4815 South Western Ave, Chicago, IL 60609 · Cook County · (773) 927-4200
218 certified beds, about 193 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 146001 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 2, 2024, inspectors cited 13 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 71 health citations since August 2022, 8 were rated as actual harm or immediate jeopardy to residents.
CMS lists 5 fines totaling $106,504 in the last three years; the largest was $37,810, and the latest is dated February 4, 2026.
Nurses and nurse aides worked 3.14 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
48.1% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Aperion Care, an affiliated group of 33 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 71 health citations on file.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure proper Personal Protective Equipment (PPE) was worn during wound care for one (R6) of four residents reviewed for Infection Control.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure resident safety and supervision while transporting one resident (R1) in a wheelchair without leg rests resulting in the resident sustaining a fracture This failure affected one residents (R1) out of six residents reviewed for safety and supervision.
Inspectors wroteBased on interview and record review, the facility failed to prevent and protect a resident (R1) from physical abuse for one resident from another resident (R2), with potential of aggressive behaviors including verbally threatening to hit others, for three residents reviewed for physical abuse. This failure resulted in R1 observed with redness to her cheek and saying she was hit and R1 experiencing emotional distress and feelings of being unsafe in the facility.
Inspectors wroteBased on interview and record review, the facility failed to prevent and protect residents from resident-to-resident verbal abuse. This failure affects one (R6) resident out of four residents reviewed for abuse in a total sample of six. As a result of this failure, R3 verbally abused R6 on 06/14/25.
Inspectors wroteBased on interview and record review, the facility failed to provide radiology services in a timely manner. This failure affected 1 resident (R3) out of three residents reviewed for injuries of unknown origin.
Inspectors wroteBased on observation, interview and record review, the facility failed to implement fall prevention interventions for a resident at high risk for falls for one (R1) out of three residents reviewed for falls in a total sample of three. These failures resulted in R1 had an unwitnessed fall on 04/01/2025. R1 sustained a left femur fracture.
Inspectors wroteBased on interview and record review, the facility failed to ensure that two residents (R3 and R4) were free from physical abuse. This failure affected two residents (R3 and R4) reviewed for abuse, resulting in R4 sustaining a laceration above the right eye.
Inspectors wroteBased on observation interviews and record review, the facility failed to provide emergency care for one resident (R2) who had an unwitnessed fall and complained of leg pain. This failure resulted in R2 sustaining a hip fracture that was not detected until more than twelve hours later.
Inspectors wroteBased on observation, interview and record review the facility failed to provide a resident escort for one (R3) of nine residents who require assistance to podiatry appointments. This failure has the potential to affect one resident reviewed for medical appointments.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow the facility policy and provide two (R12 and R13) residents confidentiality of medical records. This failure has the potential to affect 23 residents residing on the second floor and 23 residents residing on the third floor.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement pressure ulcer prevention interventions as stated in the care plan for residents at risk for pressure ulcers. This failure has the potential to affect four residents (R9, R10, R11, and R12), reviewed for wheelchair cushions as a pressure ulcer prevention intervention for residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed implement fall prevention interventions as stated in the care plans and follow facility fall prevention policy for three (R3, R4 and R5) of four residents reviewed for accidents on the sample list of 13.
Inspectors wroteBased on interview and records review, the facility failed to follow their abuse policy and procedure to develop comprehensive person-centered care plans that includes goals and approaches to prevent abuse for 4 (R1, R2, R3, R4) out of 4 residents reviewed. Findings Include: R1's face sheet shows an admission date of 6/11/24 with included diagnoses but not limited to Dysphagia Oropharyngeal Phase and Protein-Calorie Malnutrition. R1's Minimum Data Set (MDS) assessment dated [DATE] shows R1 has severe impairment with cognition. R1's Abuse/Neglect Screening dated 6/30/24 shows R1 is at risk for abuse. R1's comprehensive care plan shows R1 has self-care and mobility deficit. R1's care plan does not include goals and approaches to prevent abuse. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to provide a.) sufficient licensed nursing staff (Registered Nurse/Licensed Practical Nurse) on 5/10/24, b.) sufficient certified nursing assistants (CNA) on 05/12/24, c.) adequate staffing to ensure Activities of Daily Living (ADL) care provided to dependent resident who required assistance with bladder/bowel incontinence, d.) adequate staffing to ensure medication administration dispensed in a timely manner. This failure could potentially affect 207 residents residing in the facility as of census dated 6/11/24.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that medications were given as ordered by the prescriber. This failure affected 6 (R2, R4, R5, R6, R7, R8) of 6 residents reviewed for improper nursing care.
Inspectors wroteBased on interview and record review, the facility failed to affirm the right of the resident to be free from physical abuse. This failure has affected 1 (R3) of 5 residents reviewed for abuse. Findings Include: On 6/11/24 at 11:03 AM, R4 speaks Spanish with little English, V23 (Housekeeper) assisted in interpreting to R4. R4 stated on 4/26/24, during the 3-11 shift R4 was in the dining room writing on a paper. R4 stated R3 bumped R3's wheelchair into R4's wheelchair. R4 denied hitting R3 in the back. On 6/11/24 at 11:37 AM, R3 stated R3 cannot remember what happened on 4/26/24. Surveyor asked if R3 feels safe in the facility? R3 stated R3 does not know. On 6/11/24 at 12:43 PM, V26 (Social Service Director) stated V26 has been on the 3rd floor in this facility for five years. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure incontinence care was provided in a timely manner for 1 (R9) of 3 residents who needed assistance with toileting reviewed for improper nursing care.
Inspectors wroteBased on interview and record review, the facility failed to follow the facility abuse policy to perform criminal background checks for new residents within 24 hours of admission which affected R198, R199, R200, and R202 in the sample of 88 residents reviewed and has the potential to affect 192 residents in the facility reviewed for abuse.
Inspectors wroteBased on observation, interview and record review, the facility failed to label and store biologicals in accordance with pharmaceutical recommendations; failed to store medications in a sanitary condition; failed to discard of expired medications; failed to maintain appropriate temperature in storing medications; failed to account for and store narcotics safely. This failure affects 22 residents (R104, R121, R11, R32, R126, R75, R76, R168, R144, R67, R144, R124, R114, R162, R140, R170, R27, R136, R28, R156, R30, R34) and has the potential to affect residents who receive medications on the first, second and third floor medication carts out of 88 residents sampled.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that residents' food items in the facility kitchen are properly labeled, dated when received and when opened, and a food package is securely sealed after opening; failed to discard expired food items; failed to follow proper food storage practices and labeling food to prevent food-borne illnesses; failed to ensure that staff store their food and drinks out of the facility kitchen used for residents; failed to record the cooler and freezer temperature logs; failed to maintain the proper sanitation levels of the kitchen sanitation buckets; failed to accurately test the sanitation level of the sanitation buckets in the kitchen; and failed to ensure sanitation was maintained related to the cleanliness of the kitchen. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure there is no accumulation of lint at the bottom of the lint compartment in an effort to provide a safe environment to the residents. These failures have the potential to affect all 192 residents in the facility.
Inspectors wroteBased on observation, interview and record review, the facility failed to have low air loss mattress at the correct weight settings for five residents (R73, R38, R8, R43 and R18) of five residents reviewed for pressure ulcers in a total sample of 88 residents.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the nebulizer mask was secured, when not in use, for one resident (R32) and oxygen tubing was dated for 3 residents (R74, R87 and R88). The failure affected 4 residents (R32, R74, R87 and R88) out of a sample size of 88 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the dumpster's were closed and free from overflowing trash. These failures have the potential to affect all 192 residents residing at the facility.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure staff appropriately performed hand hygiene between residents during meal tray pass in an effort to prevent spread of infectious microorganism. This failure affected 9 (R8, R25, R31, R54, R64, R100, R117, R180, R197) residents reviewed for infection control in the total sample of 88 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the call light was accessible for one resident (R18) who was reviewed for call lights. This failure had the potential to affect 1 resident out of a sample of 88 residents.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that residents who require assistance with ADLs (Activities of Daily Living) received the assistance. This failure affected three residents (R7, R40 and R189) out of a sample of 88 residents reviewed for ADL care.
Inspectors wroteBased upon observation, interview, and record review, the facility failed to ensure that an adaptive device (splint/palm grip) was in place of a contracted hand for one resident (R18) who was reviewed for limited mobility. This failure had the potential to affect 1 resident out of a sample of 88 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to properly log personal refrigerator temperatures for two (R22 and R87) of two residents with personal refrigerators in their rooms on the total sample list of 88.
Inspectors wroteBased on observation, interview and record review, the facility failed to post the daily nursing staffing and failed to ensure the daily nursing staffing information was complete and accurate. These failures affected all 192 residents residing in the facility.
Inspectors wroteBased on interview and record review the facility failed to develop and implement individualized fall prevention interventions for one of three residents (R1) reviewed for falls. R1 fell four times in 26 days, including two falls on the same day (4/1/2024). This failure resulted in R1 falling and sustaining fractures of the sacral spine and coccyx on 3/12/2024.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure ADL (Activities of Daily Living) care was provided for a dependent resident who required assistance with bladder and bowel incontinence for one of three residents (R3) reviewed for ADL care.
Inspectors wroteBased on interview and record review, the facility failed to properly assess and obtain a physician's order for newly identified skin alteration for one of three residents (R2) reviewed for wounds.
Inspectors wroteBased on interviews and record reviews, facility failed to follow appropriate supervision measures during activities of daily for two (R5, R3) out of three residents reviewed for accidents and supervisions in a sample of 6.
Inspectors wroteBased on interview and record review, facility failed to provide dialysis services to 1 (R3) out of three residents who were reviewed for dialysis. This failure resulted in R3 being sent to the emergency department and experiencing lower extremity edema, mild hypervolemia, and metabolic acidosis.
Inspectors wroteBased on observation, interview and record review the facility failed to provide dialysis as ordered for one resident (R1); and failed to administer scheduled medications for four residents (R3, R7, R8 and R9). These failures affected 5 residents out of the sample of 14 residents reviewed for quality of care.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure licensed nursing personnel conducted a physical inventory of controlled substances at each change of shift. This failure has the potential to affect all 20 residents receiving medications from the 1st floor third set medication cart.
Inspectors wroteBased on interview and record review the facility failed to provide consistent transportation services to medical appointments for one resident (R5) out of the sample of fourteen residents. This failure caused R5 to miss medical appointments.
Inspectors wroteBased on interview and record review, the facility failed to ensure a care plan meeting was provided quarterly to a resident and a resident's family member. This failure affected one resident (R2) reviewed for care plan meetings in the total sample of 14 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident with aspiration precautions who depends on staff assistance for ADL (Activities of Daily Living) care received assistance for feeding and maintaining clean clothes. These failures affect one resident (R2) reviewed for ADL care in the total sample of 14 residents.
Inspectors wroteBased on interviews and records review, the facility failed to follow its policy and procedures for Fall Prevention by not properly completing a fall risk assessment to determine fall risk factors, failed to target approaches to reduce risks, failed to post fall and quarterly, and failed to not ensure that the residents' care plan addresses each fall, identifies fall risks, and interventions were changed with each fall for three (R1, R5, and R6) out of four residents reviewed for falls. R1 fell on the floor on 06/07/2023 while located inside of her room and sustained a facial bone fracture. R6 sustained a cerebral hemorrhage due to a fall dated 08/08/2023. Findings Include: Face sheet dated 09/06/2023, documents that R1 is an [AGE] year-old female with diagnoses not limited to: [...]
Inspectors wroteBased on observations, interviews and records review, the facility failed to follow their policy on resident rights by failing to maintain confidentiality of personal and medical records for two residents (R1, R12) of four reviewed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow its policy and procedures for the Restorative Program by not providing documentation on restorative services and quarterly restorative progress notes that detail the progress or lack of progress in the restorative services; and, not completing a quarterly restorative care plan to reflect the individual needs for one (R5) out of three residents reviewed for restorative services.
Inspectors wroteBased on review of record review and interview the facility failed to document performing enteral feeding ordered by physician for 1 out of 3 residents (R3) reviewed for nutritional and hydration status. R3 had weight loss and was dependent on enteral feeding for her nutritional and hydration needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow its policy and procedures for the Restorative Program by not ensuring that a licensed nurse supervised the restorative program. This failure affected one resident(R5) reviewed for restorative care and services.
Inspectors wroteBased on observation, interview and record review, the facility failed to identify resident food intolerance and provide food that accommodates resident food preferences and intolerances. This failure affected 1 (R2) out of 3 residents reviewed for dietary services.
Inspectors wroteBased on interview, and record review, the facility failed to ensure controlled substances were counted, and documented, at the beginning and end of each shift for 123 out of 161 shifts. This failure has the potential to affect 154 residents.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow proper sanitation and food storage practices as evidenced by food not properly labeled, and food not properly stored. These deficient practices have the potential to affect all 200 residents receiving food prepared in the facility kitchen.
Inspectors wroteBased on observation, interview, and record review the facility failed to: ensure medications were given when scheduled, ensure medications were given when the Medication Administration Record was signed, ensure Medications that were given late were documented, and failed to provide care according to professional standards for ten (R6, R28, R47, R62, R64, R81, R115, R141, R171, R180) residents out of a sample of 37 residents reviewed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide incontinence care, grooming care, and feeding assistance to eight (R7, R13, R28, R47, R73, R74, R143, R362) dependent residents reviewed for Activities of Daily Living/ADL care.
Inspectors wroteBased on observation, interview and record review the facility failed to label/date 4 (R7, R13, R28, R155) of 4 residents oxygen tubing, failed to properly store 2 (R28, R155) of 2 residents oxygen tubing to prevent contamination, failed to follow physician's orders for 3 (R7,R28 R183) of 3 residents, failed to have a physician order for 3 (R13, R62, R153) of 3 residents oxygen use and failed to change R13's oxygen humidifier, and care plan R7 and R13's oxygen use in a sample of 37. Findings Include: Resident R155 has a diagnosis not limited to Chronic Obstructive Pulmonary Disease with (Acute) Exacerbation, Shortness of Breath, and Anxiety Disorder. Care Plan: R155 has COPD and has potential for complications such as Shortness of breath when lying flat, decreased endurance, decreased strength, and decreased activity intolerance. Date Initiated: 04/01/22. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure adequate staffing was available to provide care, toilet and/or change residents, for 8 (R3, R6, R28, R47, R88, R115, R165, R362) of 8 residents reviewed for staffing concerns, in a sample of 37. Findings Include: On 07/11/23 at 01:09 PM R88 stated there is not enough staff to take care of our needs. On 07/06/23 evening shift there were only two CNA's (Certified Nurse Assistants) and one nurse on the floor. It took a long time before we were changed. On 07/11/23 at 01:43 PM R115 stated there are not enough CNA's (Certified Nurse Assistants), and it will be 3 hours before you are taken care of. I look at the time on my phone. This is an ongoing problem. On 07/11/23 at 03:40 PM V17 (Certified Nurse Assistant) stated On 07/06/23 I worked on the second floor and arrived at about 03:15 PM. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were locked and secured while unattended and failed to remove and discard expired liquid antibiotic medication that had been open in one of two medication storage rooms reviewed for medication labeling and storage. These failures have the potential to affect 141 residents residing in the facility. Findings Include: On 07/11/2023 at approximately 9:35AM, surveyor located on the third floor of the facility. V5 (Licensed Practical Nurse) observed leaving medication cart (identified as Team 1 medication cart) unlocked and unattended. On 07/11/2023 at approximately 10:21AM, surveyor located on the first floor of the facility. V9 (Licensed Practical Nurse) observed leaving medication cart (identified as Team 1 medication cart) unlocked and unattended with the keys inside the lock. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to follow residents' food preferences for 6 (R43, R49, R81, R115, R171, R180) residents out of a total sample of 37 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their policy to ensure the call light is within reach for 1 (R11) out of 3 residents reviewed for call lights in a sample of 37. Findings Include: 07/11/23 10:25 AM, surveyor observed R11 sitting on the left side of the bed in her wheelchair watching TV. Surveyor noticed R11's call light on the right side of the bed and not within reach of R11. Surveyor asked R11 if she could reach the call light. R11 stated she doesn't even know where the call light even is. On 07/13/2023 at 11:15 AM, V4 (3rd floor Unit Manager) stated that it is the expectation for nurses and CNAs to round on residents every two hours. V4 stated that in these rounds, the staff is to ensure safety for the resident by making sure the call is within reach, bed in low position, what they need is within reach and if their needs are met. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to follow physician's orders and apply a resident's (R74) left-hand splint, document refusals, and update the comprehensive care plan for 1 out of a total sample of 37 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their policy to ensure the safety of a resident during transfer using mechanical lift for 1 (R50) out of three residents reviewed for accidents and hazards in a sample of 37. Findings Include: On 07/11/2023 at 11:45 AM, surveyor observed R50 laying in her room in bed. On 07/11/2023 at 11:50 AM, surveyor observed V6 (Certified Nursing Assistant) wheel in a mechanical lift into R50's room. Surveyor waited outside R50's room until Certified Nursing Assistant/CNA came out. On 07/11/2023 at 12:02 PM, surveyor observed only V6 wheel out R50 on her Geri chair with no other healthcare staff members in the room. On 07/11/2023 at 12:05 PM, V6 stated that R50 does not walk and requires a hoyer lift for transfer to the geri chair. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their policy to ensure a resident was receiving nutrition via a G-tube according to physician orders for 1 (R173) out of three residents reviewed for tube feedings in a sample of 37.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a medication error rate of less than 5% for two (R62, R156) of four residents reviewed for medication administration resulting in a 12% error rate. Findings Include: R62 has diagnosis not limited to Hemiplegia and Hemiparesis Following Cerebral Infarction, Type 2 Diabetes, Chronic Kidney Disease, Chronic Respiratory Failure with Hypoxia, and Chronic Obstructive Pulmonary Disease. R62's electronic medication administration record (eMAR) dated 07/01/2023 - 07/12/2023 documents: Budesonide-Formoterol Fumarate Inhalation Aerosol 80-4.5 mcg/act- 2 puffs inhale orally two times a day scheduled at 9:00AM. Gabapentin 100mg- 1 cap by mouth three times a day scheduled at 9:00AM. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure medications were administered as ordered by the residents' physician for three (R62, R156, R364,) residents in a sample of 37 residents. Findings Include: On 07/11/2023 at11:26AM, R364 stated that he has not received his anxiety medication (Identified as Alprazolam) for several days and has been asking the staff where his medication is located. R364 stated that his anxiety has been increasing since he has not been getting his medication when he needs it. On 07/11/2023 at 11:42AM, surveyor located on the first floor of the facility with V9 (Licensed Practical Nurse/LPN). V9 states that R364's Alprazolam medication is available. Surveyor observed R364's Alprazolam medication inside of medication cart identified as Team 1 medication cart. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their policy to ensure proper infection control guideline practices were followed regarding personal protective equipment not being worn when entering a contact isolation room for 1 (R200) out of 3 residents reviewed for transmission-based precautions in sample of 37.
Inspectors wroteBased on observations, interviews, and records review the facility failed to follow thier abuse policy for 1 resident (R60) being free from physical abuse by 1 resident (R102) out of 3 residents reviewed for abuse. R102 hit R60 on the head. The facility also failed to ensure 1 resident (R53) was free from verbal abuse by V5 (Certified Nursing Assistant). These failures resulted in R60 verbalizing feeling scared and unsafe due to physical assault by R102; and R53 verbalizing feeling scared of staff treating her badly and staff retaliation.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to date opened food in the dry food storage and freezer; failed to ensure the level of chemical sanitizer in the dishwasher, three compartment sink, and sanitizing buckets were at the appropriate ppm (parts per million); and failed to maintain a clear working environment (Kitchen). These failures have the potential of affecting 189 residents who are on an oral diet and receiving food from the kitchen.
Inspectors wroteBased on observation, interview and record review the facility failed to properly label refrigerated stored insulin with a label open and expiration date; and destroy and reorder medications with missing, incomplete, or expired labels for 6 [R12, R42, R61, R89, R154, and R175] of 73 residents residing on the third- floor reviewed for medication storage.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the appropriate use of personal protective equipment (PPE) worn by staff caring for residents on contact and droplet isolation precautions for confirmed or suspected COVID-19. This failure affected three residents (R300, R301, and R116) reviewed for infection control in a sample of 35 residents. The facility also failed to sanitize shared medical equipment between each resident use for 4 [R75, R53, R154, and R181] of 25 residents reviewed for medication administration observation.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide privacy for 3 [R53, R122 and R154] residents reviewed for dignity in a sample of 35.
Inspectors wroteBased on interview and record review the facility failed to follow their policy to assess a resident for pass privileges, obtain an order for a resident's pass privileges and notify the resident's primary physician of a resident's failure to return to the facility after going out on pass. This failure affected one resident (R101) in a sample of 35 residents.
Inspectors wroteBased on observation, interview and record review the facility failed to provide ADL (Activity of Daily Living) care to residents who are dependent on staff assistance with ADL's. This failure affected R29 and R299 in a sample 35 residents reviewed for incontinence care and personal hygiene.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure two residents (R181 and R154) did not receive expired insulin medications; failed to ensure R181 did not receive insulin medication from another resident's insulin vial. In addition, failed to ensure the 5 rights of medication pass were followed during medication pass for 2 residents(R181and R154); the nurse did not identify right resident to right medication. These failures could result in R181 and R154 experiencing decreased medication effectiveness and potential infection from another resident's vial use.
Inspectors wroteBased on observation, interview, and record review the facility failed to review the quarterly restorative observation assessment for significant changes; and, update and document the assessment goals, interventions, and resident tolerance of the assessment goals. In addition, the facility failed to replace the missing right hand palm guard for one [R180] of 35 residents reviewed in the sample for limited range of motion. This failure could potentially result in R180 developing right hand contracture.
Inspectors wroteBased on observation, interview, and record review, the facility failed to change oxygen tubing and failed to properly label oxygen tubing for two residents (R5, R97) reviewed for oxygen therapy in a sample of 35 residents.
19 fire safety citations on file: 10 on May 2, 2024, 3 on July 14, 2023, 6 on August 3, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| February 4, 2026 | Fine | $14,350 |
| May 5, 2025 | Fine | $12,438 |
| February 26, 2025 | Fine | $12,948 |
| April 17, 2024 | Fine | $28,958 |
| February 23, 2024 | Fine | $37,810 |
| February 23, 2024 | Payment Denial | 9 days from March 16, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.14 | 3.45 | 3.86 |
| Registered nurses | 0.39 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.78 | 3.07 | 3.42 |
| Nurse aides | 1.78 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 48.1% | 44.5% | 45.8% |
| Registered nurse turnover | 55.2% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 5.07 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.29 on weekdays and 2.78 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.03 in April to June 2025 to 3.14 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.14 | 0.39 | 3.29 | 2.78 | 2.2% | 0 of 90 | 193 |
| Oct to Dec 2025 | 3.12 | 0.43 | 3.27 | 2.75 | 2.2% | 0 of 92 | 197 |
| Jul to Sep 2025 | 2.93 | 0.40 | 3.08 | 2.54 | 2.7% | 0 of 92 | 203 |
| Apr to Jun 2025 | 3.03 | 0.45 | 3.21 | 2.58 | 5.9% | 0 of 91 | 196 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.0 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.1 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.7 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.3 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Aperion Care International's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (31.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
31.3% this home
Worse than the national rate
US median of homes 51.5% · Illinois: 106 better, 85 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 163 eligible stays.
10.4% this home
No different from the national rate
US median of homes 10.7% · Illinois: 2 better, 14 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 141 eligible stays.
5.9% this home
No different from the national rate
US median of homes 7.1% · Illinois: 3 better, 10 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 77 eligible stays.
34.4% this home
Median of homes: Illinois50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 61 residents counted.
0.0% this home
Median of homes: Illinois0.3% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 105 residents counted.
4.3% this home
Median of homes: Illinois1.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 105 residents counted.
100.0% this home
Median of homes: Illinois100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 29 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: INTERNATIONAL NURSING & REHAB CENTER, LLC. CMS links this home to Aperion Care, a group of 33 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| 1219 Limted Partnership | Direct ownership interest | Organization | 01/01/2013 | |
| 257 Limted Partnership | Direct ownership interest | Organization | 01/01/2013 | |
| 42170 Limted Partnership | Direct ownership interest | Organization | 01/01/2013 | |
| Inofre, Christina | Direct ownership interest | Individual | 01/01/2013 | |
| Edwards, Delores | Managing control - governing body | Individual | 01/01/2013 | |
| Pedre, Manny | Managing control - governing body | Individual | 09/01/2021 | |
| Spector, Jennifer | Corporate officer | Individual | 01/01/2013 | |
| Ulbert, Lisa | Corporate officer | Individual | 01/01/2013 | |
| Aperion Care Inc | Operational/managerial control | Organization | 01/01/2013 | |
| Edwards, Delores | Operational/managerial control | Individual | 01/01/2013 | |
| Gupta, Vivek | Operational/managerial control | Individual | 01/01/2013 | |
| Kramer, Yisroel | Operational/managerial control | Individual | 01/01/2013 | |
| Spector, Jennifer | Operational/managerial control | Individual | 01/01/2013 | |
| Turofsky, Steven | Operational/managerial control | Individual | 01/01/2013 | |
| Ulbert, Lisa | Operational/managerial control | Individual | 01/01/2013 | |
| Wilhelm, Naftali | Operational/managerial control | Individual | 01/01/2013 | |
| Berkowitz, David | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/26/2025 | |
| Meystel, Yosef | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/26/2025 | |
| 4815 S Western, LLC | Adp of the SNF | Organization | 03/26/2025 | |
| Aperion Care Inc | Adp of the SNF | Organization | 03/26/2025 | |
| Aperion Consulting, LLC | Adp of the SNF | Organization | 01/01/2013 | |
| Atied Associates LLC | Adp of the SNF | Organization | 09/01/2021 | |
| Curis Services LLC | Adp of the SNF | Organization | 01/01/2013 | |
| David a. Berkowitz Revocable Trust | Adp of the SNF | Organization | 01/01/2013 | |
| Declaration of Trust of Yosef Meystel | Adp of the SNF | Organization | 01/01/2013 | |
| Edwards, Delores | Adp of the SNF | Individual | 01/01/2013 | |
| Gupta, Vivek | Adp of the SNF | Individual | 01/01/2013 | |
| Kramer, Yisroel | Adp of the SNF | Individual | 01/01/2013 | |
| Pedre, Manny | Adp of the SNF | Individual | 09/01/2021 | |
| Spector, Jennifer | Adp of the SNF | Individual | 01/01/2013 | |
| Turofsky, Steven | Adp of the SNF | Individual | 01/01/2013 | |
| Ulbert, Lisa | Adp of the SNF | Individual | 01/01/2013 | |
| Wilhelm, Naftali | Adp of the SNF | Individual | 01/01/2013 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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