Nature Trail Health And Rehab

Penalties

• Dec 8, 2025 — Fine ($28,620)
• Dec 8, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Feb 4, 2025 — Payment Denial · payment denial 10 days
• Nov 10, 2023 — IDPH fine (Nursing Home Care Act) ($25,000)

Inspection findings

1. Dec 8, 2025 Health · 9 findings
   • 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 Dec 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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 Dec 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Dec 28, 2025 · CMS health inspection

   • Serious Scope/severity G

     F0692 Quality of Life and Care Deficiencies

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

     Corrected Dec 28, 2025 · 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 Dec 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 28, 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 Dec 28, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Dec 28, 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) 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)

2. May 30, 2025 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 Jun 13, 2025 · CMS health inspection

3. Feb 4, 2025 Fire Safety · 6 findings
   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected Mar 7, 2025 · CMS fire safety

   • 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 21, 2025 · CMS health inspection

   • Serious Scope/severity G

     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 21, 2025 · CMS health inspection

   • Not serious Scope/severity B

     F0912 Environmental Deficiencies

     Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

     Corrected Feb 21, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Mar 18, 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 Mar 7, 2025 · CMS fire safety

4. Apr 18, 2024 Health · 1 finding
   • 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 May 1, 2024 · CMS health inspection

5. Nov 16, 2023 Fire Safety · 13 findings
   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Nov 29, 2023 · CMS fire safety

   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Nov 29, 2023 · CMS fire safety

   • Not serious Scope/severity D

     F0582 Resident Rights Deficiencies

     Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

     Corrected Nov 29, 2023 · CMS health inspection

   • Not serious Scope/severity D

     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 Nov 29, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0658 Resident Assessment and Care Planning Deficiencies

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

     Corrected Nov 29, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Nov 29, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Nov 29, 2023 · 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 Nov 29, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Nov 29, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0883 Infection Control Deficiencies

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

     Corrected Nov 29, 2023 · CMS health inspection

   • Not serious Scope/severity B

     F0912 Environmental Deficiencies

     Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

     Corrected Nov 29, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Nov 29, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0354 Smoke Deficiencies

     Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

     Corrected Nov 29, 2023 · CMS fire safety

6. Nov 10, 2023 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 Oct 31, 2023 · 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)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)

7. Aug 4, 2023 Health · 2 findings
   • Not serious Scope/severity D 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 9, 2023 · 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 9, 2023 · CMS health inspection

8. Oct 6, 2022 Fire Safety · 2 findings
   • Not serious Scope/severity F

     E0007 Emergency Preparedness Deficiencies

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

     Corrected Oct 19, 2022 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Oct 19, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• FLICK, JOHN — adp of the snf, NOT APPLICABLE, since 12/06/2024
• FLICK, JOHN — operational/managerial control, NOT APPLICABLE, since 12/06/2024
• LICHTMAN, SHALOM — adp of the snf, NOT APPLICABLE, since 05/01/2021
• LICHTMAN, SHALOM — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• LICHTMAN, SHALOM — managing control - governing body, NOT APPLICABLE, since 05/01/2021
• ROBBINS, SUZANNE — operational/managerial control, NOT APPLICABLE, since 03/31/2025
• ROBBINS, SUZANNE — adp of the snf, NOT APPLICABLE, since 03/31/2025
• SINGER, MEIR — indirect ownership interest, NOT APPLICABLE, since 02/27/2024
• CAPITAL FINANCE LLC — operational/managerial control, NOT APPLICABLE, since 01/01/2022
• CAPITAL FINANCE LLC — 5% or greater security interest, NOT APPLICABLE, since 01/01/2022
• CREST II TBD HOLDCO — 5% or greater indirect ownership interest, 100%, since 02/27/2024
• CREST ILLINOIS HOLDCO II LLC — 5% or greater direct ownership interest, 100%, since 02/27/2024
• CREST REALTY HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 05/01/2021
• FEJCC TRUST — adp of the snf, NOT APPLICABLE, since 02/27/2024
• LIGHT MAN LLC — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• LTC CONSULTING SERVICES LLC — adp of the snf, NOT APPLICABLE, since 05/01/2021
• LTC CONSULTING SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• MDATAS TRUST — adp of the snf, NOT APPLICABLE, since 02/27/2024
• MRS FAMILY TRUST — adp of the snf, NOT APPLICABLE, since 02/27/2024
• NATURE TRAIL REALTY — adp of the snf, NOT APPLICABLE, since 05/01/2021