Bella Terra Morton Grove

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.

43.1% 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 192 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 22.9% 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 70 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 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 211 beds and averages 140.9 residents a day — about 67% occupied, or roughly 70 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 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 3.52 hrs/resident/day on weekends vs 3.76 on weekdays — 6% thinner on weekends. RN hours go from 0.73 to 0.73 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% 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 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.

43 citations, most serious first. The 18 most serious are shown; the remaining 25 are one tap away and print in full.

• Actual harm · Gcited before2026-02-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure monitoring and supervision of a bedbound, high fall-risk resident on strict COVID isolation, and failed to consistently implement required fall prevention interventions. This failure affected one (R1) of four residents reviewed for safety and supervision and resulted in R1 not being visually observed or assessed for a period of over two hours and culminated in R1 being found unresponsive on the floor and pronounced deceased in the facility. Findings include:R1 is a [AGE] year-old male, admitted in the facility on [DATE] with the following diagnoses: Type 2 Diabetes Mellitus with Hyperglycemia; COVID 19; Unspecified Injury of Head, Subsequent Encounter; Encounter for Surgical Aftercare following Surgery on the Nervous System; Syncope and Collapse; and Paroxysmal Atrial Fibrillation. MDS (Minimum Data Set) dated [DATE] documented a BIMS (Brief Interview for Mental Status) score of 11 which means moderate impairment in cognition. MDS also recorded…

  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 · G2025-06-18 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record review, the facility failed to ensure that a cognitively and visually impaired resident (R1) of 3 residents reviewed in the sample of 3, was treated with respect and dignity during the provision of care. This failure resulted in physical harm when two Certified Nursing Assistants (CNAs) were observed on video being physically rough with R1, including forcefully pushing the resident's head and torso down on the bed while resident was actively resisting and crying out, threatening the resident to stop screaming, and slapping the resident's face during care. Findings include:R1 is a [AGE] year old with severe cognitive impairment, visual and verbal impairments, and with diagnoses including but not limited to Alzheimer's Disease, major depressive disorder, anxiety disorder, and dementia. MDS (minimum data set) dated 5/22/25 showed R1 with severe cognitive impairment, with behaviors, and was dependent in performing activities of daily living. R1's care plan dated 5/13/25…

  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
• Actual harm · Gcited before2025-06-18 · 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, interviews and record review, the facility failed to train/monitor staff on behavior de-escalation, failed to protect a cognitively and visually impaired resident from abuse for 1 (R1) of 3 residents reviewed for abuse in the sample of 3.This failure resulted in physical and emotional harm inflicted on a vulnerable resident when two Certified Nursing Assistants (CNAs) were observed on video footage being physically rough with R1, including forceably pinning the resident's head and torso down on the bed while resident was actively resisting and crying out, threatening the resident to stop screaming, and slapping the resident's face during care. Findings include: R1 is a [AGE] year old with severe cognitive impairment, visual and verbal impairments, and with diagnoses including but not limited to Alzheimer's Disease, major depressive disorder, anxiety disorder, and dementia. MDS (minimum data set) dated 5/22/25 showed R1 with severe cognitive impairment, with behaviors, and was dependent 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-10-30 · 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 interviews and records reviewed, the facility failed to ensure fall prevention interventions were utilized to include nonskid footwear and other appropriate interventions for 1 resident (R3) and provide assistance to one resident (R2) during transfer from wheelchair to bed. R3 has a cognitive communication disorder, poor safety awareness, and impaired cognition. R2 has a history of alcohol abuse, gait disorder, and neuropathy. These failures affected two of three (R2, R3) residents reviewed for falls. These failures resulted in harm, with R2 sustaining a laceration requiring two sutures to the left eyebrow region, and R3 was admitted to the hospital for Subdural Hematoma and received 7 staples to the left occipital region. The findings include: 1. IDPH facility reported an incident for R3 states on [DATE]. The nurse on duty observed the resident standing by the bed and attempting to walk. Nurse attempted to get to the resident to prevent him from falling. Resident fell on the floor between the bed 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
• Actual harm · Gcited before2024-03-07 · 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, interviews and record reviews, the facility failed to follow a resident care plan related to use of helmet for one (R3) of five residents reviewed for falls and injuries. This failure resulted in R3 sustaining a right subdural hematoma after a fall incident. Findings include: R3 is a [AGE] year-old female, admitted in the facility on 02/16/23 with diagnoses of Traumatic Subdural Hemorrhage without Loss of Consciousness, Subsequent Encounter; Unspecified Dementia, Unspecified Severity, without Behavioral Disturbance, Psychotic Disturbance, Mood Disturbance and Anxiety; Unspecified Fall Subsequent Encounter and Epidural Hemorrhage with Loss of Consciousness Status Unknown, Subsequent Encounter. According to MDS (Minimum Data Set) dated 11/10/23 under Section C, R3 has BIMS (Brief Interview of Mental Status) score of 3, which means severe cognitive impairment. R3's Fall risk evaluation notes dated 07/05/23, 07/27/23 and 01/30/24 recorded a score of 17 - 18 which means high risk for falls.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-31 · 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 failed to notify the physician of an opened surgical wound for treatment orders. This affected one of three residents (R1) reviewed for quality of care of a surgical site. This failure resulted in R1's wound becoming infected with live insect larva and being sent to the local hospital for evaluation and treatment. Findings include: R1 face sheet show diagnosis of encounter for orthopedic aftercare following surgical amputation. Acquired absence of other left toe. On 10.29.23 at 3:07PM V4 (wound care coordinator) said she was the wound care coordinator, V4 she does initial wound assesses with measurements for new admission and readmitted residents Monday through Friday. V4 said she does the rounds with the wound doctor, input initial orders and order changes, she develops initial care plans for wounds and update the wound care plan, she completes MDS assessment for wounds. V4 said R1 had a left 5th toe amputation surgical wound upon admission. V4 said R1 was followed by the ortho (orthopedic) surgeon for orders and recommendations for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-03-31 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to follow its policy in using restraints and failed to prevent a physical restraint from being used for staff convenience for one resident (R140) in the sample of 31 residents reviewed for restraints. These failures resulted in psychosocial harm in that, a reasonable person would react to such physical restraint with feelings of agitation, anxiety, frustration, fearfulness, humiliation, and punishment. Findings include: On 3/28/23 at 4:43pm, Observed R140 sitting on chair with walker in front of her. The frame of the walker is tied together with the arm rest of the chair extending around the back of the chair with plastic rope. Call light is not within reach. Called V17 Agency CNA assigned to her. V17 said that she tied R140 to her walker and chair to prevent her from getting out of chair and to prevent falling. She cannot watch her because she has to give a shower to another resident. V17 added that R140's family requested it and has been doing it to prevent her from falling if no one can watch her. On 3/28/23 at…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-03-31 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to provide adequate supervision to residents who are at high risk for fall and has history of falls. This failure caused one resident ( R117) to be hospitalized for surgery due to a fracture. The facility also failed to implement fall preventive intervention care plan. This deficiency affects 2 (R48, R117) residents in a sample of 31 reviewed for Fall prevent management. Findings include: 1. On 3/28/23 at 4:59pm, R117 was lying in bed moaning and restless. R117 is admitted on [DATE] with diagnosis list in part but not limited to Aftercare following joint replacement surgery, Displaced fracture of base of neck of right femur, Alzheimer's disease, Epilepsy and epileptic syndromes with complex partial seizures, Parkinson's disease, Neurocognitive disorder with [NAME] bodies, old myocardial infarction. The Fall assessment dated [DATE] indicated he is at high risk for fall. Care plan indicated he is at high risk for falls related to Alzheimer'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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-18 · 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 observation, interview, and record review, the facility failed to implement the care plan interventions related to behavioral management for one (R1) of 3 residents reviewed for care plans in the sample of 3 cognitively impaired residents. Two Certified Nursing Assistants (CNAs) did not follow the care-planned strategies for managing care-resistant behavior, resulting in a care interaction that placed the resident at risk for emotional distress and escalation. Findings include: R1 is a [AGE] year old with severe cognitive impairment, visual and verbal impairments, and with diagnoses including but not limited to Alzheimer's Disease, major depressive disorder, anxiety disorder, and dementia. MDS (minimum data set) dated 5/22/25 showed R1 with severe cognitive impairment, with behaviors, and was dependent in performing activities of daily living. R1's care plan dated 5/13/25 reads in part, (R1) is High risk of being a recipient or perpetrator of mistreatment due to Dementia, Major Depressive Disorder. (R1)…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-18 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to ensure that services provided to one (R1) of 3 residents in the sample of 3 with cognitively impairment met professional standards of quality; specifically two Certified Nursing Aides (CNAs) did not follow the established plan of care for managing care-resistant behavior, engaged in physically rough handling of the resident during care, and failed to utilize person-centered behavior interventions resulting in care interaction that did not meet accepted clinical practice standards. Findings include: R1 is a [AGE] year old with severe cognitive impairment, visual and verbal impairments, and with diagnoses including but not limited to Alzheimer's Disease, major depressive disorder, anxiety disorder, and dementia. MDS (minimum data set) dated 5/22/25 showed R1 with severe cognitive impairment, with behaviors, and was dependent in performing activities of daily living. R1's care plan dated 5/13/25 reads in part, (R1) is High risk of being a…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-18 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record reviews, the facility failed to ensure that two Certified Nursing Assistants (CNA's) demonstrated the necessary competency in dementia care and behavior management techniques for one (R1) of 3 residents reviewed in the sample of 3, who exhibited care-resistant behaviors, did not apply de-escalation strategies as directed in the resident's care plan, placing the resident at risk for increased agitation and emotional distress. Findings include: R1 is a [AGE] year old with severe cognitive impairment, visual and verbal impairments, and with diagnoses including but not limited to Alzheimer's Disease, major depressive disorder, anxiety disorder, and dementia. MDS (minimum data set) dated 5/22/25 showed R1 with severe cognitive impairment, with behaviors, and was dependent in performing activities of daily living. R1's care plan dated 5/13/25 reads in part, (R1) is HIGH risk of being a recipient or perpetrator of mistreatment due to Dementia, Major Depressive Disorder. (R1)…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-17 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to provide a sufficient number of nursing staff to ensure call lights were answered in a timely manner to assist with activities of daily living care, toileting, and overall care. This failure has the potential to affect all 154 residents currently residing at the facility. Findings include: On 04/14/2025 at 10:00 AM, V2, the Director of Nursing, presented the survey team with a facility matrix report, showing 154 current residents. R153 is an alert and oriented [AGE] year-old resident of the facility, with a BIMS score of 15 with diagnosis including heart failure; paroxysmal atrial fibrillation; need for assistance with personal care; and other abnormalities of gait and mobility. On 04/14/2025 at 12:50 PM, R153 told the surveyor that on the weekends, her unit only had one nurse and one CNA, and that was not enough. R153 said that about two weekends ago, it took five hours for her to get a dry diaper. When asked by the Surveyor how she determined 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-17 · tag F0564 — pattern
  Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to follow their visitation policy allowing residents to receive 24-hour visitation privileges. This failure has the potential to affect all 154 residents currently residing in the facility. Findings include: Per daily census dated 4/14/2025 shows there were 154 residents residing in the facility. On 4/14/2025 at 12:45PM, V25 (Family Member/POA) said the facility is restricting my visiting hours and making me leave by 8:00PM. V19 (Nursing Supervisor) comes around at 7:50PM and waits for me to leave. She will tap her phone showing me the time and will not leave R113's room until I leave the facility. I feel as if I am being punished because I make sure the staff is caring for R113 and they want me gone. On 4/15/2025 at 1:00PM the resident council meeting was held which included: R60, R1, R20, R89, R121, R54, R24, R28, R59, R84, and R90. The residents agreed that at 8:00PM, the facility makes any visitors leave. At 1:30PM, V19 said our visitation policy states that all visitors need to leave once the receptionist is gone for 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 · E2025-04-17 · 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 ensure that staff provide scheduled shower and grooming for residents who are dependent on staff for Activities of Daily Living (ADL). This failure affected four (R41, R70, R108 and R129) of eight residents reviewed for ADL care. Findings include: R129 is [AGE] years old and have resided at the facility since 2024, face sheet listed the following past medical history: metabolic encephalopathy, chronic obstructive pulmonary disease, pain in left shoulder, chronic kidney disease stage 4, bilateral primary osteoarthritis of left hip, obstructive sleep apnea, type 2 diabetes, etc. 04/14/25 12:40PM, R129 was observed in her room sleeping and unable to answer any questions, noted with contracture to both hands, heel boots noted on a chair at the side of the room, no splint noted on both hands. Resident's hair was observed to be thick and matted, dry skin noted all over resident's body. 04/15/25 11:50AM, R129 was observed again in bed, awake 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 · Dcited before2025-04-17 · 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 a resident was free from threats and mental abuse. This failure applied to one of one (R113) residents reviewed for abuse and resulted in psychosocial and emotional harm to R113 as evidenced by emotional distress and physical anxiety. Findings include: R113 is a [AGE] year-old female who originally admitted to the facility on [DATE] and continues to reside in the facility. R113 has multiple diagnoses including but not limited to the following: Moyamoya disease, dysphagia, altered mental status, conversion disorder with seizures, transient cerebral ischemic attack, and cerebral aneurysm. On 4/14/2025 at 12:45PM, V25 (family member/POA) said we have a camera in R113's room to ensure R113 is being cared for properly. On 3/13/2025 at around 5AM, V20 (Certified Nursing Assistant) was changing R113's incontinence brief and had her completely naked. She had had a bowel movement. V20 rolled R113 on her left side which caused her to be 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-17 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to properly investigate an allegation of abuse. This failure applied to one of one (R113) resident reviewed for abuse. Findings include: R113 is a [AGE] year-old female who originally admitted to the facility on [DATE] and continues to reside in the facility. R113 has multiple diagnoses including but not limited to the following: Moyamoya disease, dysphagia, altered mental status, conversion disorder with seizures, transient cerebral ischemic attack, and cerebral aneurysm. On 4/14/2025 at 12:45PM, V25 (family member/POA) said we have a camera in R113's room to ensure R113 is being cared for properly. On 3/13/2025 at around 5AM, V20 (Certified Nursing Assistant) was changing R113's incontinence brief and had her completely naked. She had had a bowel movement. V20 rolled R113 on her left side which caused her to be in pain. R113 started kicking and swinging her arms which is her way of communicating that she is in pain. V20 then told R113 No, no, you better…

  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 before2025-04-17 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 staff provide ordered service to a resident with decreased range of motion by failing to apply ordered splints to resident's hands. This failure affected one (R129) of one resident reviewed for rehabilitation services. Findings include: R129 is [AGE] years old and have resided at the facility since 2024, face sheet listed the following past medical history: metabolic encephalopathy, chronic obstructive pulmonary disease, pain in left shoulder, chronic kidney disease stage 4, bilateral primary osteoarthritis of left hip, obstructive sleep apnea, type 2 diabetes, etc. 04/14/25 12:40PM, R129 was observed in her room sleeping and unable to answer any questions, noted with contracture to both hands, heel boots noted on a chair at the side of the room, no splint noted on both hands. Resident's hair was observed to be thick and matted, dry skin noted all over resident's body. 04/15/25 11:50AM, R129 was observed again in bed, awake…

  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 before2025-03-12 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to notify resident's family member of discontinuation of medication after holding the hypertensive medication. The facility also failed to notify the physician of increase in resident's blood pressure. This deficiency affects one (R1) of three residents reviewed for Notification for change in condition. Findings include: On 3/11/25 at 2:39PM, V6 Family members said that R2's amlodipine (antihypertensive medication) was completely stopped when she only gave permission to old it for 4 days as discussed with V23 Nurse Practitioner. On 3/11/25 at 2:50PM, Reviewed R2's medical records with V3 Director of Nursing (DON). R2 is admitted on [DATE] with diagnosis listed in part but not limited to Hypertension, Cardiomyopathies, Sick sinus syndrome, Heart failure, Chronic kidney disease, Cardiac pacemaker, Dementia, severe with mood disturbance, Type 2 Diabetes mellitus, Abnormalities of gait and mobility. Physician order sheet indicated Amlodipine Besylate give 1…

  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

“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

$47,223 in federal fines across 3 penalties.

• $12,425 — penalty dated 2026-02-26
• $14,050 — penalty dated 2024-03-07
• $20,748 — penalty dated 2023-10-31

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 LEGACY HEALTHCARE — 89 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 6 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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 $2.5M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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