Dupage Care Center

Penalties

• Jun 18, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)

Inspection findings

1. Sep 11, 2025 Health · 10 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Sep 29, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Sep 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     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.

     Corrected Sep 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Sep 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Sep 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Sep 29, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0133 Construction Deficiencies

     Install a two-hour-resistant firewall separation.

     Corrected Oct 15, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Oct 15, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0781 Miscellaneous Deficiencies

     Have restrictions on the use of portable space heaters.

     Corrected Oct 15, 2025 · CMS fire safety

2. Aug 23, 2024 Health · 13 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     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.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0756 Pharmacy Service Deficiencies

     Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 9, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Sep 12, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Sep 12, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Sep 12, 2024 · CMS fire safety

3. Jun 20, 2024 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 24, 2024 · CMS health inspection

4. Jun 18, 2024 IDPH docket NH 24-C0685 · 1 finding
   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), 300.1210c), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

5. Oct 26, 2023 Health · 5 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Nov 8, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Nov 3, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Nov 3, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Nov 3, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Nov 8, 2023 · CMS health inspection

6. Oct 19, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Oct 27, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BERMAN, SHAUNA — adp of the snf, NOT APPLICABLE, since 10/19/2013
• BERMAN, SHAUNA — operational/managerial control, NOT APPLICABLE, since 10/19/2013
• BOHAN, HEIDI — operational/managerial control, NOT APPLICABLE, since 04/28/2021
• BOHAN, HEIDI — adp of the snf, NOT APPLICABLE, since 04/28/2021
• BORSKE, DIANE — operational/managerial control, NOT APPLICABLE, since 02/04/2023
• BORSKE, DIANE — adp of the snf, NOT APPLICABLE, since 02/04/2023
• BUTLER, ELIZABETH — adp of the snf, NOT APPLICABLE, since 12/10/2022
• BUTLER, ELIZABETH — operational/managerial control, NOT APPLICABLE, since 12/10/2022
• CERNY, KAREN — operational/managerial control, NOT APPLICABLE, since 04/21/2014
• CERNY, KAREN — adp of the snf, NOT APPLICABLE, since 04/21/2014
• CHADWICK, JANELLE — adp of the snf, NOT APPLICABLE, since 07/24/2017
• CHADWICK, JANELLE — operational/managerial control, NOT APPLICABLE, since 07/24/2017
• COBLENTZ, SUSAN — operational/managerial control, NOT APPLICABLE, NO DATE PROVIDED
• COBLENTZ, SUSAN — adp of the snf, NOT APPLICABLE, since 05/20/2002
• GALLETA, ARLEEN — operational/managerial control, NOT APPLICABLE, since 02/06/2023
• GALLETA, ARLEEN — adp of the snf, NOT APPLICABLE, since 02/06/2023
• KLIMEK, JONATHAN — operational/managerial control, NOT APPLICABLE, since 10/14/2021
• KLIMEK, JONATHAN — adp of the snf, NOT APPLICABLE, since 10/14/2021
• LOMADILLA, ANNABEL — operational/managerial control, NOT APPLICABLE, since 02/27/2019
• LOMADILLA, ANNABEL — adp of the snf, NOT APPLICABLE, since 02/27/2019
• MEMISHA, INVA — adp of the snf, NOT APPLICABLE, since 06/28/2021
• MEMISHA, INVA — operational/managerial control, NOT APPLICABLE, since 06/28/2021
• MIELE, ANGELO — operational/managerial control, NOT APPLICABLE, since 12/01/2020
• MIELE, ANGELO — adp of the snf, NOT APPLICABLE, since 12/01/2020
• PATEL, VINIT — adp of the snf, NOT APPLICABLE, since 01/15/2008
• PATEL, VINIT — operational/managerial control, NOT APPLICABLE, since 01/15/2008
• PLATA, MARIO — adp of the snf, NOT APPLICABLE, since 01/15/2008
• PLATA, MARIO — operational/managerial control, NOT APPLICABLE, since 01/15/2008
• RAJAGOPAL, VISALAKSHI — operational/managerial control, NOT APPLICABLE, since 12/16/2013
• RAJAGOPAL, VISALAKSHI — adp of the snf, NOT APPLICABLE, since 12/16/2013
• ROMERO, RHONDA — operational/managerial control, NOT APPLICABLE, since 02/06/2023
• ROMERO, RHONDA — adp of the snf, NOT APPLICABLE, since 02/06/2023
• BAKER TILLY US LLP — operational/managerial control, NOT APPLICABLE, since 01/01/2016
• BAKER TILLY US LLP — adp of the snf, NOT APPLICABLE, since 01/01/2016
• CLIFTONLARSONALLEN LLP — adp of the snf, NOT APPLICABLE, since 03/20/2025
• DUPAGE COUNTY — adp of the snf, NOT APPLICABLE, since 08/08/1966
• DUPAGE COUNTY — 5% or greater direct ownership interest, 100%, since 08/28/1966
• SYMBRIA REHAB, INC. — adp of the snf, NOT APPLICABLE, since 11/01/2017
• SYMBRIA REHAB, INC. — operational/managerial control, NOT APPLICABLE, since 11/01/2017