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South Elgin Living & Rehab Center

746 West Spring Street, South Elgin, IL 60177 · Kane County · (847) 697-0565

90 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145825 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 14, 2025, inspectors cited 6 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 49 health citations since June 2023, 4 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $231,656 in the last three years; the largest was $148,321, and the latest is dated July 8, 2025.

Nurses and nurse aides worked 3.18 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 1.01 of those hours.

24.5% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Lineage Healthcare, an affiliated group of 5 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 49 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
25D
10E
10F
Potential for minimal harm
0A
0B
0C
August 14, 2025Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain freezer temperatures, failed to follow food temperature guidance for foods stored in the steam table, and failed to store dented cans per facility policy. This applies to all 56 residents that receive foods prepared in the facility kitchen.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their water management plan for legionella and perform hand hygiene during wound care. This applies to all 57 residents residing in the facility.
  3. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from chemical restraints. This applies to 2 of 5 residents (R4, R10) reviewed for unnecessary psychotropic medications in the sample of 15.
  4. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide grooming assistance to remove facial hair for a resident with poor vision. This applies to 1 of 3 residents (R48) reviewed for ADL (activities of daily living), in the sample of 15.
  5. 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 · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on observation, interview, and record review the facility to complete a dressing change for a resident's soiled IV (intravenous) dressing. This applies to 1 of 1 residents (R9) in the sample of 15.
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to secure resident oxygen tanks and failed to maintain and lock storage shed for oxygen tanks. This applies to 2 of 2 residents (R4, R48) reviewed for oxygen storage in the sample of 15.
July 8, 2025Complaint inspection · 1 citation
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent resident-to-resident physical abuse. This applies to 2 of 3 residents (R1, R2) reviewed for abuse in the sample of 3. This failure resulted in R2 striking R1 on the nose, resulting in R1 being transferred to the hospital and found to have a fractured nose.
September 13, 2024Complaint inspection · 2 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow the State Department of Public Health and the Local County Health Department instructions to obtain appropriate facility-wide testing, initiate treatment for a resident (R1) with positive test results, and adhere to the mandated facility-wide masking for the management of their group A streptococcal disease outbreak. This applies to all the residents residing at the facility.
  2. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 11, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to safely repair an exposed ceiling area located outside residents' (R8, R9, and R10) rooms. This applies to 3 of 8 residents reviewed for environmental hazards.
August 14, 2024Complaint inspection · 1 citation
  1. E
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure a nurse was competent to administer medications as ordered and transcribe orders for 4 of 4 residents (R3, R4, R7 and R8) reviewed for nursing services in the sample of 8.
June 13, 2024Complaint inspection · 2 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to have a Director of Nursing on a full-time basis. This has the potential to affect all 60 residents who reside in the facility.
  2. E
    Provide activities to meet all resident's needs.
    F679 · 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 9, 2024
    Inspectors wroteBased observation, interview, record review, the facility failed to provide structured activities to residents. This applies to 7 of 8 residents (R4, R5, R6, R7, R8, R9, R10) reviewed for activities.
May 31, 2024Standard inspection · 16 citations
  1. G
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · Actual harm, isolated · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow physician's orders for psychotropic medication administration (R36). The facility failed to follow its psychotropic medication policy by failing to monitor residents (R1, R14, R36) for Extrapyramidal Symptoms due to antipsychotic medication use and failing to attempt/request a Gradual Dose Reduction of a Benzodiazepine medication for a resident (R14) no longer exhibiting anxiety behaviors. These failures resulted in the R36 receiving the wrong psychotropic medications and at excessive dosages. R36 experienced side effects of increased abnormal involuntary movements. This applies to 3 of 5 residents (R1, R14, and R36) reviewed for psychotropics in a sample of 19.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to properly label, date, seal, and store food items in the kitchen. This applies to 53 residents that receive oral nutrition and foods prepared in the facility kitchen.
  3. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 26, 2024
    Inspectors wroteBased on interview and record review the facility failed to follow a physician's laboratory order for management of anticonvulsant medication. This applies to 1 of 3 residents (R10) reviewed for labs in a sample of 19.
  4. E
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 26, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow its policy on behavior monitoring for residents with known behaviors and receiving psychotropic medications. This applies to 5 of 5 residents (R1, R8, R14, R36, and R39) reviewed for behaviors in a sample of 19.
  5. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were available for administration to residents with physician's orders. This applies to 5 out 5 (R5, R13, R23, R30 and R48) reviewed for medication administration.
  6. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 26, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to administer medications as ordered by the physician. There were 37 opportunities with 4 medication administration errors resulting in a 10.81% medication error rate. This applies to 3 out of 4 residents (R13, R19 and R30) reviewed for medication administration in the sample of 19.
  7. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to wear appropriate Personal Protective Equipment in enhanced barrier precaution rooms. The facility failed to provide proper catheter care and perform hand hygiene during gastrostomy tube care. This applies to 4 of 4 residents (R11, R30, R47, R50) reviewed for infection control in sample of 19.
  8. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 26, 2024
    Inspectors wroteBased on the interview and record review, the facility failed to utilize a standardized tool to determine the necessity of antibiotic therapy prescribed to residents. This applies to 5 of 5 residents (R10, R12, R22, R50, and R206) reviewed for antibiotics therapy in sample of 19.
  9. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on interview and record review, the facility failed to give residents appropriate written notices that their Medicare Coverage was coming to an end. This applies to 2 of 2 residents (R36, R41) reviewed for Medicare coverage in a sample of 19.
  10. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide privacy during pressure ulcer dressing changes. This applies to 2 of 2 residents (R47, R50) reviewed for privacy in a sample of 19.
  11. 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) June 28, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide the necessary services to maintain good personal hygiene for 1 of 11 residents (R11) reviewed for activities of daily living in the sample of 19.
  12. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to safely transfer a resident (R10) and safely position a resident (R14) when assisting with feeding in bed. This applies to 2 of 2 residents (R10 and R14) reviewed for accidents in a sample of 19.
  13. 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) June 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor and ensure that a resident with orders for a double protein diet received the diet as ordered by the physician. The facility failed to ensure weight interventions were followed per policy. This failure resulted in a -10.16 % weight loss from November 2023 to May 2024. This applies to 1 of 1 resident (R40) who was reviewed for double protein diet in a sample of 19 residents.
  14. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure they had supply of gastrostomy tube feeding formula for residents per order, failed to label and date gastrostomy tube feedings and failed to follow physician's orders for feedings. This applies to 3 of 3 residents (R11, R12, R47) reviewed for gastrostomy tubes in a sample of 19.
  15. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to store narcotic medications under double-lock and failed to properly store an inhaler. This applies to 2 out of 7 residents (R2 and R32) reviewed for medication storage in a sample of 19.
  16. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store resident food that requires refrigeration in the refrigerator, remove expired food, place a thermometer in the fridge, and complete temperature logs. This applies to 2 of 2 residents (R28, R51) reviewed for refrigerators in sample of 19.
April 25, 2024Complaint inspection · 4 citations
  1. G
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 31, 2024
    Inspectors wroteBased on interview and record review, the facility failed to obtain orders and provide physical therapy services to residents. This failure resulted in a resident with a functional decline (R103) having a delay in receiving physical therapy and taking longer to return to his baseline function. This applies to 3 of 3 residents (R101, R102, and R103) reviewed for therapy services in the sample of 9.
  2. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to have a full time DON ( Director of Nursing). This applies to all 57 residents residing in the facility.
  3. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and record review, the facility failed to employ a licensed administrator to ensure the facility could meet resident needs. The facility administration failed to ensure therapy services were provided to residents. The facility employed a full-time DON, and the administrator failed to ensure the facility employed a part-time Infection Preventionist. The administration also failed to document evidence for plans of correction and evidence of reporting to the QAPI (Quality Assurance Performance Improvement). This applies to all 57 residents residing in the facility.
  4. F
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and record review, the facility failed to have an Infection Preventionist at least part time at the facility. This applies to all 57 residents residing in the facility.
March 6, 2024Complaint inspection · 3 citations
  1. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to safeguard resident's individual narcotic medications and failed to secure the facility's emergency control medication box, which resulted in the disappearance of these medications. This applies to 2 of 2 residents (R1, R2) for missing individual prescriptions and has the potential to affect the remaining 55 residents in the facility reviewed for prescription medications.
  2. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · 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) March 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that controlled medications were not misappropriated. This applies to 2 of 2 residents (R1, R2) for missing Norco medications.
  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 · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to complete an incident report and notify the state agency about theft of resident property. This applies to 2 of 2 residents (R1, R2) reviewed for narcotic medications in a sample of 2.
February 25, 2024Complaint inspection · 1 citation
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement the facility's abuse policy and report and investigate an allegation of abuse. This applies to one of three residents (R1) reviewed for physical abuse.
February 14, 2024Complaint inspection · 1 citation
  1. 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) February 29, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to apply the correct PPE (Personal Protective Equipment) prior to entering resident rooms who were COVID-19 positive. The facility also failed to post contact isolation and droplet isolation signage outside the rooms of residents who were COVID-19 positive. This applies to 7 of 7 residents (R1, R2, R3, R4, R5, R6, R7) reviewed for COVID-19 infection control.
February 1, 2024Complaint inspection · 3 citations
  1. K
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 1, 2024
    Inspectors wroteBased on observation interview and record review, the facility failed to maintain a safe, clean, comfortable homelike environment following the disruption of water services due to broken pipes in the facility. The failure resulted in a lack of available handwashing facilities and the accumulation of human feces/urine in the toilets. The lack of response caused a risk for psychosocial harm to residents as evidenced by their disgust for having to eliminate in toilets full of urine/feces and subsequently not have hand washing facilities available to wash hands. This applies to 35 of 60 residents (R2, R4, R8, R10-R13, R15-R17, R19-R23, R25, R26, R30-R32, R35, R40, R41, R43-R51, R58, R59 R60) reviewed for homelike environment who could utilize facility bathrooms/toilets in a sample of 61. The Immediate Jeopardy began on 1/17/24 at 9:30 PM when the initial water pipe break occurred. [...]
  2. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to employ a qualified, competent administration to manage the facility during an emergency and implement the emergency plan for loss of water services. This applies to all 60 residents residing in the facility.
  3. 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) July 26, 2024
    Inspectors wroteBased on interview and record review, the facility failed to to document assessment of wounds, treatments, and physician orders. This applies to 1 of 3 residents (R1) reviewed for wounds in a sample of 61.
September 20, 2023Complaint inspection · 1 citation
  1. E
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were seen by their attending physician as shown in the facility's policy. This applies to 11 of 12 residents (R2-R12) reviewed for physician services in the sample of 11.
June 8, 2023Standard inspection · 8 citations
  1. D
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to allow two consenting adults the right to cohabitate. This applies to 2 of 2 residents (R32 & R40) reviewed for roommates in the sample of 18.
  2. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident did not have a seat belt restraint unless medically necessary. The facility failed to have an order, consent, assessment, and care plan for a seat belt restraint for 1 of 1 residents (R19) reviewed for restraints in the sample of 18.
  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) June 15, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident received clean clothing daily for 1 of 2 residents (R34) reviewed for activities of daily living in the sample of 18.
  4. 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) June 15, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure pressure relieving interventions were in place for a resident at high risk for pressure ulcers for one of six residents (R53) reviewed for pressure in the sample of 18.
  5. 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) June 15, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure splints were applied for residents with contractures, restorative programs were implemented, reviewed, and revised as needed for 2 of 3 residents (R15 & R19) reviewed for contractures in the sample of 18.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to provide a safe transfer for 1 of 2 residents (R159) reviewed for safety in the sample of 18.
  7. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to assess a resident for therapy services to upgrade their diet for 1 of 1 (R38) reviewed for specialized rehabilitation services in the sample of 18.
  8. 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) June 15, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to prevent cross contamination of resident contact surfaces by not removing gloves after incontinence care and a dressing change prior to touching anything else for 2 of 2 residents (R54 & R15) reviewed for infection control in the sample of 18.

Fire safety inspections

30 fire safety citations on file: 10 on May 31, 2024, 11 on June 8, 2023, 9 on April 28, 2022.

Every fire safety citation30 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · May 31, 2024 · Corrected (the home has a date of correction)
  2. F
    Install a two-hour-resistant firewall separation.
    K 133 · May 31, 2024 · Corrected (the home has a date of correction)
  3. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · May 31, 2024 · Corrected (the home has a date of correction)
  4. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 31, 2024 · Corrected (the home has a date of correction)
  5. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 31, 2024 · Corrected (the home has a date of correction)
  6. F
    Install an approved automatic sprinkler system.
    K 351 · May 31, 2024 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 31, 2024 · Waiver
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 31, 2024 · Corrected (the home has a date of correction)
  9. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 31, 2024 · Corrected (the home has a date of correction)
  10. F
    Have proper medical gas storage and administration areas.
    K 923 · May 31, 2024 · Corrected (the home has a date of correction)
  11. F
    Establish roles under a Waiver declared by secretary.
    E 26 · June 8, 2023 · Corrected (the home has a date of correction)
  12. F
    Conduct testing and exercise requirements.
    E 39 · June 8, 2023 · Corrected (the home has a date of correction)
  13. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 8, 2023 · Corrected (the home has a date of correction)
  14. F
    Have properly located and lighted "Exit" signs.
    K 293 · June 8, 2023 · Corrected (the home has a date of correction)
  15. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 8, 2023 · Corrected (the home has a date of correction)
  16. F
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · June 8, 2023 · Corrected (the home has a date of correction)
  17. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 8, 2023 · Waiver
  18. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 8, 2023 · Corrected (the home has a date of correction)
  19. F
    Install corridor and hallway doors that block smoke.
    K 363 · June 8, 2023 · Corrected (the home has a date of correction)
  20. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 8, 2023 · Corrected (the home has a date of correction)
  21. F
    Have proper medical gas storage and administration areas.
    K 923 · June 8, 2023 · Corrected (the home has a date of correction)
  22. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · April 28, 2022 · Corrected (the home has a date of correction)
  23. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · April 28, 2022 · Corrected (the home has a date of correction)
  24. F
    Develop a communication plan.
    E 29 · April 28, 2022 · Corrected (the home has a date of correction)
  25. F
    Establish emergency prep training and testing.
    E 36 · April 28, 2022 · Corrected (the home has a date of correction)
  26. F
    Establish staff and initial training requirements.
    E 37 · April 28, 2022 · Corrected (the home has a date of correction)
  27. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · April 28, 2022 · Corrected (the home has a date of correction)
  28. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 28, 2022 · Corrected (the home has a date of correction)
  29. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 28, 2022 · Corrected (the home has a date of correction)
  30. C
    Have simulated fire drills held at unexpected times.
    K 712 · April 28, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 8, 2025Fine $83,335
July 8, 2025Payment Denial 36 days from August 6, 2025
February 1, 2024Fine $148,321
February 1, 2024Payment Denial 152 days from March 1, 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)3.183.453.86
Registered nurses1.010.720.69
All nursing staff on weekends2.813.073.42
Nurse aides1.89
Licensed practical nurses0.28
Nursing staff turnover (share who left in a year)24.5%44.5%45.8%
Registered nurse turnover25.0%41.8%42.9%
Administrators who left0

CMS expects 4.87 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 3.33 on weekdays and 2.81 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.03 in April to June 2025 to 3.18 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.181.013.332.81 11.9%0 of 9056
Oct to Dec 20253.031.063.122.79 13.0%0 of 9258
Jul to Sep 20253.061.143.132.90 8.9%0 of 9257
Apr to Jun 20253.031.173.122.81 6.9%0 of 9157
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
10.113.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.81.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.93.13.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.514.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.34.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
24.621.715.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.62.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.92.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for South Elgin Living & Rehab Center's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

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 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. 5 eligible stays.

Potentially preventable readmissions

11.7% 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. 32 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. 21 eligible stays.

Self-care and mobility 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: 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. 10 residents counted.

Falls with major injury

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: 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. 13 residents counted.

New or worsened pressure ulcers

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: 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. 13 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. 1 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: SOUTH ELGIN LIVING & REHAB CENTER LLC. CMS links this home to Lineage Healthcare, a group of 5 nursing homes averaging 1.6 stars overall.

NameRoleTypeShareSince
Parkway Bank and Trust Company5% or greater security interestOrganization12/01/2024
Braunstein, EphraimManaging control - governing bodyIndividual12/01/2024
Diena, AharonManaging control - governing bodyIndividual12/01/2024
Petlin Holdings LLCOperational/managerial controlOrganization12/01/2024
Braunstein, EphraimOperational/managerial controlIndividual12/01/2024
Claussen, MaryOperational/managerial controlIndividual12/01/2024
Diena, AharonOperational/managerial controlIndividual12/01/2024
Klein, TomOperational/managerial controlIndividual12/01/2024
Maher, JayneOperational/managerial controlIndividual12/01/2024
Braunstein, EphraimAdp of the SNFIndividual12/01/2024
Claussen, MaryAdp of the SNFIndividual12/01/2024
Diena, AharonAdp of the SNFIndividual12/01/2024
Klein, TomAdp of the SNFIndividual12/01/2024
Maher, JayneAdp of the SNFIndividual12/01/2024

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 17 problems in this area, most recently on August 14, 2025: "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 7 problems in this area, most recently on August 14, 2025: "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 August 14, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on May 31, 2024: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.81 hours per resident per day, below the Illinois average of 3.07.

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 South Elgin Living & Rehab Center's Medicare star rating?
CMS rates South Elgin Living & Rehab Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did South Elgin Living & Rehab Center get at its last inspection?
6 health deficiencies at the standard inspection on August 14, 2025. The Illinois average is 12.6.
Has South Elgin Living & Rehab Center been fined?
Yes. CMS lists 2 fines totaling $231,656 in the last three years.
Does South Elgin Living & Rehab Center 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 South Elgin Living & Rehab Center?
CMS lists 14 owners and managers, and links the home to Lineage Healthcare. Legal business name: SOUTH ELGIN LIVING & REHAB CENTER LLC.

Sources

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