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Home / Illinois / Elmhurst

Grove of Elmhurst, the

127 West Diversey, Elmhurst, IL 60126 · Du Page County · (630) 530-5225

180 certified beds, about 135 residents a day · For profit - Corporation · Medicare and Medicaid since 1978

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145339 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 23, 2025, inspectors cited 11 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 50 health citations since March 2023, 5 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $143,281 in the last three years; the largest was $82,250, and the latest is dated June 11, 2026.

Nurses and nurse aides worked 3.36 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.

49.6% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Legacy Healthcare, an affiliated group of 95 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 50 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
35D
10E
0F
Potential for minimal harm
0A
0B
0C
June 25, 2026Complaint inspection · 1 citation
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who required assistance with Activities of Daily Living (ADLs) received the necessary care and services to maintain personal hygiene, including oral care, nail care, and grooming. This applies to 5 of 9 residents (R42, R73, R89, R102, and R115) reviewed for ADL care in the sample of 31.
June 11, 2026Complaint inspection · 2 citations
  1. J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · 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 12, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow its policy and perform AHA (American Heart Association) CPR (Cardiopulmonary Resuscitation). This failure resulted in Immediate Jeopardy. The Immediate Jeopardy began on 5/7/26 at 5:04 PM when the facility failed provide timely rescue breaths and placement of the available AED (Automatic External Defibrillator) on an unresponsive resident designated as full code. This applies to 82 of 83 residents (R1, R3-R83) reviewed for quality of care in the sample of 83. V1 (Administrator), V2 (Director of Nursing), and V36 (Corporate Consultant) were notified of the Immediate Jeopardy on 6/9/26 at 5:50 PM. [...]
  2. 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 12, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide 1:1 supervision at a meal to a resident who had physician orders for 1:1 feeding assistance. This failure resulted in R1 consuming food during a meal while unsupervised and becoming unresponsive for 13 minutes before being assisted. This applies to 1 of 3 residents (R1) reviewed for meal supervision in a sample of 83.
January 8, 2026Complaint inspection · 3 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on interview and record review the facility failed to respect residents' dignity by using cell phones during resident care. This applies to 3 of 3 resident (R1, R2, and R3) reviewed for resident rights in the sample of 6.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to change a resident's feeding tube dressing as ordered. This applies to 1 of 3 residents (R1) reviewed for nursing care in the sample of 6.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide incontinence care in a manner to prevent urinary tract infections (UTI). This applies to 1 of 3 residents (R1) reviewed for nursing care in the sample of 6.
August 11, 2025Complaint inspection · 1 citation
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide residents with urinary catheter care. This applies to 6 of 6 residents (R1, R2, R3, R4, R5, and R6) reviewed for urinary catheters.
May 23, 2025Standard inspection · 11 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 · Corrected (the home has a date of correction) May 24, 2025
  2. 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) May 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to label residents' opened insulin pens and vials with the residents' name, opened-on, and expiration dates, and failed to remove expired medication. This applies to 7 of 8 residents (R30, R31, R48, R54, R64, R67, R189) reviewed for medications in a sample of 33.
  3. 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) May 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide nail care to residents who require assistance. This applies to 3 of 3 residents (R1, R81, and R86) reviewed for activities of daily living (ADL) care in a sample of 33.
  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 · Corrected (the home has a date of correction) May 24, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to assess and obtain treatment orders for a resident with a laceration. This applies to 1 out of 1 resident (R340) reviewed for wound treatments in a sample of 33.
  5. 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) May 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow treatment orders as prescribed for residents with pressure wounds. This applies to 2 of 4 residents (R128 and R8) reviewed for pressure injuries in a sample of 33.
  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 · Corrected (the home has a date of correction) May 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure services were provided to residents with indwelling urinary catheters in a manner to prevent infection. This applies to 2 of 2 residents (R441 and R58) reviewed for urinary catheters.
  7. 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 · Corrected (the home has a date of correction) May 24, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to process reccommendations for and then provide residents their dietary nutritional supplements. This applies to 3 of 3 residents (R57, R4, and R8) reviewed for nutrition in a sample of 33.
  8. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2025
    Inspectors wroteBased on the interview and record review, the facility failed to coordinate transportation procedure/activities to avoid several missed appointments to residents. This applies to 3 of 3 residents (R52, R91, R127) reviewed for outside appointments and transportation in a sample of 33.
  9. 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) May 24, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to administer medications as ordered. There were 25 opportunities with 3 errors resulting in a 12% error rate. This applies to 2 of 7 residents (R127, R190) observed during the medication pass.
  10. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to cohort and implement transmission-based precautions for a resident with an acute GI (gastrointestinal) infection. The facility also failed to follow Enhanced-Barrier Precautions (EBP). This applies to 3 out of 5 residents (R48, R74, R45) reviewed for infection control in a sample of 33.
  11. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2025
    Inspectors wroteBased on interview and record review, the facility failed to implement it's antibiotic stewardship program to monitor usage of prescribed antibiotics for residents. This applies to 2 out of 3 residents (R109 and R85) reviewed for antibiotic use in a sample of 33.
January 17, 2025Complaint inspection · 2 citations
  1. 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) January 24, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to assess and treat a wound when it was first identified. This applies to 1 (R1) of 3 residents reviewed for wound care in the sample of 3.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to handle soiled cleaning supplies and soiled bedding in a manner to prevent cross-contamination. This applies to 1 (R1) of 3 residents reviewed for incontinence care in the sample of 3.
December 20, 2024Complaint inspection · 1 citation
  1. D
    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 · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to protect a resident's right to be free from physical abuse. This failure affected 2 of 5 residents (R1 and R2) reviewed for physical abuse and resulted in R3 hitting R1 and R2 on the head.
May 9, 2024Complaint inspection · 3 citations
  1. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to protect the resident's right to be free from physical abuse by V3 (Agency CNA-Certified Nursing Assistant), when V3 punched R1 in the face and grabbed R1's lower arm. This applies to 1 of 4 residents (R1) reviewed for staff-to-resident abuse in the sample of 7. This failure resulted in R1 experiencing bruising on her face and lower arm and R1expericing a psychosocial impact. R1 stated she can still see V3's fist coming towards her face when she closes her eyes. The Immediate Jeopardy began on April 27, 2024, at 8:00 PM when V3 (Agency CNA) punched R1 in the face and grabbed R1's lower arm. V26 (Assistant Administrator), V25 (Vice President of Operations), and V19 (Regional Nurse Consultant) were notified of the Immediate Jeopardy on May 7, 2024, at 1:41 PM. [...]
  2. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident was provided hand splints to prevent a resident's further decrease in range of motion as recommended by the Therapy Department. This applies to 1 of 3 residents (R4) reviewed for physical therapy in the sample of 6.
  3. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · 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 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident received scheduled pain medication as ordered. This applies to 1 of 3 residents (R4) reviewed for improper nursing care in the area of pain in the sample of 6.
April 5, 2024Standard inspection, Complaint inspection · 11 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) April 25, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to identify, report, assess, and obtain physician orders for new skin breakdown; failed to ensure treatment dressings were in place, soiled dressings were changed for residents with stage 3 and stage 4 pressure ulcers; and failed to implement pressure ulcer interventions. As a result of these failures, R41 had an unidentified right ischium wound with 25% necrotic tissue that was uncovered with no treatment; R24 had a right ischium wound with necrotic muscle tissue exposed with no treatment; and R18 had a right ischium wound with no treatment that increased in size from previous assessments. This applies to 5 of 5 residents (R9, R18, R24, R41, and R66) reviewed for pressure ulcers in a sample of 30.
  2. E
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · 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 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain physician orders for resident medications to be at the bedside. The facility also failed to complete self-administration of medication assessments for residents. This applies to 4 of 4 residents (R62, R109, R21, R88) reviewed for medications in a sample of 30.
  3. E
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure intravenous medications were administered by qualified staff. This applies to 5 of 5 residents (R24, R95, R476, R477, and R478) reviewed for intravenous therapy in a sample of 30.
  4. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide incontinence care and respond to call lights in a timely manner. This applies to 8 of 8 residents (R11, R19, R40, R50, R56, R92, R99 and R105) reviewed for incontinence care in a sample of 30 residents.
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wrote2. R99 currently residing on the memory care unit. The EMR (Electronic Medical Record) shows R99 was admitted to the facility on [DATE]. R99 has diagnoses that includes dementia, anxiety, and chronic kidney disease. R99's care plan dated 3/11/24 states he has extensive care needs and requires the support services of the long-term care setting. On 4/02/24 at 10:08 AM, during the room observation V32 (CNA--Certified Nursing Assistant) was observed providing incontinence care to R99. V32 threw the two-urine saturated disposable briefs on the floor. V32 with same soiled gloves went to the wardrobe and put one pair of clean briefs on R11's (R99's roommate) bed. V32 then picked the soiled briefs off the floor placed them in a plastic bag then threw the bag of soiled briefs on the floor. V32 then applied a clean brief to R99. [...]
  6. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to utilize a standardized tool to determine the necessity of antibiotics prescribed to residents. This applies to 4 of 4 residents (R32, R41, R121, R176) reviewed for antibiotics in a sample of 30.
  7. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · 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) April 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure call lights were within residents' reach. This applies to 3 out of 3 residents (R2, R33 and R66) reviewed for call lights in the sample of 30.
  8. 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) April 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to have the required documentation in the medical record of residents who had pacemakers. This applies to 2 of 4 residents (R86, R91) reviewed for pacemakers in a sample of 30.
  9. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · 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) April 25, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to change a resident's midline catheter dressing, measure, and document the external length of the catheter and arm circumference per facility policy. This applies to 1 of 5 residents (R476) reviewed for midline catheters in a sample of 30.
  10. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · 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) April 25, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to immediately address a resident screaming in pain. This applies to 1 of 1 resident (R75) in a sample of 30 residents.
  11. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to dispose of controlled medications per facility policy. This applies to 3 of 3 residents (R4, R58, and R108) reviewed for controlled medications in a sample of 30.
March 12, 2024Complaint inspection · 1 citation
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 26, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide toileting hygiene for residents who required assistance with incontinence care. This applies to 4 of 4 residents (R1, R4, R5, R6) reviewed for ADL's (Activities of Daily Living) in the sample of 6.
October 19, 2023Complaint inspection · 2 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · 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) November 13, 2023
    Inspectors wroteBased on interview and record review, the facility failed to notify the family/emergency contact of resident's change in condition. This applies to 1 of 3 residents (R1) reviewed for change of condition notification in a sample of 4.
  2. D
    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 · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 13, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure all residents were free from mental abuse. This applies to 2 of 4 residents (R1 and R4) reviewed for abuse in a sample of 4.
March 1, 2023Standard inspection · 12 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) March 21, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents were treated with dignity during care. This applies to 4 of 27 residents (R54, R120, R100, R24) reviewed for dignity in the sample of 27.
  2. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2023
    Inspectors wroteBased on interview and record review the facility failed to follow the abuse policy for 1 of 27 residents (R28) reviewed for abuse in the sample of 27.
  3. 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 · Corrected (the home has a date of correction) March 21, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure abuse was reported to the administrator immediately for 1 of 27 residents (R28) reviewed for abuse in the sample of 27.
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure a resident was protected following resident to resident abuse for 1 of 27 residents (R28) reviewed for abuse in the sample of 27.
  5. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to provide R18 with a communication board for one of twenty-seven residents reviewed for Activities of Daily Living in the sample of twenty-seven.
  6. 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) March 21, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents who are totally dependent and residents who require extensive assist with Activities of Daily Living (ADLs) received assistance with incontinence care and showers. This applies to 3 of 27 residents (R13, R24, R59) reviewed for ADLS in the sample of 27.
  7. 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 · Corrected (the home has a date of correction) March 21, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a treatment dressing was in place for a resident with a skin alteration. This applies to 1 of 1 resident's (R4) reviewed for quality of care in the sample of 27.
  8. 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) March 21, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure dressing changes were completed and dressings were re- applied for 2 residents with pressure injuries (R13, R24) and failed to ensure a resident was turned and repositioned (R24). This applies to 2 of 6 residents reviewed for pressure injuries in the sample of 27.
  9. D
    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, isolated · Corrected (the home has a date of correction) March 21, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a splint was in place for a resident with impaired mobility. This applies to 1 of 7 (R13) residents reviewed for mobility in the sample of 27.
  10. 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 · Corrected (the home has a date of correction) March 21, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure nutritional supplements were provided to a resident at risk for weight loss and failed to ensure a significant weight loss was reported. This applies to 2 of 12 (R70, R130) residents reviewed for nutrition in the sample of 27.
  11. 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) March 21, 2023
    Inspectors wroteBased on interview, and record review the facility failed to prevent a resident from receiving another resident's medication for 1 of 7 residents (R73) reviewed for pharmacy services in the sample of 27. On 2/27/2023 at 10:28 AM, V24 R73's Mom was interviewed at R73's bedside. V24 stated R73 had been given an iron (ferrous sulfate) tablet that wasn't ordered in the last two weeks. V24 said R73 was given another resident's medication in error. On 3/1/2023 at 9:30AM, V1 Administrator said R73 did receive an iron (ferrous sulfate) tablet in error. V1 said R73 was given an iron tablet in error. V1 said the iron tab was R73's roommate who was hospitalized at the time. The facility's Medication Variance Report dated 2/16/23 shows R73 was given 325mg of ferrous sulfate on 2/16/23, which was not R73's medication, and R73 did not have an active order for any ferrous sulfate dose. [...]
  12. 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) March 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to administer medications as ordered through the prescribed route. There were twenty-nine opportunities with three errors resulting in a 10.34% error rate. This applies to one of six residents (R100) observed in the medication pass.

Fines and payment denials

DatePenaltyAmount or length
June 11, 2026Fine $82,250
April 5, 2024Fine $61,031
April 5, 2024Payment Denial 6 days from May 4, 2024

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)3.363.453.86
Registered nurses0.680.720.69
All nursing staff on weekends3.303.073.42
Nurse aides1.92
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)49.6%44.5%45.8%
Registered nurse turnover51.7%41.8%42.9%
Administrators who left0

CMS expects 5.43 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 3.39 on weekdays and 3.30 on weekends, 3% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 20.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.43 in April to June 2025 to 3.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.360.683.393.30 20.7%0 of 90135
Oct to Dec 20253.360.733.373.31 20.9%0 of 92139
Jul to Sep 20253.400.733.403.38 23.3%0 of 92139
Apr to Jun 20253.430.703.443.40 32.7%0 of 91138
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.

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.

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
11.113.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.10.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.63.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.92.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.314.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.74.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
28.721.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.826.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.813.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.32.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.12.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Grove of Elmhurst, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (63.4% 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

63.4% 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. 42 eligible stays.

Potentially preventable readmissions

10.0% 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. 43 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Illinois: 3 better, 10 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 18 eligible stays.

Self-care and mobility at discharge

45.5% 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

6.5% 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. 31 residents counted.

New or worsened pressure ulcers

2.1% 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. 31 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. 10 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: ELMBROOK SKILLED NURSING FACILITY, LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Doros Generation Trust U/a/D 1/3/125% or greater direct ownership interestOrganization50%05/03/2017
Gpn Family Trust U/a/D 4/28/085% or greater direct ownership interestOrganization50%05/03/2017
Elmbrook Hc Realty, LLC5% or greater security interestOrganization11/06/2015
Forbright Bank5% or greater security interestOrganization07/31/2024
Shabat, MenachemManaging control - governing bodyIndividual05/03/2017
Forbright BankOperational/managerial controlOrganization07/31/2024
Legacy Healthcare Financial Services LLCOperational/managerial controlOrganization11/06/2015
Liyanapatabendi, ChoolOperational/managerial controlIndividual11/06/2015
Morris, MargauxOperational/managerial controlIndividual03/11/2024
Shabat, MenachemOperational/managerial controlIndividual05/03/2017
Doros Generation Trust U/a/D 1/3/12Adp of the SNFOrganization11/06/2015
Elmbrook Hc Realty, LLCAdp of the SNFOrganization11/06/2015
Gpn Family Trust U/a/D 4/28/08Adp of the SNFOrganization11/06/2015
Legacy Healthcare Financial Services LLCAdp of the SNFOrganization11/14/2025
Miller Cooper & Co, LtdAdp of the SNFOrganization01/01/2024
Liyanapatabendi, ChoolAdp of the SNFIndividual11/06/2015
Morris, MargauxAdp of the SNFIndividual03/11/2024
Shabat, MenachemAdp of the SNFIndividual05/03/2017

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 27 problems in this area, most recently on June 25, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 6 problems in this area, most recently on January 8, 2026: "Provide and implement an infection prevention and control program."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on December 20, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on January 8, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."

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 Grove of Elmhurst, the's Medicare star rating?
CMS rates Grove of Elmhurst, the 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Grove of Elmhurst, the get at its last inspection?
11 health deficiencies at the standard inspection on May 23, 2025. The Illinois average is 12.6.
Has Grove of Elmhurst, the been fined?
Yes. CMS lists 2 fines totaling $143,281 in the last three years.
Does Grove of Elmhurst, the 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 Grove of Elmhurst, the?
CMS lists 18 owners and managers, and links the home to Legacy Healthcare. Legal business name: ELMBROOK SKILLED NURSING FACILITY, LLC.

Sources

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