1725 South Wabash, Chicago, IL 60616 · Cook County · (312) 922-2777
210 certified beds, about 198 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145632 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 24, 2026, inspectors cited 12 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 67 health citations since September 2023, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $152,896 in the last three years; the largest was $86,090, and the latest is dated February 21, 2025.
Nurses and nurse aides worked 3.64 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
61.5% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Legacy Healthcare, an affiliated group of 95 nursing homes.
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 67 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to report an allegation of missing property for one resident (R2) of three residents reviewed for abuse.
Inspectors wroteBased on interview and record review the facility failed to investigate and correct the allegation of missing items for one (R2) of three residents reviewed.
Inspectors wroteBased on interview and record review, the facility failed to prevent loss or potential diversion of a controlled substance medication. This failure affects one (R3) resident out of three residents reviewed for medications.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure proper food item labeling, failed to discard expired food items and proper sanitization of kitchenware. This failure has the potential to affect 158 residents that eat food from the kitchen.
Inspectors wroteBased on observations, interviews and review of records, the facility failures related to infection prevention and control are as follows:Failed to follow Water Management Program, Policy and recommendations for identified presence of Legionnaires in the shower room. Failed to maintain clean towels in the laundry room free from possible contamination related to unclean environment. Failed to ensure that inhaler medication and nebulizer mask on the bedside are stored in clean areas to prevent infection for 1 resident (R1). Failed to ensure that a multi-use wrist blood pressure monitor, a pulse oximeter and a thermometer were properly cleaned and disinfected in between resident use for four (R29, R50, R199, and R213) residents in a total sample of 35. [...]
Inspectors wroteBased on review of records and interviews the facility failed to follow influenza and pneumococcal policies for offering and providing timely education prior to obtaining vaccination consent for 4 out of 5 residents (R1, R2, R4 and R16) for a total sample of 35 residents reviewed for immunization. These failures are not in accordance with facility's vaccination/immunization policies for 4 residents (R1, R2, R4 and R16) who did not receive influenza and/or pneumonia vaccine(s) that may help in preventing infection(s).
Inspectors wroteBased on review of records and interviews the facility failed to follow Covid-19 Vaccination policy for offering vaccine for 4 out of 5 residents (R1, R2, R4 and R16) for a total sample of 35 residents reviewed for immunization. These failures are not in accordance with facility's vaccination/immunization policies for 4 residents (R1, R2, R4 and R16) who did not receive updated Covid-19 vaccine that may help in preventing infection.
Inspectors wroteBased on observation, interview and record review the facility failed to follow their policy by not ensuring call lights were within reach for three (R42, R47, R99) residents of 7 residents reviewed for call lights in a sample of 35 residents.
Inspectors wroteBased on review of records and interviews, the facility failed to ensure complete PASRR Level 1 was done to 1 out of 7 residents (R64) for a total sample of 35 residents. These failures affected 1 resident's (R64) determination of proper placement.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to provide ADL (Activities of Daily Living) care, supervision and/or touch assistance, nail care, shaving, eating assistance for three (R13, R46, R123) residents, who require assistance with ADL's, of nine residents reviewed for ADL care in a sample of 35.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a low air loss mattress device was on the correct setting for 1 out of 2 residents (R4) for a total sample of 35 residents. This failure has potential to affect 1 resident (R4) at risk for a worsening pressure ulcer. Findings Include:On 4/21/26 at 1:23 PM, surveyor entered R4's room. R4 was observed lying in bed. R4 was on a low air loss mattress, setting noted below 80 pounds (lbs.). On 4/21/26 at1.28 pm, Surveyor and V8 (Registered Nurse) entered R4's room, V8 stated mattress not set to the right pressure, V8 changed the setting to 140lbs based on the current weight. V8 stated nurses can change the settings according to the current weight. The purpose of low air loss mattress is to offload pressure points. If it is not in the correct setting it can cause problems. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide proper tracheostomy care for one resident (R7) in a total sample of 35 residents reviewed. Findings Include:R7's face sheet documents that R7's diagnosis is not limited to cerebral infarction, Respiratory Disorder, Acute and Chronic Respiratory Failure, Myocardial Infarction, Emphysema and resident is on tracheostomy requiring continuous oxygen. R7's care plan with review date of 07/21/2025 documents in part, ensure that call light cord within easy reach, elevate head of bed, as needed, trach-suction secretions as needed, observe color, amount and consistency of sputum, provide over-bed table for positioning comfort while sleeping, remind to deep breath and cough. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure proper pharmaceutical services to meet a resident's needs which includes acquiring and accurately administering a medication for one (R213) resident out of five residents reviewed in a total sample of 35.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a medication error rate of less than 5% for three (R23, R199, and R213) of five residents reviewed for medication administration resulting in a 12% error rate.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a accessible functioning call light for one resident (R7) in a total sample of 35. Findings Include:R7's face sheet documents that R7 diagnosis is not limited to cerebral infarction, Respiratory Disorder, Acute and Chronic Respiratory Failure, Myocardial Infarction, Emphysema and resident is on tracheostomy. R7's care plan with review date of 07/21/2025 documents in part, ensure that call light cord within easy reach. R7's MDS (minimum data set) dated 02/09/2026 , documents that R7 does not score on the BIMS (brief interview for mental status), indicating that R7 is cognitively impaired. On 04/22/2026 at 11:29 AM, this surveyor observed R7 laying on his bed in a semi-flower position. R7's tracheostomy tubing was positioned to the right side of the neck, while the oxygen was on. [...]
Inspectors wroteBased on interviews and records review that facility failed to provide adequate supervision for one (R1) resident in a sample of four reviewed. This failure has the potential to affect all residents who need an escort while out of the facility on an appointment. R1's current face sheet documents R1 is a [AGE] year-old individual with medical diagnoses that include but not limited to: other encephalopathy, opioid abuse, uncomplicated, malignant neoplasm of overlapping sites of left female breast. MDS (Minimum Data Set) section C dated Sep 29, 2025, documents R1's Brief Interview for Mental Status (BIMS) as 12/15 indicating R1 has moderate cognitive impairment. On 09/30/2025 at 10:24 AM, V3 (Registered Nurse-RN) stated R1 needs an escort to appointments for safety because R1 gets confused and R1 can be in danger of getting lost or being abused if R1 goes to appointments alone. [...]
Inspectors wroteBased on interview and record review, the facility failed to follow wound care specialist's recommendation to treat a resident's pressure ulcer and failed to revise the comprehensive care plan addressing a resident's new skin alteration. These failures affected one (R1) out of three residents reviewed for wound care. Finding Include:R1's clinical records show an original admission date of 6/12/25 with included diagnoses but not limited to acute and chronic respiratory failure with hypoxia, anoxic brain damage, and encounter for attention to tracheostomy, and gastrostomy. R1's progress notes show R1 was discharged to hospital on 7/7/25, 7/11/25, 7/19/25, 8/9/25, 8/23/25, and 9/6/25. readmitted back to facility on 7/9/25, 7/15/25, 7/26/25, 8/20/25, and 8/31/25. [...]
Inspectors wroteBased on observations interviews, and record reviews, facility failed to follow their policy to ensure residents have a homelike environment for 3 (R1, R8, R9) out 5 residents reviewed for homelike environment in a sample of 11.
Inspectors wroteBased on interview and record review, the facility failed to ensure hemodialysis services were provided 3 times weekly as ordered by physician to a resident (R5). This failure has the potential to affect 1 (R5) of 3 residents reviewed for Quality of Care /Treatment.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure food items were properly labeled and dated, and failed to ensure kitchen staff wore appropriate hair covering. These failures have the potential to affect all 153 residents receiving food prepared in the facility's kitchen.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to follow their infection control policies and procedures by not having the correct transmission-based precaution signage for two residents (R151, R290), failed to place an isolation cart outside a resident's (R290) room who was on contact isolation, failed to ensure two residents (R16, R181) were placed on Enhanced Barrier Precautions (EBP), and failed to wear the appropriate personal protective equipment when entering a COVID-19 positive resident's (R151) room. The facility also failed to have policies and procedures for distributing information regarding the risks associated with shingles and how to protect the residents against the varicella-zoster virus, HIV, Hepatitis B, and Hepatitis C screening and (c) Hepatitis B immunization. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the appropriate side rails were used for three residents (R16, R28, R144), and failed to follow their policy and evaluate the use of side rails at least quarterly for two (R132, R99) residents out of a total sample of 35 residents. Findings Include: 1. On 2/18/25 at 11:54 AM, R16 was lying in bed alert with some forgetfulness and noted with three half side rails up; 2 half upper rails and 1 half lower rail. Reviewed R16's side rail assessment dated [DATE] revealed R16 was assessed to only use 2 half-length rails for assistive device to turn and reposition and/or transfer. R16's Minimum Data Set (MDS) dated [DATE] shows R16 is cognitively impaired and needs staff assistance with activities of daily living (ADLs). 2. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to safely secure medication in a locked storage area to limit access to unauthorized personnel for 1 (R442) resident. The facility also failed to properly date opened multi-dose inhalers for 1 resident (R46), failed to properly date opened multi-dose insulin pens for 3 residents (R16, R51, R129), and failed to ensure opened multi-dose insulin pens were stored to prevent the potential for cross contamination for 2 residents (R51, R129) from one of five medication carts and one of three medication rooms inspected for medication storage and labeling. Findings Include: On 2/18/25 at 10:46 AM, inspected first floor medication cart 2 with V6 (Agency Registered Nurse) and noted R46's Arnuity Ellipta inhaler without the date opened written on the label. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to prepare pureed food in appropriate diet consistency form. This failure has the potential to affect 19 residents (R3, R11, R16, R17, R20, R28, R43, R55, R59, R65, R85, R88, R95, R130, R138, R144, R148, R175, R184) receiving pureed diets prepared in the facility kitchen based on list of residents receiving pureed diets dated 02/18/25. Findings Include: On 02/18/25 at 12:40 PM, observed R138 sitting in room eating lunch. Observed a pile of food particles on the side of R138's plate. R138's meal ticket list Cardiac-Pureed. Observed R138 put a spoon full of pureed ham into mouth and then take her fingers to pull out particles of food from her mouth and place them into the pile on the side of the plate. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide therapeutic diets and dietary interventions as prescribed by the physician and Registered Dietitian for four residents (R31, R138, R158, R391) reviewed in a total sample of 35.
Inspectors wroteBased on interviews and record reviews, the facility failed to identify a resident's (R113) code status for one out of 35 residents reviewed for advanced directives.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to follow their policy and assess a resident's (R99) need for restraints at least quarterly for one resident out of a total sample of 35 residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure low air loss mattress devices were on the correct weights setting for a resident (R56) with current pressure ulcer and for a resident (R66) who is high risk in developing pressure ulcers. This failure has the potential to affect two (R56, R66) out of two residents reviewed for pressure ulcer care in a final sample of 35. Findings Include: On 2/18/25 at 12:16 PM and on 2/19/25 at 10:57 AM, R56 was noted lying in bed and noted on a low air loss mattress with the machine set to 120 pounds (lbs.). On 2/18/25 at 12:14 PM, R66 was sleeping in bed and noted on a low air loss mattress with the weight dial on the machine set to 180 lbs. On 2/19/25 at 10:49 AM, R66 was lying in bed alert and able to verbalize needs still noted on a low air loss mattress with the weight dial on the machine set to 180 lbs. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the smoking policy and smoking assessment to ensure that smoking materials are not kept by the resident in their room. This failure has the potential to effect 2 (R110, R141) residents reviewed for smoking in a total sample of 35.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their policies and procedures to ensure a resident received medications according to the physician's order for 1 (R441) out of 8 residents reviewed for pharmaceutical services. The facility also failed to follow their policies and procedures to properly dispose of controlled substances dispensed to its residents due to discontinuance of the medication, and failed to account for and dispose of controlled medications in a manner that would decrease the possibility of loss or diversion. These failures were found for two residents (R35, R162) during narcotic reconciliation from two out of five inspected medication carts.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident's food preference was followed for one (R81) out of 3 residents reviewed during dining observation in a final sample of 35. Findings Include: On 2/18/25 at 1:00 PM, Surveyor entered R81's room and observed R81's eating lunch in bed alert and able to verbalize needs. R81 stated, What is this on my plate? I don't see it listed on this menu (R81 pointed at her meal ticket). I don't want to eat it. I don't know what it is. I don't eat pork or beef. Do you know what type of meat this is? Surveyor observed R81's lunch tray with diced carrots, pudding, cornbread, diced sweet potato, and ham with gravy. R81 stated that [R81] cannot eat beef of pork because R81 gets indigestion. R81 stated that the kitchen staff knows that R81 does not eat beef or pork. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to administer influenza and pneumococcal vaccines in a timely manner for three residents (R93, R118, R151) out of five residents reviewed for immunizations.
Inspectors wroteBased on interviews and record reviews, the facility failed to administer a COVID-19 vaccination in a timely manner for one resident (R118) out of five residents reviewed for immunizations.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents who are unable to carry out ADLs (Activities of Daily Living) received the necessary services to maintain good grooming for 2 (R1, R6) of 6 (R1,R2, R3, R4, R5, R6) residents reviewed for ADL care. This failure resulted in the facility failing to comb and shampoo hair for Resident's (R1, R6). Findings Include: [...]
Inspectors wroteBased on interviews and record reviews, facility failed to follow their policy to investigate an allegation of abuse for one of three residents (R4) in the sample of four.
Inspectors wroteBased on interview and record review, the facility failed to properly identify/assess a resident (R1) for the source of an injury in a timely manner and failed to recognize and/or assess risk factors placing the resident at risk for specific conditions and/or problems. This failure was for one (R1) resident out of three residents reviewed for injury of unknown origin in the sample of four.
Inspectors wroteBased on interviews and record reviews, the facility failed to follow care plan interventions to provide adequate supervision as per facility policy, to avoid fall accidents for 1 (R2) out of 3 residents, in a total sample of 3 residents reviewed accidental hazards. This failure resulted to R2 sustaining a frontal lobe hematoma which led to intraparenchymal hemorrhage.
Inspectors wroteBased on interview and record review, the facility failed to notify resident's Responsible Party of pressure ulcer changes for 1 (R8) of 4 (R1, R2, R3) residents reviewed for pressure ulcers. Findings Include: [...]
Inspectors wroteBased on records review and interview the facility failed to provide an individualized or person-centered care plan for a resident who has an order for restraints due to pulling out of tracheostomy care. This failure applies to 1 out of 4 residents (R1) reviewed for plan of care. This failure has affected 1 resident (R1) by pulling his tracheostomy the second time.
Inspectors wroteBased on record reviews, interviews, and observation the facility fails as follows: to provide respiratory care as per physician's order; to provide interventions for plan of care that would help prevent tracheostomy dislodgement; to provide close monitoring of tracheostomy for a resident with history of multiple incidents of decannulation or dislodgement by following physician's order and/or plan of care. These failures apply to 1 out of 4 residents (R1) reviewed for respiratory care via tracheostomy. These failures that include not closely monitoring, not following physician orders and/or care plan interventions resulted in facility staff not being aware of decannulation or dislodgement of tracheostomy that provides oxygenation essential for 1 resident's (R1) airway. R1 was found expired with tracheotomy dislodgement.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow policy procedures, failed to assess wounds timely, failed to ensure that wound care orders are transcribed as directed, failed to implement care plan interventions (monitor dressing, report loose dressing, report signs/symptoms of infection), failed to ensure that Nurse's Notes were documented - as indicated on the TAR (Treatment Administration Record) and/or failed to follow physician orders for three of three residents (R1, R2, R3) reviewed for wound care. These failures resulted in R1 sustaining Staph (Staphylococcus) Bacteremia (presence of bacteria in the bloodstream which can occur due to tissue infection) on or about 8/2/24 which was treated with Vancomycin (Antibiotic) until 8/5/24. On 8/12/24, R1's sacrum pressure ulcer developed a foul odor (indicative of infection).
Inspectors wroteBased on observation, interview and record review, the facility failed to review the risks and benefits of bed rails, failed to perform a bed rail assessment, and failed to obtain a physician order for bed rails for one of three residents (R11) reviewed for injury of unknown origin.
Inspectors wroteBased on record reviews and interviews the facility failed as follows: failed to follow preventive measures in placing intervention of skin moisture barriers as per facility policy; failed to follow Wound Nurse Practitioner recommendation for dietitian to consult and assess in a timely manner; failed to provide interventions of multivitamin and zinc sulfate per Wound Specialist Assessment; failed to provide protein supplement due to delay of nutritional assessment; and failed to ensure orders by Wound Nurse Practitioner for laboratory testing and antibiotic therapy was carried out. All failures apply to 1 out of 4 residents (R1) in a total sample of 4 residents reviewed for prevention and treatment of pressure injuries. These failures affected 1 resident (R1) and resulted in R1 sustaining pressure injuries and R1's transfer to hospital due to sepsis/infection of pressure injuries.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident received enteral nutrition feedings via G-tube per physician orders for one (R2) resident out of three residents reviewed.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed the following practices related to the kitchen: failed to follow the policy on maintaining a clean kitchen environment; failed to follow the policy on labeling and dating food stored in bins; failed to discard food beyond suggested date for consumption; failed to ensure the strip used for testing the 3-compartment sink was not expired; and failed to ensure a thermometer is available to monitor temperature of the freezers. These failures of practices have the potential to affect all 149 residents taking food by mouth.
Inspectors wroteBased on observations, interviews and records review, the facility failed to label and store medications according to their policy for ten residents (R44, R49, R93, R98, R105, R110, R118, R158, R337, R338) in a sample of 36.
Inspectors wroteBased on observations, interviews and records review, the facility failed to perform refrigerator checks for four residents (R14, R54, R92, R336) in a sample of 36 according to facility policy.
Inspectors wroteBased on interview and record review, the facility failed to ensure bedtime snacks were offered to two of five residents (R158, R97) reviewed for bedtime snacks in the sample of 36.
Inspectors wroteBased on interview and record review, the facility failed to provide Notice of Medicare Non-Coverage for 3 (R387, R388, and R389) out of three residents reviewed for skilled nursing facility advance beneficiary notice of non-coverage in a sample of 36.
Inspectors wroteBased on interviews and records review, the facility failed to provide proper medication by failing to administer medication as ordered to one (R286) of seven residents reviewed for medications. This deficiency has the potential to affect R286's healing from infection.
Inspectors wroteBased on interview, and record review the facility failed to get consent for psychotropic medication before starting to administer medications for one (R127) out of seven residents reviewed for psychotropic medication administration in a sample of 36.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to implement education and ensure that its visitor demonstrates proper use of transmission-based precautions to prevent the spread of infections for 1 out of 2 residents (R44) for a total sample of 36 residents. 02/27/24 at 1:11 PM surveyor observed R144's wife at bedside, moving R144's leg and his indwelling foley catheter tubing and not wearing proper personal protective equipment/PPE. 02/27/24 at 1:14 PM, surveyor observed V9 (Infection Preventionist) wearing personal protective equipment/PPE (gown, mask, and gloves) in R144's room. 02/28/24 at 2:23 PM V9 (Infection Preventionist) said that the infection that R144 has is no longer in need to be under contact precautions but instead is on enhanced barrier based precautions. [...]
Inspectors wroteBased on interviews and records review, the facility failed to administer/offer the pneumococcal vaccine to two (R30, R42) of five residents reviewed for vaccines. This deficiency has the potential to expose R20 and R42 to serious illness related to pneumococcal infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that two (R1, R2) residents remain free from abuse. This failure resulted in R1 and R2 being sexually abused by V3(CNA).
Inspectors wroteBased on observations, interviews and record review the facility failed to provide reasonable access to the use of a telephone to five (R7, R8, R9, R10, R11) residents reviewed for phone access. This deficiency has the potential to affect R7, R8, R9, R10, R11's ability to receive/ make calls without being overheard.
Inspectors wroteBased on record reviews and interviews, the facility failed to properly reconcile medication for a resident to the physician or nurse practitioner (NP) that includes diabetic care, failed to follow the diabetic management policy, failed to document, or record medications ordered to be administered on the MAR (medication administration record) for 1 out of 3 residents (R3) reviewed for improper nursing care. These failures have the potential to affect 1 resident in receiving care while in the facility.
Inspectors wroteBased on record reviews and interviews the facility failed to provide accurate progress notes, created new notes by separating single notes with different dates and putting additional notes after discharge of the resident. These failures have the potential to result in inaccurate documentation as to actual or factual events that happened as recorded.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow their policy to reposition a dependent resident in a timely manner to prevent worsening of a pressure ulcer for 1 (R20) out of three residents reviewed for pressure ulcer. This failure led to the resident's pressure ulcer worsening.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents who depend on staff for ADL (Activities of Daily Living) care received nail care, incontinence care and grooming care. This failure affected 4 residents (R2, R6, R12, and R14) reviewed for ADL care in the total sample of 23 residents.
Inspectors wroteBased on observation, interviews and record review the facility failed to ensure that staff knocks before entering the room of one resident R10. This failure has affected 1 of 23 residents reviewed for privacy.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure the call device is within reach for 1 (R12) resident reviewed for call device in a total sample of 23 residents.
Inspectors wroteBased on interview and record review, the facility failed to notify a family representative of a change in condition which affected one (R13) resident reviewed for policy and procedure in a total sample of 23 residents.
Inspectors wroteBased on interviews and record review, the facility failed to ensure that 1 resident was given scheduled medication. This deficiency affected 1 out of 3 residents reviewed for Physician orders.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the Low Air Loss Mattress was not set to Static Mode and failed to ensure the Low Air Loss Mattress was layered per facility policy. These failures affected 1 (R2) resident reviewed for pressure ulcer/injury prevention and treatment in a total sample of 23 residents.
Inspectors wroteBased on observation, interviews and record review, the facility failed to prevent a colostomy bag from overflowing and spilling onto one resident (R19). This failure has the potential to affect 5 residents that reside in the facility with colostomies.
Inspectors wroteBased on observation, interviews, and record review the facility failed to ensure that one resident's (R8) humidifier bottle had the required amount of water for one resident (R8) from a sample of 23 residents reviewed for care. This failure has the potential to affect 22 other residents (besides R8) with tracheostomies.
Inspectors wroteBased on interview and record review, the facility failed to ensure resident's allergies and intolerance were recorded on the resident electronic health record. This failure affected 1 (R3) resident reviewed for food allergies and intolerance in the total sample of 23 residents.
22 fire safety citations on file: 6 on April 24, 2026, 5 on February 21, 2025, 11 on March 1, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| February 21, 2025 | Payment Denial | 3 days from April 2, 2025 |
| October 25, 2024 | Fine | $14,260 |
| July 19, 2024 | Fine | $52,546 |
| July 19, 2024 | Payment Denial | 13 days from August 15, 2024 |
| January 31, 2024 | Fine | $86,090 |
| January 31, 2024 | Payment Denial | 38 days from February 23, 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) | 3.64 | 3.45 | 3.86 |
| Registered nurses | 0.50 | 0.72 | 0.69 |
| All nursing staff on weekends | 3.52 | 3.07 | 3.42 |
| Nurse aides | 1.99 | ||
| Licensed practical nurses | 1.15 | ||
| Nursing staff turnover (share who left in a year) | 61.5% | 44.5% | 45.8% |
| Registered nurse turnover | 61.1% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.44 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 3.68 on weekdays and 3.52 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.75 in April to June 2025 to 3.64 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 | 3.64 | 0.50 | 3.68 | 3.52 | 17.6% | 0 of 90 | 198 |
| Oct to Dec 2025 | 3.70 | 0.45 | 3.73 | 3.62 | 14.7% | 0 of 92 | 191 |
| Jul to Sep 2025 | 3.64 | 0.50 | 3.68 | 3.57 | 18.2% | 0 of 92 | 194 |
| Apr to Jun 2025 | 3.75 | 0.59 | 3.81 | 3.60 | 29.5% | 0 of 91 | 190 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.4 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 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 | 0.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.3 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.9 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.5 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.0 | 2.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Warren Barr South Loop's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (43.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
43.4% 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. 276 eligible stays.
10.4% 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. 228 eligible stays.
9.4% 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. 108 eligible stays.
43.7% 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. 71 residents counted.
1.2% 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. 167 residents counted.
1.6% 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. 167 residents counted.
100.0% this home
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. 50 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: SOUTH LOOP SKILLED NURSING FACILITY, LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | 5% or greater direct ownership interest | Organization | 50% | 05/03/2017 |
| Gpn Family Trust U/a/D 4/28/08 | 5% or greater direct ownership interest | Organization | 50% | 05/03/2017 |
| Fnr Chicago Sl LLC | 5% or greater security interest | Organization | 06/15/2016 | |
| Lake Forest Bank & Trust Company, N.a. | 5% or greater security interest | Organization | 12/01/2024 | |
| Shabat, Menachem | Managing control - governing body | Individual | 05/03/2017 | |
| Lake Forest Bank & Trust Company, N.a. | Operational/managerial control | Organization | 12/01/2024 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 06/15/2016 | |
| Bhalla, Samir | Operational/managerial control | Individual | 01/01/2025 | |
| Shabat, Menachem | Operational/managerial control | Individual | 05/03/2017 | |
| Temple, Derek | Operational/managerial control | Individual | 01/01/2025 | |
| Doros Generation Trust U/a/D 1/3/12 | Adp of the SNF | Organization | 06/15/2016 | |
| Fnr Chicago Sl LLC | Adp of the SNF | Organization | 06/15/2016 | |
| Gpn Family Trust U/a/D 4/28/08 | Adp of the SNF | Organization | 06/15/2016 | |
| Legacy Healthcare Financial Services LLC | Adp of the SNF | Organization | 12/03/2025 | |
| Rsm Us LLP | Adp of the SNF | Organization | 01/01/2024 | |
| Bhalla, Samir | Adp of the SNF | Individual | 01/01/2025 | |
| Shabat, Menachem | Adp of the SNF | Individual | 05/03/2017 | |
| Temple, Derek | Adp of the SNF | Individual | 01/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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