Grove Of Northbrook,the

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.

45.9% 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 27 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 47.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 34 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 0.12 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 134 beds and averages 130.9 residents a day — about 98% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. 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 2.20 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.80 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.16 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 2.16 hrs/resident/day on weekends vs 2.22 on weekdays — 2% thinner on weekends. RN hours go from 0.81 to 0.79 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 19% 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

19 citations, most serious first. The 14 most serious are shown; the remaining 5 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-12-07 · 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 review, the facility failed to follow its Code Yellow (elopement) Policy regarding monitoring residents identified as at risk for elopement. This failure resulted in R1 eloping from the facility and being off grounds for an unknown amount of time before a search was started, and a Code Yellow was called. All 15 residents being monitored for risk of elopement can be affected by this failure. The Immediate Jeopardy began on 10/23/2024 when R1 eloped from the facility, and the door alarm was canceled by the staff without initiating the code yellow protocol. V1 (Administrator) and V2 (Director of Operations) were notified on 12/02/2024 at 3:45 PM of the Immediate Jeopardy. The surveyor confirmed by observation, interview, and record review that the Immediate Jeopardy was removed on 12/03/24, but noncompliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-service training. Findings include: R1 is a [AGE]…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-04-02 · tag 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 provide a safe environment and adequate supervision to a resident (R1) who was at risk of self-harming or foreign-body (batteries) ingestion; failed to develop and update an individualized care plan addressing the behavioral problem; failed to ensure to provide continues/ongoing psychotherapy program; and failed to report the two (2) incidents of R1 ingesting batteries in the facility to IDPH (Illinois Department of Public Health). These failures resulted in R1 having repeated access to batteries from TV remote controls, resulting in two (2) separate episodes of battery ingestion within one week that required transfer to hospital for emergency battery removal. This deficiency affects one (R1) of three residents reviewed for Quality of care.Findings include:R1 was admitted on [DATE], with diagnosis listed in part but not limited to Acute and Chronic Respiratory failure, Chronic Obstructive Pulmonary Disease, Manic severe bipolar disorder with psychotic…

  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 before2024-03-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to have effective interventions in place for the monitoring and supervision of residents assessed to be at risk for falls and requiring staff assistance with dressing and ambulation; and failed to follow the resident plan of care by not providing needed assistance with dressing and ambulation. This failure applied to two of two (R3, R4) residents reviewed for falls, and resulted in R3 sustaining a fall resulting in a left hip fracture requiring surgical intervention, and R4 sustaining a left wrist fracture after a fall while not being assisted during ambulation. Findings include: 1. R3 is an [AGE] year-old female admitted to the facility on [DATE], with medical diagnoses that include displaced fracture of base of neck of left femur, unspecified lack of coordination, Dementia, need for assistance with personal care, weakness, other lack of coordination, unsteadiness on feet, history of falling, and Schizoaffective disorder. Review of R3's MDS (Minimum Data…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-12-14 · 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

  Based on interviews and record reviews, the facility failed to use the proper equipment when providing incontinence care. This affected one of three residents (R11) reviewed for safety during care. This failure resulted in the use of a sit to stand device while providing incontinence care, contributing to R1 falling and sustaining a right shoulder fracture. Findings include: R11's MDS (Minimum Data Set), dated 7/7/23, notes R11's BIMS (Brief Interview for Mental Status) score is 15 out of 15. R11 is totally dependent on two persons physical assistance with transfers. R11 requires extensive assistance of two persons physical assistance with toileting. Functional limitation in range of motion notes impairment in both upper and lower extremities. R11's restorative assessment, dated 7/3/23, notes R11 with limitation in range of motion (flexion and extension) of both shoulders and both knees. R11's ADL (activities of daily living) care plan, initiated 4/26/2017, notes R11 has an ADL self-care performance deficit related to impaired balance. R11 has history of falls, limited balance 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 before2024-09-15 · 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 monitor a resident during a change in mental condition. This resident was able to injure a resident by pushing a wheelchair aggressively, causing this resident to slide out of the wheelchair hurting her back. The failure affects one of three residents (R1) reviewed for resident-to-resident physical assault. Findings include: R1 is a [AGE] year-old female. R1's face sheet diagnoses are but not limited to high cholesterol, schizoaffective disorders, paranoid schizophrenia, and sciatica. R1's BIMS (Brief Interview for Mental Status), dated 07/18/2024, notes R1 is alert. R3 is a [AGE] year-old male. R3's face sheet diagnoses are but not limited to major depressive disorder, and bipolar disorder. R3's BIMS (Brief Interview for Mental Status), dated 06/06/2015, notes R3 is alert. On 09/14/2024, at 12:09 PM, V1 (Assistant Administrator) stated, (R3) is no longer in the facility. He went to a different nursing facility. He had never had any behavioral…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-07 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 its abuse prevention policy by failure to complete abuse assessment and update abuse care plan after allegation of resident-to-resident physical altercation. This deficiency affects three (R25, R78 and R87) of three residents reviewed for Abuse prevention policy. Findings include: 1. Review Incident report of Resident-to-resident physical altercation involving R25 and R87 completed by V1, Administrator, indicated on 3/22/24 at 7:05AM, upon entering room, V28, RN (Registered Nurse), observed R25 on the floor. Upon initial interview of residents, it appeared that there was a disagreement over the volume of R87's TV. As R25 attempted to scurry away back to his bed with R87's remote, he lost his balance and fell. V1 interviewed R25 on 3/25/24. R25 admits to trying to take R87's remote control on the morning of 3/22/24, as he felt the volume of his TV was too loud. R25 also admitted to then taking his cell phone off the bed after R87…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the resident received medications, treatments, and care as ordered by physician. This deficiency affects one (R25) of three residents in the sample of 24 reviewed for Quality of care. Findings include: R25 was re-admitted on [DATE] with admitting diagnoses but not limited to Type 2 Diabetes Mellitus (DM), Hypertension, Chronic Kidney disease, Cerebral infarction, Psychotic disorder with delusions due to known physiological condition, bipolar disorder current episode depressed severe with psychotic features, Dementia with other behavioral disturbance, Anxiety disorder, Alzheimer's disease, Gastroesophageal reflux (GERD). R25's physician order sheet indicates: Consistent carbohydrates diet. Regular texture. Thin liquids. Double portions. Metformin HCl oral tablet 500mg 1 tab twice a day for DM, Lamotrigine oral tablet 25mg 2 tabs for bipolar, Lorazepam tab 0.5mg 1 tab by mouth daily for anxiety, Risperdal 3mg 1 tab by mouth twice 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-07 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow up with pharmacy recommendation review and document physician response in resident medical record. This deficiency affects one (R28) of three residents in the sample of 24 review for Pharmacy medication review. Findings include: R28 was admitted on [DATE], with diagnoses listed in part but not limited to Schizoaffective disorder, Bipolar disorder, Antisocial personality, Anxiety disorder, Pressure ulcer, Spina bifida. Active physician order sheet (POS) indicates Depakote ER oral tablet extended release 24-hour 500mg give 1 tablet by mouth two times a day for treatment. Valporic Acid oral capsule 250mg give 1 capsule by mouth two times a day for treatment. No clinical indication for usage of Depakote and Valporic acid. On 6/4/24 at 11:08AM, R28 was lying in bed. He was alert and oriented, could verbalize self to staff. V15, Wound Care Nurse, said R28 has behavioral issues. R28's Consultant pharmacist recommendation, dated 5/30/24,…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-07 · tag F0761 — failed to label and store drugs safely — isolated
  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 keep the medication cart locked during medication administration when cart was out of site. The facility also failed to keep the medications refrigerated as manufacturer recommendation. This deficiency affects all three residents (R49, R55 and R97) in the sample of 24 reviewed for Medication Safety Storage. Findings include: On 6/4/24 at 6:15AM, checked medication cart and count controlled substance/narcotic medications with V10 RN (Registered Nurse). Observed R49 's opened Lorazepam 2mg/ml bottle in the locked controlled drawer in the medication cart. V10, RN, said they kept all the controlled substance/narcotic meds in the locked drawer in the medication cart. Informed V10 lorazepam should be in the medication refrigerator as indicated on the medication bottle and manufacturer recommendation. On 6/4/24 at 6:33AM, checked medication cart and count controlled substance/narcotic medications with V11 RN. Observed R97's Lorazepam 2mg/ml bottle in the locked controlled drawer in the medication cart. V11 RN said…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-01-19 · 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 interview and record review, the facility failed to supervise residents to prevent them from drinking alcohol, becoming drunk and falling. This applies to 3 of 3 residents (R3, R4 and R5) reviewed for supervision in the sample of 7. The findings include: R3's MDS (Minimum Data Set Assessment), dated 12/26/23, shows she has no cognitive impairment. R3's Care Plan, last reviewed on 1/16/24, states, Alcohol addiction/dependency have negatively impacted my health and cognitive functioning. I acknowledge mixing a concoction of alcoholic beverages in my room while at (facility). Due to my addiction history and husband's reports of her begging to go to the bar while out on pass and general expectation that I will pursue alcohol, I am not appropriate for independent out on pass. The interventions include: Implement increasingly restrictive interventions in a effort to help the resident break the addictive cycle. Interventions may include: supervision while in the community, restricted independent pass…

  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 · D2023-12-14 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility to follow their abuse policy and prevent incident of resident-to-resident physical assault, and resident to resident inappropriate touching. This affected three of four (R4, R5, and R10) residents reviewed for abuse prevention. Findings include: On 11-30-23 at 11:05 AM, R4 said she does not remember what happened. R4 said sometimes R5 is nice, and sometimes (R5) hates (R4's) guts. R4 said R5 will yell at her in-front of other people. R4 does not recall the altercation, but a physical altercation may have happened with R5. R4 said R5 has gotten so mad that she wanted to hit R5 before. R4 said she was sent out to the hospital for this incident. R4 said she tries to stay away from R5 as much as she can. R4 said there was no previous altercation before this incident. R4 said she threw an empty can of pop at another resident (name withheld) during another altercation with another resident. On 11-30-23 at 11:24 AM, R5 said R4 was mad at her going into another…

  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 before2023-12-14 · 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 follow hospital discharge instructions and neurosurgeon's recommendation for a repeat CT (Computed Tomography) scan of head prior to restarting anticoagulant therapy. This affected one of three residents (R1) reviewed for physician orders and discharge instructions. Findings Include: R1 was admitted in the facility on 10/12/23. R1 had right temporal parietal intraparenchymal hemorrhage and was taken emergently for right craniotomy for hematoma evacuation on 10/3/23. Hospital record on 10/17/23 hospitalization reads: Per Neurosurgery recommendation, R1 needs repeat CT in approximately one week with follow up prior to determining whether to restart formal AC (Anticoagulant). Physician order sheet Warfarin 2.5 mg by mouth in the evening for 3 days, start date 11/3/23, with order date on 11/2/23, and Enoxaparin 60mg/0.6ML two times a day, start date 11/8/23, with order date of 11/7/23. On 11/21/23 at 1:30PM, V4 (Registered Nurse/RN) stated V4 received a call from neurosurgery nurse and instructed to have the INR in therapeutic…

  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 · E2022-07-29 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to repair leaking water from the air-conditioning unit in the resident's room. This deficiency affects 4 (R14, R20, R34 and R54) residents in the sample of 25 reviewed for Safe environment. Findings include: On 7/27/22 at 9:37AM, water was leaking from the air conditioning unit in R54's room, which caused a puddle of water on the floor going under the bed. Surveyor observed towel soaked with water placed at the base of the air conditioner. V10, Licensed Practical Nurse/LPN was showed problem in R54's room. V10 said she did not notice the puddle of water, and did not place the towel to absorb the water. V10 said no one reported to her there was leaking water from the air conditioner. V10 said, (R14) always carries a towel, she probably placed the towel to absorb the water. On 7/27/22 at 9:40 AM, R20, who resides in the same room, said V7, Maintenance Director, has been working with that air conditioner. R20 said V10, LPN, placed the towel there earlier. R34 ,who also resides in the same room, said she did not place that towel 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-07-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to conduct a fall investigation to determine the cause of a fall, failed to update a resident's fall care plan after each fall incident, and failed to ensure a functional alarm was attached a resident who is at risk for falls. This deficiency affects 4 (R38, R72, R77 and R85) residents in the sample of 25 reviewed for Fall prevention management. Findings include: 1. R72 was admitted on [DATE], with diagnoses to include Disorder of the brain, Unsteadiness on feet, Gait and mobility abnormality. Lack of coordination, need for assistance with personal care, history of falling, and ataxic gait. R72's care plan indicates he is at high risk for falls. admission fall assessment, dated 4/1/19, re-admission fall assessment, dated 7/8/19, and re-admission fall assessment, dated 8/15/20, all indicated R72 is at high risk for fall. On 7/26/22 at 10:49 AM, V10, Licensed Practical Nurse/LPN said R72 had an unwitnessed fall in his bathroom on 7/11/22.…

  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

$83,860 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $18,990 — penalty dated 2026-04-02
• $53,804 — penalty dated 2024-12-07
• $11,066 — penalty dated 2024-03-02
• Medicare payment denial — starting 2024-01-06 for 27 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 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 18 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 12% 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