Bria Of Elmwood Park

Penalties

• Mar 29, 2026 — Fine ($89,700)
• Mar 29, 2026 — Payment Denial · payment denial 24 days
• Dec 1, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Dec 1, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Dec 1, 2025 — Fine ($112,555)
• Sep 4, 2025 — Fine ($22,315)
• Sep 4, 2025 — IDPH fine (Nursing Home Care Act) ($25,000)
• Jun 11, 2025 — Fine ($14,505)
• Jun 11, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Feb 3, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Feb 3, 2025 — IDPH fine (Nursing Home Care Act) ($25,000)
• Feb 3, 2025 — Fine ($48,344)
• Jan 7, 2025 — IDPH fine (Nursing Home Care Act) ($25,000)
• Jan 7, 2025 — Fine ($12,425)
• Dec 24, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)
• Dec 16, 2024 — Fine ($31,993)
• Aug 14, 2024 — Fine ($12,519)
• Aug 14, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)
• Mar 20, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
• Feb 21, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)
• Feb 21, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)
• Feb 21, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
• Feb 21, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)
• Jan 11, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
• Dec 12, 2023 — Fine ($222,671)
• Dec 12, 2023 — Payment Denial · payment denial 75 days
• Dec 12, 2023 — IDPH fine (Nursing Home Care Act) ($2,200)
• Sep 21, 2023 — Fine ($49,952)

Inspection findings

1. May 27, 2026 Health · 6 findings
   • Not serious Scope/severity D Complaint

     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 May 28, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected May 28, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected May 28, 2026 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0725 Nursing and Physician Services Deficiencies

     Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

     Corrected May 28, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 28, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected May 28, 2026 · CMS health inspection

2. Mar 29, 2026 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Apr 22, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0658 Resident Assessment and Care Planning Deficiencies

     Ensure services provided by the nursing facility meet professional standards of quality.

     Corrected Apr 22, 2026 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Apr 22, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0725 Nursing and Physician Services Deficiencies

     Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

     Corrected Apr 22, 2026 · CMS health inspection

3. Feb 9, 2026 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Feb 10, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0658 Resident Assessment and Care Planning Deficiencies

     Ensure services provided by the nursing facility meet professional standards of quality.

     Corrected Feb 10, 2026 · CMS health inspection

   • Not serious Scope/severity D 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 Feb 10, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0849 Administration Deficiencies

     Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

     Corrected Feb 10, 2026 · CMS health inspection

4. Jan 11, 2026 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0550 Resident Rights Deficiencies

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

     Corrected Jan 12, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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 Jan 12, 2026 · CMS health inspection

5. Dec 24, 2025 Health · 3 findings
   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Dec 25, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Dec 25, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0773 Administration Deficiencies

     Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

     Corrected Dec 18, 2025 · CMS health inspection

6. Dec 11, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0627 Resident Rights Deficiencies

     Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

     Corrected Dec 12, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 12, 2025 · CMS health inspection

7. Dec 1, 2025 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Dec 2, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Dec 25, 2025 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Dec 2, 2025 · CMS health inspection

   • 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), and 300.1210d)3). 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).

     Statement of deficiencies (PDF)

   • 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), 300.3240a), 300.3240b), 300.3240c), and 300.3240g). 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:300.3240a).

     Statement of deficiencies (PDF)

8. Nov 18, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0725 Nursing and Physician Services Deficiencies

     Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

     Corrected Nov 19, 2025 · CMS health inspection

9. Sep 4, 2025 Health · 2 findings
   • 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 Sep 5, 2025 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), and 300.1210b). 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).

     Statement of deficiencies (PDF)

10. Jul 9, 2025 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Jul 15, 2025 · CMS health inspection

11. Jun 11, 2025 Health · 2 findings
    • Serious Scope/severity G Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Jun 12, 2025 · CMS health inspection

    • 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), 300.1210b), and 300.1210d)2). 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).

      Statement of deficiencies (PDF)

12. May 16, 2025 Health · 1 finding
    • Not serious Scope/severity D 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 May 23, 2025 · CMS health inspection

13. Apr 25, 2025 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Apr 30, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      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 Apr 30, 2025 · CMS health inspection

14. Feb 3, 2025 Fire Safety · 25 findings
    • Not serious Scope/severity F

      E0015 Emergency Preparedness Deficiencies

      Address subsistence needs for staff and patients.

      Corrected Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0022 Emergency Preparedness Deficiencies

      Establish policies and procedures for sheltering.

      Corrected Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0030 Emergency Preparedness Deficiencies

      List the names and contact information of those in the facility.

      Corrected Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0037 Emergency Preparedness Deficiencies

      Establish staff and initial training requirements.

      Corrected Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity F Complaint

      F0565 Resident Rights Deficiencies

      Honor the resident's right to organize and participate in resident/family groups in the facility.

      Corrected Feb 4, 2025 · CMS health inspection

    • Serious Scope/severity G

      F0658 Resident Assessment and Care Planning Deficiencies

      Ensure services provided by the nursing facility meet professional standards of quality.

      Corrected Feb 4, 2025 · CMS health inspection

    • Serious Scope/severity G

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Feb 4, 2025 · CMS health inspection

    • Serious Scope/severity J

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Feb 4, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Feb 4, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Feb 4, 2025 · CMS health inspection

    • Not serious Scope/severity D

      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 Feb 4, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0839 Administration Deficiencies

      Employ staff that are licensed, certified, or registered in accordance with state laws.

      Corrected Feb 4, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Feb 4, 2025 · CMS health inspection

    • Not serious Scope/severity E

      K0222 Egress Deficiencies

      Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      Corrected Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity E

      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 Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

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

      Corrected Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Mar 17, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0355 Smoke Deficiencies

      Properly select, install, inspect, or maintain portable fire extinguishes.

      Corrected Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0531 Services Deficiencies

      Have elevators that firefighters can control in the event of a fire.

      Corrected Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0915 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper power supply for life support equipment.

      Corrected Apr 10, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Feb 10, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Feb 10, 2025 · CMS fire safety

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.1210b), and 300.1210d)3). 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).

      Statement of deficiencies (PDF)

    • 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: 300.1210b), 300.1210d)3), and 300.1630a). 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).

      Statement of deficiencies (PDF)

15. Jan 7, 2025 Health · 2 findings
    • 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 Jan 8, 2025 · CMS health inspection

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b)5), 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)

16. Dec 24, 2024 Health · 2 findings
    • Serious Scope/severity G Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Dec 25, 2024 · CMS health inspection

    • 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), and 300.1210d)3)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: 300.1210d)6).

      Statement of deficiencies (PDF)

17. Dec 16, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      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 Dec 17, 2024 · CMS health inspection

18. Nov 22, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0658 Resident Assessment and Care Planning Deficiencies

      Ensure services provided by the nursing facility meet professional standards of quality.

      Corrected Nov 23, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Nov 23, 2024 · CMS health inspection

19. Nov 17, 2024 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0774 Administration Deficiencies

      Help the resident with transportation to and from laboratory services outside of the facility.

      Corrected Nov 18, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0804 Nutrition and Dietary Deficiencies

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

      Corrected Nov 18, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0809 Nutrition and Dietary Deficiencies

      Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

      Corrected Nov 18, 2024 · CMS health inspection

20. Oct 21, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Oct 22, 2024 · CMS health inspection

21. Aug 14, 2024 Health · 6 findings
    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Aug 15, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Aug 15, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0678 Quality of Life and Care Deficiencies

      Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

      Corrected Aug 15, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Aug 15, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0836 Administration Deficiencies

      Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

      Corrected Aug 15, 2024 · CMS health inspection

    • 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), 3001210a), 300.1210b), and 300.3240a). 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 300.3240a).

      Statement of deficiencies (PDF)

22. Mar 20, 2024 Health · 4 findings
    • Not serious Scope/severity D Complaint

      F0658 Resident Assessment and Care Planning Deficiencies

      Ensure services provided by the nursing facility meet professional standards of quality.

      Corrected Mar 21, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Mar 21, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Mar 21, 2024 · CMS health inspection

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), 300.1210c), and 300.1210d)3). 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).

      Statement of deficiencies (PDF)

23. Mar 14, 2024 Fire Safety · 47 findings
    • Not serious Scope/severity F

      E0001 Emergency Preparedness Deficiencies

      Establish an Emergency Preparedness Program (EP).

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0004 Emergency Preparedness Deficiencies

      Develop and maintain an Emergency Preparedness Program (EP).

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0006 Emergency Preparedness Deficiencies

      Conduct risk assessment and an All-Hazards approach.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0007 Emergency Preparedness Deficiencies

      Address patient/client population and determine types of services needed.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0013 Emergency Preparedness Deficiencies

      Develop Emergency Preparedness policies and procedures.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0015 Emergency Preparedness Deficiencies

      Address subsistence needs for staff and patients.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0018 Emergency Preparedness Deficiencies

      Establish procedures for tracking staff and patients during an emergency.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0020 Emergency Preparedness Deficiencies

      Establish policies and procedures including evacuation.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0022 Emergency Preparedness Deficiencies

      Establish policies and procedures for sheltering.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0023 Emergency Preparedness Deficiencies

      Establish policies and procedures for medical documentation.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0024 Emergency Preparedness Deficiencies

      Establish policies and procedures for volunteers.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0025 Emergency Preparedness Deficiencies

      Create arrangements with other facilities to receive patients.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0029 Emergency Preparedness Deficiencies

      Develop a communication plan.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0030 Emergency Preparedness Deficiencies

      List the names and contact information of those in the facility.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0031 Emergency Preparedness Deficiencies

      Provide emergency officials' contact information.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0032 Emergency Preparedness Deficiencies

      Provide primary/alternate means for communication.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0033 Emergency Preparedness Deficiencies

      Establish methods for sharing information.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0034 Emergency Preparedness Deficiencies

      Provide a means of sharing information on occupancy/needs.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0035 Emergency Preparedness Deficiencies

      Provide family notifications of emergency plan.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0036 Emergency Preparedness Deficiencies

      Establish emergency prep training and testing.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0037 Emergency Preparedness Deficiencies

      Establish staff and initial training requirements.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      E0041 Emergency Preparedness Deficiencies

      Implement emergency and standby power systems.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity D

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Mar 15, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0584 Resident Rights Deficiencies

      Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      Corrected Mar 15, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Mar 15, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Mar 15, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Mar 15, 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 Mar 15, 2024 · 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 Mar 15, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Mar 15, 2024 · CMS health inspection

    • Not serious Scope/severity E

      K0222 Egress Deficiencies

      Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0225 Egress Deficiencies

      Have stairways and smokeproof enclosures used as exits that meet safety requirements.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0271 Egress Deficiencies

      Have exits that are accessible at all times.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0311 Smoke Deficiencies

      Have an enclosure around a vertical opening shaft.

      CMS fire safety

    • Not serious Scope/severity E

      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 Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0325 Smoke Deficiencies

      Have properly installed hallway dispensers for alcohol-based hand rub.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

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

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0531 Services Deficiencies

      Have elevators that firefighters can control in the event of a fire.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0781 Miscellaneous Deficiencies

      Have restrictions on the use of portable space heaters.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0915 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper power supply for life support equipment.

      Corrected Jun 17, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Mar 14, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Mar 14, 2024 · CMS fire safety

24. Feb 21, 2024 Health · 15 findings
    • Serious Scope/severity G Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Feb 22, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from the wrongful use of the resident's belongings or money.

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      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 Feb 22, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Mar 15, 2024 · CMS health inspection

    • 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 Mar 15, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0692 Quality of Life and Care Deficiencies

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

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0697 Quality of Life and Care Deficiencies

      Provide safe, appropriate pain management for a resident who requires such services.

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0698 Quality of Life and Care Deficiencies

      Provide safe, appropriate dialysis care/services for a resident who requires such services.

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0725 Nursing and Physician Services Deficiencies

      Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      Corrected Feb 22, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0773 Administration Deficiencies

      Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

      Corrected Feb 22, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0777 Administration Deficiencies

      Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

      Corrected Feb 22, 2024 · CMS health inspection

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), and 300.1210d)5). 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)5).

      Statement of deficiencies (PDF)

    • 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), 300.1210b), 300.1210c), and 300.3240e). 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 300.3240e).

      Statement of deficiencies (PDF)

    • 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: 300.1210b) and 300.3240a). 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 300.3240a).

      Statement of deficiencies (PDF)

    • 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), 300.1010h), and 300.1210b). 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).

      Statement of deficiencies (PDF)

25. Jan 11, 2024 Health · 5 findings
    • Serious Scope/severity J Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Feb 22, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Jan 12, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Mar 21, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0835 Administration Deficiencies

      Administer the facility in a manner that enables it to use its resources effectively and efficiently.

      Corrected Jan 12, 2024 · CMS health inspection

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b) and 300.3240a). 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 300.3240a).

      Statement of deficiencies (PDF)

26. Dec 12, 2023 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Jan 12, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Mar 15, 2024 · CMS health inspection

    • 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), 300.1210b) and 300.1210d)5). 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)5).

      Statement of deficiencies (PDF)

27. Sep 21, 2023 Health · 12 findings
    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Sep 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Sep 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0635 Resident Assessment and Care Planning Deficiencies

      Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

      Corrected Sep 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0657 Resident Assessment and Care Planning Deficiencies

      Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      Corrected Sep 25, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Sep 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Sep 25, 2023 · CMS health inspection

    • 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 Sep 25, 2023 · CMS health inspection

    • Serious Scope/severity G Complaint

      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 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0777 Administration Deficiencies

      Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

      Corrected Sep 25, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Sep 25, 2023 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0881 Infection Control Deficiencies

      Implement a program that monitors antibiotic use.

      Corrected Sep 25, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0885 Infection Control Deficiencies

      Report COVID19 data to residents and families.

      Corrected Sep 25, 2023 · CMS health inspection

28. Feb 3, 2023 Fire Safety · 26 findings
    • Not serious Scope/severity F

      E0004 Emergency Preparedness Deficiencies

      Develop and maintain an Emergency Preparedness Program (EP).

      Corrected Feb 17, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0024 Emergency Preparedness Deficiencies

      Establish policies and procedures for volunteers.

      Corrected Feb 17, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0030 Emergency Preparedness Deficiencies

      List the names and contact information of those in the facility.

      Corrected Feb 17, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0037 Emergency Preparedness Deficiencies

      Establish staff and initial training requirements.

      Corrected Feb 17, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Feb 17, 2023 · CMS fire safety

    • Not serious Scope/severity D

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Feb 24, 2023 · CMS health inspection

    • Serious Scope/severity G

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Feb 24, 2023 · CMS health inspection

    • Not serious Scope/severity E

      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 Feb 24, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Feb 24, 2023 · CMS health inspection

    • Not serious Scope/severity D

      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 Feb 24, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Feb 24, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0211 Egress Deficiencies

      Keep aisles, corridors, and exits free of obstruction in case of emergency.

      Corrected Feb 8, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0222 Egress Deficiencies

      Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      Corrected Feb 16, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0311 Smoke Deficiencies

      Have an enclosure around a vertical opening shaft.

      CMS fire safety

    • Not serious Scope/severity E

      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 Feb 16, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Feb 16, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0325 Smoke Deficiencies

      Have properly installed hallway dispensers for alcohol-based hand rub.

      Corrected Feb 8, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

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

      Corrected Feb 26, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Feb 26, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Feb 26, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected Feb 8, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Feb 8, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Feb 11, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0754 Miscellaneous Deficiencies

      Provide properly sized and located linen or trash receptacles.

      Corrected Feb 8, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0761 Miscellaneous Deficiencies

      To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      Corrected Feb 27, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Feb 23, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BOSHES, JEREMY — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• BOSHES, JEREMY — adp of the snf, NOT APPLICABLE, since 01/01/2024
• NWAGWU YOULO, CHIMNOYA — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• NWAGWU YOULO, CHIMNOYA — adp of the snf, NOT APPLICABLE, since 01/01/2024
• WEINFELD, AVRUM — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• FORGE GP LLC — limited partnership interest, NOT APPLICABLE, since 01/01/2024
• FORGE GP LLC — general partnership interest, NOT APPLICABLE, since 01/01/2024
• MARVIN MERMELSTEIN FAMILY TRUST — limited partnership interest, NOT APPLICABLE, since 05/01/2023
• SEVEN SPECIES LLC — indirect ownership interest, NOT APPLICABLE, since 01/01/2024