Elevate Care Riverwoods

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.

46.4% 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 199 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 59.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 93 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 0.20 therapist hours per resident per day in 2026Q1 — more than 21% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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 240 beds and averages 147.5 residents a day — about 61% occupied, or roughly 92 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.27 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.80 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.89 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 3.39 on weekdays — 12% thinner on weekends. RN hours go from 0.86 to 0.64 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

32 citations, most serious first. The 17 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · K2023-09-05 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
  Provide enough food/fluids to maintain a resident's health.
  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 complete quarterly and significant change dietary assessments on residents. The facility failed to ensure dietary assessments were completed by the Registered Dietician. The facility failed to identify resident weight loss prior to the weight loss becoming significant. The facility failed to ensure weight loss treatment interventions were initiated in a timely manner, once resident weight loss was identified. These failures resulted in R37, R69, R144, R9, and R79 sustaining a significant weight loss. These failures apply to 5 of 10 (R37, R69, R144, R9, R79) residents reviewed for weight loss in the sample of 31. These failures resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 3/27/23, when the facility's Registered Dietician (V6) failed to assess and complete a dietary assessment on R37, upon her admission to the facility. V1 (Administrator) was notified of the Immediate Jeopardy on 8/31/23 at 12:46 PM. This surveyor confirmed by…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-09-05 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 a residents medication was given as prescribed and failed to ensure medication orders were transcribed correctly to avoid a significant medication error. This failure resulted in six of R9's medications being mistakenly discontinued without a physicians order. As a result of this failure R9 developed worsening psychiatric symptoms (paranoia) and was sent to the emergency room for evaluation. This applies to 1 of 7 residents (R9) reviewed for physician orders in the sample of 31. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 8/1/23, when the facility discontinued R1's medications without a physician order. V1 (Administrator) was informed of the Immediate Jeopardy on 8/30/23 at 2:21 PM. This surveyor confirmed by observation, interview and record review that the Immediate Jeopardy was removed on 8/31/23 however, noncompliance remains at a level 2 because additional time is needed to evaluate the implementation and…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-08-06 · tag F0790 — failed to provide dental care — isolated
  Provide routine and 24-hour emergency dental care for each resident.
  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 1 of 27 residents (R76) in the sample of 27 was evaluated by a dentist. This failure resulted in R76 developing a tooth infection and requiring antibiotic treatment.The findings include:On 8/4/25 at 10:04 AM, R76 said he has been waiting months to see the dentist. R76 said he has been telling the facility at his care plan meetings that he wants to see the dentist. R76 said he has been using Orajel (an over-the-counter numbing agent) for tooth pain and proceeded to take a tube of Orajel from a bag attached to his left side rail. R76 said he is now taking an antibiotic for his mouth infection and said his mouth is all swollen. R76's Physician's Orders (printed 8/5/25) show an order written on 5/8/25 at 11:13 AM which shows the following: Patient to be seen by a dentist per family request. Patient complains of sharpness on inside upper tooth, patient felt small piece of tooth break off. R76's Order Summary Report dated 8/5/25 show an order dated 7/30/25 for Clindamycin (antibiotic) three capsules every eight hours for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-04-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure a resident was provided incontinence care in a safe manner for 1 of 3 residents (R1) reviewed for safety in the sample of 3. This failure resulted in R1 falling from the bed during care and sustaining bilateral toe fractures. The findings include: R1's Face Sheet shows that he admitted to the facility on [DATE] and has diagnoses of: morbid obesity, rheumatoid arthritis and history of falling. R1's Nursing Notes dated 4/21/25 at 2:20 PM shows that R1 is alert and oriented x 4, 2 assist with sit to stand and would be coming to facility after 2 PM. R1's Nursing Note dated 4/21/25 at 8:48 PM shows, Around 4:00 PM CNA (Certified Nursing Assistant) called this nurse and stated that the resident is on the floor .observed resident on the floor, laying a supine position, next to bed . On 4/30/25 at 9:22 AM, R1 was laying in bed. R1 had a bariatric bed. R1 had a splint to his right great toe. R1 had joint deformities to the fingers on his left…

  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 before2024-07-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to identify pressure ulcers prior to becoming advanced stages for 2 residents (R47, R97). This failure resulted in R97 developing a stage 3 pressure ulcer. The facility failed to have preventative measures in place for a resident (R8) with a stage 4 pressure ulcer, failed to implement wound treatment for 2 residents (R26, R47), failed to provide pressure ulcer prevention measures for a resident (R35), failed to accurately assess a wound for 1 resident (R97), failed to assess a reopened, advanced stage pressure ulcer for 1 resident (R26). These failures apply to 5 of 9 residents reviewed for pressure ulcers in the sample of 30. The findings include: 1. R97's electronic face sheet printed on 7/25/24 showed R97 has diagnoses including but not limited to hypertensive chronic kidney disease, end stage renal disease, dependence on renal dialysis, type 2 diabetes, morbid obesity, peripheral vascular disease, and pressure ulcer of left buttock stage…

  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 before2024-01-22 · 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

  Based on interview and record review the facility failed to ensure a resident was safely transferred, via a mechanical lift, in a manner to prevent resident injury. This failure resulted in R1 fracturing her right clavicle(collarbone) and right lower leg (tibia and fibia), after falling out of a mechanical lift, due to the cloth sling of the mechanical lift becoming unhooked from the lift. This failure applies to 1 of 3 residents (R1) reviewed for safety and supervision in the sample of 3. The findings include: The facility's Fall Incident report dated 1/10/24 showed staff (V4 Registered Nurse/RN and V5 Certified Nursing Assistant/CNA) were transferring R1 from her bed to wheelchair, via a mechanical lift, when R1 moved her upper body in the lift sling which caused the sling to unhook from the lift. R1 then fell out of the lift, onto to the floor. 911 was called. R1 was transferred by ambulance to a local hospital. V10 (Family of R1) was in R1's room and witnessed R1's fall. The report showed prior to the transfer, R1 and V10 were speaking loudly back and forth to each other, in…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-09-05 · 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 safely transfer a resident (R69) via wheelchair. This failure resulted in R69 sustaining a fall with injury which included a laceration to her forehead that required sutures. The facility failed to ensure a resident was safely transferred from wheelchair to bed. These failures apply to 2 of 31 residents (R69, R37) reviewed for resident safety/supervision in the sample of 31. The findings include: 1. R69's care plan dated February 2022, showed R69 was cognitively impaired with poor judgement and poor safety awareness related to her diagnosis of dementia. The care plan showed R69 also had a diagnosis of Parkinson's disease which put her at risk for falls due to her impulsive behavior movements while sitting in her wheelchair. The care plan showed staff will continue to monitor how resident is sitting in her wheelchair . R69's Nurses Notes dated August 13, 2023, showed a certified nursing assistant (CNA) was pushing R69 in her wheelchair. The CNA suddenly…

  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 before2026-06-24 · 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 ensure residents were transferred in a safe manner and as directed by a physician for 2 of 4 residents (R1, R2) reviewed for resident safety and supervision in the sample of 4. The findings include:1.R1's admission care plan showed R1 was admitted to the facility on [DATE] for rehabilitation and aftercare after having all five toes amputated on his right foot due to his diagnoses of peripheral vascular disease, lower leg cellulitis, and diabetes. R1 was discharged from the facility on 6/17/26. R1's hospital admission report dated 6/4/26 showed R1 was non-weight bearing on his right foot due to the surgical wound on the foot from his toe amputations. R1's skin/wound note dated 6/5/26 showed R1's right foot surgical wound was closed with sutures intact to the wound. No bleeding was noted from the surgical wound.On 6/24/26 at 10:35 AM, a telephone interview was conducted with both V7 (Wife of R1) and V8 (Daughter of R1). V7 and V8 each stated,…

  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 before2026-06-24 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure a resident's urinary catheter was kept off the floor and below the level of the resident's bladder for 3 of 3 residents (R1, R3, R4) reviewed for urinary catheters in the sample of 4.The findings include:1.R1's care plan dated 6/5/26 showed R1 was admitted to the facility on [DATE] with a urinary catheter in place due to his diagnosis of urinary retention. The plan showed R1 was discharged from the facility on 6/17/26. On 6/24/26 at 10:35 AM, a telephone interview was conducted with both V7 (Wife of R1) and V8 (Daughter of R1). V7 and V8 each stated R1's urinary catheter bag was on the floor while he was being transferred into bed by facility staff on 6/8/26. V7 and V8 each stated R1 was standing on the urinary bag as he was being transferred. On 6/24/25 at 1:11 PM V12 Certified Nursing Assistant (CNA) stated he and V13 CNA transferred R1 into bed on 6/8/26. V12 stated, I knew (R1) had a catheter, but I was standing behind (R1) when…

  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 · D2026-05-04 · tag F0770 — failed to provide lab services — isolated
  Provide 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 laboratory tests were completed as ordered. This applies to 1 of 3 residents (R1) reviewed for laboratory services in the sample of 3. The findings include: On 5/4/26 R1's EMR (Electronic Medical Record) showed two Urine Culture results. The first one dated 4/15/26 that states, Invalid and No urine specimen received. Test cancelled. Please recollect if clinically indicated. The second one dated 4/20/26 also states, Invalid.On 5/2/26 at 12:35PM V7 (Nurse Practitioner) stated, For like a week she had a decreased appetite. When I talked to her daughter, she said this usually happens when she has a UTI. We did labs and she was hypernatremic and her blood sugars were low. I ordered a UA/C&S twice, but it came back as Invalid. She was slowly getting worse and then I saw her early the next morning and she had a right sided facial droop and was pocketing her food. Her sodium was coming down but she was not eating full meals. She had no elevated white count on the CBC. Her INR was all over the place, but I assumed that 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-06 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure a resident was free of mental and verbal abuse for 1 of 27 residents (R56) reviewed for abuse in the sample of 27. The findings include:The facility's initial Serious Injury Incident report dated 8/4/25 showed, On 8/4/25, Administrator was made aware of an allegation of verbal/mental abuse. (R56) alleges that (V4 Certified Nursing Assistant/CNA) slammed her door and told her I'll show you what being mean looks like. MD (Medical Director) and Ombudsman notified. Final report to follow.R56's resident assessment dated [DATE] showed R56 was cognitively intact. On 8/4/25 at 9:50 AM, R56 stated that sometime over past couple of weeks she reported to a supervisor that she no longer wanted V4 CNA to take care of her because V4 CNA was mean to her. R56 stated V4 CNA would put me to bed late. She wouldn't answer my call light so I could get changed. R56 was unable to remember the supervisor's name that she spoke to about V4 CNA. R56 stated, Then this…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-06 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 stop date was included in the order for as needed psychotropic medications for 2 of 5 residents (R16, R51) reviewed for unnecessary medications in the sample of 27. The findings include: R16's Physician's Order Sheet dated 8/6/25 shows an order for Lorazepam (Antianxiety) 0.5 ML (1mg) every 24 hours as needed for anxiety and an order for Lorazepam 0.5ml (1mg) every 4 hours as needed for anxiety, both started on 3/12/25.R51's Physician's Order Sheet dated 8/6/25 shows an order for Lorazepam 0.5mg every 4 hours as needed for anxiety started on 6/25/25.On 8/6/25 at 11:45AM V3 (RN, Assistant Director of Nursing) stated, Both (R16 and R51) are with hospice and sometimes they give a 14 day stop date and sometimes they don't. I try to audit the charts and catch them or the nursing staff can find it and change it. The facility policy entitled Psychotropic Medication- Gradual Dose Reduction 2/1/18 states, PRN (As needed) hypnotic, antianxiety or antidepressant medications shall not be used beyond 14 days unless 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-06 · tag F0609 — failed to report abuse allegations — isolated
  Timely 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 ensure an allegation of abuse was immediately reported to administration for 1 of 27 residents (R56) reviewed for abuse in the sample of 27. The findings include:On 8/4/25 at 9:50 AM, R56 stated, This weekend, (V4 Certified Nursing Assistant/CNA) came into my room. She asked me why I reported she was mean. I told her to leave. She said I will show you how mean I am. She walked out and slammed my door. R56 stated, I don't like it when people speak to me like that. I have to live here the rest of my life. I don't want her to take care of me again. R56 was unable to verify if the incident with V4 CNA transpired on Friday (8/1/25) or Saturday (8/2/25). R56 stated she reported the incident with V4 CNA to V6 CNA on either Saturday (8/2/25) or Sunday (8/3/25). On 8/5/25 at 10:30 AM, V6 CNA stated, on Sunday (8/3/25), R56 reported to V6 that V4 CNA had confronted R56 about reporting her for being mean. V6 CNA stated R56 reported V4 CNA had come into R56's room, said I will show you how mean I am, and then slammed her door. V6…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-06 · 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 assist a resident to obtain medical appointments in a timely manner for 1 of 27 residents (R92) reviewed for quality of care in the sample of 27.The findings include: R92's face sheet shows he has diagnoses including: History of malignant neoplasm of the nasal cavities, ear and sinuses, and age related cataracts. On 8/5/25 at 9:23 AM, R92 said he is having a hard time getting his follow up appointments scheduled for his hip and for eye cataracts. R92 said its been several months and when he asks staff about getting the appointments they tell him, were working on it. On 8/5/25 at 1:53 PM, V2 (Director of Nursing) said the current process to schedule appointments is the nurses fill out a form or she V1 (Administrator) and V3 (Assistant Director of Nursing) audit the physician orders to find an order for an appointment. V2 found that a dermatology appointment is scheduled for R92 for December 2025 but there was no oncology appointment or appointment scheduled for cataract follow up. V2 verified with the surveyor that there are…

  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 before2025-08-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to implement low air loss mattresses at the correct settings for residents with pressure injuries. The facility failed to ensure a pressure prevention wheelchair cushion was in good and working order. These failures apply to 3 of 8 residents (R9, R126, R82) reviewed for pressure injuries in the sample of 27. The findings include: 1.R9's August 2025 wound assessments showed R9 had pressure injuries to his right heel, right lower leg, sacrum and mid-back area. The assessments showed all of R9's wounds were identified on 8/1/25, upon his readmission to the facility. R9's physician order dated 8/1/25 showed, Low Air Loss Mattress in use. Check for proper functioning and settings every shift. R9's weight record dated 7/8/25 showed R9 weighed 151.8 pounds (lbs). On 8/4/25 at 10:03 AM, R9 was in bed on a low air loss mattress. R9's low air loss mattress was inflated however the mattress settings showed the mattress was programmed for a resident…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-06 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, the facility failed to implement Enhanced Barrier Precautions (EBP) for 1 of 27 residents (R153) reviewed for infection control in the sample of 27.The findings include:On 8/4/25 at 9:42 AM, R153 said he has wounds on his legs and feet. R153's room had no EBP signs on or near the entrance to his room and no Personal Protective Equipment (PPE) was located outside of his room. On 8/6/25 at 9:21 AM, V14, Wound Care Nurse, said R153 has an unstageable pressure ulcer on his right posterior ankle. V14 said R153 is getting daily wound treatment to the site. On 8/6/25 at 10:20 AM, V7, Infection Preventionist, said residents with open wounds need to be on EBP. The facility's Enhanced Barrier Precautions (EBP) Policy (effective 1/15/24) shows the purpose is to minimize the risk of acquiring, transmitting, or complications resulting from multi-drug resistant organism (MDRO) colonization among residents in this setting.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-07-25 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure hairnets were worn correctly, failed to ensure staff were knowledgeable in the use of the dishwasher, and failed to ensure expired foods were destroyed. This applies to all residents residing in the facility. The findings include: The CMS 671 form dated 7/23/24 showed 153 residents residing in the facility. 1. On 7/23/24 at 10:35 AM, V13 (DA-Dietary Aide) was seated in the kitchen office wearing her hairnet only covering the bun on top of her head. At 11:41 AM, V13 was standing at the food service tray line and her hairnet was only on her top bun. At 1:01 PM, V13 tested the dishwasher sanitation level. The hairnet was only covering half of her head. On 7/24/24 at 1:35 PM, V13 was seated in the kitchen office and her hairnet was only covering her top bun. On 7/24/24 at 1:15 PM, V12 (Food Service Director/Registered Dietician) stated hairnets are require by everyone in the kitchen. They are important to prevent cross contamination. Hairnets keep hair out of resident food. Staff need to be sure their hair…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“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

$152,893 in federal fines across 5 penalties. 1 Medicare payment denial on record.

• $48,028 — penalty dated 2025-08-06
• $12,438 — penalty dated 2025-04-30
• $9,452 — penalty dated 2024-07-25
• $16,801 — penalty dated 2024-01-22
• $66,174 — penalty dated 2023-09-05
• Medicare payment denial — starting 2025-09-02 for 6 days

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

Part of a chain

This home belongs to ELEVATE CARE — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 44 rows in the source record cover these 24 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

11 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 $2.7M 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