) had gloves on and was checking the temperature of the food. After she would check the temperature she would take the pan of food to the steam table, come back and check the temperature of the next food item. This was done for the zucchini, gravy, pureed sweet potato, pureed turkey, regular sweet potato, mechanical soft sweet potato, mechanical soft turkey, and turkey crunch. V9 never changed her gloves. V9 touched the counters in the kitchen near the steam table with the same gloves on. V9 went over to the drawer under the stainless steel counter, opened the drawer, the scoops were in the drawer in all different…

  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 · Fcited before2024-10-10 · tag F0880 — failed to prevent and control infections — widespread
  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 have policy and procedures in place for residents (R28, R186, & R10) on enhanced barrier precautions. The facility failed to have a policy or plan for legionella. This failure has the potential to affect all 33 residents in the facility. The findings include: 1. The Long-Term Care Facility Application for Medicare and Medicaid form dated 10/8/24 for the facility showed a census of 33 residents. On 10/10/24 at 10:26 AM, V1 (Administrator) stated the water treatment service reports that he has were from the water treatment company that comes in and checks the chemicals for their water. V1 stated he did not have a legionella policy or water treatment plan. On 10/10/24 11:33 AM, DON (Director of Nursing) stated the facility has a water treatment plan but it did not contain anything regarding legionella. The facility's Water Treatment System policy (1/4/24) showed the facility uses a reverse osmosis (RO) system to purify the water. The water treatment system purifies the water by removing contaminants through five…

  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 · F2024-10-10 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  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 the kitchen freezer in a safe operating condition This failure affects all 33 residents in the facility. The findings include: The Long-Term Care Facility Application for Medicare and Medicaid form dated 10/8/24 for the facility showed a census of 33 residents. On 10/8/24 at 9:57 AM, during the initial tour of kitchen with V9 (cook) and V8 (kitchen staff) the walk in refrigerator door handle was broke; it was loose and didn't latch to keep the door tightly closed. The freezer door handle was broke and did not latch the door tightly closed to keep the freezer sealed. V9 and V8 were not sure when the handles broke; maybe over the weekend and maintenance doesn't work weekends. V9 and V8 stated maintenance was coming to fix it. On 10/8/24 at 12:09 PM, V10 stated she was not the dietary manager. V1 (Administrator) was in the kitchen and stated V10, V8 (kitchen staff), and the dietician handle the kitchen operations right now. On 10/8/24 at 12:17 PM, one of the panels of the plastic curtain at the entrance…

  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 · E2024-10-10 · tag F0550 — failed to protect resident dignity and rights — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to treat two residents (R13,R20) with dignity. This applies to 2 residents outside of the sample reviewed for dignity. The findings include: 1) R13's electronic face sheet printed on 10/10/24 showed R13 has diagnoses including but not limited to dementia without behaviors, bipolar disorder, type 2 diabetes, and major depressive disorder. R13's facility assessment dated [DATE] showed R13 has severe cognitive impairment. On 10/9/24 at 1:36PM, V5 and V13 (Certified Nursing Assistants) provided incontinence care to R13 in the bathroom. V13 removed R13's incontinence brief and stated, Oh, she's pooping while R13 was in the standing mechanical lift. V5 then handed V13 the trash can and stated, Here, put this under her in case she goes more. V5 placed the garbage can underneath R13 while she was standing in the lift and continued providing incontinence care. V13 stated she is unsure of why they did not put R13 on the toilet and could not state why…

  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 · Ecited before2024-10-10 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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 timely incontinence care to 1 resident (R26) outside of the sample reviewed for activities of daily living. The findings include: R26's electronic face sheet printed on 10/10/24 showed R26 has diagnoses including but not limited to Alzheimer's disease, lack of coordination, altered mental status, dementia with behaviors, and cognitive communication deficit. R26's facility assessment dated [DATE] showed R26 is always incontinent of bladder. On 10/8/24 at 1:35PM, V18 (Certified Nursing Assistant-CNA) was notified by surveyor that R26's pants appeared wet. V18 and V13 (CNA) provided incontinent care to R26. V18 stated R26 was toileted at approximately 9:30AM this morning but hasn't been checked since then. R26 was placed in a standing mechanical lift and when he was lifted out of the wheelchair, the back of R26's pants were saturated with strong smelling urine and his wheelchair seat was wet with urine. V18 removed R26's incontinence…

  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 · D2024-10-10 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure 2 residents (R27 & R26) were free from restraints. This applies to 1 of 1 residents (R27) reviewed for restraints in the sample of 16 and 1 resident (R26) outside of the sample. The findings include: 1) R27's electronic face sheet printed on 10/10/24 showed R27 has diagnoses including but not limited to hydrocephalus, hypertension, mood disorder, dementia with behaviors, and major depressive disorder. R27's facility assessment dated [DATE] showed R27 has severe cognitive impairment and does not utilize any restraints. On 10/8/24 at 11:10AM, V18 (Certified Nursing Assistant-CNA) removed R27's foot pedals off his wheelchair, pushed him up to the dining room table and locked both of his wheels. V18 stated R27's behavior is a little unpredictable so that's why he moved him over to the table and locked his wheelchair. V18 stated R27 has been a little more active today & is a fall risk & tries to stand on his own. R27 was trying to move…

  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

$216,044 in federal fines across 4 penalties. 3 Medicare payment denials on record.

• $23,870 — penalty dated 2026-05-09
• $59,040 — penalty dated 2026-01-08
• $68,842 — penalty dated 2024-07-15
• $64,292 — penalty dated 2024-06-05
• Medicare payment denial — starting 2026-01-30 for 7 days
• Medicare payment denial — starting 2024-09-20 for 98 days
• Medicare payment denial — starting 2024-01-24 for 76 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 40 rows in the source record cover these 24 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $468K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in IL