Elevate Care South Holland

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

45.0% 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 166 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 35.7% 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 56 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 0.27 therapist hours per resident per day in 2026Q1 — more than 40% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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 171 beds and averages 124.9 residents a day — about 73% occupied, or roughly 46 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 3.24 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.77 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 2.72 hrs/resident/day on weekends vs 3.45 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.50 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% 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 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.

46 citations, most serious first. The 20 most serious are shown; the remaining 26 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-07-12 · 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

  Deficiencies at this level require more than one Deficient Practice Statement. A. Based on interview and record review, the facility failed to follow their practice and provide a staff escort to an appointment for a resident R1 diagnosed with dementia, BIMS (Brief Interview for Mental Status) score of 5, identified not capable of unsupervised outside pass privileges. R1 was dropped off by transportation company on 5/8/24 at approximately 2:00pm, unknown drop off point. R1 was later found by family in streets trying to self-propel over a curb ramp approximately 3:30pm. This affects 1 of 1 resident (R1) reviewed for supervision. The Immediate Jeopardy which began on 05/08/2024 when R1 was dropped off at around 2:00pm at an outpatient appointment alone, without a staff escort, and later found in the community approximately 1.5 hours later by his daughter in the streets. V3 (Administrator) was notified of the Immediate Jeopardy on 07/09/2024 at 1:44 pm. The surveyor confirmed by observation, interview, and record review that the Immediate Jeopardy was removed on 07/09/24 but…

  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 · Jcited before2023-09-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow their Emergency Care policy and procedure by not immediately calling 911 for residents identified to be in need of emergency medical assistance. This failure applied to two (R9, R12) of two residents reviewed for emergency services, and resulted in R9 noted to be experiencing symptoms of a stroke for over an hour before being transferred to the hospital; R12 experienced acute respiratory distress for over 40 minutes before 911 was called. The Immediate Jeopardy began on 7/4/23 when the facility failed to immediately call 911 for R9, who was experiencing symptoms of a stroke. V1 (Administrator) was notified of the Immediate Jeopardy on 8/31/23 at 11:07AM. The survey team verified by observations, interviews, and record review, that the Immediate Jeopardy was removed on 9/5/23, but noncompliance remains at Level Two because additional time is needed to evaluate the effectiveness of the interventions implemented. Findings include: 1. R9 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-03-26 · 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 interviews and record review, the facility failed to protect a resident's (R1) right to be free from physical abuse from an employee for one (R1) of four residents reviewed for abuse in a sample of four. This failure resulted in R1, who is severely cognitively impaired, being physically assaulted by an employee and experiencing pain. R1, as a reasonable person would not expect to be harmed in their own home or health care facility, causing them to feel fear, anxiety, and anger. Findings include: R1 is a [AGE] year-old female admitted to the facility on [DATE] with diagnosis including but not limited to Unspecified Dementia, Unspecified Severity, With Other Behavioral Disturbance; Other Seizures; Essential (Primary) Hypertension; Insomnia, Unspecified; Anxiety Disorder, Unspecified; and Mild Hyperemesis Gravidarum. According to R1's MDS (Minimum Data Set) assessment dated [DATE] under section C, R1 has BIMS (Brief Interview of Mental Status) score of 3 indicating severe cognitive impairment. R1's memory…

  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 before2025-03-05 · 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 transfer one resident to the hospital after a new onset of pain and abnormal x-ray results for an acute fracture. This affected one of three residents (R2) reviewed for radiology results, and nursing assessments. This failure resulted in R2 having increased pain and a 5 day delay in sending R2 to the local hospital for treatment. Findings Include: R2 has diagnoses of Osteoarthritis, Syncope Episode, Radiculopathy, Raynaud's syndrome and a fall with Right hip fracture. Physiatry Progress noted dated 2/7/25 documents: Service date: 2/6/2025 documents: The patient (R2) was seen and examined today. Received R2 today up in the bed with complaints of pain to her right hip. Tenderness to touch. This is an old right hip surgery. R2 reporting new-onset pain. R2 has limited range of motion to that right leg with pain. R2 was amenable to an x-ray to the right hip. Assessment: Recent right hip fracture/fracture care. Right leg contracture. New-onset right hip pain. X-ray PA and lateral pending. Radiology results report dated 2/7/25…

  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 before2025-03-05 · 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 provide a safe enviroment while providing direct incontinence care. This affected one of three residents (R8) reviewed for saftey while providing care. This resulted in R8 losing his balance and falling to the floor and sustaining a left hip fracture requiring surgical intervention. Findings Include: R8 has diagnoses of Alzheimer's Disease, Syncope And Collapse, Hypertension, Dementia without Behavioral Disturbance and Anxiety, Lack Of Coordination, Difficulty In Walking, Weakness and Cognitive Communication Deficit. Minimal data set section C (cognitive pattern) dated 1/16/25 documents a score of three which indicated severe cognitive impaired. Section GG (functional abilities) documents: R8 requires supervision or touching assistance-helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently with toileting hygiene and walk…

  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 · G2025-03-05 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to have pain medication available Hydrocodone-acetaminophen PRN (as necessary). This affected one of three residents (R6) reviewed for pain. This resulted in R6 being without pain medication and stated she was in extreme pain for about 1 day. R6 was status post laminectomy. Findings Include: R6 has a diagnosis of Spinal stenosis, lumber region with neurogenic claudication, lumbago with left side sciatica and Osteoarthritis. Brief interview for mental status dated 1/21/25 documents a score of 15 which indicates cognitively intact. Nursing note dated 1/16/25 documents: resident (R6) was admitted post lumber laminectomy (surgery to ease pressure on the spinal cord and nerves of the lower spine). On 2/28/25 at 10:32AM, R6 who was assessed to be alert and oriented to person, place and time said, she was admitted after having back surgery. R6 said, she was in extreme pain for two or three days with no relief from the pain patch and muscle relaxer. R6 said, the nurse failed to refill her Hydrocodone-acetaminophen when there was only…

  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 · G2024-11-07 · tag F0777 — isolated
  Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow their physician notification of laboratory/radiology/diagnostic results policy by not notifying the physician/nurse practitioner of a sacral wound culture results indicating high amount of bacteria (greater than 100,000 pseudomonas aeruginosa) for one resident (R2) who had a stage three sacral pressure ulcer. This affected one of three (R2) residents reviewed for notification of an abnormal lab result. This failure resulted in R1 not receiving any antibiotic treatments and being hospitalized two weeks later with a diagnosis of sacral osteomyelitis. Findings include: R2 was admitted to the facility on [DATE] with a diagnosis of sepsis, pressure ulcer of sacral region stage three, quadriplegia, anemia, muscle wasting and adult failure to thrive. R2's wound assessment dated [DATE] by V14 (Wound NP/Nurse Practitioner) documents: pressure injury stage three to coccyx measuring 5 centimeters (CM) length x 4CM width x 0.1cm depth. 60 % granulation 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-04-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to perform dressing changes and daily assessments of a wound as ordered for two days, and failed to address a foul odor in the sacral wound for six days. This affected one of three residents (R6) reviewed for pressure sore prevention and treatment. This failure resulted in an abscess/infection forming behind the sacral wound that needed to be surgically drained while hospitalized , and the sacral wound developing a foul odor which was not identified at the facility. Findings Include: R6 is an [AGE] year old with the following diagnosis: urinary tract infection, peripheral vascular disease, hemiplegia of the left and right side following a cerebral infarction, and chronic ischemic heart disease. The Care Plan that is not dated documents R6 has a pressure ulcer at the sacrum that is unstageable related to deconditioned status, impaired mobility, friction/shear risk, and incontinence. Interventions include: evaluate ulcer characteristics, monitor ulcer 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 before2024-04-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop an effective plan of care to include monitoring to prevent a dementia resident assessed to be at high risk for falls from falling, and failed to ensure facility staff provided safe bed mobility while providing direct resident care. This affected two of three residents (R1, R2) reviewed for fall prevention and safety. This failure resulted in R1 suffering a right sided pelvic fracture, and resulted in R2 sustaining a laceration to the head that needed to be repaired with Dermabond at the hospital. Findings Include: 1. R1 is an [AGE] year old with the following diagnosis: dementia, encephalopathy, weakness, lack of coordination, heart failure, and chronic kidney disease stage 3. R3 is an [AGE] year old with the following diagnosis: type 2 diabetes and chronic obstructive pulmonary disorder. The Minimum Data Set, dated [DATE], documents a Brief Interview for Mental Status score at 6 (severe cognitive impairment). The Functional Abilities and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Hcited before2023-09-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. R3 is an [AGE] year-old female with a diagnoses history of Atrial Fibrillation, Adult Failure to Thrive, Dementia without Behavioral Disturbance, Weakness, Lack of Coordination, and Abnormalities of Gait and Mobility, who was admitted to the facility 10/01/2022. R3's current care plan, initiated 10/18/2022, documents the resident has a behavior problem; has dementia---and has behavior of reporting falls, however patient is not able to get up by herself with interventions including Anticipate and meet the resident's needs; R3's current care plan, initiated 12/01/2022, documents she is at risk for falls. R3's Quarterly Minimum Data Set Assessment, dated 04/02/2023, documents she requires extensive one person assistance for transfers. R3's progress note, dated 04/30/2023 07:48 AM created by V42 (Registered Nurse), documents, Assigned CNA (Certified Nursing Assistant) reported to this (writer) that while transferring resident from bed to wheelchair, resident started sliding and she lowered her to the floor. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-07 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 policy and procedure; failed to document the administration of medications (controlled substance); and failed to document in a resident's medical record a fall with serious injury in a timely manner. These failures affected one resident (R1) of three residents reviewed for falls.Findings include:R1's face sheet documents and admission date of 3/21/25 and diagnoses that include but are not limited to tracheostomy, artificial opening of urinary tract, malignant neoplasm of abdomen, secondary malignant neoplasm of bladder, retention of urine, urogenital implants, and dysphagia.R1's BIMS (brief interview for mental status) score, dated 4/16/26, is 13 which indicates R1 is cognitively intact.R1 unable to be interviewed due to R1 being hospitalized as of 5/26/26.R1's progress note, dated 5/25/26 at 9:00pm; created date 5/26/26 at 9:16am, (over 12hours after R1's fall occurred) per V6 (Registered Nurse/RN), documents, in part, Pt (R1) noted to be alert x2-3 with confusion noted pt (R1) has hx (history) 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-14 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 staff follow professional standards of practice of carrying out physician orders for one resident (R3) and failed to document resident assessment in medical record for five residents (R2, R3, R4, R5, R6) These failures affected five residents (R2, R3, R4, R5, R6) of six residents reviewed for nursing care, and have the potential to affect all 125 residents at the facility.Findings include:R3 is [AGE] years old and has resided at the facility since 2023, past medical history includes : Alzheimer's disease unspecified, encounter for attention to gastrostomy, adult failure to thrive, hypothyroidism, unspecified convulsion, malignant neoplasm of left kidney except renal pelvis, pressure ulcer of right elbow stage 3, pressure ulcer of sacral region stage 4, fall on same level from sipping, tripping and stumbling, essential primary hypertension etc.On 4/7/2026 at 3:49PM, V19 (Infectious Disease Nurse Practitioner) said that she is familiar 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-14 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure that staff provide scheduled shower for residents who were dependent on staff for Activities of Daily Living (ADL) and failed to ensure that skins assessments were completed and documented as ordered. This failure affected five residents (R2-R6) of five residents reviewed for ADL care.Findings include:On 4/6/2026 at 1:50PM R2 was observed in her room, awake, alert and oriented x2 to 3, stated she has been at the facility for about 3 years, the certified nurse assistants (CNAs) do not change her, she does not get out of bed only once in a while when they decide to take to the shower room. R2 said that she does not get her scheduled showers, gets bed bath most of the time but she would like to have showers because she likes water on her.On 4/6/2026 at 2:10PM, V5 and V4 (CNAs) walked into R2's room while the surveyor was talking to the resident, stating that they came to take her for a shower, she is scheduled on Monday and Thursday 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-14 · 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 provide services to promote wound healing by failing to obtain wound cultures as ordered for one (R3) of three residents reviewed for pressure ulcer. Findings include:R3 is [AGE] years old and has resided at the facility since 2023, past medical history includes: Alzheimer's disease unspecified, encounter for attention to gastrostomy, adult failure to thrive, hypothyroidism, unspecified convulsion, malignant neoplasm of left kidney except renal pelvis, pressure ulcer of right elbow stage 3, pressure ulcer of sacral region stage 4, fall on same level from sipping, tripping and stumbling, essential primary hypertension etc.MDS assessment dated [DATE] coded R3 with a BIMs score of 3, indicating severe cognitive impairment, section gg (functional abilities) of the same assessment documented that R3 is dependent on staff for all ADL care needs, section h (bowel and bladder) stated that R3 is frequently incontinent of bowel. From 4/6/2026 to…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to provide individualized fall interventions for one resident (R1) out of three residents reviewed for falls. R1 was assessed as a high risk for falls upon admission, fell out of bed twice in one week, was found to be unresponsive after the second fall, code blue was called, resident was revived and sent to local hospital for further management.Findings include:R1 is [AGE] years old admitted to the facility on [DATE], face sheet listed the following past medical history: chronic respiratory failure, unspecified whether with hypoxia or hypercapnia, encounter to attention to tracheostomy, dependence on respirator/ventilator status, anorexic rain damage, encounter for attention to gastrostomy, anxiety disorder, etc.Fall assessment dated [DATE] documented a score of 71, indicating high risk for fall. Minimum data set (MDS) assessment dated [DATE] section C (cognition) did not have a brief interview for mental status (BIMS) score for R1, section gg…

  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 · D2026-01-23 · tag F0573 — isolated
  Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews the facility failed to provide a resident's medical record to the Power of Attorney (POA)/Healthcare Representative (HCR) in a timely manner after a request was made, for 1 (R11) of 1 resident reviewed for medical records request.Findings include:On 1/22/2026 at 10:50am V5 (Medical Records) stated, I did receive a request in October 2025 from R11's POA. The POA completed an application and submitted Identification. I did need some more documents, and I was unable to reach the POA to inform them of the needed documents. I should have mailed out a certified letter and did not, moving forward I will be sending a certified letter if I'm unable to contact family by phone.On 1/22/2026 at 11:40am V1 (Administrator) said that V5 should have sent a certified letter to the POA for needed documents and moving forward that is the plan.An admission record dated 1/20/2026 indicates R11 had a diagnosis of chronic ischemic heart disease, heart failure renal dialysis, pressure ulcers, a state of Illinois compliant authorization for release of patient information…

  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 · D2026-01-23 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 ongoing revision and updated the resident individualized care plan according to the resident's condition and treatments. This deficiency affects two (R5 and R6) of three residents reviewed for Care plan revision.Findings include:R6 was admitted on [DATE], with diagnoses listed in part but not limited to Alzheimer's disease, Dementia, adult failure to thrive, type 2 diabetes mellitus, chronic ischemic heart disease.Physician active orders: no order for oxygen use.On 1/21/26 at 10:25AM, R6 observed in room laying down, with oxygen in use, at 2L (liters) per nasal cannula, tubing with no label date. On 1/21/26 at 10:44AM, V2 (Director of Nursing) made aware of above findings and said that the oxygen should have a physician's order for administration and tubing should be labeled with date.On 1/21/26 at 1:30PM, V1 (Administrator) made aware of R6 with oxygen in use and no physician order or label on tubing with date, and no care plan 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-23 · 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 implement fall preventive measures for a resident who is a high fall risk. This deficiency affects one (R5) of three residents reviewed for Fall prevention program.Findings include:R5 is a [AGE] year-old with the following diagnosis :chronic respiratory failure with hypoxia, encounter for attention to tracheostomy, dependence on respiratory ventilator status, encounter for attention to gastrostomy, displaced intertrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing, essential hypertension, other seizures, anxiety disorder, adjustment disorder with depressed mood, major depressive disorder, generalized edema, pain in left hip, diaphragmatic hernia without obstruction or gangrene, delirium due to known physiological condition.Facility reported incident indicates on 10/21/25 R5 was observed laying on the floor on his left side by facility staff. R5 denied hitting head and level of conscious…

  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 before2026-01-23 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to ensure that a feeding tube was administered as ordered for one resident (R8) reviewed for tube feedings.Findings include:On 1/20/20/2026 at 12:33pm R8 said I have a tube feeding and I do not want it on when I'm eating, the nurse has not started my tube feeding at all today.On 1/20/2026 at 2:15pm V2 said I expect for all tube feedings to be administered as ordered or the nurse practitioner notified to adjust the feeding to the resident preference.On 1/21/2026 at 10:12am V10 said R8 does refuse his feeding during his meals, I do expect the feeding to be administered when he is not having his meals by mouth. An admission record dated 1/2-0/2026 indicates that R8 has a diagnosis of Chronic Respiratory Failure, tracheostomy, liver transplant, gastrointestinal placement, seizures, an order summary report for Enteral feed order dated 11/15/2025 for Nepro 1.8 rate of 45 milliliter's an hour for 24 hours total volume 1,080 ml. A care plan dated 11/15/2025 intervention to administer tube feeding as ordered.Facility…

  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 before2026-01-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to follow physician's order for oxygen administration affecting one (R6) of three residents reviewed for oxygen administration. Findings include: R6 was admitted on [DATE], with diagnoses listed in part but not limited to Alzheimer's disease, Dementia, adult failure to thrive, type 2 diabetes mellitus, chronic ischemic heart disease.Physician active orders: no order for oxygen use. On 1/21/26 at 10:25AM, R6 observed in room laying down, with oxygen in use, at 2L per nasal cannula, tubing with no label date.On 1/21/26 at 10:25AM, V3 (Wound Care Coordinator) said that the oxygen tubing should have a label with the date to indicate when it was changed to make sure it is clean and for infection control purposes.On 1/21/26 at 10:44AM, V2 (Director of Nursing) made aware of above findings and said that the oxygen should have a physician's order for administration and tubing should be labeled with date.On 1/21/26 at 1:30PM, V1 (Administrator) made…

  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

$240,240 in federal fines across 6 penalties. 1 Medicare payment denial on record.

• $68,640 — penalty dated 2026-01-23
• $12,425 — penalty dated 2025-01-07
• $29,328 — penalty dated 2024-11-07
• $16,801 — penalty dated 2024-07-12
• $44,013 — penalty dated 2024-02-23
• $69,033 — penalty dated 2023-09-05
• Medicare payment denial — starting 2026-03-07 for 1 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 34 rows in the source record cover these 16 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.

4 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 $1.6M 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