8001 South Western Avenue, Chicago, IL 60620 · Cook County · (773) 436-6600
328 certified beds, about 204 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145864 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on October 3, 2024, inspectors cited 11 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 63 health citations since October 2022, 5 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $95,203 in the last three years; the largest was $79,138, and the latest is dated October 3, 2024.
Nurses and nurse aides worked 2.97 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
36.1% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Bria Health Services, an affiliated group of 10 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 63 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure that the initial physician visit was performed for a newly admitted resident which affected one resident (R1) of three residents reviewed for physician visits.
Inspectors wroteBased on interviews and record reviews, facility failed to follow their policy to ensure residents are free from misappropriation of property for 2 (R1, R2) out of 3 residents reviewed for abuse in a sample of 4.
Inspectors wroteBased on interview and record review, facility failed to follow their policy to ensure allegation of misappropriation of resident property was immediately reported within the required time frame to the abuse coordinator and to the Illinois Department of Public Health for two (R1, R2) out of three residents reviewed for misappropriation of property in a sample of 4.
Inspectors wroteBased on interview and record review, facility failed to follow their policy to ensure allegation of misappropriation of resident property was immediately investigated within the required time frame by the abuse coordinator for two (R1, R2) out of three residents reviewed for misappropriation of property in a sample of 4.
Inspectors wroteBased on interview and record review, the facility failed to ensure two residents (R7, R10) of five reviewed remained free from abuse in a total sample of 14. This failure resulted in R7 and R10 physically abusing each other.
Inspectors wroteBased on observation, interview and record review the facility failed to follow their policy and procedures to ensure (a) signage outside of the resident's room indicating Enhanced Barrier Precaution (EBP) was posted; (b) PPE (Personal Protective Equipment) was made available and accessible outside of the resident's room; (c) Position a trash can inside R2's room and near the exit for discarding PPE after removal and (d) proper PPE were worn by staff when providing high contact resident care activities to 1 (R2) resident. These failures have the potential for cross contamination to 48 residents residing on the 4th floor as of census 11/6/24 reviewed for improper nursing care.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the dumpster lids were closed and free from overflowing trash. These failures have the potential to affect all 194 residents residing at the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the residents' ceiling was not leaking, failed to ensure the closet door was not broken, and failed to ensure the residents' bathroom has no missing ceramic tiles in effort to provide a homelike environment. These failures affected 5 (R21, R32, R50, R85, and R224) residents reviewed for homelike environment in the total sample of 77 residents.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure administration of controlled medication was documented and failed to ensure the incoming and outgoing nurses signed the Shift Change Accountability Record for Controlled Substances Forms. These failures affected R43 and all residents taking controlled medications on the 3rd floor, 4th floor B-wing, and the 6th floor B-wing.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to follow Pharmacy recommendation for medication storage and failed to ensure the refrigerators were within the required temperature for proper storage of medications. These failures affected 2 (R84 and R100) residents and have the potential to affect all the residents on the 3rd and 6th floors.
Inspectors wroteBased on interview and record review, the facility failed to obtain informed consent for psychotropic medication prior to administering the medication. This failure affects 1 resident (R103) in a sample of 77.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the call light was within reach for 1 resident (R136) out of 77 residents reviewed for call lights.
Inspectors wroteBased on interview and record review the facility failed to refer two residents R34 and R103 to the appropriate state designated authority for a new Level I PASARR (Preadmission Screening and Annual Resident Review) evaluation and determination after R34 was admitted to facility without Mental Diagnosis disclosure on the Level I PASARR and R103 diagnosed with a new mental disorder. This deficient practice affected two residents (R34 and R103) in a total sample size of 77 residents.
Inspectors wroteBased on interview and record review the facility failed to refer one resident (R178) to the state agency for Preadmission Screening and Resident Review (PASRR) for rescreening before R178's Short Term Approval without Specialized Services determination's expiration date. This deficient practice affected one resident (R178) in a total sample size of 77 residents.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that wound care treatment was completed and documented in a timely manner for one resident (R87) in a total sample size of 77 reviewed for wound care.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure nebulizer mask and oxygen tubing was contained. These failures affected 2 residents (R6 and R88) reviewed for respiratory care in the sample size of 77 residents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a residents had a privacy curtain which extended around the bed. This failure affected one resident (R62), out 77 residents in the total sample.
Inspectors wroteBased on interview and record review, the facility failed to provide adequate supervision to a resident (R194) who is high risk for falls. This failure resulted in R194 sustaining a fall which required R194 to go to the local hospital due to sustaining a laceration above R194's left eyebrow, an acute interior column fracture of the C6 vertebrae without significant displacement and R194 to wear a neck brace for 8 weeks.
Inspectors wroteBased on interview and record review the facility failed to ensure staff protected one resident (R394) (out of three residents who were screened at risk for abuse) from employee to resident physical abuse.
Inspectors wroteBased on observation, interviews and record review the facility failed to ensure one resident (R2) had clothes that fit properly. Facility failed to keep inventory of four resident's personal belongings. (R2, R3, R4 and R5). This failure affected four of four residents reviewed for personal property and has the potential to affect 196 additional residents have personal belongings in the facility.
Inspectors wroteBased on interviews and record review the facility failed to ensure a diagnostic appointment was scheduled for one resident (R5), who had an abnormal mammogram and doctor's order for a follow-up appointment. This failure affected one of three residents reviewed for nursing care.
Inspectors wroteBased on interview and record review, the facility failed to report and investigate mental abuse for one (R2) of three residents reviewed for mental abuse.
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 (R6) of 6 residents reviewed for abuse. Findings Include: On 8/13/24 at 10:52 AM, R6 stated about a month ago R10 punched R6 in the face because R6 entered R10's bathroom without knocking while R10 was inside the bathroom. R6 stated R6 did not sustain any injury, but R6 was moved to another room and R10 was moved to the 3rd floor because of the incident. R6 told V18 (Certified Nursing Assistant/CNA)) and V36 (R6's Complainant) R6 was punched in the face by R10. R6 stated R6 has seen R10 since the incident, and R10 has threatened R6 with R10's walking cane. R10 stated R10 was transferred to the 3rd floor because of R6, but R6 always ignores R10, and R6 did not tell anyone. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to follow their abuse policy and procedure to ensure abuse allegation was reported to the abuse coordinator and to ensure abuse allegation was reported no later than two hours to the State Agency (SA) for 2 (R6, R10) out of 6 residents reviewed for abuse. Findings Include: On 8/13/24 at 10:52 AM, R6 stated about a month ago R10 punched R6 in the face because R6 entered R10's bathroom without knocking while R10 was inside the bathroom. R6 did not sustain any injury but R6 was moved to another room and R10 moved to the 3rd floor because of the incident. R6 told V18 (Rehab Certified Nursing Assistant/CNA)) and V36 (R6's Complainant) R6 was punched in the face by R10. R6 stated R6 has seen R10 since the incident, and R10 has threatened R6 with R10's walking cane. [...]
Inspectors wroteBased on interview and record review the facility failed to notify residents of their trust fund balances before they exceeded the $2000.00 resource limit for Social Security Administration (SSI) for an individual for 17 of 17 residents (R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, and R20) who were reviewed for trust fund in the sample. This failure has the potential to affect the Medicaid and SSI eligibility for R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, and R20 listed as having trust fund over the $2000 limit and has the potential to affect all the 189 residents residing at the facility.
Inspectors wroteBased on observation, interviews, and review of the facility failed to maintain dishwasher equipment in clean condition; failed to maintain testing strips used to determine concentration of solution in the three-compartment sink. Dishwasher and three-compartment sinks are used to sanitize dishes and utensils used by residents during mealtime. Failures have the potential to affect all 190 residents that are taking food by mouth.
Inspectors wroteBased on observation, interviews, and record review the facility failed to follow medication administration policy on documenting inhaler medication ordered by physician; failed to observe proper time in administering inhaler medication; and failed to follow respiratory care plan to administer medication as ordered by physician. These failures apply to 1 out of 3 residents (R2) for a total sample of 3 residents reviewed for pharmaceutical services. Potential effect of these failures involved 1 resident (R2) diagnosed with COPD that needs inhaler medication to address symptoms of disease.
Inspectors wroteBased upon observation, interview and record review the facility failed to ensure nursing staff arrive timely to work, failed to ensure medications are dispensed for one resident at a time, failed to ensure that dispensed medications are discarded if not administered, failed to ensure medication administration is documented, failed to ensure medications are not left at the bedside, failed to administer (R1, R3, R4) medications (as prescribed) and failed to ensure staff administer medications within regulatory requirements for 37 of 37 residents (R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30, R31, R32, R33, R34, R35, R36, R37) in the sample reviewed for medication administration. These failures have the potential to affect 45 (6th floor) residents.
Inspectors wroteBased upon observation, interview, and record review the facility failed to ensure medications were administered as ordered and failed to ensure that four of four residents (R1, R2, R3, R4) reviewed for medication administration remained free from significant medication errors.
Inspectors wroteBased on observation, records review and interviews the facility failed to provide a safe and home like environment by not maintaining comfortable and safe temperature levels in the entire premises of the facility. This failure affected all 258 residents residing in the facility, who were all subjected to hazardous temperatures and one resident (R8) who was sent to the hospital and admitted due to hypothermia. This was identified as an Immediate Jeopardy which began on 1/16/24 at 10:30 am per (1/16/24) facility temperature log which documents a residents' rooms temperature range of 53F (Fahrenheit) to 63F. On 1/19/24 at 09:16 am V1 (Administrator) was notified of the immediate jeopardy. The facility presented a final removal plan on 1/22/24 at 4:49 am which was not approved. The facility presented a revised final removal plan on 1/23/24 at 04:59 pm which was not approved. [...]
Inspectors wroteBased on record review and interview the facility failed to provide supervision and failed to ensure one of four residents (R2) reviewed for abuse remained free from abuse. As a result of this failure, R2 was struck in the head (with a chair) sustained a laceration to left eyebrow and subdural hematoma due to trauma.
Inspectors wroteBased upon observation, interview, and record review the facility failed to follow the staffing policy, failed to ensure that nursing staff arrive on time and/or as scheduled, and failed to ensure that sufficient nursing staff were available to meet the needs for three of four dependent residents (R5, R10, R11) reviewed for ADL (Activities of Daily Living) care. These failures have the potential to affect 251 residents.
Inspectors wroteBased upon record review and interview the facility failed to report accurate information to IDPH (Illinois Department of Public Health) and failed to substantiate physical abuse resulting in serious injuries (laceration, subdural hematoma) for one of four residents (R2) reviewed for abuse.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide ADL (Activity of Daily Living) care to three of four dependent residents (R5, R10, R11) reviewed for ADL care.
Inspectors wroteBased on interview and record review, the facility failed to ensure the safety of residents by not monitoring and preventing a resident (R412) from receiving and using an illegal drug for 1 (R412) out of 1 resident reviewed for incidents and accidents. This failure resulted in R412 overdosing on heroin, requiring transfer and treatment at acute hospital for treatment. Findings Include: R412's medical records show an admission date of 7/5/23 with diagnoses including but not limited to Schizophrenia, Major Depressive Disorder, Bipolar Disorder, and Epileptic Seizures. R412's progress notes dated 7/5/23 at 7:24 PM written by V3 (Director of Nursing) shows R412 was admitted in the facility from an acute hospital with history of alcohol and drug abuse. R412's Minimum Data Set (MDS) dated [DATE] shows R412 was cognitively intact and required supervision with locomotion on and off unit. [...]
Inspectors wroteBased on interview and record review the facility; (A) Failed to recognize, evaluate, and address weight loss; and (B) failed to consistently implement interventions, monitor the effectiveness of interventions and revise them as necessary. This resulted in a significant weight loss [ >10% change over 6 months] for 1 [R79] of 5 [R12, R36, R70, R109] residents reviewed for nutrition in a sample of 35.
Inspectors wroteBased on observation, interview, and record review the facility failed to a.) ensure medications were labeled and dated in 2 of 4 medication carts, b.) properly store insulin pens in 1 of 3 medication rooms reviewed and c.) ensure the medication carts were locked during medication administration in a sample of 35 residents. Findings Include: On 08/29/23 09:56 AM V18 (Licensed Practical Nurse) prepared R122 medications then entered R122's room and administered the oral medications leaving the medication cart unlocked. V18 returned to the medication cart, retrieved R122's eye drops, put on a pair of gloves, entered R122's room leaving the medication cart unlocked and administered the eye drops. On 08/29/23 10:06 AM V18 (Licensed Practical Nurse) entered R151's room leaving the medication cart unlocked then realized R151 was not in the room. [...]
Inspectors wroteBased Based on observation, interview and record review, the facility failed to properly defrost meat, discard expired food from the refrigerator and failed to store dish racks off the floor. This failure affected 248 residents residing in the facility.
Inspectors wroteBased on observation, interview and record review the facility: 1. Failed to ensure door signage for Enhanced Barrier Precautions was available for 1 (R512) resident. 2. Failed to ensure staff wore and discarded proper PPE (Personal Protective Equipment) while caring for 3 (R11, R76, R512) of 3 residents on Enhanced Barrier Precautions. 3. Failed to ensure staff performed hand hygiene before donning gloves for resident on Enhanced Barrier Precaution for 1 (R11) resident and during medication administration. 4. Failed to ensure soiled linens were properly placed inside a clear plastic bag. These failures can potentially affect 123 residents residing on the 2nd, 3rd and 6th floor as of facility roster dated 8/29/23 reviewed for infection control.
Inspectors wroteBased on interview and record review, the facility failed to follow policy of Pneumococcal vaccination: 1. Failed to provide eligible residents and/or resident representatives education regarding the benefits and potential side effects of all available pneumococcal vaccinations for 7 (R4, R11, R88, R98, R124, R178, R257) residents. 2. Failed to screen or assess eligibility and offer pneumococcal vaccinations for 7 (R4, R11, R88, R98, R124, R178, R257) residents. 3. Failed to administer dose of PCV15 (Pneumococcal Conjugate Vaccine) or PCV20 at least 1 year after the most recent PPSV23 (Pneumococcal Polysaccharide Vaccine) for 2 (R4 and R257) residents. These failures could potentially affect 7 (R4, R11, R88, R98, R124, R178, R257) residents eligible to receive the Pneumococcal vaccinations in a sample of 35.
Inspectors wroteBased n interview and record review the facility failed to ensure 1 (R4) resident had an order for the Code Status/Advance Directive that is documented on the POLST (Physician Order for Life Sustaining Treatment) as DNAR (Do Not Attempt Resuscitate) in a sample of 35. Findings Include: R4 has diagnosis not limited to Chronic Obstructive Pulmonary Disease With (Acute) Exacerbation, Hyperlipidemia, Nicotine Dependence, Schizoaffective Disorder, Depressive Type, Simple Chronic Bronchitis, Benign Prostatic Hyperplasia, Peptic Ulcer, Hypothyroidism, Major Depressive Disorder, Overactive Bladder, Primary Generalized (Osteo) Arthritis, Metabolic Encephalopathy, Other Disorders of Brain in Diseases Classified Elsewhere and Retention of Urine. Review of R4 Order Summary Report dated [DATE] has no documented Code Status/Advance Directives. Care Plan documents in part: Advance Directive: [...]
Inspectors wroteBased n observation, interview and record review the facility failed to protect private health information for 1 (R76) resident by leaving confidential medical information unattended in an area accessible to the public on 1 medication cart during medication administration. The facility also failed to knock on the door before entering in 1 (R76) resident's room in a sample of 35. Findings Include: [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to follow their Smoking Policy by not conducting smoking assessments quarterly for two (R146, R156) residents out of a total sample of 35 residents.
Inspectors wroteBased on interview and record review the facility failed to update the care plan for 1 (R4) to accurately reflect the code status as documented on the POLST (Physician Order for Life Sustaining Treatment) form as DNAR (Do Not Attempt Resuscitate) in a sample of 35. Findings Include: R4 was admitted to Hospice on [DATE] with a diagnosis not limited to Chronic Obstructive Pulmonary Disease With (Acute) Exacerbation, Hyperlipidemia, Nicotine Dependence, Schizoaffective Disorder, Depressive Type, Simple Chronic Bronchitis, Benign Prostatic Hyperplasia, Peptic Ulcer, Hypothyroidism, Major Depressive Disorder, Overactive Bladder, Primary Generalized (Osteo) Arthritis, Metabolic Encephalopathy, Other Disorders of Brain in Diseases Classified Elsewhere and Retention of Urine. Review of R4 Order Summary Report dated [DATE] has no documented Code Status/Advance Directives. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to follow their policies and protocol by not documenting attempts to contact the resident or representative, not contacting local law enforcement, and immediately notifying the physician when the resident failed to return to the facility for one out of three closed records in a sample of 35 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure low air loss mattress device was in the correct setting for a dependent resident with a current pressure ulcer. This failure has the potential to affect 1 (R177) of 4 residents in a sample of 35 residents reviewed for pressure ulcers. Findings Include: On 8/29/23 at 10:44 AM, R177 sleeping in bed and noted on a low air loss mattress with the dial set to 180 pounds (lbs.). At 10:56 AM, V13 (Wound Care Nurse) stated R177 has stage 4 sacral pressure ulcer and dressing changes on Monday, Wednesday, and Friday. R177 stated skin assessments are done weekly. V13 stated R177 is on the low air loss mattress to help release some of the pressure on R177's wound. V13 stated the purpose of the low air loss mattress is to help prevent the wound to get worse and develop more wounds. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure an intravenous catheter dressing was sealed to prevent the potential for contamination for 1 (R512) resident reviewed for intravenous catheter care in a sample of 35. Findings Include: On 08/30/23 at 09:19 AM V3 (Director of Nursing) donned gloves then entered R512 room and asked R215 to let him (V3) check her (R512) line, V3 then exited the room. On 08/30/23 at 09:24 AM V3 (Director of Nursing) said to R512, I will have them come and change your dressing. V3 was referring to R512 right arm single lumen PICC (Peripherally Inserted Central Catheter) line dressing that was observed to be unsealed at the lower end of the dressing and undated. Signage was observed on R76 door indicating Enhance Barrier Precautions. Everyone Must: Clean their hands, including before entering and when leaving the room. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to a.) obtain an order for oxygen administration, and b.) failed to change the oxygen humidity bottle, label, and date the nasal cannula per the Physician orders and per the facility policy for 1 (R247) resident in a sample of 35. Findings Include: R247 has diagnosis not limited to Hyperlipidemia, Benign Prostatic Hyperplasia, Essential (Primary) Hypertension, Anorexia, Anemia, Chronic Viral Hepatitis, Chronic Combined Systolic (Congestive) And Diastolic (Congestive) Heart Failure and Chronic Obstructive Pulmonary Disease. Order Summary Report dated 08/30/23 documents in part: change end date oxygen tubing, nasal cannula and humidifier every night shift, every Sunday for prophylaxis. Progress note dated 08/28/23 12:16 document in part: Nurses Note Text: Resident on Doctor Appointment. [...]
Inspectors wroteBased on observation and interview, the facility failed to maintain a resident's wheelchair in a safe operating condition for 1 (R42) resident reviewed for equipment safety in a sample of 35. Findings Include: R42 was observed sitting in a wheelchair that appeared to be too small with no arm rest at the end of the hallway. The wheelchair seat was observed leaning to the right. When R42 was asked if that was his wheelchair R42 stated, I need another one because it is leaning to the right. On 08/30/23 at 11:44 AM V25 (Rehabilitation Director) pointed to a wheelchair and stated, This is the wheelchair that (R42) had, and we gave (R42) another wheelchair yesterday. The back of the wheelchair is torn and that is the only thing that is wrong with it. It was brought to my knowledge yesterday. I told (V24) (Rehabilitation Certified Nurse Assistant) to get (R42) another wheelchair. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to follow their policy and procedure to report an incident/unusual occurrence that resulted in a serious harm within twenty-four hours to the State Survey Agency (SA) for 1 (R412) out of 1 resident in a sample of 35 reviewed for incidents and accidents. Findings Include: R412's medical records show an admission date of 7/5/23 with diagnoses including but not limited to Schizophrenia, Major Depressive Disorder, Bipolar Disorder, and Epileptic Seizures. R412's progress notes dated 7/5/23 at 7:24 PM written by V3 (Director of Nursing) shows R412 was admitted in the facility from an acute hospital with history of alcohol and drug abuse. R412's Minimum Data Set (MDS) dated [DATE] shows R412 was cognitively intact and required supervision with locomotion on and off unit. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to thoroughly investigate a resident's incident of drug overdose for 1 (R412) out of 1 resident in a sample of 35 reviewed for incidents and accidents. Findings Include: R412's medical records show an admission date of 7/5/23 with diagnoses including but not limited to Schizophrenia, Major Depressive Disorder, Bipolar Disorder, and Epileptic Seizures. R412's progress notes dated 7/5/23 at 7:24 PM written by V3 (Director of Nursing) shows R412 was admitted in the facility from an acute hospital with history of alcohol and drug abuse. R412's Minimum Data Set (MDS) dated [DATE] shows R412 was cognitively intact and required supervision with locomotion on and off unit. Progress notes dated 7/27/2023 at 9:36 PM written by V8 (Licensed Practical Nurse/LPN) documents in part: [R412] noted in bed lethargic unresponsive. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to label with date food items in the freezer and dry storage room, failed to ensure staff's water bottles were not stored in the kitchen's freezer, failed to ensure food were discarded by use by date to prevent foodborne illnesses. These failures have the potential to affect all 258 residents taking oral nutrition in the facility.
Inspectors wroteBased on observation, interview and record review the facility failed to prevent rodents from entering one residents room (R22), failed to prevent insects from entering the building and failed to prevent flies from entering in one resident's room (R248) by not maintaining the area. This failure has the potential to affect all residents residing in the facility.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the Low Air Loss Mattresses were set at the recommended settings, failed to ensure the Low Air Loss Mattresses were not layered with multiple linens and padding, failed to ensure the Low Air Loss Mattress was inflated before use and failed to ensure a resident at risk for pressure ulcer/injury was not lying on a Hoyer lift sling while on Low Air Loss Mattress. These failures affected 5 (R6, R37, R45, R188, and R204) residents reviewed for pressure ulcer/injury prevention and treatment in the total sample of 98 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that unopened insulin was refrigerated for one resident (R196), failed to properly store insulin and lancets when not in use, failed to ensure a medication cart was locked when unattended, failed to discard expired medication and medication for one resident (R369) who expired that were stored in the medication refrigerator, and failed to ensure that two opened and expired emergency medication kits were removed from the facility once a new emergency medicine dispensing machine was implemented.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident indwelling catheter drainage bag is covered for dignity. This failure affected 1 (R45) resident reviewed for dignity in the total sample of 98 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the call light string was within reach for one dependent resident (R111) and failed to ensure that there was a call light string attached to the call system for another dependent resident (R181) in the sample of 98 residents reviewed for call lights.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the cleanliness of one resident's (R111) personal wheelchair in the sample of 98 residents reviewed for a home-like environment.
Inspectors wroteBased on interview and record review the facility failed to timely submit a resident's Minimum Data Set (MDS) assessment after a resident was discharged which affected one resident (R3) of three residents (R3, R90, R269) reviewed for resident assessments.
Inspectors wroteBased on interview and record review the facility failed to timely submit a resident's Minimum Data Set (MDS) assessment as required at least every 92 days and no later than 14 days after the Assessment Reference Date (ARD) which affected one resident (R2) of three residents (R2, R10, R103) reviewed for resident assessments.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that enteral tube medications were administered according to the physician order and according to professional standards of quality for one resident (R116) out of 5 residents reviewed in the total sample of 98 residents. These failures affected R116 and have the potential to affect all 3 residents on the 4th floor receiving medications via an enteral tube.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide ADL (Activities of Daily Living) care related to grooming and nail care for two residents (R12 and R181) in the sample of 98 residents reviewed for ADL care. These failures affected R12 and R181 and have the potential to affect all dependent residents residing on the 4th floor.
Inspectors wroteBased on observation, interview and record review, the facility failed to have a five percent or lower medication error rate. There were 7 medication errors out of 28 medication opportunities, resulting in a 25% medication error rate and affected two residents (R66 and R116) out of 5 residents reviewed for medication pass.
4 fire safety citations on file: 2 on October 3, 2024, 1 on February 5, 2024, 1 on October 19, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| October 3, 2024 | Fine | $16,065 |
| February 5, 2024 | Fine | $79,138 |
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) | 2.97 | 3.45 | 3.86 |
| Registered nurses | 0.51 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.57 | 3.07 | 3.42 |
| Nurse aides | 2.00 | ||
| Licensed practical nurses | 0.46 | ||
| Nursing staff turnover (share who left in a year) | 36.1% | 44.5% | 45.8% |
| Registered nurse turnover | 33.3% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.78 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 3.14 on weekdays and 2.57 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.94 in April to June 2025 to 2.97 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 | 2.97 | 0.51 | 3.14 | 2.57 | 0.0% | 0 of 90 | 204 |
| Oct to Dec 2025 | 2.94 | 0.49 | 3.15 | 2.43 | 0.0% | 0 of 92 | 199 |
| Jul to Sep 2025 | 3.00 | 0.47 | 3.21 | 2.45 | 0.0% | 0 of 92 | 200 |
| Apr to Jun 2025 | 2.94 | 0.44 | 3.13 | 2.46 | 0.0% | 0 of 91 | 199 |
| 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.
| 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 | 4.9 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.1 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 9.4 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.0 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 58.2 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 7.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.6 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Bria of Forest Edge's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 15 eligible stays.
11.7% 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. 57 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 23 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 12 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. 22 residents counted.
0.0% 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. 22 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 4 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: FOREST EDGE HEALTHCARE & REHABILITATION CENTER LP. CMS links this home to Bria Health Services, a group of 10 nursing homes averaging 1.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Berkovits, Fred | 5% or greater direct ownership interest | Individual | 24% | 11/01/2012 |
| Segal, Dov | 5% or greater direct ownership interest | Individual | 5% | 11/01/2012 |
| Adebogun, Abayomi | Operational/managerial control | Individual | 01/03/2025 | |
| Nwagwu Youlo, Chimnoya | Operational/managerial control | Individual | 01/01/2024 | |
| Adebogun, Abayomi | Adp of the SNF | Individual | 01/03/2025 | |
| Nwagwu Youlo, Chimnoya | Adp of the SNF | Individual | 01/01/2024 | |
| Weinfeld, Avrum | Adp of the SNF | Individual | 12/11/2024 |
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.
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.