Avondale Estates of Elgin
1754-1760 Capital Street, Elgin, IL 60124 · Kane County · (847) 531-6004
120 certified beds, about 73 residents a day · For profit - Individual · Medicare and Medicaid since 2017
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 146181 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 27, 2025, inspectors cited 5 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 11 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.21 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 1.45 of those hours.
31.3% of nursing staff left within the year CMS measured (Illinois average 44.5%).
Health inspections
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.
407/23
205/24
506/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
4E
1F
Potential for minimal harm
0A
0B
0C
June 27, 2025Standard inspection · 5 citations
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review the facility failed to secure medications. This applies to 5 out of 5 ( R28, R49, R56, R269, R369) reviewed for medications in a sample size of 20.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow Enhanced Barrier Precautions (EBP) when caring for residents needing those precautions. This applies to 4 of 4 (R2, R27, R56 and R369) residents reviewed for infection control in a sample of 20.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and record review, the facility failed to follow an Antibiotic Stewardship Program for residents receiving antibiotics. This applies to 5 of 5 residents (R216, R217, R167, R23, R24) reviewed for Antibiotic Stewardship in a sample of 20.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide timely incontinence care to a resident resulting in resident acquiring MASD (Moisture Associated Skin Damage) to his left and right buttock. This applies to 1 of 3 residents (R368) reviewed for incontinence care in a sample of 20.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident's pain was managed. This applies to 1 resident (R369) reviewed for pain management in a sample of 20.
May 23, 2024Standard inspection · 2 citations
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to attempt to remove an indwelling urinary catheter that was placed after recent surgery, failed to ensure the drainage bag did not touch the floor and failed to have a baseline care plan for indwelling catheter care. This applies to 1 of 3 residents (R47) reviewed for urinary catheter care in the sample of 17.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure three resident's central venous catheter dressings were changed within 48 hours as per the facility policy. This applies to 3 of 3 residents (R44, R23, and R357) reviewed for central venous catheters in the sample of 17.
July 3, 2023Standard inspection · 4 citations
- K Provide and implement an infection prevention and control program.
Inspectors wroteThe facility failed to implement acceptable standard of infection control practices regarding the following: (due to two failures noted under this regulation, there are two deficient practice statements). A. Based on observation, interview, and record review, the facility failed to identify and ensure a resident (R362) with diagnosis of Candida Auris (highly contagious fungal rash infection) and with drainage from a non-contained open wound rash was placed on contact precautions, failed to prevent cross contamination during wound dressing change and while removing contaminated medications from the isolation room, failed to utilize dedicated medical equipment in an isolation room, and failed to educate staff and family regarding necessary contact precautions and use of protective equipment. [...]
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to utilize chemical sanitizing solution at concentrations per manufacturer's instructions to sanitize food contact surfaces and sanitize equipment in the three compartment sink. This applies to all 77 residents residing in the facility.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review the facility failed to follow their Pneumococcal Vaccine Policy. This applies to 4 of 5 (R11, R27, R362, R364) residents reviewed in the sample of 19.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview and record review the facility failed to assess for food preferences and failed to provide nutritional interventions to maintain weight and prevent a significant weight loss. This applies to 1 of 2 (R11) residents reviewed for nutrition in a sample of 19.
Fire safety inspections
14 fire safety citations on file: 5 on June 27, 2025, 5 on May 23, 2024, 4 on July 3, 2023.
Every fire safety citation14 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have proper medical gas storage and administration areas.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- E Install a fire alarm system that can be heard throughout the facility.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Provide properly sized and located linen or trash receptacles.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 5.21 | 3.45 | 3.86 |
| Registered nurses | 1.45 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.83 | 3.07 | 3.42 |
| Nurse aides | 2.85 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 31.3% | 44.5% | 45.8% |
| Registered nurse turnover | 18.2% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.92 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 5.36 on weekdays and 4.83 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 5.21 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 | 5.21 | 1.45 | 5.36 | 4.83 | 0.1% | 0 of 90 | 73 |
| Oct to Dec 2025 | 5.17 | 1.58 | 5.31 | 4.79 | 0.1% | 0 of 92 | 73 |
| Jul to Sep 2025 | 5.74 | 1.67 | 5.88 | 5.40 | 0.2% | 0 of 92 | 62 |
| Apr to Jun 2025 | 3.80 | 1.18 | 3.93 | 3.48 | 0.0% | 0 of 91 | 65 |
| 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.
Quality measures
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 | 5.3 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 2.2 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.1 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.3 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.9 | 13.8 | 12.0 |
Owners and operators
Legal business name: AVONDALE ESTATES OF ELGIN, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Beem March Trust U/a/D 4/09/19 | 5% or greater direct ownership interest | Organization | 50% | 09/27/2019 |
| Skz Holdings Inc | 5% or greater direct ownership interest | Organization | 50% | 02/01/2021 |
| Bertachhi, Allison | W-2 managing employee | Individual | 02/12/2019 | |
| Baver, Barak | Corporate officer | Individual | 03/16/2021 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 27, 2025: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on June 27, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 27, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on July 3, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Pearl of Elgin, the Elgin, 1.9 mi · 4 of 5 stars · 37 citations
- Highland Oaks Elgin, 2 mi · 5 of 5 stars · 11 citations
- Aperion Care Elgin Elgin, 3.1 mi · 3 of 5 stars · 35 citations
- River View Rehab Center Elgin, 3.2 mi · 2 of 5 stars · 46 citations
- The Pearl of Fox River Valley Elgin, 3.3 mi · 3 of 5 stars · 30 citations
- Crescent Care of Elgin Elgin, 4.3 mi · 4 of 5 stars · 23 citations
- Aperion Care Fox River Elgin, 4.8 mi · 5 of 5 stars · 10 citations
- Tower Hill Healthcare Center South Elgin, 5.9 mi · 1 of 5 stars · 55 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Avondale Estates of Elgin's Medicare star rating?
- CMS rates Avondale Estates of Elgin 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Avondale Estates of Elgin get at its last inspection?
- 5 health deficiencies at the standard inspection on June 27, 2025. The Illinois average is 12.6.
- Has Avondale Estates of Elgin been fined?
- CMS lists no fines in the last three years.
- Does Avondale Estates of Elgin accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Avondale Estates of Elgin?
- CMS lists 4 owners and managers. Legal business name: AVONDALE ESTATES OF ELGIN, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.