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Center Home Hispanic Elderly

1401 North California, Chicago, IL 60622 · Cook County · (773) 782-8700

156 certified beds, about 123 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2004

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 146062 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 23, 2026, inspectors cited 15 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 77 health citations since September 2023, 13 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 6 fines totaling $401,599 in the last three years; the largest was $178,736, and the latest is dated August 2, 2025.

Nurses and nurse aides worked 2.86 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.

45.8% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Icare Consulting Services, an affiliated group of 7 nursing homes.

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.

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 77 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
11G
0H
1I
Potential for more than minimal harm
35D
14E
15F
Potential for minimal harm
0A
0B
0C
July 30, 2026Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on interview and record review the facility failed to have appropriate interventions and supervision in place to prevent residents (R1 and R2) from falling. This failure affected two (R1 and R2) of five residents reviewed for falls. This failure resulted in R1 sustaining a subdural hematoma (brain bleed) and R2 sustaining a right humerus fracture. 1. R1's face sheet dated 07/29/2026 documents, in part, that R1 was admitted to the facility on [DATE] with diagnoses of Dementia, Alzheimer's disease, aneurysm of the heart, insomnia, essential hypertension diabetes mellitus, orthostatic hypotension convulsions, altered mental status, left artificial hip joint, muscle weakness, and hyperlipidemia. [...]
January 23, 2026Standard inspection · 15 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on interview and record review the facility failed to have sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care in accordance with the facility assessment. This failure places all 118 residents in the facility at risk to be provided with inappropriate care and services.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow their policies by a) not ensuring all food items in the kitchen were labeled/dated and b) not following manufacturer instructions to use the three-compartment sink. This failure has the potential to effect 113 residents that eat food from the kitchen.
  3. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation and record review, the facility failed to follow their policy by not properly maintaining their dumpster area. This failure has the potential to effect all residents residing in the facility.
  4. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to review and update policies and procedures related to infection control prevention and failed to follow the facility policy for maintaining clothes and linen free off contamination in the laundry area. These failures have the potential to affect 118 residents living in the facility.
  5. F
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on review of records and interview the facility failed to follow infection control policies on offering vaccination for 4 out of 5 residents (R20, R90, R123, and R129) for a total sample of 24 residents reviewed for immunization, failed to include all facility staff in screening for Covid-19 vaccination, and failed to follow policy in offering Covid-19 vaccination to facility staff.
  6. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from hazards. This failure has the potential to affect the 37 residents that reside on floor three.
  7. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to a.) administer resident's prescribed medications in a timely manner according to the physician orders and b.) ensure controlled substances were counted, and documented, at the beginning and end of each shift for 9 out of 115 shifts. These failures have the potential to affect 54 residents residing in the facility.
  8. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a medication error rate of less than 5% for five (R13, R66, R77, R91, R108) residents reviewed for medication administration in a total sample of 24 residents reviewed, resulting in a 27.27% error rate. Findings Include: R66's electronic medication administration record/eMAR dated 01/22/2026 documents: Cholecalciferol Oral Capsule 25 MCG (1000 UT) (Cholecalciferol) Give 2 capsule by mouth one time a day scheduled at 9:00AM. On 01/22/2026 at 7:54AM, surveyor observed V13 (Registered Nurse/RN) administer Cholecalciferol 25 MCG (1000 UT) 1 tablet to R66. R91's eMAR dated 1/22/2026 documents: Ergocalciferol Tablet 50 MCG (2000 UT) Give 1 tablet by mouth one time a day scheduled at 9:00AM. [...]
  9. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to a.) label house stock medications that had been open and b.) remove and discard expired medications in two of five medication carts reviewed. These failures have the potential to affect 37 residents residing in the facility reviewed for medication labeling and storage.
  10. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on review of records and interview the facility failed to follow immunization program policy and procedure on offering vaccination for 4 out of 5 residents (R20, R90, R123, and R129) for a total sample of 24 residents reviewed for immunization. These failures are not in accordance with facility's immunization program policy and procedure which 4 residents (R20, R90, R123, and R129) did not receive influenza and/or pneumonia vaccine(s) that may help in preventing infection(s).
  11. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observations, interviews and record review, the facility failed to monitor one (R66) resident of six reviewed in a sample of 24. This failure led to R66 wandering into other residents' rooms. R66 is a [AGE] year-old individual whose current face sheet documents medical diagnosis to include but not limited to: dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbance, delusional disorders, depression, unspecified, and anxiety disorders. R66's MDS (Minimum Data Set) C-Cognitive Patterns dated [DATE], documents R66''s Brief Interview for Mental Status (BIMS) as 1/15, indicating severe cognitive impairment. On 01/20/2026 at 11:00AM, R66 was observed in another resident's room sitting on one of the beds and remained sitting for forty minutes. R66 was not able to answer questions. [...]
  12. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on interviews and records review, the facility failed to refer two residents (R40, R92) with newly diagnosed serious mental illness for PASRR (Pre-admission Screening and Resident Review) screenings in a total sample of 24 residents reviewed for PASRR.
  13. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on review of records and interview facility failed to acquire preadmission screening and resident review for 1 out of 5 residents (R63) in a total sample of 24 resident reviewed for resident assessment. These failures affect 1 resident (R63) in determining correct care settings for a resident with serious mental illness.
  14. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assist a resident in maintaining their vision by not following physician orders to obtain corrective lenses for one (R94) resident in a total sample of 24 residents reviewed.
  15. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to implement infection control measures during storage of oxygen tubing for one resident (R114) out of five residents reviewed in a total sample of 24 residents. This failure places residents at risk to be provided with inappropriate care and services to meet the resident's physical, mental and/or psychosocial needs. On 1/20/2026 at 12:43 PM, R114's oxygen concentrator's oxygen tubing not covered and, on the floor, next to R114's bed. On 01/21/2026 at 12:47 PM, V2 (Director of Nursing) stated that the facility does have an oxygen equipment policy. V2 stated that for oxygen tubings, staff change the oxygen tubings weekly, and when not in use, staff keep them in bags. V2 stated that the tubing should not be on the floor because of infection control and the residents can place the oxygen tubing back in their nose. [...]
December 26, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 7, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their policy to ensure appropriate wound care treatment is met and carried out for one (R1) out of 3 residents reviewed for pressure ulcers in a sample of 9. Findings Include:Section C documents in part BIMS (brief interview of mental status) of 11 which indicates that R1 is moderate cognitive impaired. On 12/23/2025 at 9:49 AM, surveyor observed R1 laying down on her bed, in an upright position while watching television. R1 seemed comfortable, under no pain or distress. R1 is alert and oriented to person. R1 is not alert and oriented to place and time, and has frequent confusion. Surveyor observed R1 holding the call light with her right hand. Surveyor observed a catheter bag; it was secured and off the ground. Surveyor observed a wheelchair and a walker at the bedside. [...]
August 2, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to provide adequate supervision during provision of ADL (Activities of Daily Living) care for 1 (R2) resident out of 3 residents reviewed for falls. This failure resulted with R2 falling while at the facility on 06/24/2025 and sustaining a facial laceration requiring sutures.
June 9, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate supervision and monitoring for residents. As a result of these failures, R3 fell in the facility on 05/24/2025, while being showered by staff and sustained facial lacerations requiring 12 sutures. These failures affect three (R3, R4, R5) out of five residents reviewed for supervision and monitoring in a total sample of five residents.
May 5, 2025Complaint inspection · 1 citation
  1. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 19, 2025
    Inspectors wroteBased on observation , interview and document review the facility failed to maintain all mechanical equipment in safe operating condition. This failure affected all residents in the facility by not providing hot water due to equipment failure.
March 27, 2025Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on interview and record review the facility failed to develop and implement appropriate measures to ensure adequate supervision for three of three residents (R1, R2, and R3) identified at high risk for falls reviewed for falls with injury in the sample. This failure affected R1, R2, and R3 who had multiple falls and unwitnessed falls with lacerations requiring adhesive strips, sutures, and staples to correct the lacerations at the local hospital.
  2. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the call lights are within reach for 9 of 9 residents (R1, R2, R3, R6, R8, R10, R12, R13 and R14) reviewed for call lights.
January 31, 2025Complaint inspection · 3 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure that a resident remained free from mental abuse for one (R5) of three residents reviewed for abuse. This failure resulted in V4 (Former Certified Nursing Assistant/CNA) taking inappropriate photos of R5 and sending them in a text to her peers. A reasonable person who had inappropriate photos taken of them and shared with others would have felt sad, humiliated, and angry.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2025
    Inspectors wroteBased on interview and record review, the facility failed to follow their abuse policy to complete a thorough abuse investigation for one of three residents reviewed for abuse (R4) in the sample of seven.
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2025
    Inspectors wroteBased on interview and record review the facility failed to follow the care plan addressing the resident will maintain adequate nutritional and hydration status and failed to implement current professional standards of practice to follow up and/or address a Registered Dietician's recommendations for one resident (R2) out of four residents reviewed for hydration. This failure places residents at risk to be provided with inappropriate care and services to meet the resident's physical, mental and/or psychosocial needs.
January 16, 2025Standard inspection · 19 citations
  1. F
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 3, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to follow policy procedures, failed to ensure that staff were available to provide restorative care, failed to ensure that staff are aware of residents' restorative care needs, and/or failed to ensure that restorative care was provided as directed for four of 64 residents (R26, R49, R55, R86) in the sample. These failures have the potential to affect 104 residents.
  2. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to follow policy procedures, failed to ensure that nursing staff arrive on time and/or as scheduled, failed to implement the emergency staffing policy and failed to ensure that sufficient nursing staff were available to meet the needs for 15 of 64 residents (R11, R15, R26, R30, R34, R37, R43, R46, R48, R49, R55, R56, R57, R86, R169) in the sample. These failures have the potential to affect 114 residents.
  3. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure staff performed hand hygiene when entering the kitchen, failed to ensure food storage temperatures were monitored, failed to ensure staff hair was fully covered, failed to label food upon opening, failed to ensure the solution used for the sanitation sink was checked, failed to ensure the kitchen drain was not clogged, and failed to ensure paint on the kitchen ceiling was not disintegrating in an effort to prevent foodborne illness. These failures have the potential to affect all 111 residents receiving oral nutrition at the facility.
  4. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the dumpster was not overflowing with trash and the dumpster's lid was closed in an effort to prevent pest and rodents migration to the facility. This failure has the potential to affect all the residents at the facility.
  5. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to ensure that isolation signs are posted properly, failed to ensure that assigned staff/visitors were made aware that (R11) requires contact isolation, failed to ensure that visitors don required PPE (Personal Protective Equipment) prior to entering an isolation room, and failed to ensure that staff perform hand hygiene during dining services. These failures have the potential to affect all 114 residents residing in the facility.
  6. E
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on observation, interview, and record interview, the facility failed to follow their own policy of completing self-administration review, getting a physician' order to self-administer, and completing a careplan when initiating self-administration of medication. This failure affected 3 (R13, R66, and R84) residents reviewed for self-administration of medication and has the potential to affect all residents on the 2nd floor.
  7. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 3, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to follow policy procedures and failed to ensure that medications were administered and/or documented within regulatory requirements for seven of 64 residents (R30, R34, R43, R46, R48, R57, R169) in the sample.
  8. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 3, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the environment was free from hazards for two residents (R44 and R95). This failure has the potential to affect all 39 residents on the third-floor unit.
  9. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased on observations, interviews and record review the facility failed to ensure controlled medication for two residents (R8 and R103) were securely locked in the medication room refrigerator; failed to ensure that insulin and eye medication for four residents (R14, R20, R51 and R113) had open and expiration dates; and failed to ensure that expired insulin for one resident (R113) was removed from the medication cart. This failure has the potential to affect all residents that reside on the first floor and four residents on the third floor (R14, R20, R51 and R113).
  10. E
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to ensure that a thermometer was in (R3's) refrigerator, failed to ensure that (R3's) daily temperature log was not pre-signed, failed to ensure that staff are aware of the required refrigerator temperature range, failed to ensure that refrigerated perishable items were maintained below 40F (Fahrenheit), failed to defrost resident refrigerators, and failed to document daily refrigerator temperatures for six of 64 residents (R3, R15, R26, R49, R66, R84) in the sample.
  11. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide a home-like environment by not replacing missing window coverings which affected one resident (R51) reviewed in the total sample of 64 residents.
  12. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 3, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to ensure that ADL (Activities of Daily Living) care was provided to three of 64 dependent residents (R11, R37, R56) in the sample.
  13. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 3, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to ensure that a residents (R22) low air loss mattress (in use) was functioning properly, failed to obtain PRN (as needed) wound care orders for R37, failed to ensure that R56's (left) buttock treatment orders were transcribed on the TAR (Treatment Administration Record), failed to obtain treatment orders for R56's (right) buttock wound, and failed to follow Physician orders. These failures affected 3 residents (R22, R37, R56) in the sample.
  14. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to follow policy procedures, and failed to ensure that gastrostomy tube (g-tube) feedings were labeled for one of three residents (R11) reviewed for tube feeding.
  15. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 3, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to label and date oxygen equipment (nasal cannula tubing); and failed to properly contain oxygen equipment (nasal cannula tubing). These failures affected two residents (R3 and R109) reviewed for oxygen equipment, in a total sample of 64 residents.
  16. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased on interview and, record review the facility failed to obtain a physicians order for a resident (R3) who requires dialysis. This failure affected one resident in the sample of 64 residents.
  17. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to follow policy procedures, failed to ensure that medications were re-ordered timely, and failed to ensure that prescribed medications were available for two of six residents (R48, R57) reviewed for medication administration.
  18. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to follow policy procedures and failed to maintain a medication error rate below 5%. There were 12 medication errors out of 26 opportunities, resulting in a 46.15% medication error rate. Two of six residents (R48, R57) in the medication administration sample were affected.
  19. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2025
    Inspectors wroteBased upon observation, interview, and record review the facility failed to follow policy procedures and failed to ensure that two of six residents (R48, R57) reviewed for medication administration remained free from significant medication errors.
January 8, 2025Complaint inspection · 1 citation
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to manage R3's pain by failing to have R3's Norco pain medication in stock. This failure resulted in R3 going without his medication for more then 24-hours and experiencing excruciating leg, wound, and body pain rated as 8 out of 10 on a numerical rating pain scale.
December 17, 2024Complaint inspection · 6 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that sufficient Wound Care Nurses are available to meet resident needs, failed to provide timely incontinence care, failed to administer prescribed treatments, failed to ensure that staff are aware of required LALM (Low Air Loss Mattress) settings and failed to ensure that the LALM was on the correct setting for three of three residents (R1, R2, R3) reviewed for pressure ulcers. These failures resulted in R1 sustaining a (facility acquired) sacrum pressure ulcer with tailbone exposure/fracture and radiographic suggestion of osteomyelitis, R2 sustained a stage 3 (facility acquired) pressure ulcer, and R3 sustained a stage 3 (facility acquired) pressure ulcer.
  2. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow policy procedures, 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 three dependent residents (R1, R2, R3) reviewed for ADL (Activities of Daily Living) care. These failures have the potential to affect all 38 residents on the 2nd floor.
  3. E
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on interview and record review the facility failed to follow policy procedures, failed to ensure that staff were available to provide restorative care, and failed to ensure that restorative care was provided as directed for three of three residents (R1, R2, R3) in the sample. These failures have the potential to affect all 38 residents on the second floor.
  4. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow policy procedures, failed to implement care plan interventions, and failed to provide ADL (Activities of Daily Living) care to two of three dependent residents (R2, R3) in the sample.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on record review and interview the facility failed to ensure they have a policy for scheduling/rescheduling appointments, failed to ensure that reported concerns were resolved and failed to re-schedule a Neurology appointment for one of three residents (R1) in the sample.
  6. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow policy procedures, failed to transcribe Physician Orders, failed to ensure that indwelling urinary catheter treatments are on the TAR (Treatment Administration) record, and failed to monitor/record/report abnormal urine findings to the Physician for one of three residents (R1) in the sample reviewed for bowel/bladder incontinence.
August 29, 2024Complaint inspection · 2 citations
  1. F
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 3, 2024
    Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate four separate incidents involving allegations of resident-to-resident physical abuse, verbal and physical abuse or neglect by a Licensed Practical Nurse (LPN) and Certified Nursing Assistant (CNA). The facility also failed to separate the residents from the alleged perpetrator(s). These failures affected 5 residents (R1, R2, R5, R6, and R7) and has the potential for abuse and neglect to further occur, affecting all 119 residents residing in the facility.
  2. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 3, 2024
    Inspectors wroteBased on interview and record review, the facility failed to report 4 separate allegations of abuse/neglect to the state survey agency. This failure has the potential to affect 5 residents (R1, R2, R5, R6, and R7) reviewed.
May 30, 2024Complaint inspection · 3 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on interviews and records reviewed, the facility failed to ensure staff report new behavior/s to appropriate supervisor and department head for one resident (R2) resulting with the resident to be observed on the floor and sustaining a laceration to the head, was sent out to the Hospital Emergency Department and treated with laceration repair (staples). This deficient practice affected one resident (R2) reviewed for quality of care in a total sample of 6 residents.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure unusual occurrence, which resulted to a serious injury, was reported to the State Agency within the mandated time frame and failed to develop policies and procedures for reporting unusual occurrence, which resulted to a serious injury, within the mandated time frame. These failures affected 1 (R2) resident reviewed for reporting of unusual occurrence in the total sample of 6 residents.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to complete a thorough investigation of resident unusual occurrence which resulted in an injury. This failure affected (R2) resident reviewed for investigation of unusual occurrence in the total sample of 6 residents.
May 3, 2024Complaint inspection · 4 citations
  1. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 22, 2024
    Inspectors wroteBased on review of records and interviews, the facility failed to provide bed hold notification when transferring to another facility, for 1 resident (R3) in a total sample of 3 residents reviewed. This failure affected 1 resident (R3) who was not afforded notification on the option to return to the facility after discharge.
  2. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 22, 2024
    Inspectors wroteBased on review of records and interviews the facility failed to determine current status of resident before denial of re-admission for 1 resident (R3) in a total sample of 3 residents reviewed. This failure affected 1 resident (R3) that was not accepted and therefore did not receive services in the facility after discharge.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 17, 2024
    Inspectors wroteBased on review of records and interview the facility failed to address behavioral concerns in the care plan for a resident that manifest self-harm for 1 resident (R3) in a total sample of 3 residents reviewed for person-centered care plan. This failure affected 1 resident (R3) resulting in a lack of intervention on resident behavioral services' needs.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on record review and interview, the facility failed to monitor vital signs and to identify a change in condition for 1 resident (R2), out of a total sample of 3 residents reviewed for nursing services. This failure potentially affected 1 (R2) resident who was transferred to the hospital and diagnosed with septic shock.
April 18, 2024Complaint inspection · 5 citations
  1. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on interview and record review the facility failed to provide emergency treatment and care for a resident (R3) with a low oxygen level, in accordance with professional standards of care, and failed to immediately contact 911 for an acute change in condition for R3 based on R3's code status of Do Not Resuscitate. This failure resulted in R3 not receiving timely care and treatment until 6 hours after the change in condition requiring hospitalization with admission diagnosis of Acute Respiratory Failure with Hypoxia (Deficiency In The Amount Of Oxygen Reaching The Tissues), Sepsis, Metabolic Encephalopathy, Severe Sepsis with Septic Shock, Urinary Tract Infection, Acidosis, and Coagulation Defect, and subsequently expiring at the hospital. This failure affected one (R3) of four residents reviewed for change in condition on the total sample list of 23. [...]
  2. I
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · Actual harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on interview and record review the facility failed to provide sufficient nursing staff with the appropriate competencies and skill sets to provide nursing services to ensure residents safety and to maintain the highest practicable physical, mental and psychosocial well-being for the residents. This failure resulted in a delay in care for R3 being sent out 911 and interventions not being implemented for respiratory distress and has the potential to affect all the residents residing in the facility.
  3. G
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure the nurses provided care, in accordance with professional standards of care for one (R3) of four residents who was experiencing a reduction in oxygenation and a delay in receiving emergency medical attention reviewed for change in condition on the total sample of 23.
  4. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on interview and record review the facility failed to follow their policy on involuntary transfer by failing to send the appropriate paperwork with one resident (R2) who required involuntary transfer to the hospital and as a result R2 returned to the facility without treatment and had to wait for the paperwork to be send out to emergency again for treatment. This failure has the potential to affect one of three residents (R2) reviewed for transfer/discharge on the total sample of 23.
  5. D
    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
    F741 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on interview and record review the facility failed to send the appropriate paperwork with one resident who required involuntary transfer to the hospital and notify a resident's power of attorney that a psychotropic medication was discontinued. This failure had the potential to affect all three residents (R2, R5 and R6) reviewed for facility's policy and procedures.
February 22, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on observation, interviews and record review the facility failed to develop and implement fall prevention interventions for three of three residents (R2, R3 and R4) reviewed for accidents on the total sample list of seven.
November 9, 2023Standard inspection · 8 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure that the wiping cloths for the food contact surfaces are properly sanitized, failed to ensure that dry food is stored six inches above the floor, and failed to ensure that the fan blowing on the clean dishes is free of accumulated dust. These failures have the potential to cause food borne illness in a total of 103 residents who receive oral diets from the facility's kitchen.
  2. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the outside dumpster lid was closed to prevent pest and rodents from entering the garbage bin. This failure has the potential to affect all 105 residents in the facility.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure that one resident (R32) did not receive insulin from a personal insulin pen that belonged to another resident, failed to ensure hand hygiene was performed during medication administration for one resident (R32), failed to ensure oxygen tubing was properly stored while not in use for one resident (R249), and failed to ensure a urinary drainage bag was not directly touching the floor for one resident (R24) reviewed for infection control on the total sample list of 47.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation and interview the facility failed to ensure that the call light was within reach for one resident (R249) out of the 47 residents reviewed for call lights on the total sample list of 47.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide individualized fall prevention interventions, according to the care plan, for a cognitively impaired resident, who had repeated falls. This failure affected one resident (R30) of three residents, reviewed for falls, in a total sample of 47 residents.
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation, interviews and record review the facility failed to ensure an oxygen tank was not empty and oxygen tubing was connected for one resident (R31), and an oxygen humidifier bottle was not empty (without water) for one resident (R40). This failure has the potential to affect two of three residents reviewed for oxygen use on the total sample list of 47.
  7. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation, interviews and record review the facility failed to ensure expired insulin medication was removed from medication cart and discarded for two residents (R86 and R28) of six residents reviewed for insulin use on the total sample list of 47.
  8. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to provide and arrage dental services and follow Dentist's recommendation for a dental appliance for one resident (R31) of one residents reviewed for dental appliances on the total sample list of 47.
October 27, 2023Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation, interview and review of records, the facility failed as follows: Failed to supervise and monitor an elopement risk resident with behavioral needs. Failed to maintain the right of a resident to be safe related to accessing facility area (stairwell). Failed to complete a comprehensive assessment for a newly admitted resident. Failed to follow individualized care plan policy in addressing hip precaution or safety measures on the plan of care for a resident that had undergone hip surgery. Failed to investigate an incident for a hip prosthesis dislocation. These failures affected 2 (R1, R2) out of 3 residents reviewed for safety, hazards, and incidents on a total sample of 5 residents. This failure resulted in (R2) sustaining a left hip fracture after a fall.
September 12, 2023Complaint inspection · 2 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 26, 2023
    Inspectors wroteBased on interview and record review, the facility failed to maintain a safe resident environment and protect residents (R8 & R3) from physical abuse by (R9) for three of three residents reviewed for abuse in the sample of nine. This failure resulted in R9, a resident with known aggressive behavior, striking R8 in the face. As a result of the abuse, R8 was sent to the local hospital and diagnosed with subtle depressed fracture at the left nasal bone (broken nose).
  2. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 26, 2023
    Inspectors wroteBased on observation and interview the facility failed to maintain a supply of towels and washcloths for residents and staff to perform incontinence and bathing care. This deficient practice has the potential to affect all 35 residents residing on the third floor.

Fire safety inspections

53 fire safety citations on file: 19 on January 16, 2025, 16 on November 9, 2023, 18 on October 21, 2022.

Every fire safety citation53 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 16, 2025 · Waiver
  2. F
    Properly install and monitor supervisory attachments on automatic sprinkler systems.
    K 352 · January 16, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 16, 2025 · Waiver
  4. F
    Have elevators that firefighters can control in the event of a fire.
    K 531 · January 16, 2025 · Corrected (the home has a date of correction)
  5. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 16, 2025 · Corrected (the home has a date of correction)
  6. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 16, 2025 · Corrected (the home has a date of correction)
  7. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · January 16, 2025 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 16, 2025 · Corrected (the home has a date of correction)
  9. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · January 16, 2025 · Corrected (the home has a date of correction)
  10. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · January 16, 2025 · Corrected (the home has a date of correction)
  11. E
    Have exits that are accessible at all times.
    K 271 · January 16, 2025 · Corrected (the home has a date of correction)
  12. E
    Have properly located and lighted "Exit" signs.
    K 293 · January 16, 2025 · Corrected (the home has a date of correction)
  13. E
    Have an enclosure around a vertical opening shaft.
    K 311 · January 16, 2025 · Corrected (the home has a date of correction)
  14. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 16, 2025 · Corrected (the home has a date of correction)
  15. E
    Provide properly protected cooking facilities.
    K 324 · January 16, 2025 · Corrected (the home has a date of correction)
  16. E
    Install an approved automatic sprinkler system.
    K 351 · January 16, 2025 · Corrected (the home has a date of correction)
  17. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 16, 2025 · Corrected (the home has a date of correction)
  18. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · January 16, 2025 · Corrected (the home has a date of correction)
  19. E
    Ensure proper usage of power strips and extension cords.
    K 920 · January 16, 2025 · Corrected (the home has a date of correction)
  20. F
    Conduct testing and exercise requirements.
    E 39 · November 9, 2023 · Corrected (the home has a date of correction)
  21. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · November 9, 2023 · Corrected (the home has a date of correction)
  22. F
    Have properly located and lighted "Exit" signs.
    K 293 · November 9, 2023 · Corrected (the home has a date of correction)
  23. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 9, 2023 · Waiver
  24. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 9, 2023 · Waiver
  25. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 9, 2023 · Corrected (the home has a date of correction)
  26. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 9, 2023 · Corrected (the home has a date of correction)
  27. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · November 9, 2023 · Corrected (the home has a date of correction)
  28. E
    Have an enclosure around a vertical opening shaft.
    K 311 · November 9, 2023 · Corrected (the home has a date of correction)
  29. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 9, 2023 · Corrected (the home has a date of correction)
  30. E
    Provide properly protected cooking facilities.
    K 324 · November 9, 2023 · Waiver
  31. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · November 9, 2023 · Corrected (the home has a date of correction)
  32. E
    Install corridor and hallway doors that block smoke.
    K 363 · November 9, 2023 · Corrected (the home has a date of correction)
  33. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · November 9, 2023 · Corrected (the home has a date of correction)
  34. E
    Have restrictions on the use of portable space heaters.
    K 781 · November 9, 2023 · Corrected (the home has a date of correction)
  35. E
    Ensure proper usage of power strips and extension cords.
    K 920 · November 9, 2023 · Corrected (the home has a date of correction)
  36. F
    Establish staff and initial training requirements.
    E 37 · October 21, 2022 · Corrected (the home has a date of correction)
  37. F
    Conduct testing and exercise requirements.
    E 39 · October 21, 2022 · Corrected (the home has a date of correction)
  38. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · October 21, 2022 · Corrected (the home has a date of correction)
  39. F
    Have properly located and lighted "Exit" signs.
    K 293 · October 21, 2022 · Corrected (the home has a date of correction)
  40. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 21, 2022 · Corrected (the home has a date of correction)
  41. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 21, 2022 · Corrected (the home has a date of correction)
  42. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 21, 2022 · Corrected (the home has a date of correction)
  43. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 21, 2022 · Corrected (the home has a date of correction)
  44. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 21, 2022 · Corrected (the home has a date of correction)
  45. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 21, 2022 · Corrected (the home has a date of correction)
  46. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · October 21, 2022 · Corrected (the home has a date of correction)
  47. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · October 21, 2022 · Corrected (the home has a date of correction)
  48. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · October 21, 2022 · Corrected (the home has a date of correction)
  49. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 21, 2022 · Corrected (the home has a date of correction)
  50. E
    Provide properly protected cooking facilities.
    K 324 · October 21, 2022 · Corrected (the home has a date of correction)
  51. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · October 21, 2022 · Corrected (the home has a date of correction)
  52. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · October 21, 2022 · Corrected (the home has a date of correction)
  53. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 21, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 2, 2025Fine $14,722
June 9, 2025Fine $14,785
March 27, 2025Fine $32,086
December 17, 2024Fine $108,476
December 17, 2024Payment Denial 35 days from January 7, 2025
April 18, 2024Fine $178,736
April 18, 2024Payment Denial 38 days from May 11, 2024
October 27, 2023Fine $52,794
October 27, 2023Payment Denial 28 days from November 17, 2023

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIllinoisUnited States
All nursing staff (RN, LPN and aides)2.863.453.86
Registered nurses0.550.720.69
All nursing staff on weekends2.383.073.42
Nurse aides1.82
Licensed practical nurses0.49
Nursing staff turnover (share who left in a year)45.8%44.5%45.8%
Registered nurse turnover35.7%41.8%42.9%
Administrators who left1

CMS expects 4.21 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 3.05 on weekdays and 2.38 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.13 in April to June 2025 to 2.86 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.860.553.052.38 0.5%0 of 90123
Oct to Dec 20252.990.493.142.60 0.6%0 of 92116
Jul to Sep 20253.150.503.322.70 0.5%0 of 92111
Apr to Jun 20253.130.503.322.67 0.5%0 of 91111
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Illinois, Jan to Mar 20263.260.653.402.925.4%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

Staff pay at this home

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.

Official wage estimates for Illinois

JobMedianMiddle halfEmployed
Illinois, all employers
CNAs (nursing assistants)$22.10$18.95 to $23.2668,640
LPNs and LVNs$36.06$30.57 to $38.2517,440
Registered nurses$46.15$38.47 to $50.94138,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Center Home Hispanic Elderly. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIllinoisUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.513.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.21.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.53.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.62.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.514.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.04.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
27.021.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.626.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
17.813.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.42.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.92.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Center Home Hispanic Elderly's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

46.0% this home

No different from 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. 29 eligible stays.

Potentially preventable readmissions

12.2% 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. 41 eligible stays.

Infections that led to a hospital stay

9.5% 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. 25 eligible stays.

Self-care and mobility at discharge

40.9% 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. 22 residents counted.

Falls with major injury

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. 37 residents counted.

New or worsened pressure ulcers

1.9% 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. 37 residents counted.

Medication list given at discharge

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. 3 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.

Owners and operators

Legal business name: CENTER HOME FOR HISPANIC ELDERLY, LLC. CMS links this home to Icare Consulting Services, a group of 7 nursing homes averaging 1.4 stars overall.

NameRoleTypeShareSince
Levovitz, Yeruchom5% or greater direct ownership interestIndividual20%07/01/2010
Webster, Shimon5% or greater direct ownership interestIndividual20%07/01/2010
Pointe Management LLCOperational/managerial controlOrganization12/21/2020
Levovitz, YeruchomOperational/managerial controlIndividual07/01/2010
Webster, ShimonOperational/managerial controlIndividual07/01/2010

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 32 problems in this area, most recently on July 30, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on January 23, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on January 23, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on January 23, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.38 hours per resident per day, below the Illinois average of 3.07.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.

Common questions

What is Center Home Hispanic Elderly's Medicare star rating?
CMS rates Center Home Hispanic Elderly 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Center Home Hispanic Elderly get at its last inspection?
15 health deficiencies at the standard inspection on January 23, 2026. The Illinois average is 12.6.
Has Center Home Hispanic Elderly been fined?
Yes. CMS lists 6 fines totaling $401,599 in the last three years.
Does Center Home Hispanic Elderly 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 Center Home Hispanic Elderly?
CMS lists 5 owners and managers, and links the home to Icare Consulting Services. Legal business name: CENTER HOME FOR HISPANIC ELDERLY, LLC.

Sources

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