Grove Health & Rehab Ctr, The

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.

51.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 106 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 38.1% 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 97 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 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 175 beds and averages 144.1 residents a day — about 82% occupied, or roughly 31 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.39 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 3.15 hrs/resident/day on weekends vs 3.73 on weekdays — 16% thinner on weekends. RN hours go from 0.64 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 51% is about the same as 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.

31 citations, most serious first. The 18 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · L2026-03-26 · tag F0678 — failed to provide CPR when needed — widespread
  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 interview and record review, the facility failed to ensure CPR (cardiopulmonary resuscitation) was initiated per physician's orders and resident's wishes for 1 of 3 (R16) residents reviewed for death. This failure resulted in an Immediate Jeopardy on [DATE] at 8:20 AM when R16 was found without a pulse nor respirations by a CNA (Certified Nurse Assistant). CPR was not attempted per R16's wishes. This failure has the potential to affect all 138 residents of the facility.The Immediate Jeopardy began on [DATE] at 8:20 AM when R16 was found without a pulse or respirations by V30 CNA. V30 notified R16's nurse V19 LPN (Licensed Practical Nurse) of R16's condition and V19 failed to initiate CPR per R16's wishes. R16 expired at the facility on [DATE]. On [DATE] at 10:26 AM V1 Administrator, V2 DON (Director of Nursing), V3 ADON (Assistant Director of Nursing), and V4 Regional Nurse were notified of the Immediate Jeopardy. The Immediate Jeopardy was removed on [DATE], but the noncompliance remains at Level Two…

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

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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to prevent an accident during a full mechanical lift transfer in 1 of 5 residents (R3) reviewed for accident hazards in the sample of 9. This failure resulted in R3 sustaining fractures to the left distal fibula, right distal tibia, and right distal fibula.Findings Include:On 4/1/26 at 9:45 AM, R3 was observed in her wheelchair with bilateral ankle contractures and a right knee contracture. A full mechanical lift transfer was observed with V16, CNA (Certified Nursing Assistant), and V17, CNA, without incident. R3's Face Sheet, undated, documents R3 has the following diagnoses, in part: Dementia, Contractures of the Right Knee, Left Knee, Right Ankle and Left Ankle, Fracture of the Right Tibia and Left Fibula, History of Falling, and Disorders of Bone Density and Structure.R3's MDS (Minimum Data Set), dated 3/4/25, documents R3 has severe cognitive impairment and is dependent on staff for ADLs (Activities of Daily Living). R3's Care Plan,…

  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 before2025-11-20 · 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 provide a safe transfer for 1 of 3 residents (R1) reviewed for transfers in the sample of 10. This failure resulted in R1 being left unattended as staff left the room and R1 fell out of the bed and sustained an Intracranial hemorrhage (head injury).Findings include:R1's Physician Order Sheet (POS) for November 2025 documents a diagnosis of unspecified sequelae of unspecified cerebrovascular disease, hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side; dementia in other diseases classified elsewhere; unspecified severity without behavioral disturbances, psychotic disturbance, and insomnia. R1's Minimum Data Set (MDS) dated [DATE] document R1 was moderately impaired for cognition for activities of daily living. Under Roll left and right: The ability to roll from lying on back to left and right side and return to lying on back on the bed- R1 was documented as Dependent. Dependent documents the Helper does ALL…

  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 before2024-09-13 · 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, observation and record review, the facility failed to ensure personal use items were within reach and provide an environment free of clutter to prevent falls and injury for 1 of 6 residents (R12) reviewed for accidents in the sample of 61. This failure resulted in R12 sustaining a cervical fracture, wearing a neck brace from 4/8/24 until 6/18/24, and requiring 9 sutures to his forehead. Findings include: R12's admission Record, print date of 9/11/24, documents that R12 was admitted on [DATE] with diagnoses of Repeated Falls, Mild Cognitive Impairment, and Pallative Care. R12's Minimum Data Set, dated [DATE], documents R12 is cognitively intact, requires partial to moderate assistance from staff with sitting to standing position and standing and walking, and occasionally incontinent of bowel and bladder. R12's Health Status Note, dated 4/8/24 at 9:31 PM, documents, Heard noise down the hall. Resident observed laying on floor on right side with head on bathroom floor. Resident states he was…

  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 · G2024-09-13 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observations, and record reviews the facility failed to assess, monitor, and implement interventions to prevent weight loss in 1 out of 5 residents, R323, reviewed for nutrition in a sample of 61. This failure resulted in R323 acquiring a 9.09% weight loss in less than 3 months. Findings include: R323 was admitted to the facility on [DATE] with diagnosis of, in part, fracture of unspecified part of neck of left femur, unspecified fall, unspecified dementia. R323's MDS dated [DATE] documents R323 is severely cognitively impaired with a brief interview of mental status score of 3. R323's MDS further documents R323 requires supervision or touching assistance with eating. R323's Care Plan dated 7/19/24 documents R323 has a self-care deficit as evidenced by needing assistance with activities of daily living (ADLs) with an intervention for eating to provide set-up and assist as needed. R323's weight documentation on 7/03/2024, documents R323 weighed 125.4 lbs. On 09/01/2024, R323 weighed 116.2…

  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 · G2024-09-13 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide Physician prescribed medication for 1 of 4 residents (R223) reviewed for medication. This failure resulted in R223 missing 28 doses of oxcarbazepine (seizure medication) and having 10 seizures between 8/2/24 and discharge to the hospital on 8/11/24. Findings include: R223 was admitted on [DATE] with diagnoses of metabolic encephalopathy, convulsions, schizophrenia. R223 Minimum Data Set, MDS, dated [DATE], documents that R223 is cognitively intact. R223's Health Status Note, dated 7/19/2024 4:45 PM, documents, (V30, R223's Neurologist) called gave order to start Trileptal 300 mg (milligram) i bid (twice a week) x i (one) week then increase to Trileptal 600 mg i bid for break through seizures. Dr said next time he sees res (resident) in clinic he will probably start the D/C (discontinue) process of Keppra. (V30) said he sent order to pharmacy for res (resident). R223's Health Status Note, dated 8/2/2024 12:50 PM, documents, Resident continue…

  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
• Actual harm · Gcited before2023-11-13 · 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 provide supervision and assistance, do a thorough fall investigation including a root cause analysis, and implement progressive intervention to prevent falls for 3 of 4 residents (R1, R4, R5) reviewed for falls. This failure resulted in R4 falling and sustaining a left sided subdural hematoma, subarachnoid hemorrhage with intraventricular hemorrhage which was the cause of her death. Findings include: 1. R4's Electronic admission Profile documents that R4 was admitted on [DATE] and has diagnoses of Traumatic Subarachnoid Hemorrhage without loss of consciousness [DATE] and Palliative Care on [DATE] with previous diagnoses of Chronic Obstructive Pulmonary Disease, Heart Failure and Atrial Fibrillation. R4's Minimum Data Set (MDS), dated [DATE], documents that R4 is severely cognitively impaired and required supervision and physical assistance of 1 staff member for bed mobility, transfers, walking in the room and on the corridor, locomotion on the unit,…

  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 · G2023-08-15 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation and record review, the facility failed to provide pain medication to control pain for 1 of 2 residents (R202) reviewed for pain control in the sample of 43. The failure resulted in R202 being in severe pain from 8:00 AM until 4:40 PM on 8/8/23. Findings include: R202's admission Record, dated 8/14/23, documents, that R202 was admitted on [DATE] and has diagnosis of Diverticulitis of Large Intestine with Perforation and Abscess without Bleeding, Encounter for Palliative Care, Neoplasm of the Parotid Salivary Glands, Malignant Neoplasm of Liver and Intrahepatic Bile Duct, Anxiety and Depression. R202's, Medication Administration Record, (MAR), for August 2023 beginning 8/7/23 documents, Morphine Sulfate (Concentrate) Oral Solution 10 MG (milligram) / 0.5 ML (Morphine Sulfate) Give 0.25 ml by mouth every 4 hours as needed for pain moderate. Start date 8/7/2023 8:15 PM. D/C, (discontinue), date of 08/08/23 at 1:38 PM. This MAR documents, that this dosage of morphine was not given.…

  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 · E2026-03-26 · tag F0602 — failed to protect residents from theft of their belongings — pattern
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to prevent misappropriation of resident's medication for 5 of 8 residents (R4, R5, R6, R7, and R13) reviewed for misappropriation of personal property in the sample of 19.Findings include:1. The facility's document Report Form/IDPH (Illinois Department of Public Health) Notification dated 2/26/2025 documents alleged abuse/misappropriation of personal property and identifies the names of the residents involved as R4, R5, R6, and R7. This report identifies a brief description of the incident/event as, On 2/26/2025 a facility nurse alleged that the residents' Morphine is miscolored and not correct. The report's Summary of Investigative Findings documents, A comprehensive investigation was initiated. Results of investigation concluded that the morphine in seven bottles were clear where morphine should have been pink in color. Narcotic counts were immediately conducted on remaining narcotic with no discrepancies noted. It was verified with V2 RN (Registered Nurse) that morphine that she administered on 2/24/2025 was pink in color.…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-20 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to prepare food at an appetizing temperature. This failure affects 2 of 2 (R1 and R3) residents reviewed for dietary services. Findings include:Facility's Resident Council Minutes dated 1/20/26 at 2:00 PM documents Concerns with food being cold at mealtimes.Facility's Resident Council Minutes dated 2/17/26 at 2:00 PM documents Concerns with food being cold at mealtimes.Facility's Resident Council Minutes dated 3/16/26 at 2:05 PM documents Food is not hot enough during mealtimes.Facility's Grievance dated 1/22/26 documents Concerns with food being cold at mealtimes. Addressed during resident council, dietary manager aware will in-service staff.Facility's Grievance dated 2/18/26 documents Food is not hot enough at mealtimes. FSD (Food Safety Director) continues to monitor temperatures in dining room and hall trays. All temperatures were about 150 degrees for hot food and under 40 for cold food. FSD has and will continue to monitor temperatures on all floors. Tracking of temperatures will continue.Facility's Grievance dated…

  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 · D2025-08-29 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  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 answer call lights in a timely manner in 2 of 3 residents (R109, R131) when reviewed for accommodation of needs in the sample of 32. Findings Include:On 08/26/2025 at 10:50 AM, R109 was observed in her room, in the wheelchair, clean, dry, without odors, and call light within reach. R109 stated sometimes she will have to press her call light 2-4 times to get someone to come in. R109 stated it has taken over 2 hours for the staff to provide care. R109 stated she has a bed sore on her bottom from not being cleaned up timely. R109 stated she goes to dialysis 3 days per week and has to sit up for the 3 hours she is there, so when she gets back to the facility, she's ready to lay down and it takes a long time.R109's Face Sheet, undated, documents R109 has the following diagnoses: Osteomyelitis of the Vertebrae, Type 2 Diabetes, End Stage Renal Disease, Dependence on Renal Dialysis, Urinary Retention, Back Pain, and Disc Degeneration.R109's MDS (Minimum Data…

  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 before2025-08-29 · 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

  Based on Interview, and Record Review the facility failed to ensure physical abuse did not occur for 1 of 2 (R88) residents reviewed for abuse in the sample of 32. Findings Include: R112's Face sheet documents an admission date of 10/10/2023. Diagnosis include Heart failure, Dementia, Anemia, Dysphagia, and Hypertension. R112's Minimum Data Set, MDS, updated 6/25/2025 documents R112 is moderately cognitively impaired. R112's Care Plan updated 7/10/2025 documents R112 has a behavior problem of hitting others related to: Cognitive Impairment/Dementia. Interventions include: If reasonable/appropriate, discuss R112's behavior. Explain/reinforce why behavior is inappropriate and or unacceptable to R112. Monitor for behavior of hitting. Praise R112 for appropriate behavior. R88's Face sheet documents an admission date of 5/12/2023. Diagnosis include Dementia, Type 2 Diabetes, Osteoarthritis, Dysphagia, Hearing Loss, R88's MDS updated 8/1/2025 documents R88 is severely cognitively impaired. R88's Care Plan updated 8/1/2025 documents R88 has a behavior problem of hollering out related 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-29 · 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 interview, observation, record review, the facility failed to attach mechanical lift sling in the appropriate manner to prevent 1 resident (R12) of 8 residents from experiencing a fall from the mechanical lift out of a sample of 32. Findings include:R12's undated Face Sheet documents an initial admittance dated of 03/01/2025 with pertinent medical diagnoses Other Acute Osteomyelitis Right Humerus, Arthritis due to other bacteria right elbow, Unspecified fracture of Upper end of Right Humerus, Subsequent encounter for fracture with Routine Healing, low back painR12's Minimum Data Set (MDS) dated [DATE] documents R12 is cognitively intact, she does not exhibit any behaviors that reject care, R12 is on as needed pain medication, R12 is dependent on staff for toileting, showering, lower body dressing, rolling left and right, and transferring from chair/bed to chair and is frequently incontinent of urine and always incontinent with bowels.On 8/28/25 at 9:15 AM R12 stated she was afraid of transferring with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-15 · 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 prevent physical abuse for 2 of 7 residents (R1, R2) reviewed for abuse in the sample of 7. Findings include: 1. On 5/15/25 at 1:22 PM, R2 is lying in bed. R2 does not speak much. R2 was asked if anyone has ever hurt her, R2 shook her head yes. R2 was questioned if her roommate hit her, R2 shook her head yes. R2 was questioned as to where she was hit, R2 pointed to her face. R2's Verification of Incident Investigation / Administration Summary, dated 5/7/25, documents, A comprehensive investigation was initiated and showed that staff reported that one resident (R2) with a BIMS (Brief Interview of Mental Status) of 9 (moderately cognitively impaired) was heard alleging that she got into an altercation with resident (R3) BIMS of 4 (severely cognitively impaired). It continues, (R2) could recall the incident stating I would like a new roommate she came over and smacked my arm. Neither resident shows signs of psychosocial / mental anguish. V3 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-20 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to notify a resident's guardian of a change in medications in 1 of 5 residents (R2) reviewed for notification of changes in the sample of 6. Findings include: On 11/20/24 at 8:38 AM, V6, RN (Registered Nurse) stated (R2) has had some changes with her Gabapentin because it was causing her to be sleepy, so the physician lowered the dosage. V6 stated she did not notify (V15), (R2's) Daughter/Guardian, of the order for Gabapentin, but should've. On 11/20/24 at 8:50 AM, R2 stated (V15) went through the court and got custody of her because at that time, she needed someone to make decisions for her, but now she is improving and doesn't necessarily need both she and (V15) to be notified of everything. R2 stated if there has been an addition of a medication or change in a medication, she would like to consent from her and (V15). On 11/20/24 at 9:40 AM, V15, stated she was not notified of (R2's) order for Gabapentin. R2's Face Sheet, undated, documents V15 as R2's Daughter and legal guardian. R2's Order for Appointment of Guardian,…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-18 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to verify medications for accuracy and number of dose of each medication being sent home on discharge for 1 of 3 residents (R4) reviewed for discharge medications in the sample of 10. Finding include: 1. On 9/16/2024 9:58 am V8, Clinical Manager stated when R4 seen physician for follow up appointment. R4 care giver brought R4's medication cards from discharge from the facility V8 stated R4 did have all required medications and 7 different medication cards with meds that belonged to R5. V8 stated that R4's care giver had not given R4 any of R5's medications. On 9/16/2024 at 1:10PM V2 Director of Nursing (DON) stated when R4 went to her physician office and took her medications from discharge form the facility she also had some of R5's medication cards with medication. V2 stated this was 3 days after discharge. V2 stated the facility sent a driver out to get the medications and R5 did not miss any medication. V2 stated the nurse that discharged R4 must have…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-13 · 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 provided assistance during feeding in a dignified manner for 5 of 32 residents (R26, R39. R50, R54 and R91) reviewed for dignity in the sample of 61. Findings include: 1. On 09/09/24 at 11:54 AM during the the noon meal at the first floor dining room the first tray was served at 11:36 AM. The meal consisted of beef stroganoff, Brussels sprouts or green beans, roll, white confetti cake with white frosting. V5, Certified nursing Assistant (CNA) standing in the middle of assisted feeding tables that form a circle. V5 standing up feeds resident a bite off of a spoon , sanitizes hands then feds another resident bite of food with a spoon. This includes R26 and R39. On 9/9/2024 at 12:14PM V6, CNA enters the circle and starts feeding R26 while standing up and when providing drink has to reach to get cup to R26's mouth. R26's Physician order (PO) dated 9/2024 document s regular diet mechanical soft texture, thin consistency. R26's care plan dated…

  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 before2024-09-13 · 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 perform complete incontinent and peri care for 4 of 4, (R4, R29, R232, R273) residents, reviewed for incontinence, in a sample of 61. Findings include: 1. On 09/10/2024 at 10:00 AM, V9, Certified Nurse Assistant (CNA), with gloved hands, pulled back R273, incontinent brief, and cleansed her right groin, then left groin and then down the center of R273's labia with rinse free peri wash and a wet washcloth. These areas were not dried and R273 was then rolled on to her right side. V9, CNA, then took a wet washcloth, that had the rinse free peri wash on it and cleansed R273's right hip and then cleansed, R273's rectal area from back to front. There were soapy suds of the rinse free wash on R273's left hip and left buttocks when V9 placed a new incontinent brief under her. R273 was then rolled on to her left side, and V9 cleansed R273's right hip with the no rinse peri wash and then fastened the clean incontinent brief without drying the right…

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

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

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

Fines & penalties

$105,079 in federal fines across 3 penalties.

• $52,370 — penalty dated 2026-03-20
• $20,885 — penalty dated 2024-09-13
• $31,824 — penalty dated 2023-11-13

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 SUMMIT HEALTHCARE CONSULTING — 9 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 7 rows in the source record cover these 6 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.

This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 21% 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. 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