Elevate Care Niles

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.

47.6% 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 55 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 26 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 302 beds and averages 176.4 residents a day — about 58% occupied, or roughly 126 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 3.12 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.77 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.68 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.75 hrs/resident/day on weekends vs 3.27 on weekdays — 16% thinner on weekends. RN hours go from 0.83 to 0.64 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% is below 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 unchanged from the previous inspection. 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.

40 citations, most serious first. The 19 most serious are shown; the remaining 21 are one tap away and print in full.

• Actual harm · G2026-04-16 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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 establish a correct indication and frequency in the use of antipsychotic medication (Seroquel); failed to obtain complete consent for use of antipsychotic medication; and failed to adequately monitor adverse reactions, evaluate effectiveness and relevance of antipsychotic medication on a resident with Alzheimer's disease. This failure resulted in R1 hanging himself with a cellphone cord and required emergent transfer to the hospital.Findings include:R1 is a [AGE] year-old, male, admitted in the facility on 02/14/26 with the following diagnoses: Alzheimer's Disease, Unspecified; Unspecified Dementia, Moderate, with other Behavioral Disturbance; Memory Deficit Following Cerebral Infarction and Restlessness and Agitation.R1's MDS (Minimum Data Set) dated 02/21/216 documented:Sec C: BIMS (Brief Interview for Mental Status) score of 5, which means severe cognitive impairment.Sec D:A. Little interest or pleasure in doing things, 7-11 days (half or more of…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-02-10 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow a provider order for a STAT (immediately) x-ray to be completed for a resident after a fall. This failure applied to one (R1) of three residents reviewed for accidents and resulted in R1 having a delay in being transferred to the hospital for evaluation and treatment of a fractured hip, which required surgical intervention. Findings include: R1 is a [AGE] year-old female admitted to the facility on [DATE] with medical diagnoses that include: right femur fracture; unspecified dementia, moderate, w/out behavioral disturbance, psychotic disturbance, psychotic disturbance, mood disturbance, and anxiety; and mild cognitive impairment. Fall Report dated 1/24/25 3:34pm written by V8 (Licensed Practical Nurse / LPN) reads: Incident Description: Writer heard residents in the dining room yelling. When writer got to the dining room to assess what was going on the patient (R1) was noted laying on the floor on her right side while other resident (R2) 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 · Gcited before2025-02-10 · 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/touching assistance for a resident when moving from a seated to standing position, per the residents plan of care and assessments, in order to prevent a fall. This failure applied to one (R1) of three residents reviewed for accidents and resulted in R1 having a fall causing a fractured hip that required surgical intervention. Findings include: R1 is a [AGE] year-old female admitted to the facility on [DATE] with medical diagnoses that include: right femur fracture; unspecified dementia, moderate, w/out behavioral disturbance, psychotic disturbance, psychotic disturbance, mood disturbance, and anxiety; and mild cognitive impairment. R1's Minimum Data Set (MDS) assessments document the following: 1/4/25 Section GG Functional Abilities codes R1 as requiring supervision or touching assistance during sit to stand (ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed); walk 10 feet (once…

  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 before2023-12-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to consistently monitor resident's skin every shift, turn and reposition every two hours, carry out wound treatment orders as prescribed, and implement pressure relieving interventions to prevent a facility acquired pressure ulcer from recurring for one resident. This affected one of three residents (R3) reviewed for pressure sore prevention. This failure resulted in R3's sacral/right buttock stage 3 pressure ulcer re-opening and new wound treatment orders to be obtained. Findings include: On 12/13/23 at 10:40am, this surveyor observed V12 CNA (certified nurse aide) perform incontinence care for R3. R3 was observed to have a small blue brief tucked within large yellow brief. There was a disposable incontinence pad also under R3. V12 removed the briefs, provided care, and placed two new briefs on R3. Barrier cream was not applied to R3. On 12/13/23 at 11:00am, this surveyor observed V3 (wound care nurse) perform wound care treatments for R3. R3's sacrum to right buttock stage 3 pressure ulcer was cleaned 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
• Actual harm · Gcited before2023-10-19 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record reviews, the facility failed to include documentation in the residents medical record of assessment and monitoring of tracheotomy status and cares provided. This failure affected one (R7) of one resident reviewed for tracheotomy care and resulted in R7 being found unresponsive, with tracheotomy tube not in place and the facility was not able to identify how long the resident was without the trache tube in place; R7 expired of respiratory distress. Findings include: R7 is a [AGE] year-old female, admitted in the facility on [DATE] with diagnoses of Chronic Respiratory Failure, Unspecified, Unspecified Whether with Hypoxia or Hypercapnia and Encounter for Attention to Tracheotomy. Nurse Practitioner progress notes dated [DATE] recorded that R7 was alert and oriented to time, place, person and event. She was able to write and mouth out words as a way of communication. She had a tracheotomy tube in placed to oxygen source. According to progress notes dated [DATE] time stamped 8:30 AM,…

  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 before2023-10-19 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to have effective interventions in place to prevent a resident, admitted with intact skin, from developing a Stage III pressure injury while in the facility. This failure applied to one (R4) of one resident reviewed for pressure ulcers. Findings include: R4 is a [AGE] year old female admitted to the facility 8/7/23 with diagnosis that include enterocolitis due to C-Diff, Acute and Chronic Respiratory Failure with Hypoxia, Tracheostomy, Dependence on Respirator (Ventilator), Chronic Kidney Disease Stage 5, Dependence on Renal Dialysis and Dementia. According to R4's electronic health record, she was admitted requiring total assistance for all activities of daily living including turning, repositioning and incontinence care. According to admission notes and assessments, R4 admitted to the facility with intact skin, and no skin conditions. R4 was transferred to the hospital 10/8/23, admitted for abdominal distention and is currently hospitalized during this…

  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 before2023-10-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews the facility failed to follow their policy and procedures for fall prevention by not identifying and implementing personalized care plan interventions on admission and not providing adequate supervision for a resident at high risk for falls; they also failed to adequately supervise or remove a safety hazard when identified, for a resident at high risk for falls. These failures applied to two of three residents (R5 and R6) reviewed for falls and resulted in R5 sustaining a head injury requiring sutures. Findings include: R5 is an [AGE] year-old male with a diagnoses history of Prostate Cancer, Bone Cancer, Mild Cognitive Impairment, Major Depressive Disorder, Anxiety Disorder, and Cognitive Communication Deficit who was admitted to the facility 08/09/2023. R5's Hospital Record dated 08/09/2023 and included in the facilities electronic medical record documents he is a high fall risk with interventions implemented including: place of bed locked in lowest position, bed alarm…

  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 before2023-07-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation interview and record review the facility failed to ensure that one residents (R313) wound was assessed properly and worsening wound was identified, and doctor was notified for one resident R313 of 3 residents reviewed for wounds in a sample of 33. Findings include: On 7/20/23 at 1:16 PM with V11 (Wound Care Coordinator) reviewing pictures and documentation of R313 sacral wound. All of the sacral wound assessment each week documents the wound to be 5x7/0 CM, area to be 35 centimeters, and the tissue to be bright pink or red=100%. 4/19/23 picture V11 states that there is some slough on the sacral wound and that V41 (Wound care nurse) assessment is incorrect but the treatment ordered is correct. Wound size documented 5x7x0 and 100% pink tissue. 4/26/2023 picture V11 states slough is more of non-adherent slough. There is a new/wider wound on the left buttock next to/attached to original sacral wound. V11 states there is more dead tissue and the measurement that V41 put is incorrect and yes these findings would signify a change in condition. 5/1/2023 picture…

  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 before2023-07-21 · 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 On 7/18/23 at 12:20pm Observed R88 lying on scoop mattress. V19 LPN said that R88 is at high risk for fall and just fell recently. On 7/19/23 at 9:58am, V7 Restorative Nurse (RN) said that she does the formulation and updating fall care plan. V2 DON does the initial investigation and root cause analysis after each fall. The floor nurse will do the fall incident documentation and report the incident. Review R88's medical record with V7 RN. V7 said that R88 is admitted on [DATE] with diagnosis listed in part but not limited to history of falling, Laceration to part of head due to fall, Vascular dementia. V7 said that admission fall assessment done on 1/5/23 indicated that R88 is at high risk for fall. V7 said that R88 has several incidents of unwitnessed fall namely: 2/1/23 - Unwitnessed fall. R88 observed sitting on the floor in his room. 5/15/23- Unwitnessed fall. R88 observed on prone position on the floor, bleeding on the left forehead. R88 was sent to hospital for suturing of laceration on left forehead.…

  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 before2026-02-25 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  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 residents (R1 and R2) who need assistance with ADLs (Activities of Daily Living) is given nail care, shaved facial hair and provided incontinence care in a timely manner. This failure affects two (R1 and R2) of three residents reviewed for ADL care program. Findings include:1.On 2/24/26 at 12:53PM V6 (Case Manager) said that V10 (Family member of R1) reported to her every time she visits R1, she always finds R1 soiled with urine and feces. R1 is incontinent of B&B (Bowel and Bladder) and unable to call for assistance due to her cognitive impairment cause by Alzheimer's. V10 also reported poor hygiene due to found feces on hands, face and hair. She reported V10's concerns to V3 (SSD-Social Service Director) but they missed calls and playing phone tag.On 2/24/26 at 9:30AM, Observed R1 lying on low air loss (LAL) mattress. R1 is awake, nonverbal and confused. She is calm and quiet. She does not have bilateral boots. V11…

  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 before2026-02-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to implement wound/skin care interventions to prevent deteriorating of MASD (Moisture Associated Skin Disorder), to resident (R1) who is at high risk for skin impairment. This failure affects one (R1) of three residents reviewed for Pressure Ulcer/Wound Care Management. Findings include:On 2/24/26 at 12:53PM V6 (Case Manager) said that V10 (Family member of R1) reported to her every time she visits R1, she always finds R1 soiled with urine and feces. R1 is incontinent of B&B (Bowel and Bladder) and unable to call for assistance due to her cognitive impairment caused by Alzheimer's. On 2/24/26 at 9:30AM, Observed R1 lying on low air loss (LAL) mattress. R1 is awake, nonverbal and confused. She is calm and quiet. She does not have bilateral boots. V11 (LPN-Licensed Practical Nurse) said that R1 is nonverbal, confused and needs total care with ADLs (Activities of Daily Living) and transfers. R1 is fed by CNAs (Certified Nursing Assistant) during…

  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 before2025-12-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  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 follow its Incontinence Care Guidelines by failing to provide timely incontinence care to dependent residents. This applies to 3 of 3 (R1, R2, and R3) residents reviewed for Activities of Daily Living (ADL) care in a sample of 3.The findings include:1.R1 is a [AGE] year-old female admitted on [DATE], with intact cognition as per the Minimum Data Set (MDS) dated [DATE]. The MDS review also indicates that R1 is dependent on toileting hygiene.On 12/16/25 at 2:30 PM, R1 stated, There were times they didn't change me for long periods. They will change me around 6:00 AM, 10:30 AM, and 1:00 PM. Sometimes the morning CNAs (Certified Nurse Assistants) don't change me at 1:00 PM, so I have to wait for the evening shift, and they don't change me right away when they start at 3:00 PM. Then I must wait for extended hours to get changed.2.R2 is a [AGE] year-old female with mild cognitive impairment as per the MDS dated [DATE]. The MDS review also…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-21 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure multi-dose medications are labeled and discarded accordingly for one of two medication rooms (second floor medication room) reviewed for medication storage and labeling. Findings include:On 11/18/2025 at 9:10AM during medication room observation with V33 (Registered Nurse), second floor medication room was observed with the following:1. R78's Latanoprost ophthalmic solution with open date of 08/01/2025 and pharmacy label that reads Throw away any drug left after 6 weeks2. R18's insulin lispro with no open date and pharmacy label that reads Throw any medicine that remains 28 days after first use3. Two open, undated vials of Tuberculin Purified Protein Derivative with bottle label that reads Once entered, vial should be discarded after 30 days, and medication literature that reads Vials in use more than 30 days should be discarded due to possible oxidation and degradation which may affect potency On 11/18/2025 at 9:20AM during interview with V33, V33 stated that all multidose medications and vials should…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to date and label food items and beverages after preparing and storing. The facility also failed to maintain sanitizing solution at level required per manufacturer's instruction. This deficiency affects all 146 residents in the facility receiving food trays from kitchen. Findings include: Based on observation, interview, and record review the facility failed to date and label food items and beverages after preparing and storing. The facility also failed to maintain sanitizing solution at level required per manufacturer's instruction. This deficiency affects all 146 residents in the facility receiving food trays from kitchen. Findings include:On 11/18/25 at 6:32AM, Observed in cooler storage fridge 15 cold sandwiches and 4 juices in plastic cup not dated and labeled with V18 Night Supervisor. V18 called V19 [NAME] and asked when it was prepared. V19 said it was prepared last night. Surveyor asked why it was not dated and labeled then he…

  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 · Dcited before2025-11-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide nail care to dependent resident. This deficiency affects one (R10) of three residents in the sample of 34 reviewed for ADLs (Activity of Daily Living) Program. Findings include: On 11/19/25 at 8:56AM, Observed R10 lying in Low air loss mattress. He is awake but nonverbal and needs total care with ADLs and transfers. He has tracheostomy tube connected to ventilator and gastrostomy tube connected to enteral feeding pump. R10 has bilateral arms contractions. Observed with V4 WCC (Wound Care Coordinator) and V5 WCN (Wound Care Nurse), R10 has long discolored fingernails on both hands with black matter inside the finger. Both V4 and V5 said that nail care is part of the ADLs program, and the CNA (Certified Nurse Assistant) is responsible for providing the care. On 11/19/25 at 9:00AM, V7 LPN (Licensed Practical Nurse) said that she is the regular nurse for R10. Surveyor showed to V7 bilateral hands with long discolored with black matter…

  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 before2025-11-21 · 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 splints/braces are applied to residents with contractures affecting two of seven residents (R111, R139) reviewed for range of motion. Findings include: On 11/18/2025 at 8:15 AM, R111 was observed lying in bed. R111 has a right-hand contracture without a splint on. On 11/18/2025 at 12:20 PM, observed with V8 (LPN-Licensed Practical Nurse) that R111 didn't have a right-hand splint or right ankle orthosis on. V8 said that R111's right-hand splint and right ankle orthosis should have been on. V8 said that R111 using the hand splint and ankle orthosis is to prevent R111's contractures from worsening. On 11/19/2025 at 3:09 V12 (Restorative Nurse/LPN) said that V12 is familiar with R111. V12 said that R111 is alert and oriented x 2 – 3 times. V12 said that R111 can make her needs known. V12 said that R111 has a history of stroke. V12 said that R111 is on range of motion (ROM) exercises program, splint program for right hand upper…

  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 before2025-11-21 · 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 adequate supervision and monitoring to prevent accidents for two of four residents (R183 and R129) reviewed for accidents. Findings include:R183 is a [AGE] year-old female who was admitted in the facility in 10/26/2021 with diagnoses of not limited to major depressive disorder, generalized anxiety disorder and bipolar disorder, and was discharged on 07/28/2025. R183 was R129's roommate. R129 is a [AGE] year-old female who was admitted in the facility with tracheostomy, and diagnoses of not limited to chronic respiratory failure and chronic obstructive pulmonary disease. R129 is on low air loss mattress and high humidity tracheostomy collar. On 11/19/2025 at 9:59AM during interview with R129, R129 stated that she cannot remember when the fire happened but can remember what happened. R129 stated that she was on bed and watching the television when she felt something hot on her right leg and saw something flickering on the right side of her bed by…

  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 · D2025-11-21 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 enteral (tube) feeding was administered at a correct rate per physician order and enteral feeding container was labeled per policy. This deficient practice has the potential to affect 2 of 2 residents (R124, R39) reviewed for enteral feeding management in a sample of 34.Findings Include:On 11/18/2025 at 08:30 AM, R39 was observed in his room. R39's tube feeding was infusing at the rate of 55 ml/hr (milliliters/hour). On 11/18/2025, at 12:15 PM, V8 (LPN-Licensed Practical Nurse) observed with surveyor R39's tube feeding infusing at the rate of 55 ml/hr. At 12:17 PM, V8 and surveyor reviewed R39's tube feeding order. R39's physician order indicates enteral feed every shift (nutritional supplement) 1.5 @ 65 ml/hr. V8 said that R39 tube feeding rate should have been set at 65 ml/hr per physician order. On 11/19/2025 at 11:29 AM, V2 (Director of Nursing) said that V2's expectation for the staff is to carry out orders as prescribed. V2…

  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 before2024-12-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow their call light policy and answer residents' call light in a timely manner for three (R1, R3, and R4) residents out of four residents reviewed for call lights in a total sample of four residents. This failure places residents at risk to be provided with inappropriate care and services to meet the resident's physical, mental and/or psychosocial needs. Findings include: On 12/15/2024, 9:29 AM, V5 (Certified Nursing Assistant) states that currently there are two certified nursing assistants working on this floor and one nurse. V5 states that there are approximately 22 residents on this floor. On 2/15/2024, 9:44 AM, R1 is laying down on her bed, head of her bed slightly elevated, and in no apparent distress. R1 is wearing black sunglasses. R1's call light is within reach. R1 reports that she has waited several hours to be changed. R1 states that sometimes staff take long to answer her call lights. R1 states that it takes 2 hours for someone 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.

  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

$109,216 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $29,100 — penalty dated 2026-04-16
• $80,116 — penalty dated 2023-12-15
• Medicare payment denial — starting 2024-01-16 for 13 days

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

Part of a chain

This home belongs to ELEVATE CARE — 14 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 42 rows in the source record cover these 24 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

10 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 $3.5M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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