6840 West Touhy Avenue, Niles, IL 60714 · Cook County · (847) 647-6400
212 certified beds, about 151 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145630 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 18, 2025, inspectors cited 10 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 57 health citations since December 2022, 11 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 3 fines totaling $175,040 in the last three years; the largest was $150,301, and the latest is dated October 11, 2024.
Nurses and nurse aides worked 3.41 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
41.4% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Elevate Care, an affiliated group of 14 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 57 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure that a resident was free from verbal abuse from staff for one of three residents (R1) reviewed for abuse.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure one (R2) of three residents reviewed for abuse was protected when the facility did not adequately identify, intervene, and protect residents from resident-to-resident abuse. This failure resulted in a resident being exposed to the potential for harm. During the investigation observations were made, interviews were conducted, and records were reviewed. R2 will be known as R2 and is the subject of this Complaint InvestigationR1 will be known as R1 and is the alleged perpetrator. R2 is a [AGE] year-old female who was originally admitted to the facility on [DATE] and continues to reside in the facility. R2 has multiple diagnoses including but not limited to the following: dementia in other diseases classified elsewhere, mild, with agitation, anxiety disorder, unspecified. [...]
Inspectors wroteBased on interview and record review, the facility failed to follow their Fall Prevention Program policy. The facility failed to prevent fall incident and failed to follow the care plan intervention for fall prevention for residents assessed to be moderate and high risk for fall. This deficient practice affects two residents (R1 and R2) of three residents reviewed for fall incidents. Findings Include: 1. R1 is a [AGE] year-old male resident admitted into the facility on 7/17/2025. R1 is with diagnoses of but not limited to: Chronic Osteomyelitis right ankle and foot, Absence of the Right Foot, Type 2 diabetes, Hypertensive Heart and Chronic Kidney Disease with Heart Failure, Stage 5 chronic Kidney Disease, Congestive Heart Failure, Dependence on Renal Dialysis, Cerebral Vascular disease, Anemia and Abnormal Posture. [...]
Inspectors wroteBased on interviews and record review, the facility failed to ensure that the rights of one (R1) of three residents reviewed for resident rights were respected when staff disregarded the resident's expressed refusal to be transferred via mechanical lift. This failure resulted in R1's actual harm evidenced by pain, loss of dignity, and emotional distress.
Inspectors wroteBased on observation, interview, and record review the facility failed to promote and respect resident's dignity during mealtime. This deficiency affects one (R47) of three residents in the sample of 28 reviewed for Resident Rights.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure resident call light is within reach. This deficiency affects one (R191) of three residents in the sample for 28 reviewed for accommodation of needs.
Inspectors wroteBased on observation interview and record review the facility failed to provide nail care and assistance during meal to resident who needs assistance with Activity of daily living (ADL). This deficiency affects one (R47) of three residents in the sample of 28 reviewed for ADL care.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure ongoing assessment and monitoring are implemented to identify new skin impairment, worsening of skin disorder and to notify physician for appropriate wound /skin treatment. The facility also failed to update the Skin/wound care plan on a timely manner. This deficiency affects one (R47) of three residents in the sample of 28 reviewed for Quality of Care in Skin/ wound management.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure appropriate care and service provided to resident on enteral/gastrostomy feeding tube to prevent possible complication. This deficiency affects one (R98) of three residents in the sample of 28 reviewed for Tube Feeding Management.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the scheduled medication was compared with the medication label prior to administration affecting 1 of 5 residents (R82) reviewed for medication administration in a total sample of 28. Findings Include: On 4/15/2025 at 11:10 AM, V21 (Registered Nurse/RN) prepared the same medication from a multi dose Insulin vial not belonging to R28. V21 proceeded to administer medication to R82. On 4/15/2025 at 11:11 AM, V21 stated it's okay to give or borrow medication belonging to another resident since R28 needed to go down for Dialysis. On 4/15/2025 at 11:45 AM, V3 (Assistant Director of Nursing) stated when a medication is not available in the med cart, the nurse should use the convenience box to retrieve the needed medication. V3 said they have insulin available in the convenience box. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to adequately monitor resident on antibiotics without adequate indication. This deficiency affects one (R391) of three residents in the sample of 28 reviewed for Unnecessary medication.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure outdated/expired medication was removed from resident medication supply affecting 1 of 5 (R20) residents reviewed for medication storage and labeling in a total sample of 28. Findings Include: On 4/15/2025 at 12PM, observed V22 (Licensed Practical Nurse/LPN) medication cart with an opened expired multi dose insulin vial belonging to R20. Insulin vial read Insulin Lispro, open date was not readable and expiration date of 4/11/2025. On 4/15/2025 at 12PM, V22 stated the expired insulin vial should be discarded and re-order from pharmacy. On 4/17/2025 at 1:30PM, V2 (Director of Nursing) stated expired medication should be removed, discarded and re-order from pharmacy. Review of R20's admission Record read admission date 12/3/2020. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that dining service staff are wearing hair restraints (e.g. hairnet, hat and/or beard restraint) to prevent hair from contacting exposed food. This deficiency has the potential to affect 121 residents who consumes food from the kitchen.
Inspectors wroteBased on observation, interview, and record review the facility failed to use appropriate infection control practices during resident care on contact isolation precaution. The facility also failed to educate visitor on donning appropriate PPE (Personal Protective Equipment) when entering resident on contact isolation. This deficiency affects one (R47) of three residents in the sample of 28 reviewed for infection control.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their incontinence care policy by not checking for incontinence at least every two hours. This affected one of three residents (R1) reviewed for incontinence care. This failure resulted in R1 being soaked in urine for and not checked for incontinence for at least 4 hours. Findings Include: R1's minimal data set section C (cognitive pattern) dated 2/21/25 documents a score of fourteen which indicated cognitively intact. Section GG (functional abilities) document: toilet hygiene dependent helper does all the work. Resident does none of the effort to complete the activity. Section H documents: urinary continence: always incontinent. On 3/1/25 at 11:23am, V4 (CNA) said she started her shift at 7am. V4 said she checked on R1 between 7:00am -8:30am. R1 did not ask to be changed at that time. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure the confidentiality of a resident's financial records. This failure applied to one (R1) of three residents reviewed for privacy and confidentiality.
Inspectors wroteBased on interview and record review, the facility failed to ensure 2 of 3 (R2, R4) residents reviewed for viral infections in the sample of 3 were administered the correct dose of antiviral medications. This failure resulted in R2 being hospitalized for 21 days and R4 having significant side effects.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their plan of care to prevent further fall and failed to keep the resident's immediate surroundings free of accidental hazards. This failure affects 1 (R1) of 4 residents reviewed for falls.
Inspectors wroteBased on interviews and record review, the facility failed to contact and notify a resident's primary care physician regarding the onset of a residents change of condition and failed to send a resident out via 911 when all interventions failed to correct an elevated heart rate. This failure resulted in a delay of [R1] being sent to the hospital for a higher level of care more than 15 hours after the onset of the high heart rate and subsequent death. This was identified as an immediate jeopardy. V17 (Director of Nursing) was notified in the administrator's absence of the immediate jeopardy on [DATE] and presented with an immediate jeopardy template. The facility presented an acceptable removal plan to department on [DATE] after items were revised. The Immediate Jeopardy began on [DATE] and was removed [DATE]. [...]
Inspectors wroteBased on interviews and record review, the facility failed to notify and inform a resident's primary care physician (PCP) of the onset of a resident's elevated heart rate, interventions of a nurse practitioner and respiratory therapist not directly under the PCP, and continued changes of condition, including but not limited to abnormal labs for a resident within a timely manner. This applies to 1 resident ([R1]) in the sample.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that low air loss mattresses were set at appropriate weight settings for five of five residents (R70, R80, R105, R124, R129) reviewed for low air loss mattresses in the sample of 27.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control practices and discard soiled personal protective equipment/PPE appropriately for one resident (R246). This failure has the potential to affect 16 residents residing on the same wing in a total sample of 27.
Inspectors wroteBased on observation, interview, and record review the facility failed to feed a resident in a dignified manner, for one of 12 residents (R44) reviewed for dining task and failed to provide feeding assistance to cognitively impaired resident with history of weight loss for one of three residents (R29) reviewed for feeding assistance in the sample of 27.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were self-administering medications had a self-medication administration evaluation and a care plan (R55, R105) and failed to have a physician's order for self- administration of medications (R105) for three of three residents reviewed for self-administration of medications in the sample of 27.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their medication administration policy by 1) not locking the medication cart when out of sight of the medication nurse, 2) by leaving medications on top of the medication cart for 2 residents (R90 and R246) while the medication cart was in the hallway and the medication nurse was out of sight of the medication cart, and 3) leaving medications unattended at a resident's bedside (R55). Findings Include: R90's Face Sheet documents resident is a [AGE] year-old with diagnoses including but not limited to: [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to provide adequate supervision and monitoring of residents at risk for falls and with a history of falls for 3 (R1, R3, R4) of 3 residents reviewed for accident hazards in the sample; failed to follow the plan of care to prevent injuries and future falls; and failed to train staff (including agency staff) on fall risk interventions. These failures resulted in all 3 residents requiring emergent transfers to the hospital emergency department. R1 sustained a left shoulder fracture; R3 sustained a non-displaced sacral fracture with required hospitalization; and R4 sustained a left tibia/fibula (ankle) fracture with required hospitalization and surgical intervention.
Inspectors wroteBased on interview and record review, the facility failed to immediately inform resident representative(s) when there was an accident/incident involving resident which resulted in injury for 1 (R1) of 3 residents reviewed for notification of changes.
Inspectors wroteOn 12/1/2023 at 12:38p, V2 (Director of Nursing/DON) stated the for 11pm-7am shift, on the first floor there is one nurse for 1-A and one nurse for 1-0 units with 2-3 CNAs for 1- A and 2 CNAs for 1-0. For 2nd floor there is one nurse for 2-A and one nurse for 2-0. We staff with 2-3 CNAs for 2-A and 2 CNAs for 2.0. If there is a call in, we will staff with our own staff or agency. If we cannot find anyone either one of the nurse managers will come in or myself (V2) will come in. On 12/1/2023 at 1:04pm, V2 (Director of Nursing/DON) stated, We had a last-minute nurse that was a no call no show (NCNS) and we could not find anyone else. We had 3 CNAs on 2-A, no nurse and they were instructed to get a nurse if any resident asked for PRN meds. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure a nurse was on duty for the second-floor memory care unit A to administer significant medications. This failure affected 20 residents (R13 and R15-R32) out of 45 residents residing on the second-floor memory care unit.
Inspectors wroteBased on interview and record review, the facility failed to ensure 2 persons physical assist for bed mobility was utilized while providing incontinence care to prevent an avoidable incident. This affected one of three residents (R2) reviewed for avoidable accidents during care. This failure resulted in R2 sustaining four skins tears to the left arm. Findings Include: R2 is a [AGE] year-old with the following diagnosis: type 2 diabetes, end stage renal disease with dialysis, dementia, and peripheral vascular disease. R2 was admitted to the facility on [DATE]. A Skin note dated 8/22/23 documents a new skin alteration was found on R2. The Skin Assessment at 8/22/23 documents there's a new skin condition noted. The left forearm was noted with new skin tears. There's no documentation of how many skin tears. R2 reported being changed when the skin tears occurred. [...]
Inspectors wroteThere are 3 Deficient Practice Statements: I. Based on interview and record review the facility failed to implement effective fall interventions to include monitoring/supervision, and safe outpatient transport. This affected three of three residents (R1, R17, and R18) reviewed for fall prevention. This failure resulted in R1 getting out of bed at approximately 3:30am falling to the floor sustaining a right femoral neck fracture. II. Based on interview, observation and record review, the facility failed to follow their employee hand book policy and not sleep while on duty. The facility also failed to ensure the facility was safe by not ensuring entrance doors were locked. This failure has the potential to affect all 27 residents on 1A unit and 10 residents on 1-0 unit. On 8.4.23 at 4:00am the facility was observed to be unsecured, and 3 facility staff was found to be sleeping on duty. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to assess, monitor, prevent urinary tract infections and secure indwelling catheters. This affected four of four (R6, R7, R27, R39) residents reviewed for indwelling catheter and catheter care. This failure resulted in R6 sustaining labia wound consistent with the width of the indwelling catheter, R7 being diagnosis with sepsis due to polymicrobial infection, R27 having a partially obstructed urine output with feces caked on the catheter and R39 who had a history of urinary retention complaining of abdominal pain which result in a urinary tract infection.
Inspectors wroteBased on interview and record review, the facility failed to monitor and implement an effective to plan to prevent an unplanned significant weight loss for residents receiving enteral feedings. This affected two of three residents (R6, R46) reviewed for significant weight loss. This failure resulted in R6 having a 15.8% weight loss in one month (2/2/23 - 3/7/23) and R46 having a 12.9% weight loss in two months. Findings Include: (R6) R6 had the diagnosis of dysphagia and encounter for gastrostomy tube. On 7/26/23 at 11:08am, V44 (dietitian) said, on March 30th R6 had a weight loss. V44 was going to increased R6 feeding but R6 was sent to the hospital. On 7/26/23 at 11:26am, V29 (nurse) said, V29 pushed air into R6's g-tube to check for placement and R6 grimaced with pain and R6 had a bulge and redness at the g-tube site. R6's progress note dated 4/4/23 documents: [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their gastrostomy tube (g-tube) policy by not monitoring, assessing or inspecting the stoma site for placement, signs of infections, and gastric leaking. This affected three of three residents (R6, R46, R10) reviewed for G-tube policy and procedures. This failure resulted in (R6) being hospitalized with an infected g-tube site which required surgical interventional; R46's g-tube feeding leaking out at the insertion site with each inspiration; and R10 having leaking g-tube site with no dressing. Findings Include: R6 On 7/26/23 at 11:26AM, V29 (nurse) said, V29 checked R6's g-tube for residual without any issues then I pushed air into R6's g-tube to check for placement. R6 grimaced with pain. V29 said, V29 saw a bulge/bubble and redness at R6's g-tube stoma. R6 was sent to the hospital and returned. [...]
Inspectors wroteBased on interview and record review, the facility failed to follow their pain policy by not developing an effective pain management plan for one resident with persistent pain and break through pain after 1 to 2 hours. This affected one of three residents (R17) reviewed for pain management. This failure resulted in R17 experiencing episodes of pain crying to staff, expressing being unhappy with current pain management plan and requesting to go the hospital. R17 required spinal surgery for hardware and pain management.
Inspectors wroteBased on interview and record review, the facility failed to ensure the contracted radiology contractor conducted a stat x-ray instead of a routine/standard x-ray. This affected one of three residents (R1) reviewed for radiology testing per order. This failure resulted in R1 having to wait 7 hours for an x-ray and treatment of a which revealed right femoral neck fracture.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure resident rooms and common areas were being maintained at comfortable air temperatures during an excessive heat warning. This failure affected 13 of 13 (R60, R14, R22, R23, R1, R55- R59, R31, R28, R29) reviewed for inadequate cooling.
Inspectors wroteBased on observations, interviews, and record reviews, this facility failed to ensure licensed nursing staff were able to demonstrate the knowledge and skills to monitor midline and PICC (peripherally inserted central catheter) intravenous sites for complications, including infection and blood clots, administer intravenous medications, and perform central line intravenous catheter dressing changes for six residents (R17, R26, R27, R30, R37, R39) out of six residents reviewed for care and management of midline and peripherally inserted central intravenous catheters.
Inspectors wroteBased on observations, interviews, and record reviews, this facility failed to ensure licensed nursing staff were able to demonstrate the knowledge and skills to monitor midline and PICC (peripherally inserted central catheter) intravenous sites for complications, including infection and blood clots, administer intravenous medications, and perform central line intravenous catheter dressing changes for six residents (R17, R26, R27, R30, R37, R39) out of six residents reviewed for care and management of midline and peripherally inserted central intravenous catheters in a sample of 48.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow the Illinois Respiratory Act and job description qualifications and have a licensed respiratory therapist. Unqualified staff was observed performing respiratory care on three of three residents (R35, R37 and R47) reviewed for licensed respiratory therapist.
Inspectors wroteThere are 2 Deficiency Practice Statements on this tag: Based on observations, interviews, and record reviews, the facility failed to provide staff training and perform daily AED battery checks to ensure the two AEDs were in good working condition.
Inspectors wroteBased on interviews and record reviews, the facility failed to notify a resident's representative/POA (power of attorney) with changes in skin condition and new treatment orders. This failure affected one resident (R41) out of three reviewed for notification of change in condition in a sample of 60.
Inspectors wroteBased on interview and record review, the facility failed to follow the Abuse Prevention and Reporting policy by not immediately reporting an allegation of abuse to the regulatory agency. This affected one of three residents (R13) reviewed for abuse reporting.
Inspectors wroteBased on observation, interview and record review the facility failed to provide staff assisted activities of daily living to include incontinence checks and care at least every two hours, and bathing at least twice a week. This affected four of four residents (R27, R10, R35, and R41) all reviewed for activities of daily living. This failure resulted in R27 developing facility acquired moisture associated dermatitis.
Inspectors wroteBased on interview and record review, the facility failed to follow their cardiopulmonary policy by not assessing the 6 criteria for signs of irreversible death prior to initiating CPR. This affected one of one resident (R16) reviewed for appropriateness of CPR (Cardiopulmonary Resuscitation). This failure resulted in R16 being found lifeless, unresponsive with rigor mortis, skin mottled, pooling of blood to the back side when 911 arrived with facility staff performing CPR. Findings Include: Nursing note documented on [DATE] at 6:23AM, reads in part: R16 was found unresponsive and with no pulse or respiration by the nurse at approximately 6:15AM. Code blue called. 911 called. R16 was still warm to the touch. CNA stated she last saw resident at around 4 am and R16 was able to open his eyes. R16 full code status. [...]
Inspectors wroteBased on interview and record review, that facility failed to follow physician orders by not ensuring a stat abdominal x-ray for an acute change in condition of an abdominal bulge. This affected one of three residents (R6) reviewed for radiology orders. This failure resulted in a 2-day delay in a needed G-tube replacement. Findings Include: On 7/27/23 at 12:38pm, V30 (nurse) said, R6 had a stat order for an abdominal x-ray (KUB) that was not completed. Stat orders should be completed within two (2) hours and if not done, then the doctor must be notified. On 8/02/23 at 3:41pm, V48 (lab personnel) said, I don't see an order for R6's stat (KUB) on 4/6/23. Stats are a priority. R6 has an order for a KUB placed on 4/7/23. On 8/3/23 at 9:19am, V59 (nurse practitioner) said, I was not informed of R6 not having a stat KUB completed for more than 24 hours. I was not called. [...]
Inspectors wroteBased on observations and interviews, the facility failed to ensure residents had a functioning call light system at the bedside. This failure affected one resident (R31) out of three residents reviewed for call lights.
Inspectors wroteBased on observation, interview and record review, the facility failed to post the daily nursing staffing. This failure has the potential to affect all 128 residents residing in the facility.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure food in the walk-in freezer was dated; failed to ensure expired food was discarded on or before the expiration date; and failed to ensure kitchen employees wore hair restraints while preforming kitchen duties. These failures have the potential to affect 116 residents in the facility who are receiving an oral diet.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the outside dumpster lid was free of holes to prevent pests and rodents from entry into the garbage bin. This failure has the potential to affect all 128 residents residing in the facility.
Inspectors wroteBased upon observation, interviews, and record review the facility failed to provide an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual (1:1) activities for four of four residents: (R1, R91, R32, and R2) from a sample of 58 residents, with the potential to affect the entire 2A unit. Findings during a survey conducted at the facility on 11/28/2022 include: On 11/28/2022 at 11:34 AM, R1 was observed in bed room alone in bed with a frown upon his face. When writer asked V8, Nurse Supervisor, if R1 gets out of bed, she replied, He doesn't get out of bed much. He doesn't like going to the activity room with his peers. R1 has a BIMS (Brief Interview for Mental Status) score of 3 which indicates cognitive impairment. R1 has the following diagnosis: [...]
Inspectors wroteBased on observation, interview and record review, the facility 1. failed to discard expired medications; 2. failed to discard medications of discharged and expired residents; 3. failed to maintain adequate temperature for 1 medication room refrigerator out of 2 refrigerators reviewed and; 4. failed to ensure 2 medication carts are locked out of 4 medication carts reviewed; The deficient practices affected R85, R94, R104, R116, R131 and R485 and has the potential to affect 48 residents who receive medications from 3 medications carts out of the 4 carts reviewed for medication storage and labeling.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure the resident's call device has a call device string long enough to be within easy reach of a resident. This failure affected 1 (R7) resident reviewed for Call Device in a total sample of 58 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a sanitary, homelike environment for 2 residents (R77 and R90) in the sample of 58 residents.
Inspectors wroteBased upon observation, interview, and record review the facility failed to ensure that resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors while residing in the facility. This affected R1, one of four residents in a sample of 58 residents. Findings during survey conducted at the facility include: On 11/28/2022 at 11:30 AM R91 noted in bedroom yelling out. When surveyor asked what was wrong, R91 replied, Nothing. Two roommates were present in the room watching television. Surveyor asked nurse V8, Nurse Supervisor, if R91 yelled out often. V8 replied, This is normal for her. I just gave her some Tylenol. R1 was admitted to the facility on [DATE]. R1 has the following diagnosis: [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to have a five percent (5%) or lower medication error rate. There were five medication errors out of 30 medication opportunities, resulting in a 16.67% medication error rate and affected three (R35, R55, R99) residents observed for medication pass.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure resident's personal refrigerator has a temperature monitoring log for R122 and failed to ensure there are available functioning thermometers inside the residents' personal refrigerator for R59 and R122 to prevent foodborne illness. These failures affected 2 (R59 and R122) residents in the total sample of 58residents.
25 fire safety citations on file: 8 on April 18, 2025, 7 on April 23, 2024, 10 on December 1, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| October 11, 2024 | Fine | $12,220 |
| July 11, 2024 | Fine | $150,301 |
| March 3, 2024 | Fine | $12,519 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.41 | 3.45 | 3.86 |
| Registered nurses | 0.59 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.90 | 3.07 | 3.42 |
| Nurse aides | 1.87 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 41.4% | 44.5% | 45.8% |
| Registered nurse turnover | 27.3% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.39 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 3.62 on weekdays and 2.90 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.48 in April to June 2025 to 3.41 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.41 | 0.59 | 3.62 | 2.90 | 11.0% | 0 of 90 | 151 |
| Oct to Dec 2025 | 3.50 | 0.64 | 3.62 | 3.19 | 11.8% | 0 of 92 | 146 |
| Jul to Sep 2025 | 3.48 | 0.65 | 3.64 | 3.09 | 11.2% | 0 of 92 | 142 |
| Apr to Jun 2025 | 3.48 | 0.67 | 3.64 | 3.10 | 8.6% | 0 of 91 | 138 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.1 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.5 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.7 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.4 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.6 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.9 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.8 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Elevate Care North Branch's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
52.8% 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. 165 eligible stays.
10.3% 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. 158 eligible stays.
8.7% 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. 75 eligible stays.
55.7% this home
Median of homes: Illinois50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 61 residents counted.
1.9% 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. 106 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. 106 residents counted.
97.1% this home
Median of homes: Illinois100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 34 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: ELEVATE CARE NORTH BRANCH LLC. CMS links this home to Elevate Care, a group of 14 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Aperion Care Exec Holdings LLC | Direct ownership interest | Organization | 10/01/2020 | |
| Frederick S Frankel Trust | Direct ownership interest | Organization | 10/01/2020 | |
| Andrews, Amanda | Direct ownership interest | Individual | 10/01/2020 | |
| Meystel, Moshe | Direct ownership interest | Individual | 10/01/2020 | |
| Pancer, Aaron | Direct ownership interest | Individual | 10/01/2020 | |
| Thengil, Jimmy | Direct ownership interest | Individual | 10/01/2020 | |
| Andrews, Amanda | Managing control - governing body | Individual | 10/01/2020 | |
| Lloren, Albert | Managing control - governing body | Individual | 10/01/2020 | |
| Andrews, Amanda | Corporate officer | Individual | 10/01/2020 | |
| Meystel, Meir | Corporate officer | Individual | 10/01/2020 | |
| Meystel, Moshe | Corporate officer | Individual | 10/01/2020 | |
| Spector, Jennifer | Corporate officer | Individual | 10/01/2020 | |
| Elevate Care Inc | Operational/managerial control | Organization | 10/01/2020 | |
| Andrews, Amanda | Operational/managerial control | Individual | 10/01/2020 | |
| Javier, Joseph | Operational/managerial control | Individual | 10/01/2020 | |
| Lloren, Albert | Operational/managerial control | Individual | 10/01/2020 | |
| Meystel, Meir | Operational/managerial control | Individual | 10/01/2020 | |
| Meystel, Moshe | Operational/managerial control | Individual | 10/01/2020 | |
| Rubenstein, Brian | Operational/managerial control | Individual | 10/01/2020 | |
| Spector, Jennifer | Operational/managerial control | Individual | 10/01/2020 | |
| Turofsky, Steven | Operational/managerial control | Individual | 10/01/2020 | |
| Wilhelm, Naftali | Operational/managerial control | Individual | 10/01/2020 | |
| Berkowitz, David | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Meystel, Yosef | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Curis Services LLC | Adp of the SNF | Organization | 10/01/2020 | |
| Elevate Care Consulting LLC | Adp of the SNF | Organization | 10/01/2020 | |
| Elevate Care Inc | Adp of the SNF | Organization | 04/08/2025 | |
| Andrews, Amanda | Adp of the SNF | Individual | 10/01/2020 | |
| Javier, Joseph | Adp of the SNF | Individual | 10/01/2020 | |
| Lloren, Albert | Adp of the SNF | Individual | 10/01/2020 | |
| Meystel, Meir | Adp of the SNF | Individual | 10/01/2020 | |
| Meystel, Moshe | Adp of the SNF | Individual | 10/01/2020 | |
| Rubenstein, Brian | Adp of the SNF | Individual | 10/01/2020 | |
| Spector, Jennifer | Adp of the SNF | Individual | 10/01/2020 | |
| Wilhelm, Naftali | Adp of the SNF | Individual | 10/01/2020 |
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.