Home / Illinois / Downers Grove
Oak Trace
250 Village Drive, Downers Grove, IL 60516 · Du Page County · (630) 769-6200
104 certified beds, about 101 residents a day · Non profit - Corporation · Medicare since 1994
CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145804 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 20, 2026, inspectors cited 1 health deficiency (the Illinois average is 12.6, the national average 9.2).
Of 16 health citations since February 2024, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $13,780 in the last three years; the largest was $13,780, and the latest is dated January 17, 2025.
Nurses and nurse aides worked 4.30 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 1.57 of those hours.
39.3% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Lifespace Communities, an affiliated group of 15 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.
502/24
105/24
901/25
103/26
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 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
8D
5E
1F
Potential for minimal harm
0A
0B
0C
March 20, 2026Standard inspection · 1 citation
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store medications within appropriate temperature parameters in the medication refrigerator. This applies to 5 of 5 residents (R4, R26, R27, R47, R60) reviewed for medications in a sample of 29.
January 17, 2025Standard inspection · 9 citations
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident maintained acceptable nutritional status. Facility failed to provide adequate interventions to prevent further decline in resident's body weight. This failure resulted in R35 experiencing unplanned weight loss. This applies to 1 of 20 residents reviewed for nutrition and hydration in a sample of 20.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain the kitchen facility in a manner to prevent foodborne illness. This applies to 99 residents in the facility receiving dietary services.
- E 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.
Inspectors wroteBased on interview and record review, the facility failed to provide residents and their representatives a written notification of the facility's bed hold policy when transferred to the hospital. This applies to 4 out of 4 (R307, R58, R77, R6) residents reviewed for hospitalization in a sample of 20.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to safely transfer, position, implement fall interventions, and secure a mattress cover for residents (R9, R18, R48, R60) at risk for accidents. This applies to 4 out of 4 residents (R9, R18, R48, R60) reviewed for accidents in a sample of 20.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide privacy covers for residents requiring the use of urinary catheter bags. This applies to 2 out of 3 residents (R10 and R60) reviewed for privacy in a sample of 20.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to facilitate resident rights to participate in the development of person centered care-plan and the right to request revisions to the care-plan. This applies to 1 of 20 residents reviewed for resident rights in a sample of 20.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review the facility failed to implement measures to prevent the further deterioration of a pressure ulcer. The applies to 1 of 4 residents R91 reviewed for pressure ulcers in the sample of 20.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to correctly check G-tube (Gastrostomy) placement prior to administration of medications. This applies to 1 of 1 resident (R91) reviewed for G-tubes in a sample of 20.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, the facility failed to administer medications as ordered. There were 29 opportunities with 3 errors resulting in a 10.34% error rate. This applies to 2 of 10 residents observed in the medication pass.
May 20, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, the facility failed to follow their policy to ensure residents were safely transferred. This failure resulted in R1 sustaining a fall and being hospitalized with a subarachnoid hemorrhage/contusion of the right side of the brain. This applies to 2 of 3 residents (R1, R3) reviewed for falls in the sample of 3.
February 16, 2024Standard inspection · 5 citations
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide mechanical soft chili and pureed carrot cake for residents with modified diet consistencies. This applies to 8 of 8 residents (R13, R19, R30, R40, R42, R51, R66, R72) observed during dining in the sample of 21.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow standard infection control practices related to hand hygiene and gloving during medication administration and provisions of peri-care. This applies to 4 of 5 residents (R16, R45, R60, R203) reviewed for infection control in the sample of 21.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide perineal and catheter care in a manner that would prevent urinary tract infection (UTI). This applies to 2 of 3 residents (R45 and R203) reviewed for perineal and indwelling urinary catheter care in the sample of 21.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the PICC (Peripherally Inserted Central Catheter) line insertion site was visible, so that it could be monitored for signs and symptoms of infection. This applies to 1 of 3 residents (R303) reviewed for intravenous therapy in the total sample of 21.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review the facility failed to follow physician's order for the administration of oxygen, and failed to ensure the oxygen nasal cannula tubing and humidifier bottle were labeled per policy and procedure. This applies to 1 of 1 resident (R153) reviewed for oxygen use in the sample of 21.
Fire safety inspections
15 fire safety citations on file: 5 on March 20, 2026, 3 on January 17, 2025, 7 on February 16, 2024.
Every fire safety citation15 citations
- E Use approved construction type or materials.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Install corridor and hallway doors that block smoke.
- E Provide properly sized and located linen or trash receptacles.
- E Ensure proper usage of power strips and extension cords.
- F Install emergency lighting that can last at least 1 1/2 hours.
- 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.
- E Install corridor and hallway doors that block smoke.
- F Use approved construction type or materials.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 17, 2025 | Fine | $13,780 |
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.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.30 | 3.45 | 3.86 |
| Registered nurses | 1.57 | 0.72 | 0.69 |
| All nursing staff on weekends | 3.84 | 3.07 | 3.42 |
| Nurse aides | 2.59 | ||
| Licensed practical nurses | 0.14 | ||
| Nursing staff turnover (share who left in a year) | 39.3% | 44.5% | 45.8% |
| Registered nurse turnover | 17.1% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.73 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 4.49 on weekdays and 3.84 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.23 in April to June 2025 to 4.30 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 | 4.30 | 1.57 | 4.49 | 3.84 | 0.0% | 0 of 90 | 101 |
| Oct to Dec 2025 | 4.31 | 1.58 | 4.49 | 3.84 | 0.0% | 0 of 92 | 100 |
| Jul to Sep 2025 | 4.19 | 1.51 | 4.40 | 3.67 | 0.0% | 0 of 92 | 101 |
| Apr to Jun 2025 | 4.23 | 1.55 | 4.46 | 3.66 | 0.0% | 0 of 91 | 101 |
| 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
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
| 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.6 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.9 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.1 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 2.2 | 1.8 |
Owners and operators
Legal business name: LIFESPACE COMMUNITIES INC. CMS links this home to Lifespace Communities, a group of 15 nursing homes averaging 4.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lifespace Communities Inc | 5% or greater direct ownership interest | Organization | 100% | 01/30/2018 |
| Karl, Courtney | W-2 managing employee | Individual | 04/04/2022 | |
| Blackford, Gary | Corporate director | Individual | 12/01/2021 | |
| Darkey-Hrinya, Joyce | Corporate director | Individual | 01/29/2018 | |
| Dutra, Ana | Corporate director | Individual | 01/29/2018 | |
| Fields, Venita | Corporate director | Individual | 01/29/2018 | |
| Jensen, Claus | Corporate director | Individual | 04/26/2023 | |
| McDonough, Amy | Corporate director | Individual | 04/26/2023 | |
| Salamino, Jenifer | Corporate director | Individual | 04/26/2023 | |
| Sokeye, Jonathan | Corporate director | Individual | 12/01/2021 | |
| Spangler, Patrick | Corporate director | Individual | 01/29/2018 | |
| Stretch, Clyde | Corporate director | Individual | 04/26/2023 | |
| Williams, David | Corporate director | Individual | 12/01/2021 | |
| Yanofsky, Neal | Corporate director | Individual | 01/29/2018 | |
| Gorman, Joseph | Corporate officer | Individual | 07/26/2022 | |
| Harshfield, Nicholas | Corporate officer | Individual | 07/01/2020 | |
| Jantzen, Jesse | Corporate officer | Individual | 04/01/2020 | |
| Kresse, Nikki | Corporate officer | Individual | 04/19/2021 | |
| Pope, Erin | Corporate officer | Individual | 07/25/2022 | |
| Lifespace Communities Inc | Operational/managerial control | Organization | 01/30/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on January 17, 2025: "Provide enough food/fluids to maintain a resident's health."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on January 17, 2025: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 20, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on January 17, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Bria of Westmont Westmont, 1 mi · 1 of 5 stars · 76 citations
- Burgess Square Healthcare Ctr Westmont, 1.4 mi · 4 of 5 stars · 29 citations
- Chateau Nrsg & Rehab Center Willowbrook, 3 mi · 2 of 5 stars · 35 citations
- Eden Vista Burr Ridge Burr Ridge, 3.2 mi · 4 of 5 stars · 24 citations
- Oakwood Rehab and Nursing Center Westmont, 3.4 mi · 1 of 5 stars · 60 citations
- Pearl of Hinsdale, the Hinsdale, 4.1 mi · 4 of 5 stars · 35 citations
- The Pearl of Downers Grove Downers Grove, 4.2 mi · 1 of 5 stars · 56 citations
- The Commons at Lisle Creek Estates Lisle, 5.1 mi · 4 of 5 stars · 19 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Oak Trace's Medicare star rating?
- CMS rates Oak Trace 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Oak Trace get at its last inspection?
- 1 health deficiency at the standard inspection on March 20, 2026. The Illinois average is 12.6.
- Has Oak Trace been fined?
- Yes. CMS lists 1 fine totaling $13,780 in the last three years.
- Does Oak Trace accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Oak Trace?
- CMS lists 20 owners and managers, and links the home to Lifespace Communities. Legal business name: LIFESPACE COMMUNITIES INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.