2242 North Kedzie, Chicago, IL 60647 · Cook County · (773) 486-7700
222 certified beds, about 205 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145792 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 22, 2025, inspectors cited 9 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 52 health citations since November 2023, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $67,360 in the last three years; the largest was $47,886, and the latest is dated November 19, 2024.
Nurses and nurse aides worked 3.12 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
20.8% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Pavilion Healthcare, an affiliated group of 5 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 52 health citations on file.
Inspectors wroteBased on observations, interviews and review of records the facility failed as follows: Failed to maintain refrigerated food labeled, dated and without signs of deterioration. Failed to ensure food stored on dry storage that was opened are labeled and dated, canned food follow first in first out policy. Failed to maintain clean environment with shelves use to accommodate plates, fans used circulating air on unclean condition. Failed to follow policy on handwashing/hand hygiene prior to food preparation on the tray line and after touching high touched areas. These failures are not in accordance with their policy and can affect all 200 residents living in the facility with two (2) residents on NPO or not taking food by mouth on the quality of food received during meals.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to practice infection control and prevention measures to:a. Ensure staff performed hand hygiene and wear appropriate Personal Protective Equipment (PPE) when caring for a resident (R209) on Contact Isolation Precautions.b. Educate family on hand hygiene procedure to follow for a resident (R103) on Enhanced Barrier Precautions (EBP). These failures have the potential to affect R209 and all 55 residents residing on the 3rd floor. c. Appropriately handle and transport linen to prevent potential contamination. These failures have the potential to affect all 202 residents residing in the facility. d. Follow their policy and post clear Enhanced Barrier Precaution (EBP) signage on the door or wall outside of a resident's (R20) room for 1 out of a total sample of 35 residents.e. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to a.) ensure expired medications and fiber fortified formula were removed from 1 of 2 medication rooms b.) ensure expired medications were removed from 2 of 4 medication carts and c.) ensure medications were properly labeled and dated in 1 of 4 medication carts reviewed for medication storage and labeling. Finding Include:On 08/19/25 at 09:53 AM the Second Floor Short End Medication Cart was reviewed with V9 (Registered Nurse). R98's Erythromycin 0.5 % eye ointment and Azelastine HCL 0.05% 1 drop both eyes Twice a day was observed in the medication card drawer with an open date of 05/11/25 and expiration date of 06/07/25 written on the boxes. V9 stated they should have been discarded. They were opened on 05/11/25 and expired 06/07/25. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure call light was within reach and accessible based on resident's abilities for one resident (R118) reviewed for reasonable accommodation of needs out of a sample of 35.
Inspectors wroteBased on interview and record review the facility failed to a.) ensure the Code status matched on the Physician Orders, POLST (Practitioner Order for Life-Sustaining Treatment) and Care Plan and b.) update the care plan to reflect the correct code status for 1 (R8) resident reviewed in a sample of 35. Finding Include:R8 has diagnosis not limited to History of Falling, Transient Ischemic Attack (Tia), and Cerebral Infarction, Anemia, Dementia, Essential (Primary) Hypertension, Schizophrenia, Generalized Anxiety Disorder Osteoarthritis, Nicotine Dependence, Pain in Unspecified Knee, Mild Cognitive Impairment, Chronic Kidney Disease, Multiple Fractures of Ribs, Left Side, Displaced Fracture of Proximal Phalanx of Right Little Finger, Severe Protein-Calorie Malnutrition, Dysphagia, Adult Failure to Thrive, Hyperlipidemia and Gastrostomy. [...]
Inspectors wroteBased on interview and records review, the facility failed to follow their policy and procedure to develop and implement a comprehensive person-centered care plan that includes measurable objectives with timeframe and interventions to address a resident's language barrier and communication needs for one (R5) out of one resident reviewed for communication in a final sample of 35. Findings Include:On 8/19/25 at 12:12 PM, R5 was sitting up in her wheelchair alert and verbally responsive. Surveyor attempted to interview R5 but started talking in a foreign language. R5 stated, Spanish. Surveyor asked V33 (Certified Nursing Assistant) to interpret. R5 stated that if no one speaks Spanish, they can't explain to R5 the medications that they are giving. R5 stated that not all the time there is someone in the facility to interpret in Spanish. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to maintain an environment as free from potential accidents hazards as is possible by failing to (a) ensure that a resident (R153) did not have a retractable blade in their possession, (b) implement interventions to properly supervise a resident (R14) with a history of multiple falls, and (c) follow interventions for fall prevention for a resident (R15) who had multiple falls. These failures have the potential to affect three residents reviewed for accidents hazards.
Inspectors wroteBased on observation, interviews, and record review the facility failed to place oxygen in use signage on the door of one (R159) resident out of five residents reviewed for respiratory care in a sample of 35.
Inspectors wroteBased on observation, interview and record review the facility failed to administer medication according to the physician's order for 1 (R107) of 4 (R6, R147, R202) residents reviewed during medication administration. Findings Include:R107 has diagnosis not limited to Epilepsy, Delirium due to Known Physiological Condition, History of Falling, Disorders of Brain, Muscle Weakness (Generalized) and Cognitive Communication Deficit. R107's MDS (Minimum Data Set) BIMS (Brief Interview for Mental Status) score is 09 indicating moderate impairment. Order Summary Report document in part: Dilantin Oral Capsule 100 MG (Phenytoin Sodium Extended) Give 4 capsule by mouth in the morning for Epilepsy. R107's Care Plan document in part: Focus: R107 has a seizure disorder, Epilepsy. Is at risk for potential complications; fall, injury, abnormal labs Date Initiated: 06/24/25. Interventions: [...]
Inspectors wroteBased on observations, interviews, and review of records the facility failed to provide and/or obtain routine medication for availability in the medical supply for 1 out of 3 residents (R2) reviewed for pharmaceutical services. These failures have the potential to affect 1 resident (R2) that may impede timely administration and adversely affecting a resident's condition due to delay of acquisition of a medication.
Inspectors wroteBased on review of records and interview the facility failed to maintain accurate resident record, ensure resident records are readily accessible related to psychotropic medication use for 1 out of 4 residents (R1) reviewed for improper nursing care. These failures can affect 1 resident (R1) who uses psychotropic medication related to correct medical diagnosis and consent documentations.
Inspectors wroteBased on interview and record review the facility failed to implement fall prevention interventions for one (R1) of three residents reviewed for falls. This failure resulted in R1 falling on 02/08/2025 and R1 is hospitalized at the time of this survey.
Inspectors wroteBased on observations, review of records, and interviews the facility failed to safeguard resident rights to properly account and correctly charge resident funds for 7 out of 9 residents (R2, R4, R5, R7, R8, R9, and R10. These failures does not conform with their policy that mandate the facility to hold, safeguard, manage and account resident funds. Four (4) residents (R2, R4, R7, and R8) personal funds accounts were affected and charged dental insurance premiums that should have been included in care cost. 5 residents (R2, R5, R8, R9, and R10) were charged haircuts on their resident funds without proper documentation of consent, residents unable to give consent due to impaired cognition, and/or service date discrepancies.
Inspectors wroteBased on interviews and records review, the facility failed to provide flu vaccine and education to two (R1, R11) residents of four reviewed.
Inspectors wroteBased on interview and record review, the facility failed to: a. implement care plan interventions for one resident (R2) and b. failed to ensure staff follow their job description and Driver Safety Rules for two residents (R3, R6) for three of three residents reviewed for falls in the sample of six. These failures resulted in R2 sustaining facial lacerations and R3 sustaining neck fractures.
Inspectors wroteBased on interviews and record reviews, facility failed to follow their policy to investigate an allegation of abuse for one of three residents (R2) reviewed for abuse in the sample of six.
Inspectors wroteBased on interviews, and record reviews, the facility failed to ensure one [R2] of 3 residents were free from physical abuse. R1 clinical record indicates in part; R1 was admitted on [DATE] with the medical diagnosis of bipolar disorder with manic severe, psychotic features, restlessness, agitation, disorientation, Parkinson's Disease with dyskinesia, cognitive communication deficit, weakness, and essential hypertension. Minimum data set brief interview dated 9/4/24 scored [7] indicates R1 is moderately cognitively impaired. R1's care plan indicates in part: Abuse and Neglect 8/25/24- R1 became physically aggressive toward female peer. R1 was sent to the hospital for combative behavior, and was diagnosed with urinary tract infection, and treated with antibiotics. R1 needs verbal reminders to engage in activities due to memory deficit. [...]
Inspectors wroteBased on observations, interview, and record review, the facility failed to ensure employees' personal food items were not stored in the Kitchen's walk-in cooler; failed to ensure the ceiling is not leaking and the drainage pipe is not clogged at the dishwashing area inside the kitchen in an effort to prevent food borne illnesses. These failures have the potential to affect all residents taking oral nutrition at the facility.
Inspectors wroteBased on observation, interview and record review, the facility failed to assess a resident's ability to safely self-administer medications which affected one resident (R63) when reviewed for self-administration of medications in the total sample of 76 residents and has the potential to affect all 52 residents on the 4th floor in the facility.
Inspectors wroteBased on observation, interview and record review the facility failed to assure that emergency medical equipment stored to be used in emergency basic life support was checked daily. This deficient practice has the potential to affect all Fifty seven residents that reside on the 3rd floor of the facility.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide a safe environment with unsecured shaving razors left in the unlocked shower room; failed to provide a safe environment with liquid body soap left unsecured in a drinking cup in a resident's room and in the unlocked shower room; failed to provide a safe environment with the laundry chute left unlocked accessible to residents; failed to implement care planned fall precaution interventions; failed to update a care plan with an observed fall intervention in place; and failed to follow the facility's fall prevention policy and procedure. These failures affected two residents (R14, R146) and have the potential to affect 57 residents on the 2nd floor, 57 residents on the 3rd floor and 52 residents on the 4th floor.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure the nebulizer mask was contained, failed to ensure the oxygen tubings and humidifier bottles were labeled with dates when changed, and failed to ensure oxygen tubings and humidifier bottles were changed per facility policy. These failures affected 4 (R36, R142, R163, and R303) residents reviewed for respiratory care in the total sample of 76 residents.
Inspectors wroteBased on observation, interview, and record review the facility failed to monitor personal refrigerator temperature logs for five residents; and failed to ensure that personal refrigerators had a refrigerator thermometer for three residents. These failures affected five residents (R17, R36, R101, R110, and R117) out of 76 residents in the total sample.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure cigarette butts were contained and not blown towards the generator's fuel tank in an effort to prevent fire. This failure has the potential to affect all residents residing at the facility.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain residents' call lights within reach of residents to use for staff assistance which affected two residents (R63, R303) in the total sample of 76 residents when reviewed for accommodation of needs.
Inspectors wroteBased on interview and record review, the facility failed to ensure that a resident has a physician's order for a code status (Full Code or DNR, Do Not Resuscitate) in the resident's electronic medical record (EMR) which affected one resident (R196) in the total sample of 76 residents reviewed for advanced directives.
Inspectors wroteBased on observation, interview and record review, the facility failed to complete sections of a resident's minimum data set accurately to reflect the resident's health status. This failure has the potential to affect 1 resident (R153) in a sample size of 76.
Inspectors wroteBased on interview and record review the facility failed to refer one resident R170 to the appropriate state designated authority for a Level II PASARR (Preadmission Screening and Annual Resident Review) evaluation and determination after R170 was diagnosed with a new mental disorder. This deficient practice affected one resident (R170) in a total sample size of 76 residents.
Inspectors wroteBased on interview and record review, the facility failed to obtain a pre-admission screening and resident review (PASARR). This failure affects 1 resident (R153) in a sample of 76.
Inspectors wroteBased on interview and record review, the facility failed to invite and conduct care plan conferences to include the resident in development of their plan of care. This failure affects 1 resident (R136) in a sample of 76.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that two residents (R40 and R199) who depend on staff's assistance for their ADL (Activities of Daily Living) care received shaving. This failure affected two out of 76 residents reviewed for ADL care.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to a.) implement fall precaution interventions for two (R1, R3) residents, b.) provide adequate supervision and monitoring to prevent falls for two (R1, R2) residents, and c.) provide supervision and monitoring for four (R4, R5, R6, R7) residents during the designated smoking time to ensure residents practice safe smoking in the designated area. Theses failures resulted in R1 falling while in the facility on 07/06/2024 and sustaining a facial laceration. R1 experienced a subsequent fall while in the facility on 07/29/2024 and sustained a head contusion. R2 fell on [DATE] while in the facility and sustained an iliac crest fracture of the pelvis.
Inspectors wroteBased upon observation, interview, and record review the facility failed to follow policy procedures, failed to timely document a skin integrity impairment, failed to document an accurate skin integrity impairment, and failed to follow physician orders for one of four residents (R3) reviewed for incidents/accidents.
Inspectors wroteBased upon observation, interview, and record review the facility failed to follow policy procedures, failed to implement fall prevention interventions and/or failed to provide supervision for one of four residents (R1) in the sample.
Inspectors wroteBased on observation, interview and record review the facility failed to provide timely incontinence care to prevent MASD (Moisture Associated Skin Damage), failed to document skin integrity impairment, failed to obtain timely treatment orders, and failed to offload wounds for one of three residents (R2) reviewed for pressure ulcers. These failures resulted in R2 incurring (facility acquired) stage 4 sacrum pressure ulcer (with bone exposed), osteomyelitis secondary to infection, fractured S5 vertebra - in the setting of osteomyelitis, pain rated 5/10, and severe sepsis. The facility also failed to follow physician orders, failed to ensure that dressings were changed daily, failed to prevent MASD, and failed to offload wounds for R1. These failures resulted in R1 incurring a stage 4 sacrum wound with undermining (extensive damage beneath the skin surface).
Inspectors wroteBased on observation, interview and record review the facility failed to ensure (R3's) functional assessment was accurate, failed to ensure staff use proper and/or appropriate transfer techniques, failed to implement and/or revise fall care plan interventions, failed to provide supervision, and failed to obtain a timely x-ray for one of three residents (R3) reviewed for falls/IOUO (Injuries of Unknown Origin). These failures resulted in R3 sustaining acute fractures of the left lateral 7th through 9th ribs (identified 12/2/23) and pain rated 3/10. The facility also failed to implement the falls management policy, failed to document (R4's) fall, failed to notify (R4's) family/physician immediately and failed to conduct daily skin assessments. These failures resulted in R4 sustaining a large bruise to the right arm (identified 12/11/23 - by the State surveyor).
Inspectors wroteBased upon observation, interview and record review the facility failed to ensure that the call light was within reach, failed to provide a clean urinal, and failed to ensure that clothing was available for one of three residents (R4) reviewed for accommodation of needs. The facility also failed to provide sufficient towels and/or washcloths this failure affects 207 residents.
Inspectors wroteBased upon observation, interview and record review the facility failed to ensure that adequate nursing staff were scheduled on the (4th floor) dementia unit, failed to ensure that sufficient nursing staff were available to meet the needs for two of three dependent residents (R3, R4) reviewed for ADL (Activities of Daily Living) care, failed to ensure that staff were aware of required frequency to check and/or change dependent residents, failed to provide (R4) clothing, failed to ensure (R4's) call light was within reach, failed to provide (R4) a clean urinal, failed to timely identify/report/investigate (R4's) injury of unknown origin, failed to ensure staff use proper transfer techniques to prevent falls/injury, failed to revise (R3's) care plan with appropriate transfer interventions (post rib fractures), failed to offload (R1's) wound as directed, failed to follow (R1's) treatment [...]
Inspectors wroteBased on observation, interview and record review the facility to provide a safe environment for residents, staff and the public by blocking an egress door on the 4th floor stairwell. This failure affects 55 residents living on the 4th floor.
Inspectors wroteBased upon interview and record review the facility failed to implement the grievance policy and failed to investigate reported allegations for one of three residents (R1) reviewed for concerns.
Inspectors wroteBased upon observation, interview and record review the facility failed to provide ADL (Activities of Daily Living) care to two of three dependent residents (R3, R4) reviewed for ADL care.
Inspectors wroteBased on observation, interview and record review the facility failed to follow their policy and procedure for labeling, dating, and storing food item to ensure that food is labeled, dated and discarded after use by date; failed to ensure that resident's dishes and utensils were sanitized at a safe water temperature required for operating dishwashing machine. These failures have the potential to affect 190 residents living in the facility with 3 residents on Nothing by Mouth (NPO) for a total facility's census of 193 dated 10/29/23.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a resident (R100) received the correct oxygen flow rate as ordered by the physician and to properly label oxygen tubing for 4 (R20, R100, R120, R172) out of 4 residents reviewed for oxygen use in a sample of 35. Findings Include: R100's clinical records show R100 has listed diagnoses not limited to Dementia, Emphysema, Chronic Obstructive Pulmonary Disease, and Anemia. R100's physician order sheet (POS) reads in part: May give oxygen (O2) at 2 liters per minute (LPM) ordered on 10/26/23. R100's Minimum Data Set (MDS) dated [DATE] shows R100 is cognitively impaired and requires extensive with two staff assistance with bed mobility, transfer, and personal hygiene. On 10/29/23 at 11:20 AM, Surveyor entered R100's room with V10 (Licensed Practical Nurse). [...]
Inspectors wroteBased on interview and record review, the facility failed to a.) ensure controlled substances were counted, and documented, at the beginning and end of each shift for 13 out of 88 shifts and b.) keep an accurate count of all narcotic medications. These failures have the potential to affect 64 residents.
Inspectors wroteBased on observation, interview, and record review the facility failed to a.) ensure medications were locked and secured while unattended, b.) refrigerate an unopened insulin pen and label liquid medication that had been open in two of four medication storage rooms reviewed for medication labeling and storage and c.) ensure expired medications in supply for use were discarded. These failures have the potential to affect 78 residents residing in the facility. Findings Include: On 10/29/2023 at 9:34AM, surveyor located on the fourth floor of the facility. V10 (Licensed Practical Nurse/LPN) observed leaving medication cart (identified as 4th floor short side medication cart) unlocked and unattended. V10 states that she does not have an excuse for leaving the medication cart unlocked and unattended and it should be locked at all times when not in attended. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to clean and disinfect reusable equipment (blood pressure cuff device) used by two residents (R14, R197). The facility also failed to follow their policy and procedure for Enhanced Barrier Protection to ensure that PPE (Personal Protective Equipment), including gowns and gloves available in the hallways between resident's rooms for 2 (R103 and R153) residents. This failure could potentially affect 38 residents residing on 1st floor for facility's census dated 10/29/23.
Inspectors wroteBased on interview and record reviews, the facility failed to provide eligible residents and/or resident representatives education regarding the benefits and potential side effects of all available pneumococcal vaccinations and assess eligibility and offer pneumococcal vaccinations to 4 (R141, R192, R193, R195) of 5 residents reviewed for pneumococcal vaccinations. Findings Include: 1. R141's Electronic Health Records (EHR) show R141 was admitted to the facility on [DATE] and is [AGE] years of age with diagnoses that included but were not limited to: acute pyelonephritis, hyperlipidemia, essential hypertension, and muscle weakness. R141's current physician orders with active orders as of 10/30/23 revealed R141 had no orders to receive pneumococcal vaccination. [...]
Inspectors wroteBased on interview and record reviews, the facility failed to document the information on the residents' COVID-19 vaccine and failed to document if education was provided regarding the benefits and potential risks associated with the COVID-19 vaccine to 4 (R141, R192, R193, R195) out of 5 residents reviewed for COVID-19 immunizations. Findings Include: On 10/30/23 at 10:41 AM, R141, R192, R193, and R195's electronic health records (EHR) were reviewed and revealed no documentation regarding each dose of COVID-19 vaccine administered to R141, R192, R193, and R195 or if they did not receive the COVID-19 vaccine due to medical contraindications or refusal. R141, R192, R193, and R195's EHR also do not have documentation if education was provided to them or their representatives regarding the benefits and potential risks associated with the COVID-19 vaccine. [...]
Inspectors wroteBased on observations, interviews and records review, the facility failed to assist two residents with activities of daily living by failing to (a) assist in feeding one resident (R138) who requires extensive assistance with eating, (b) failing to elevate the head of the bed to 90 degrees for one resident (R48) while eating. This deficienct practice has the potential for R48 to experience aspiration while eating and subject R138 to malnourishment.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that PICC (Peripherally Inserted Central Catheter) line dressing was dated once changed. The facility also failed to ensure that arm circumference and PICC line catheter were measured as ordered. This failure can potentially affect 1 (R103) resident in a sample of 35.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure the proper amount of fabric layers were used for one resident (R63) using a low air loss mattress device, and failed to ensure low air loss mattress devices were in the correct settings for 3 (R63, R100, R152) out of 3 dependent residents with current pressure ulcers in a sample of 35 reviewed for pressure ulcer care. Findings Include: On 10/29/23 at 11:20 AM, Surveyor entered R100's room with V10 (Licensed Practical Nurse). R100 was resting in bed. R100's low air loss mattress weight control knob was set to 350 pounds (lbs.). V10 stated that R100 has a sacral wound. At 1:13 PM, R152 was resting in bed. Surveyor checked R152's low air loss mattress with V10 and the weight was set to 120 lbs. At 1:16 PM, V10 stated that the low air loss mattress setting should be based on the resident's weight. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to follow their policy and procedure to ensure that resident is not keeping smoking materials for health, safety, and security reasons. This failure could potentially affect 1 (R173) of 1 resident reviewed for smoking in the sample of 35.
| Date | Penalty | Amount or length |
|---|---|---|
| November 19, 2024 | Fine | $19,474 |
| August 12, 2024 | Fine | $47,886 |
| August 12, 2024 | Payment Denial | 26 days from September 6, 2024 |
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) | 3.12 | 3.45 | 3.86 |
| Registered nurses | 0.46 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.74 | 3.07 | 3.42 |
| Nurse aides | 2.10 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 20.8% | 44.5% | 45.8% |
| Registered nurse turnover | 40.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.98 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 3.27 on weekdays and 2.74 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.12 in April to June 2025 to 3.12 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 | 3.12 | 0.46 | 3.27 | 2.74 | 6.0% | 0 of 90 | 205 |
| Oct to Dec 2025 | 3.10 | 0.44 | 3.25 | 2.71 | 2.2% | 0 of 92 | 205 |
| Jul to Sep 2025 | 3.11 | 0.39 | 3.29 | 2.64 | 1.2% | 0 of 92 | 202 |
| Apr to Jun 2025 | 3.12 | 0.40 | 3.28 | 2.71 | 2.0% | 0 of 91 | 197 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.2 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 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 | 1.3 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.4 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.8 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.6 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.0 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.6 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Pavilion of Logan Square, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (27.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
27.7% this home
Worse than 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. 59 eligible stays.
11.5% 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. 139 eligible stays.
7.6% 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. 88 eligible stays.
43.8% 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. 80 residents counted.
0.0% this home
Median of homes: Illinois0.3% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 135 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. 135 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Illinois100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 15 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: PAVILION OF LOGAN SQUARE LLC. CMS links this home to Pavilion Healthcare, a group of 5 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift Trust | 5% or greater direct ownership interest | Organization | 12% | 12/19/2022 |
| Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift Trust | 5% or greater direct ownership interest | Organization | 9% | 12/19/2022 |
| Stern, Todd | 5% or greater direct ownership interest | Individual | 6% | 12/19/2022 |
| Graf, Marcella | Direct ownership interest | Individual | 12/19/2022 | |
| Graf, Marcella | Corporate officer | Individual | 12/19/2022 | |
| Graf, Marcella | Operational/managerial control | Individual | 12/19/2022 |
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.
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