14255 South Cicero Avenue, Crestwood, IL 60445 · Cook County · (708) 371-0400
297 certified beds, about 181 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145718 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 7, 2026, inspectors cited 21 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 58 health citations since October 2023, 9 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 5 fines totaling $286,550 in the last three years; the largest was $173,339, and the latest is dated May 7, 2026.
Nurses and nurse aides worked 3.08 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
48.2% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Aliya Healthcare, an affiliated group of 14 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 58 health citations on file.
Inspectors wroteBased on interviews and record review, the facility failed to follow policy procedures, failed to ensure that staff documented medication administration, and/or failed to document medication as received or not received in the Nurses' notes for two of three residents (R1, R3) reviewed for medication administration.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow policy procedures, failed to provide supervision/touching assistance for eating and/or failed to provide transfer assistance from the bed to wheelchair for four of 42 residents (R6, R14, R37, R131) in the sample reviewed for ADL (Activities of Daily Living) care. These failures resulted in R131's reported discomfort/feelings of uselessness and R37's reported frustration.
Inspectors wroteBased on observation, interview and record review, the facility failed to post the list of names, addresses (mailing and email), and telephone numbers of the State Survey Agency and failed to post a statement that the resident may file a complaint with the State Survey Agency concerning any suspected violation of state or federal nursing facility regulation, including but not limited to resident abuse, neglect, exploitation, misappropriation of resident property in the facility. This failure affects all 200 residents that reside within the facility.
Inspectors wroteBased on observation, interview and record review the facility failed to store/label food in accordance with professional standards for food safety, failed to provide a clean, sanitary kitchen environment, food preparation and food storage areas, and failed to follow the facility policies for safe food handling. These failures have the potential to affect all 195 residents that consume nutrition from the kitchen.
Inspectors wroteBased on observation, interview and record review, the facility failed to contain garbage/refuse within dumpsters and failed to maintain garbage storage areas in a sanitary condition. These failures affected all 200 residents that reside within the facility.
Inspectors wroteBased on interview and record review, the facility failed to develop a facility assessment that a) accurately identified the capacity for residents b) identified ethnic, cultural or religious factors that potentially affected the care provided by the facility c) identified in-house dialysis unit services provided to the facility's residents d) accurately identified the staffing plan for direct care staff e) a recruitment and retention program plan for maximizing recruitment and retention of direct care staff. These failures affected all 200 residents that reside in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow policies and procedures; failed to initiate enhanced barrier precautions for a resident; failed to ensure that staff donned the require Personal Protective Equipment (PPE) while providing care for a resident with a known diagnosis of clostridioides difficile (C. diff); failed to perform proper hand hygiene after performing care with a resident with a known diagnosis of C. diff; failed to appropriately clean and disinfect a resident's room with a known diagnosis of C. diff; and failed to ensure soiled linen was securely bagged prior to placement in the laundry chute to prevent contamination and the potential spread of infection. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their preventative maintenance policy, failed to maintain and provide preventative maintenance to ensure the environment was safe, functional, sanitary, and comfortable for residents and staff; failed to complete needed repairs to the environment; failed to ensure resident shower rooms were in good repair and had methods for enhancing privacy (curtains) for public shower rooms. These failures affect the 54 residents on the second floor that utilize the shower rooms and have the potential to affect all 200 residents that reside in the facility.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure adequate ventilation were in good working condition in the kitchen and the second-floor shower room. These failures caused excess grease and dirt to accumulate on the ceiling of the kitchen, which increased the risk of food contamination and created a potential fire hazard. These failures affected 54 residents that reside on the second floor and has the potential to affect all 195 residents that consume nutrition from the kitchen.
Inspectors wroteBased on observation, interview, record review, the facility failed to develop a smoking policy that meets state law requirements for the Smoke Free Illinois Act, failed to develop a resident smoking policy that includes use of e-cigarettes (vapes), and failed to implement/follow the staff smoking policy within the employee handbook. This failure affected all 45 residents that smoke in the facility and has the potential to affect all 200 residents that reside in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow policy procedure, failed to ensure that call lights were within reach, and failed to ensure that call lights were functioning for four of 42 dependent residents (R11, R14, R27, R84) in the sample reviewed for accommodation of needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow policy procedures, failed to ensure that staff identify/address housekeeping/maintenance concerns, and/or failed to repair broken equipment for nine of 42 residents (R1, R7, R8, R15, R23, R27, R91, R99, R110) in the sample reviewed for safe/clean/comfortable/homelike environment.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow policy procedures, failed to identify safety hazards, failed to implement fall prevention interventions, and/or failed to provide supervision for five of 42 residents (R1, R12, R16, R33, R84) in the sample reviewed for falls/hazards.
Inspectors wroteBased on observation, interview, and record review the facility failed to have a policy/procedures for maintaining respiratory equipment, failed to ensure that respiratory equipment was discarded weekly, and failed to maintain respiratory equipment in a bag when not in use for four of 42 residents (R1, R108, R135, R190) in the sample reviewed for respiratory care.
Inspectors wroteBased on observation, interview and record review, the facility failed to immediately sign out controlled substances prior to administration and failed to maintain documented accountability for controlled substances not in use. These failures affected four residents (R14, R87, R119, R11), and seven discharged residents (R214, R215, R216, R217, R218, R219, R220) in a sample of 63 residents. Findings Include: On 5/5/2026 at 4:50 PM, V3, Assistant Director of Nursing (ADON) was assigned to care for patients that received medication from the cart and had taken possession of the cart key following shift change. Observed medication cart with V3. Observed controlled medication count and reviewed the controlled drug receipt/record/disposition forms with V3. Observed the following discrepancies with V3: A) R14 - Tramadol 25mg (milligram), 19 tablets available. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to follow policy procedures, failed to store medications safely/securely, failed to make sure medications were not accessible to unauthorized individuals, and failed to make sure controlled substances were double locked for two of 42 residents (R1, R11) in the sample and seven of 63 residents (R214, R215, R216, R217, R218, R219, R220) in the supplemental sample reviewed for medication storage.
Inspectors wroteBased on observation, interview and record review, the failed to provide a thermometer for a resident's personal refrigerator; failed to date outside open food items in a resident's personal refrigerator; failed to clean residents' refrigerators; and failed to discard expired food items from a resident's personal refrigerator. These failures affected 6 residents (R3, R4, R8, R89, R91, and R163) reviewed for safety of personal food items, in a total sample of 63 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that staff follow its medication administration policy by failing to obtain a physician order before administering medication (R67) and failed to ensure that the right dose of medication was administered to a resident (R204). These failures affected two (R67and R204) of six residents reviewed for medication administrationFindings include:R67 is 69 years and has resided at the facility since 3/1/2026. Past medical history includes, but is not limited to acute posthemorrhagic anemia, melena, other abnormalities of gait, reduced mobility, major depressive disorder, type 2 diabetes, end stage renal disease, etc. On 05/05/2026 9:10AM, observed medication pass for R67 with V23 (LPN) who administered 2 tablets of Tylenol amongst other medications. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to have a five percent (5%) or lower medication error rate. There were two medication errors out of 31 medication opportunities resulting in a 6.45% medication error rate. This failure affected two (R67 and R204) of six residents reviewed for medication administration.
Inspectors wroteBased on interview and record review, the facility failed to obtain routine dental services for one resident with an order for a dental consultation. This affected one of one resident (R5) in a total sample of 38 residents reviewed for dental services. R5's face sheet documents an admission date of 05/17/2025 with diagnoses that include but are not limited to malignant neoplasm of laryngeal cartilage, acquired absence of larynx, tracheostomy care, aphonia, and dysphagia. R5's BIMS (brief interview for mental status) score, dated 10/01/2025, was 13 which indicates R5 is cognitively intact. On 05/05/2026 at 9:00 AM, R5 had a tracheostomy and limited ability to speak but was able to communicate by whispering short answers and nonverbally by hand gestures and head nodding. R5 whispered no and indicated by side-to-side head movement that R5 has not seen a dentist in the past 4 months. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to provide a call light for residents to call for assistance and failed to make sure the call light was in good repair. These failures affected two residents (R197 and R179) reviewed in a sample of 63 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to implement their abuse policy, failed to implement coordination with the QAPI program as indicated in the abuse policy, failed to implement and post a notice in a conspicuous location informing covered individuals of their rights including the right to file a complaint with the State Survey Agency, failed to post a notice informing covered individuals of their rights in a size that was no less than the minimum required for other employment-related signs. This failure has the potential to affect all 200 residents that reside in the facility.
Inspectors wroteBased on interview and record review, the facility failed to implement a physician's order for an as soon as possible (STAT) X-ray after one resident (R1) sustained an unwitnessed fall and complained of pain in the right hip area. This failure affected one resident (R1) who was transferred to a local emergency room eighteen hours after the unwitnessed fall took place, and R1 was diagnosed with a right hip fracture. It can be determined that the reasonable person in the residents' position would have experienced psychosocial harm related to pain (eg: facial grimacing and guarding of the right leg) as a result.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to implement effective interventions to maintain resident room temperatures and dialysis room temperatures at safe/comfortable levels below 81 degrees Fahrenheit. This failure affected 53 residents (R1 - R53) out of 54 residents in a sample of 54.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide appropriate care and services to prevent urinary tract infection for a resident with an indwelling urinary catheter and failed to provide timely and appropriate assessment for the removal of the indwelling urinary catheter. This failure affected one (R1) of three residents reviewed for care of indwelling urinary catheter and resulted in R1 having four urinary tract infections since being admitted to the facility.
Inspectors wroteBased on interview and record review, the facility failed to provide necessary services upon admission to the facility to include medication orders and nutrition assessment/orders. This failure applied to one (R3) of three residents reviewed for quality of care.
Inspectors wroteBased on interviews and record reviews, the facility failed to follow its change in resident's condition policy and its urgent laboratory testing protocol and notify the attending physician/nurse practitioner the urgent laboratory tests ordered were not done within the 4-6-hour time frame. This affects one of three residents (R1) reviewed for notification of physician of changes in condition. This failure resulted in over a nine-hour delay of labs being obtained. R1 was subsequently sent to the local hospital. R1 was admitted and treated for the diagnosis of dehydration, pneumonia, and urinary tract infection.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their storage of medication policy by not labelling eye drop vials after opening and using drops for four of four (R169, R135, R127 and R178) resident reviewed for medication storage policy and procedure.
Inspectors wroteBased on observation, interview and record review the facility failed to protect the resident right to have access to communicate with staff on all shifts in their preferred language of Spanish. This affects one of one residents R169 reviewed for resident rights.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their Answering the Call Light Policy. The facility failed to place the call light within reach. This deficient practice affects one resident (R58) of three residents reviewed for accommodation of needs in a total sample of 55 residents. Findings Include: On 2/4//25 at 11:00AM observed R58 In bed alert and oriented x 3. R58 is with the BIMS score of 15/15 (Cognitively Intact). R58 asked writer where her call light location. Surveyor observed call light clipped next to her head pillow on R58 right side of the head, lateral to her right ear. Asked R58 if she is able to reach call light and R58 was not able to reach call light. R58 stated that she has contracture and left arm cannot reach to the location of her call light. [...]
Inspectors wroteBased on interview and record review the facility failed to prevent and incident of staff to residents verbal abuse and rough handling during direct care. This affected one of three (R179) residents reviewed for abuse in a total sample of 55. Findings Include: R179 is a [AGE] year old with the following diagnosis: pedestrian injured in traffic accident, traumatic subarachnoid hemorrhage with loss of consciousness, fracture of the thoracic vertebra, avulsion fracture of the ilium, and intervertebral disc degeneration. On 2/4/25 at 11:32AM, R179 stated V21 (CNA) yelled at R179 after R179 told V21 to stop going through R179's personal belongings. R179 reported that V21 screamed at R179 to shut the f*ck up and to not tell V21 what to do. R179 reported V21 then began to provide incontinence care and scrubbed R179's groin area to the point it was sore. [...]
Inspectors wroteBased on interview and record review, the facility failed to report an allegation of verbal and physical abuse to Illinois Department of Public Health within 24 hours. This affected one of three (R179) residents reviewed for abuse policy in a total sample of 55. Findings Include: R179 is a [AGE] year old with the following diagnosis: pedestrian injured in traffic accident, traumatic subarachnoid hemorrhage with loss of consciousness, fracture of the thoracic vertebra, avulsion fracture of the ilium, and intervertebral disc degeneration. On 2/4/25 at 11:32AM, R179 stated V21 (CNA) yelled at R179 after R179 told V21 to stop going through R179's personal belongings. R179 reported V21 then began to provide incontinence care and scrubbed R179's groin area to the point it was sore. R179 stated R179 reported this incident to V13 (Nurse) on 2/4/25 at about 8PM. [...]
Inspectors wroteBased on interview and record review, the facility failed to coordinate to ensure a resident had a completed level II PASRR assessment on a resident with sever mental illness. This affected one of five (R179) reviewed for PASRR screening in a total sample of 55. Findings Include: R179 is a [AGE] year old with the following diagnosis: major depressive disorder and schizoaffective disorder. R179 admitted to the facility on [DATE] with the diagnoses listed above per the face sheet. On 2/5/25 at 12:34PM, R179 was not aware of Maximum completing a level II PASRR. R179 admitted to being diagnosed with major depressive disorder and schizoaffective disorder. R179 reported R179 takes medication for these mental health diagnoses. On 2/6/25 at 12:55PM, V14 stated R179 was admitted to the facility with a diagnosis of schizoaffective disorder and major depression. [...]
Inspectors wroteBased on interview and record review, the facility failed to follow the hospital discharge orders for a resident by not ensuring a prescribe wound vac was applied for two days. This affected one of one (R439) residents reviewed for physician orders. Finding Includes: R439 was admitted on [DATE] with the diagnosis of surgical aftercare following surgery on the digestive system. Hospital paperwork dated 2/3/25 documents: discharge instruction place wound vac at skill nursing facility. Physician order sheet dated 2/3/25 documents: may apply wound vac to affected area. On 2/4/25 at 10:43am, R439 who was assessed to be alert and oriented to person, place and time, said, he has not received his wound vac as ordered since his admission. R439 said, he had the wound vac in the hospital after his surgery and it supposed to be continued upon discharge. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide restorative programming for a resident after the resident was referred to restorative therapy upon discharge from physical therapy. This affectes one of three (R179) reviewed for restorative nursing. Findings Include: R179 is a [AGE] year old with the following diagnosis: pedestrian injured in traffic accident, traumatic subarachnoid hemorrhage with loss of consciousness, fracture of the thoracic vertebra, avulsion fracture of the ilium, and intervertebral disc degeneration. On 2/5/25 at 12:34PM, R179 stated R179 received about one week of physical therapy before being discharged . R179 was not aware what the recommendations were after being discharged from physical therapy. R179 denied receive any services or programs to help R179 with movement or getting out of bed. [...]
Inspectors wroteBased on interview and record review, the facility failed to administer the influenza and pneumococcal vaccine and provide education in a language a resident understood. This affectes one of five (R169) residents reviewed for vaccinations in a total sample of 55. Findings Include: R169 is a [AGE] year old with the following diagnosis: type 2 diabetes, end stage renal disease with dependence on hemodialysis, congestive heart failure, and peripheral vascular disease. The facility vaccination log was reviewed during the annual survey process. R169 was randomly selected to check compliance with vaccination status. On 2/6/25 at 12:34PM, V12 (Infection Prevention Nurse) stated the facility hold vaccinations clinics beginning in September and calls out the vaccine company as needed to make sure all residents are vaccinated. [...]
Inspectors wroteBased on interview and record review, the facility failed to administer the COVID-19 vaccine and provide education in a language a resident understood. This affected one of five (R169) reviewed for Covid-19 vaccinations in a total sample of 55. Findings Include: R169 is a [AGE] year old with the following diagnosis: type 2 diabetes, end stage renal disease with dependence on hemodialysis, congestive heart failure, and peripheral vascular disease. The facility vaccination log was reviewed during the annual survey process. R169 was randomly selected to check compliance with vaccination status. On 2/6/25 at 12:34PM, V12 (Infection Prevention Nurse) stated the facility hold vaccinations clinics beginning in September and calls out the vaccine company as needed to make sure all residents are vaccinated. [...]
Inspectors wroteBased on interview and record review, facility lacked an effective system to prevent fluid volume overload, assess and monitor fluid volume status, and notify the nephrologist of treatment refusals and abnormal radiology results for one (R8) out of three residents reviewed for dialysis in a total sample of ten. This failure resulted in staff failing to recognize R8's change in condition as fluid volume overload after R8 complained of shortness of breath, and R8 expired in the facility after being found unresponsive. The Immediate Jeopardy began on 1/5/25. When R8 went over 5 days without a dialysis treatment and the facility staff failed to notify the nephrologist of R8's refusal to go the hospital as ordered and failed to notify the nephrologist/attending physician of an abnormal chest X-ray and failed to prevent and assess for fluid volume overload. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain hot water temperatures in the shower rooms all six shower rooms in the facility for five out of five (R1, R3-R6) residents reviewed for adequate water temperatures.
Inspectors wroteBased on observation, interview, and record review, the facility failed to repair a heat exchanger and maintain the hot water system in functioning condition to ensure that hot water was provided to the second, third, and fourth floor shower rooms. Findings Include: R1 is a [AGE] year old with the following diagnosis: spinal stenosis, fibromyalgia, and lumbar disc degeneration. The Facility Incident Report Form dated 1/4/25 documents at 10AM on this day the facility experienced suboptimal water temperatures. Plumbers were called out to assess the situation and identified the cause of the problem. Staff and residents were made aware of the situation. The hot water system currently operational and returned back to normal use. Water temperatures were tested to ensure compliance. On 1/7/25 at 12:40PM, the surveyor asked V2 (Maintenance Director) to take water temperatures in the facility. [...]
Inspectors wroteBased on interview and record review, the facility failed to immediately transport one resident with an acute change in medical condition. This affected one of three residents (R1) reviewed for change in condition.
Inspectors wroteBased on interview and record review, the facility failed to prevent an incident of resident-to-resident physical abuse. This affected two of four (R4, R5) residents reviewed for abuse. Findings Include: R4 is a [AGE] year old with the following diagnosis: schizophrenia and peripheral vascular disease. R5 is a [AGE] year old with the following diagnosis: malignant neoplasm of the lung, chronic obstructive pulmonary disease, and Parkinsonism. A Nursing note dated 8/26/24 documents R4 displayed erratic behavior by striking another resident (R5) in the face. R4 also struck this resident with a cell phone to the right ring finger. R4 stated R5 hit the back of R4's wheelchair while trying to enter the elevator. This altercation caused a laceration to R5's face and pain to the right ring finger. [...]
Inspectors wroteBased on interviews, and record reviews, the facility failed to follow its abuse prevention policy to prevent a resident-to-resident physical assault. This affected two of four residents (R1, R4) reviewed for physical abuse. This failure resulted in R4 entering R1's room and physically assaulting R1. R1 sustained a 3cm (centimeters) laceration to the center of forehead, a 4cm laceration of left upper eyelid, a 3cm laceration just distal to left lower eyelid, left eye swollen shut, left ear redness, and swelling, and a fracture of nasal bone. R1 was transported to the hospital to receive 10 sutures to repair facial lacerations.
Inspectors wroteBased on interviews, and record review, the facility failed to effectively supervise/monitor a resident with a diagnosis of physical aggression, and dementia from physically assaulting a peer. This affected two of four (R1, R4) residents reviewed for supervision of aggressive residents. This failure to monitor and supervise resulted in R1 being physically assaulted by R4. R1 sustained a 3cm (centimeters) laceration to the center of forehead, a 4cm laceration of left upper eyelid, a 3cm laceration just distal to left lower eyelid requiring 10 sutures; left eye swollen shut; left ear redness and swelling; and a fracture of nasal bone. R1 was transported to the hospital to receive 10 sutures to repair facial lacerations.
Inspectors wroteBased on interview and record review, the facility failed to identify, assess, and treat a change in skin condition until it was an unstageable, necrotic pressure ulcer for 1 of 5 residents (R1) reviewed for wounds in the sample of 13. This failure resulted in R1's wound deteriorating, showing signs of possible infection, and requiring hospitalization.
Inspectors wroteBased on interview and record review the facility failed to protect two residents from verbal abuse from the staff. This applies to 2 of 3 resident (R9, R10) reviewed for abuse in the sample of 13.
Inspectors wroteBased on interview and record review the facility failed to ensure that a resident's medications were administered as ordered. This applies to 1 of 8 residents (R2) reviewed for medications in the sample of 13.
Inspectors wroteBased on interview and record review the facility failed to follow their pressure ulcer prevention protocol for one of three residents (R263) reviewed for pressure ulcers in a sample of 36. This failure resulted in R263 developing a left hip skin tear and a right buttocks skin tear, a right and left heel deep tissue injury with eschar, and a stage three pressure ulcer to the right inferior buttocks.
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain chlorine sanitation at 50 parts per million on dishes after sanitation in the dish machine, and to insure that food stored in the refrigerator for residents had the date and time on two of three floors. This failure has the potential to affect 163 residents receiving meals.
Inspectors wroteBased on interview and record review, the facility failed to assess a smoking resident for safety risks for one of six residents (R11) reviewed for smoking in a sample of 36.
Inspectors wroteBased on observation, interview and record review the facility failed to label the enteral tube feeding bags for two of three residents (R312 and R314) reviewed for tube feeding management in a sample of 36 residents.
Inspectors wroteBased on observation and interview the facility failed to post a complete nurse staffing data sheet in a prominent place readily accessible to residents and visitors. This failure can affect all 165 residents currently residing in the facility.
Inspectors wroteBased on interview and record review, the facility failed to initiate a new Level I screen for residents with known mental illness for four of eight residents (R11, R52, R63, R83) reviewed for Pre-admission Screening and Record Review (PASARR) in a sample of 36.
Inspectors wroteBased on interview and record review, the facility failed to follow their abuse policy to prevent a resident to resident physical assault. This affected two of three residents (R2, R3) reviewed for physical abuse. This failure resulted in R2 becoming intoxicated and striking R3 in the face. Findings Include: R2 is a [AGE] year old with the following diagnosis: type 2 diabetes and heart failure. R3 is a [AGE] year old with the following diagnosis: type 2 diabetes, heart failure, and chronic pulmonary obstructive disease. A Nursing note dated 9/28/23 documents R3 reported that R2 aggressively attacked R3 during an odd hour of the morning. R3 wanted R2 to close the door after R2 opened the door to come in. R2 refused and instructed R3 to get up and close the door. R3 got up and closed the door and upon returning to R3's bed, R2 hit R3 in the face. [...]
Inspectors wroteBased on interview and record review, the facility failed to supervise/monitor a resident with a history of alcohol abuse and implement interventions to prevent the resident from going into the community and becoming intoxicated. This affected one of three residents (R2) reviewed for supervision. This failure resulted in R2 going into the community unsupervised and becoming intoxicated and returning to the facility; and aggressively and striking a co peer (R3). Findings Include: R2 is a [AGE] year old with the following diagnosis: type 2 diabetes and heart failure. R3 is a [AGE] year old with the following diagnosis: type 2 diabetes, heart failure, and chronic pulmonary obstructive disease. A Nursing note dated 9/28/23 at 12:42AM documents the call light was put on in R2's room. R2 had thrown all personal belongings of the roommate on the floor. R2 insisted R3 stole R2's phone. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident attended a therapeutic substance abuse program for a known history of excessive alcohol use/abuse. This affected one of three residents (R2) reviewed for therapeutic programs for alcohol abuse. This failure resulted in R2 going into the community and becoming intoxicated returning to the facility striking a co-peer. Findings Include: R2 is a [AGE] year old with the following diagnosis: type 2 diabetes and heart failure. R2 admitted to the facility on [DATE]. A Nursing note dated 8/28/23 documents V2 (Director of Nursing) spoke with R2 regarding bringing alcohol into the facility. R2 denied bringing alcohol into the facility, but a half empty bottle of vodka was found on the floor underneath R2's bed. R2 was educated on drinking alcohol with prescribed medications and on bringing alcohol into the facility. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide a safe and comfortable home-like environment that supported and enhanced each resident's overall quality of life by not maintaining an effective preventative maintenance plan due to having several resident rooms with peeling/rolling wallpaper, holes in walls, black colored stains to multiple walls and window curtains, broken wall tiles in shower room and scraped/chipped paint to floor of shower room stalls on all three floors. This failure directly affected 5 residents (R1, R2, R3, R4, R8) and cumulatively affects all 170 residents who currently reside in the facility.
Inspectors wroteBased on observations, interview, and record review facility failed to maintain an effective pest control program to support a sanitary environment and to enhance each residents' quality of life due to the continued presence of pests throughout the facility. This failure has the potential to affect all 170 residents who currently reside in the facility.
6 fire safety citations on file: 3 on May 7, 2026, 3 on February 7, 2025.
| Date | Penalty | Amount or length |
|---|---|---|
| May 7, 2026 | Payment Denial | 10 days from June 5, 2026 |
| February 2, 2026 | Fine | $22,984 |
| May 12, 2025 | Fine | $12,929 |
| January 31, 2025 | Fine | $173,339 |
| January 31, 2025 | Payment Denial | 3 days from February 28, 2025 |
| May 16, 2024 | Fine | $13,910 |
| February 18, 2024 | Fine | $63,388 |
| February 18, 2024 | Payment Denial | 23 days from March 16, 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) | 3.08 | 3.45 | 3.86 |
| Registered nurses | 0.37 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.68 | 3.07 | 3.42 |
| Nurse aides | 1.77 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 48.2% | 44.5% | 45.8% |
| Registered nurse turnover | 46.7% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.49 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 3.25 on weekdays and 2.68 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.60 in April to June 2025 to 3.08 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 | 3.08 | 0.37 | 3.25 | 2.68 | 3.2% | 0 of 90 | 181 |
| Oct to Dec 2025 | 3.14 | 0.31 | 3.28 | 2.78 | 2.1% | 0 of 92 | 190 |
| Jul to Sep 2025 | 3.38 | 0.32 | 3.55 | 2.95 | 3.8% | 0 of 92 | 186 |
| Apr to Jun 2025 | 3.60 | 0.41 | 3.79 | 3.11 | 8.2% | 0 of 91 | 181 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.0 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.1 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.2 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.7 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.5 | 13.8 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Thryve of Crestwood's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (31.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
31.5% 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. 57 eligible stays.
13.0% this home
No different from the national rate
US median of homes 10.7% · Illinois: 2 better, 14 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 55 eligible stays.
7.3% 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. 29 eligible stays.
22.7% this home
Median of homes: Illinois50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 22 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. 32 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. 32 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. 8 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: CRESTWOOD REHABILITATION CENTER LLC. CMS links this home to Aliya Healthcare, a group of 14 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Elaine Rothner Legacy Trust | 5% or greater direct ownership interest | Organization | 6% | 03/28/2022 |
| Rothner, William | 5% or greater direct ownership interest | Individual | 40% | 03/28/2022 |
| Israel, Levi | Operational/managerial control | Individual | 01/01/2023 | |
| Jackson, Pashence | Operational/managerial control | Individual | 02/09/2024 | |
| Elaine Rothner Legacy Trust | Trustee of the SNF | Organization | 03/28/2022 | |
| Atied Associates LLC | Adp of the SNF | Organization | 03/28/2022 | |
| Elaine Rothner Legacy Trust | Adp of the SNF | Organization | 03/28/2022 | |
| Extended Care Clinical LLC | Adp of the SNF | Organization | 03/28/2022 | |
| Extended Care Consulting LLC | Adp of the SNF | Organization | 03/28/2022 | |
| Roth & Co, LLP | Adp of the SNF | Organization | 01/08/2025 | |
| Asadullah, Khaja | Adp of the SNF | Individual | 02/01/2002 | |
| Jackson, Pashence | Adp of the SNF | Individual | 02/09/2024 | |
| Rothner, William | Adp of the SNF | Individual | 03/28/2022 |
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.
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.