Elevate Care Palos Heights
12550 South Ridgeland Avenue, Palos Heights, IL 60463 · For profit - Limited Liability company · 111 certified beds · (708) 597-9300 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- CMS has flagged it for abuse
- it has abuse, neglect, or exploitation citations (F0600, F0602) — most recent Sep 2025
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has a citation for mishandling residents’ money or property (F0568)
- it has 4 actual-harm citations
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $48,832 in federal fines (most recent 2025-11-25)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 12.0% | 13.4% | 15.4% | better |
| Long-stay residents who lose too much weight | 2.7% | 6.3% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.9% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.7% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 72.6% | 54.2% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.4% | 0.1% | 0.1% | worse |
| Long-stay residents with falls causing major injury | 1.1% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 12.6% | 14.3% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 10.2% | 18.3% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 77.0% | 91.8% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 5.6% | 4.8% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 28.2% | 20.6% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 6.7% | 21.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.7% | 2.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 82.9% | 63.1% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 29.9% | 26.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 12.1% | 13.9% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 1.27 | 2.02 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.39 | 2.22 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
60.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 406 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 31.6% 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 139 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 0.33 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 29% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 60.3%CMS range 55.2–64.9 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.8%CMS range 9.0–14.6 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 31.6% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 36.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 27.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 98.5% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.5% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.0%CMS range 4.0–9.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.01 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 111 beds and averages 95.7 residents a day — about 86% occupied, or roughly 15 beds typically open. It runs fairly full. 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 3.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 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 2.97 hrs/resident/day on weekends vs 3.77 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.58 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 14 most serious are shown; the remaining 7 are one tap away and print in full.
- Actual harm · Gcited before2025-09-23 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review the facility failed to ensure staff obtained the resident permission prior to checking for incontinence, and inappropriately touched a resident in her vaginal area. This affected one of three residents reviewed for abuse. This failure resulted under the reasonable person concept, in R1 expressing she felt angry, violated, she felt like V1 took something from her emotionally, she wanted to fight. R1 BIMs completed on 9/15/25 denotes in-part R1 was able to report correct year, R1 was able to report correct day of the week, R1 was able to repeat three words after first attempt. R1 face sheet shows diagnosis of fracture of shaft of left femur, chronic congestive heart failure, type two diabetes, atrial fibrillation, chronic kidney disease, COPD, history of DVT, anxiety disorder, major depression disorder, obesity, and GERD.R1's police report dated 9/19/25, denotes in-part report number 2xxx-xxxxx, offense criminal sexual abuse, R1 briefly spoke about this incident, in summary: R1 woke up to a male black fondling her vagina along the outside of her…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · Gcited before2024-09-22 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to prevent one resident (R1) from mental abuse caused by a staff member and failed to ensure the staff member had limited access to R1. This failure applied to one (R1) of three residents reviewed for abuse and resulted in R1 feeling on guard, untrusting and unsafe while living in the facility. Findings include: R1 is a [AGE] year old female who admitted to the facility 2/16/24. R1 has diagnoses that include Conversion disorder (functional neurological system disorder) and Generalized Anxiety Disorder for which she is receiving treatment in the facility. R1 is cognitively intact and uses a wheelchair for mobility according to the minimum data assessment dated [DATE]. On 8/21/24 at 8:34PM, R1 was observed resting in bed, alert and coherent. R1 was interviewed and expressed an incident with a staff member (V3) that occurred a few weeks ago. R1 said that one evening, she went to the kitchen because she was hungry and asked V3 Dietary Aid for some food. V3…
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.
- Actual harm · Gcited before2024-06-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 safely transfer a resident with a mechanic lift. This failure resulted in staff transferring R2 to bed from wheelchair via mechanical lift, during the transfer R2's left foot bumped the footboard which resulted in fracture to the left distal tibia. This failure affected 1 resident (R2) in a sample of 5 reviewed for accidents. Findings include, Facility's reportable to state agency (4/29/24) documents in part: R2 was observed by floor nurse exhibiting s/s (signs and symptoms) of pain. PRN (as needed) pain medication given and effective. MD (doctor) made aware and gave an order for x-ray. The X-ray showed a fracture to the left distal tibia. Family and MD made aware, orders received to transfer resident to the ED (emergency department) for further evaluation and treatment. Family made aware of transfer. Upon investigation it was found that on 4/26/24 V14 (CNA) stated that as she and V13 (CNA) were transferring R2 to bed from wheelchair via mechanical…
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.
- Actual harm · Gcited before2023-03-09 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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 observations, interviews and record review, the facility failed to protect a cognitively impaired resident from physical and emotional abuse by a staff member who forcefully pushed the resident in her wheelchair and shouted at the resident out of frustration which caused the resident to be fearful of the staff member, emotionally distraught and intimidated; and facility failed to follow their policy on abuse prevention. This failure affected one (R81) of 5 residents reviewed for abuse from a sample of 37 residents. Findings include: R81 is a [AGE] year-old female with birth date of [DATE]. She admitted to the facility on [DATE] and has a past medical history not limited to Weakness, Lack of Expected Normal Physiological Development in Childhood, Non-ST Elevation Myocardial Infarction, Syncope and Collapse, and Difficulty in Walking. On [DATE] at 11:54 AM while outside of R81's room, surveyor overheard V8 (Certified Nursing Assistant/CNA) being verbally abusive to R81 regarding a telephone cord being…
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.
- Potential for harm · E2026-05-27 · tag F0656 — failed to write and follow a full care plan — patternDevelop 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 interview and Record review the facility failed to develop individualized ADLs (Activity of Daily Living) plan of care for Eight of Eight residents (R5, R6, R7, R8, R9, R10, R13, and R15) and failed to educate residents and family on anticoagulant medication for two residents (R8 and R9) in the sample reviewed for ADLs. This failure affected R5, R6, R7, R8, R9, R10, R13, and R15 who were dependent on staff for ADLs assistance and had the potential to affect all 98 residents residing in the facility.Findings include: R5's admission Record documents that R5 admission date as 05/26/2020 with listed diagnosis that includes but not limited to hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, anxiety disorder, and muscle weakness (generalized) R5's MDS (Minimum Data Set) dated May 19, 2026, showed that R5 has a BIMS score of 13 indicating that R5 is cognitively intact. R6's admission Record documents R6's admission date as 05/06/2026 with listed diagnosis that includes…
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.
- Potential for harm · Dcited before2025-09-23 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 policy to report an allegation of abuse within two hours of receiving an allegation for one of three resident (R1) reviewed for abuse reporting. Findings include: 9/21/25 at 2:25pm V2 (LPN) stated that R1 and R1 family alleged abuse by staff on 9/19/25 around 10:30pm. V2 said the administrator was made aware that night.9/22/25 1:55pm V4 (VP of Operations) stated the administrator did not report the allegation of abuse to the state department with 2 hours of receiving the allegation. V4 said an allegation of abuse should be reported within two hours of receiving the allegation. 9/22/25 at V5 (Director of Nursing) stated she reported an allegation of sexual abuse on 9/20/25.Review of the reportable submitted to the state department, report date is 9/20/25 at 1:43pm for sexual abuse.Facility policy abuse prevention and reporting effective date 11/28/2026 last revision date 10/24/22 denotes in-part; Abuse means any physical or mental injury or sexual assault inflicted upon a resident other than by accidental means…
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.
- Potential for harm · F2025-07-15 · tag F0921 — failed to keep a safe, functional, sanitary building — widespreadMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to maintain a working kitchen exhaust fan and failed to replace the broken tiles. This applies to all 92 residents consuming food from dietary services.On 7/10/25 at 11:25 AM, observed kitchen with broken floor tiles (ceramic) throughout the kitchen. Observed that the exhaust fan above the stove is not working and the temperature around the stove area was unusually hot. On 7/10/25 at 11:32 AM, V6 (Dietary Aide) stated, I have been working in this kitchen for one and a half years. The kitchen floor tiles have been broken since I started here. On 7/10/25 at 11:35 AM, V7 (Cook) stated, Our exhaust fan was not working yesterday either. Air is working with two window units. The kitchen floor tiles were broken when I started here five years ago. It's not comfortable and safe to have uneven kitchen floors with floor tiles missing throughout the kitchen floor.On 7/10/25 at 11:30 AM, V5 (Dietary Manager) stated, Our exhaust fan over the stove is not working today and is not taking the heat out. Our maintenance is…
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.
- Potential for harm · D2025-07-15 · tag F0568 — isolatedProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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 the interview and record review, the facility failed to establish and maintain a system for recording and releasing resident funds based on generally accepted accounting principles. This applies to 1 of 3 residents (R1) reviewed for the resident fund in a sample of 8.R1 was an [AGE] year-old male admitted on [DATE] with moderate cognitive impairment as per the Minimum Data Set (MDS) dated [DATE].On 7/10/25 at 9:10 AM, V10 (R1's granddaughter) stated, After my grandpa (R1) passed away on 6/7/25, my mom received a phone call from the nurse that R1 had $200 cash and a cashier's check of $400 to be picked up. When my mom and my grandma (who passed away one week after my grandpa) stopped by to collect money, V1 (administrator) told them that the money had already been released. But we never received that money. They are saying my grandma (who passed away) picked it up in April (4/7/25). But my grandma doesn't even drive. Somebody must have driven her to the facility, and we would know if that happened.On…
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.
- Potential for harm · D2025-07-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide residents with a clean, comfortable, home-like interior. This applies to 5 of 8 residents (R4, R5, R6, R7, and R8) reviewed for the sanitary, comfortable, home-like environment.On 7/10/25 at 10:20 AM, observed 300 hallways with urine and feces smell, and a common shower room with a dirty/foul smell.On 7/10/25 at 10:22 AM, V12 (Housekeeping) stated that he doesn't know where the foul smell is coming from, and he is on his way to clean the common shower room. 1.R4 is a [AGE] year-old female having mild cognitive impairment as per the Minimum Data Set (MDS) dated [DATE]. The MDS also documents that R4 is dependent on toileting hygiene.On 7/10/25 at 10:28 AM, observed R4 in her bed with an intense urine and feces smell. On 7/10/25 at 10:30 AM, V3 (Certified Nursing Assistant/CNA) checked on R4 for incontinence and was found with urine and feces-soaked brief with urine and feces leaked onto pads and then to linen with brownish…
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.
- Potential for harm · D2025-07-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide timely incontinent care to dependent residents. This applies to 3 of 3 residents (R4, R5, and R6) reviewed for activities of daily living (ADL) care in a sample of 7. 1.R4 is a [AGE] year-old female having mild cognitive impairment as per the Minimum Data Set (MDS) dated [DATE]. The MDS also documents that R4 is dependent on toileting hygiene. On 7/10/25 at 10:28 AM, observed R4 in her bed with an intense urine and feces smell. On 7/10/25 at 10:30 AM, V3 (Certified Nursing Assistant/CNA) checked on R4 for incontinence and was found with urine and feces-soaked brief with urine and feces leaked onto pads and then to linen with brownish discolored linen. A review of R4's bowel and bladder care plan document with interventions including cleaning the peri-area with each incontinent episode. Check upon rising, before, and after each meal, bedtime, and as needed (PRN). 2.R5 is a [AGE] year-old female having severe cognitive impairment as…
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.
- Potential for harm · D2025-01-24 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
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 call light is within reach affecting 2 of 2 (R2, R34) residents reviewed for Accommodation of Needs in a sample of 20 Findings Include: On 1/21/2025 at 11:20 AM, R2 in bed, call light not within reached. V6 (Certified Nursing Assistant/CNA) said R2 uses a custom call light that V6 was not able to find within R2's reach. On 1/23/2025 at 10:45 AM, V2 (Director of Nursing/DON) said call light should be within reach of resident. admission Record: Diagnosis Information Cerebral Palsy, Unspecified Contracture, Unspecified Joint Care Plan: Encourage R2 to use custom call light r/t contractures of all extremities for staff assistance. Policy and Procedure: Call Light, Revisions: 2-2-18 Purpose: To respond to residents' requests and needs in a timely and courteous manner. Guidelines: Resident call lights will be answered in timely manner. 1. All residents that have the ability to use a call light shall have the nurse call light system available at all times and within easy accessibility to the resident at 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.
- Potential for harm · Dcited before2025-01-24 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to ensure appropriate infection control practices in proper handling of respiratory equipment. This deficiency affects two (R6, R23) of four residents in the sample of 20 reviewed for Infection control. Findings include: On 1/21/25 at 11:05 AM, R23 observed in wheelchair alert and responsive. R23 nebulizer mask observed on top of dresser uncovered and tubing with no date or label. On 1/21/25 at 11:10 AM, V5(Licensed Practical Nurse) made aware of above findings and said that nebulizer mask should be covered in a plastic bag with date on tubing, V5 said nebulizer mask should not be left on top of dresser uncovered. On 1/22/25 at 2:00 PM, V2 (Director of Nursing) said that her nebulizer masks should be placed inside a plastic bag with tubing labeled and dated for infection control purposes. Facility's Policy on Nebulizer- Medication Administration revision: 10-9-18 Guidelines 23. When equipment is completely dry, store in a plastic bag with the resident's name and date on it. 24. Change equipment and tubing weekly.…
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.
- Potential for harm · D2024-10-25 · tag F0770 — failed to provide lab services — isolatedProvide timely, quality laboratory services/tests to meet the needs of residents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review the facility failed to ensure a proper blood draw from a resident with limb precautions. This failure affected 1 resident (R1) of 3 reviewed for laboratory services. Findings include: On 10-22-24 at 9:55 AM, V8 (Concerned Party) said 3rd Party Company came to facility and drew blood from R1's wrong arm despite the right arm precaution bracelet and sign at head of the bed. V8 said POA was present and POA told V2 (Director of Nursing) and primary nurse. V8 said V2 and primary nurse said they were not aware of lab coming to draw labs on 10-10-24. V8 said R1's arm was swollen as a result of the incorrect blood draw. On 10-24-24 at 9:29 AM, V1 (Administrator) said V2 reported the incorrect blood draw to him. V1 said V1 and V2 went to R1's room and visualized limb R1's alert signage above the bed and R1's limb alert bracelet. On 10-23-24 at 10:23 AM, V2 (Director of Nursing) said R1 had a bracelet and sign above the bed indicating right arm precautions (no blood draws and blood pressures). V2 said all staff was aware because of bracelet, sign,…
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.
- Potential for harm · D2024-09-22 · tag F0602 — failed to protect residents from theft of their belongings — isolatedProtect each resident from the wrongful use of the resident's belongings or money.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to protect a resident from misappropriation of resident property. This failure applied to one (R1) of three residents reviewed for misappropriation of property. Findings include: R1 is a [AGE] year old female who admitted to the facility 2/16/24. R1 has diagnoses that include Conversion disorder (functional neurological system disorder) and Generalized Anxiety Disorder for which she is receiving treatment in the facility. R1 is cognitively intact and uses a wheelchair for mobility according to the minimum data assessment dated [DATE]. On 8/21/24 at 8:34PM, R1 was observed resting in bed, alert and coherent. R1 was interviewed and expressed an incident with a staff member (V3) that occurred a few weeks ago. R1 said at one time, she was friendly with V3 Dietary Aid and offered some of her own personal soda from her refrigerator. R1 said she began to get uncomfortable when V3 would come into her room while she was napping and asked V3 to stop coming to the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 7 citations
- Potential for harm · Dcited before2024-09-22 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 report an allegation of misappropriation of property for a resident and failed to timely report an allegation of physical abuse for one resident to the Illinois Department of Public Health (IDPH). These failures applied to two (R1, R3) of three residents reviewed for abuse. Findings include: R1 is a [AGE] year old female who admitted to the facility 2/16/24. R1 has diagnoses that include Conversion disorder (functional neurological system disorder) and Generalized Anxiety Disorder for which she is receiving treatment in the facility. R1 is cognitively intact and uses a wheelchair for mobility according to the minimum data assessment dated [DATE]. Concern form dated 9/2/24 taken by V1 Administrator stated, Resident stated a dietary aide went into her room and took a beverage. Corrective actions taken: Writer interview the dietary aide (V3) Dietary aide stated he removed the dietary tray after mealtime. Offer to replace beverage declined. On 9/19/24 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.
- Potential for harm · D2024-09-22 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide evidence that an allegation of misappropriation of property was thoroughly investigated for a resident. This failure applied to one (R1) of three residents reviewed for misappropriation of property. Findings include: On 9/21/24 at 2:45pm V1 Administrator said, R1 informed (V1) of a concern that V3 Dietary Aid was taking and drinking R1's personal drinks. V1 said (V1) did not ask any other residents or staff about this allegation and V1 was unable to provide any written documents related to a related investigation. Concern form dated 9/2/24 taken by V1 Administrator stated, Resident stated a dietary aide went into her room and took a beverage. Corrective actions taken: Writer interview the dietary aide (V3) Dietary aide stated he removed the dietary tray after mealtime. Offer to replace beverage declined. Abuse Policy revised 4/22 states in part; Investigation Procedures: Residents to whom the accused has regularly provided care, and employees with whom the accused has regularly worked, will be interviewed 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.
- Potential for harm · E2024-08-20 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to maintain a record of controlled substances proof of use accounting for each dose of narcotic medications given and disposed. This failure affected 15 of 15 residents (R6-R21) who were reviewed for disposition of controlled drugs. Findings include: This survey was conducted on-site in the facility from [DATE] to [DATE]. On [DATE] at 2:43pm V2 Director of Nursing and V3 Nursing Supervisor were interviewed regarding reconciliation and destruction of controlled medications. V3 and V4 said that they, along with V4 Assistant Director of Nursing were responsible for disposing controlled medications that were discontinued or not sent home with the residents. V3 said that they were unable to provide documentation in any of the resident's health record that accounted for each dose of controlled medication used and/or disposed. V3 said that once the medications were disposed under witness, the individual Resident Controlled Drug Receipt/Record/Disposition Form…
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.
- Potential for harm · F2023-03-09 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to follow their policy on hand washing during food preparation and failed to properly wear hair nets during food preparation in the kitchen. This failure has the potential to affect all 97 residents who receive oral meals from the facility's kitchen. On 03/06/23 at 10:30 AM, during the kitchen observation, V17 [NAME] noted with a large amount of hair outside the back of her hair net while preparing food over the stove. V17 was inquired of her hair net. V17 [NAME] stated, Oh I thought it was all in. V17 [NAME] attempted to fix her hairnet by pushing the hair up into the net while standing at the stove and was instructed by V15 Dietary Manager to go over to the hand washing sink area away from the food. On 03/07/23 at 10:47 AM, V17 [NAME] observed touching the garbage can lid during preparation of pureed food. V17 [NAME] then rinsed her hands in the food preparation sink. V16 District Manager instructed V17 [NAME] to go to the hand washing sink. V17 [NAME] then rinsed her hands for less than 15 seconds and returned…
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.
- Potential for harm · Fcited before2023-03-09 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review facility failed to follow isolation procedures and usage of PPE's (Personal Protective Equipment) for Enhanced Barrier Precautions for 5 (R12, R30, R37, R43, R58) residents; failed to post signage alerting visitors of active Covid case in the facility. This failure has a potential to affect all 98 residents currently residing in the facility. Findings include: On 03/06/2023 at 09:35 AM Surveyor noted there are no signs in the entrance nor reception area informing of an active Covid case in the facility. On 03/06/2023 at 10:00 AM V1 (Administrator) confirmed that there is one active Covid case in the facility of a total census of 98 residents. On 03/07/23 at 10:35 AM Surveyor observed V13 (Certified Nursing Assistant) and V14 (Certified Nursing Assistant) perform incontinence care for R37. Surveyor observed Enhanced Barrier Precautions sign on R37's room door. Surveyor observed that V13 (CNA) and V14 (CNA) did not wear appropriate PPE, both V13 (CNA) and V14 (CNA) did not wear gown nor goggles or protective shield while performing…
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.
- Potential for harm · F2023-03-09 · tag F0885 — failed to notify residents/families about COVID-19 — widespreadReport COVID19 data to residents and families.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review facility failed to inform residents, their representative, and families of confirmed Covid-19 case in the facility. This failure has a potential to affect all 98 residents currently residing in the facility. Findings include: On 3/6/23 at 10:00 AM, V1 (administrator) provided the facility matrix census data showing 98 current residents in the facility. On 03/08/23 at 10:42 AM Surveyor interviewed V2 (Director of Nursing), V2 stated, When there is an outbreak in the facility, we notify residents, their representative, and families of an outbreak by mailers and phone calls. We didn't notify residents, their representative, and families of the one active Covid-19 case that we have right now at the facility. I don't know if one positive Covid-19 case would be considered an outbreak, I would have to check the policy. Infection Control - Interim Covid-19 policy dated 3/5/2020, revised 10/31/2022 reads in part, Communication to Residents, Representatives and Families. Inform residents, their representatives, and families of those residing in the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-03-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to prevent an accidental hazard for 1 (R69) out of resident reviewed for accident hazards in the sample of 37. Findings include: R69 is a [AGE] year-old male admitted to the facility on [DATE] with diagnosis including but not limited to Hemiplegia and Hemiparesis following unspecified Cerebrovascular Disease affecting unspecified side; Cerebral Infarction; Unspecified Dementia; Osteomyelitis; Tybe 2 Diabetes Mellitus; and Peripheral Vascular Disease. On 03/06/23 at 11:07 AM Surveyor observed straight needle with initiated safety cover, laying on the R69's comforter. Surveyor asked R69 if he was aware that the needle was there, R69 stated, No, I didn't know the needle was laying here, it was probably left this morning when they draw my blood. I'm not sure what time she was here. On 03/06/2023 at 11:11 AM Surveyor interviewed V12 (Licensed Practical Nurse), V12 stated, Nurses don't collect blood here at the facility, there is a contracted…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$48,832 in federal fines across 2 penalties. 1 Medicare payment denial on record.
- $15,857 — penalty dated 2025-11-25
- $32,975 — penalty dated 2024-09-22
- Medicare payment denial — starting 2024-10-20 for 9 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.4 | -0.4 vs chain |
| Health inspection | 2 of 5 | 2.5 | -0.5 vs chain |
| Staffing | 2 of 5 | 2.1 | -0.1 vs chain |
| Quality measures | 4 of 5 | 3.6 | +0.4 vs chain |
The other 13 homes this chain runs (chain average 2.4★, per CMS)
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
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| APERION CARE EXEC HOLDINGS LLC | Organization | DIRECT OWNERSHIP INTEREST | since 05/01/2025 |
| ANDREWS, AMANDA | Individual | DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| THENGIL, JIMMY | Individual | DIRECT OWNERSHIP INTEREST | since 05/01/2025 |
| FRANK, CRAIG | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | since 01/01/2023 |
| HARD, ROY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2023 |
| MEYSTEL, MOSHE | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| YOUNG, RAINA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2023 |
| SPECTOR, JENNIFER | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2023 |
| TUROFSKY, STEVEN | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2023 |
| WILHELM, NAFTALI | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2023 |
| JAIN, DINESH | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2023 |
| BERKOWITZ, DAVID | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 03/11/2025 |
| MEYSTEL, MEIR | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 03/11/2025 |
| MEYSTEL, YOSEF | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 03/11/2025 |
| MEIR MEYSTEL REVOCABLE TRUST | Organization | TRUSTEE OF THE SNF | since 05/01/2025 |
| CURIS SERVICES LLC | Organization | ADP OF THE SNF | since 01/01/2023 |
| ELEVATE CARE CONSULTING LLC | Organization | ADP OF THE SNF | since 01/01/2023 |
| ELEVATE CARE INC | Organization | ADP OF THE SNF | since 11/11/2024 |
CMS files one row per role, so the 37 rows in the source record cover these 18 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.
5 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 $1.8M 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Illinois Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 145779. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-24, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.