Sharon Health Care Elms

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.

39.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 32 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 4.8% 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 42 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 0.19 therapist hours per resident per day in 2026Q1 — more than 19% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 96 beds and averages 71.2 residents a day — about 74% occupied, or roughly 25 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.40 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.08 hrs/resident/day on weekends vs 3.69 on weekdays — 17% thinner on weekends. RN hours go from 0.46 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

42 citations, most serious first. The 17 most serious are shown; the remaining 25 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-12-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure that a resident received adequate supervision and dietary management to prevent a choking incident for one of three residents (R2) reviewed for choking in the sample of six. These failures resulted in the resident (R2) consuming food inconsistent with his prescribed mechanical soft diet, leading to a fatal choking event at the facility.These failures resulted in an Immediate Jeopardy that began on 7/23/25. While the Immediate Jeopardy was removed on 12/17/25, the facility remains out of compliance at a severity level two. Additional time is needed to monitor the effectiveness of the implementation of protocols and oversight visits.Findings include: The facility's undated policy titled Food Brought in by Visitors documents that visitors must notify nursing staff prior to providing outside food to a resident. The policy further documents that nursing staff are responsible for confirming whether the food complies with the resident's prescribed diet,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-05-31 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to adequately supervise a resident (R1) to prevent resident-to-resident physical abuse for five of five residents (R1-R5) reviewed for abuse in the sample of five. These failures resulted in R1 punching R2 in the left eye, causing a hematoma under R2's left eye and bruising surrounding R2's left eye, and R1 punching R5 in the right arm, causing R5 right arm pain for three days. Findings include: The facility's Abuse Prevention Program policy undated documents, Policy: The facility affirms the right of our residents to be free from abuse, neglect, misappropriation of resident property, corporal punishment, and involuntary seclusion. This facility therefore prohibits mistreatment, neglect, or abuse of its residents, and has attempted to establish a resident sensitive and resident secure environment. The purpose of this policy is to assure that the facility is doing all that is within its control to prevent occurrences of mistreatment, neglect,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-04-01 · 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 observation, interview, and record review, the facility failed to ensure resident safety after a transfer and failed to keep a resident free from injury for one of three residents (R1) reviewed for accidents/injuries in a sample of four. This failure resulted in R1 sustaining pain, bruising and a hospital visit with fractures to the left ankle and foot. Findings include: The facility's undated Residents' Rights for People in Long-Term Care Facilities documents Your rights to safety: The facility must provide services to keep your physical and mental health, at their highest practical levels. The facility's Resident Accident/Incident Policy, revised 5/12/15, documents It is the Policy of (named facility) to provide a safe environment for all residents. We understand there will be a time when our best efforts will not be enough. Accidents will happen. Residents will fall. The facility's Fall Policy and Procedure, revised 1/2/19, documents It is the Policy of (named facility) to provide an environment conducive to reducing risk for falls. (Named facility) provides…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-02-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to transfer a resident with the required mechanical lift, for one of three residents (R1) reviewed for falls in a sample of 3. This failure resulted in R1 falling twice and during the second fall sustaining a periprosthetic distal left femur fracture, ongoing pain, and psychosocial fear of being transferred with a mechanical lift. FINDINGS INCLUDE: The facility policy, Fall Policy and Procedure directs staff, It is the policy of (the facility) to provide an environment conducive to reducing risk for falls. (The facility) provides interventions to reduce risk factors for falling .Should the resident be observed sitting on the floor or being assisted by staff to sit down on the floor, the nurse will be notified and a fall report will be completed R1's current facility Face Sheet documents that R1 was admitted to the facility on [DATE] after a fall with a Left Hip Fracture. This same form includes the following diagnoses: Cerebral Palsy,…

  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 before2024-10-08 · 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 Failures at this level required more than one deficient practice statement. A. Based on observation, interview, and record review the facility failed to conduct a resident assessment to determine the resident's degree of mobility, physical impairment and the proper transfer method needed once a resident experienced increased weakness. The facility also failed to maintain an adequate working electrical supply to adjust an electric bed into the lowest position prior to a transfer for one resident (R9) and failed to implement appropriate fall interventions for one resident (R8.) These failures affect two of three residents (R8, R9) reviewed for falls in the sample of 27. These failures resulted in R9 losing grip of the sit-to-stand mechanical lift handles and falling to the floor, sustaining a coccyx fracture and severe pain that required hospitalization. B. Based on observation, interview, and record review the facility failed to assess the smoking safety yearly for one of five residents (R40) reviewed for smoking…

  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 before2022-09-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to treat, monitor, and prevent new and worsening pressure ulcers that required surgical debridement for one (R69) of five residents reviewed for pressure ulcers in a sample of 26. This failure resulted in house acquired pressure ulcers and worsening pressure ulcers, that required surgical debridement for R69. Findings include: Facility Pressure Ulcer and Skin Care Management Policy, effective 3/2000, documents: a resident who enters the facility without pressure ulcers does not develop pressure ulcers; a resident having pressure ulcers receives treatment and services to promote healing, prevent infection and reduce the risk of new pressure ulcers developing; a licensed nurse checks the resident's body for the presence of pressure ulcers, wounds and other skin conditions on admission and weekly; the presence of any pressure ulcer, wound or other skin condition is documented weekly on pressure ulcer or skin report forms in the progress notes and care plan; implements treatment procedures in accordance with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2022-09-15 · 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 observation, interview and record review the facility failed to investigate and prevent multiple injuries for one resident (R44) of three residents reviewed for wounds from injury in the sample of 26. This failure resulted in an infection of an elbow wound requiring antibiotics and isolation precautions. The facility also failed to use the assessed number of individuals needed to transfer residents for two residents (R57 and R322) of eight residents reviewed for falls in a sample of 26. Findings include: 1) Facility Policy/Resident Accident/Incident Policy dated/revised 8/22/21 documents: It is the policy of (the facility) to provide a safe environment for all residents. Residents that end up with an unexplained bruise or skin tear will be investigated to ensure there has been no abuse. On a daily basis incidents/accidents will be investigated and reviewed by the facility administrative staff. Necessary intervention changes will be made in the resident's care plan. The ADON (Assistant Director of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-26 · 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 act quickly to get medical care for one (R1) of three residents reviewed for injuries in a sample of four. This failure resulted in R1 continuing to be in pain at the nursing home after an incident that caused facial and body bruising for four and a half hours before the emergency personnel were summoned to the nursing home.Findings include: Facility Change of Condition Policy and Procedure, undated, documents The Facility shall promptly notify the resident his/her attending physician of changes in the resident's medical/mental condition and/or status. The nurse will notify the resident's attending physician or on-call physician when there has been: An accidents or incident involving the resident; A discovery of injuries of an unknown source; and A need to transfer the resident to a hospital /treatment center.Facility medical record for R1 documents R1 was sent to the (local) hospital on 2/24/26.Facility Nursing Note for R1, dated 2/24/2026 at 8:21AM by V5 RN/Registered Nurse, documents the following: This nurse observed…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to follow their policy for reducing falls and using a portable lifting machine for one (R1) of three residents reviewed for accident/incidents in a sample of four. This failure resulted in R1 sustaining multiple bruises to her face and body, and pain which required R1 to be transferred to the hospital.Findings include: Facility Using a Portable Lifting Machine, dated May 2008, documents The primary purpose of using a portable lifting machine is to help lift residents who may be too heavy to lift. The portable lift is also used to promote comfort and to maintain good body alignment while the resident is being moved. This procedure requires the assistance of two (2) persons.Facility Fall Policy and Procedure, revised 1/2/2019, documents It is the Policy of (nursing home) to provide an environment conducive to reducing risk for falls. (Nursing home) provides interventions to reduce risk factors for falling.Facility medical record for R1 documents R1 was sent to the (local) hospital on 2/24/26. Facility Mobility Assessment for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-22 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to date multi-use medications upon opening, discard expired medications, and double lock controlled substances for seven residents (R7, R8, R9, R10, R11, R12, R13) reviewed for medication storage in a sample of 13. Findings Include:The facility's Storage of Medications policy (not dated) documents, No discontinued, outdated, or deteriorated drugs or biologicals may be retained for use. All such drugs must be returned to the issuing pharmacy or destroyed in accordance with our established procedures governing the destruction of medication. 14. All controlled substances must be stored under double lock and key.The facility's Labeling of Drugs and Medications policy (not dated) documents, All drugs and biologicals must be properly labeled and legible at all times. 11. f. Other as appropriate or necessary.On 12/15/2025 at 11:00 AM, a facility medication cart contained: R7's opened Lantus vial with no documented date of when it was opened; R8's opened insulin garlgine vial with no documented date of when it was…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to follow Physician ordered wound treatments and implement Registered Dietician recommendations for wound healing for one (R1) of three residents reviewed for pressure ulcers in a sample of 13. Finding Include:The facility's Physician's Order Policy (not dated) documents, The purpose of this policy is to establish guidelines for the ordering, processing, and management of physician's orders in a long-term care facility, ensuring compliance with State and Federal regulations, and promoting the health and safety of residents. Order implementation, orders must be implemented promptly by licensed nursing staff according to the facility's protocols. The facility's Pressure Ulcer Preventive Measures policy (not dated) documents, Residents at risk for the development of pressure ulcers receive interventions to reduce the risk of pressure ulcers. Procedure: 26. Maintain adequate intake of protein, calories, and fluids by offering support with eating. 27. Provide nutritional support and/or food supplements (protein, calories, vitamin…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-22 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to follow Registered Dietician recommendations to obtain weekly weights to monitor for and prevent further weight loss for one (R1) of four residents reviewed for nutrition in a sample of six. Findings include:R1's Care Plan, dated 12/22/2025 documents, R1 has had a significant weight loss 6.1% (percent) in one month weight 153.3 lbs. (pounds), R1 eats 50% sometimes less. R1 will get up from table before completing his meals. R1's significant weight loss 10.7% (percent) in three out of six months (December 2024-March 2025).R1's Registered Dietician note dated 1/24/2025 documents, Weight on 12/16/2024, 163 lbs. (pounds), weight on 1/10/2025, 153 lbs. Weight change: weight loss of 10 lbs/6.1% (percent) in one month. Recommendation: weekly weight.R1's Weight Summary, dated 1/2025, documents R1's weight was only obtained once during the month of January on 1/10/2025 (153.3lbs (pounds)).R1's Registered Dietician note dated 2/26/2025 documents, Nutritional weight change note, weight 145.8 lbs. (pounds), more than 30-day weight of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-11-18 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to maintain an Infection Control log for June, July, August and September of 2025. This failure has the potential to affect all 69 residents residing in the facility.Findings include:The facility's Resident Roster dated 9/16/25 was provided by V1/Administrator and documents 69 residents reside in the facility at the time of the survey.The facility's undated Infection Control Protocol and Antibiotic Stewardship policy documents, The Infection Control Preventionist/Antibiotic Stewardship Leader will track all Facility Infections, monthly laboratory organism reporting . On 9/18/25, V2 Infection Preventionist and DON/Director of Nursing could not provide a complete list of residents currently on isolation precautions including Enhanced Barrier Precaution/EBP, Contact or Droplet isolation, or an Infection Control Log for June, July, August, or September 2025. On 9/16/25 at 2:45pm V2 stated she was the facility's Infection Preventionist and produced the certificate of completion of the Infection Prevention Program Training dated…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-18 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to maintain one resident's (R23) room in good repair of 24 residents' rooms observed during the initial tour for maintenance in a sample of 28. Findings include:R23 was admitted on [DATE] with a diagnosis of Malignant Neoplasm of the Right Lung.R23's Minimum Data Set (MDS) dated [DATE] documents R23 has a Brief Interview for Mental Status (BIMS) score of 14, no cognitive impairments.On 9/16/25 at 9:40 AM, R23's window ledge was broken off, had sharp hard edges and had exposed wood. Heat from the outdoors could be felt through the broken area.R23 stated she can feel the wind come through the window and the ledge had been broke since admission approximately nine months ago. R23 stated her room would get cold in the wintertime due to the broken window ledge.On 9/18/25 at 11:30 AM, V20 (Maintenance Director) stated he was unaware of R23's broken window ledge. V20 stated the residents' rooms had been renovated and windows had been replaced over the past year or…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-18 · 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 ensure weights were obtained and the physician was notified of weight gains per Physicians Order. The facility also failed to monitor weights for discrepancies for one of three residents (R19) with daily weights in a sample of 28. Findings include:The facility's Weight policy, revised 5/18/25, documents the purpose of this policy is to monitor the residents' weights, and track weight changes as they occur.The facility's Documentation Guidelines policy, revised 3/14/17, documents, Not documented, not done, and document facts.R19's Physician Order, dated 2/27/25, documents to weigh R19 daily related to R19's diagnosis of congestive heart failure and to notify the physician if R19's weight gain is greater than three pounds (lbs.) in a day or five pounds in a week.R19's Weight Summary, dated 6/1/25 to 9/17/25, has no documentation of R19's daily weights being obtained for 28 out of the 59 days during the time span of 6/1/25 through 9/15/25. R19's Weight Summary also documents daily weight gain fluctuations varying from 13.6…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-18 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review the facility failed to initiate Enhanced Barrier Precautions for two residents (R66, R2) out of five residents reviewed in a total sample of 28. Findings include: The facility's undated Enhanced Barrier Policy documents, Enhanced Barrier Precautions involve gown and glove use during high-contact resident care activities for residents at increased risk of MDRO (Multidrug-resistant organism) acquisition (e.g., residents with wounds or indwelling medical devices). 1. R2 was admitted on [DATE] with diagnoses of Encephalopathy, Lymphedema, Sepsis, Cellulitis Right lower Limb, Protein-Calorie Malnutrition and Failure to Thrive. R2's current Care Plan documents R2 has actual impairment to skin integrity of the (bilateral) legs related to lymphedema. R2's Hospital records documented on 8/24/25 R2 was admitted to the hospital from the facility with diagnoses of right lower leg cellulitis resulting in Sepsis (Life-threatening condition to an infection which can cause…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-01 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to perform hand hygiene and glove changes during pressure ulcer treatments. The facility also failed to ensure pressure ulcer treatments were completed as ordered. These failures effect three of three residents (R2, R3, R4) reviewed for pressure ulcers in a sample of four. Findings include: The facility's undated Wound Care policy documents Purpose: To provide guidelines for the care of wounds and soiled dressings to decrease the potential for nosocomial infections. Steps in the Procedure: 1. Wash your hands thoroughly before beginning the procedure. 11. Put on exam glove. Loosen tape and remove dressing. 12. Pull glove over dressing and discard into appropriate receptacle. Wash hands. 13. Put on disposable gloves. 14. Use no-touch technique. Use tongue blades and applicators to remove ointments and creams from their containers. 15. Pour liquid solutions directly on gauze sponges. 17. Cleanse wound with solution. 20. Dress wound. [NAME] tape with initials, time, and date and apply to dressing. 21. Pick up soiled…

  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

$185,971 in federal fines across 4 penalties. 2 Medicare payment denials on record.

• $32,610 — penalty dated 2025-12-22
• $95,836 — penalty dated 2025-05-31
• $37,349 — penalty dated 2025-04-01
• $20,176 — penalty dated 2025-02-10
• Medicare payment denial — starting 2026-01-22 for 14 days
• Medicare payment denial — starting 2024-11-07 for 26 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.

Who owns this facility

CMS files one row per role, so the 28 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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 $274K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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