17 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Roselle, IL
3-star overall rating with 3-star inspections with 17 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
31 West Central, Roselle, IL
(630) 894-5058
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
82
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Atied Associates
Operator or chain grouping
Approved since
2004-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.20
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.15
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.50
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
2.85
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.44
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.80
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
1.96
CMS adjusted total nurse staffing hours
Case-mix index
1.99
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
3,282
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9982
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
8.59
Performance 28.57% · Measure score 8.59 · Achievement 8.59 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.42
Baseline 2.58 hours · Performance 2.87 hours · Measure score 0.42 · Achievement 0 · Improvement 0.42
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 92.5% |
8.2%
84.3 pts better
|
Numerator 37 · Denominator 40 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.0
0.1 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.8 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.3
0.5 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.3 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.6%
10.4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
91.6%
8.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.3%
1 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.3% · Q3 2.1% · Q4 2.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 70.6% |
50.3%
20.3 pts worse
|
11.4%
59.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 71.0% · Q2 65.9% · Q3 71.1% · Q4 74.4% · 4Q avg 70.6% |
| Percentage of long-stay residents who lose too much weight | 10.0% |
6.5%
3.5 pts worse
|
5.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.9% · Q3 13.3% · Q4 16.3% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.8% |
18.5%
5.7 pts better
|
19.6%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.6% · Q3 13.3% · Q4 13.6% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 39.0% |
22.8%
16.2 pts worse
|
16.7%
22.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 43.6% · Q3 40.5% · Q4 39.0% · 4Q avg 39.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.3% |
17.2%
7.9 pts better
|
16.3%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 10.9% · Q3 8.1% · Q4 7.9% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.2% |
15.0%
7.8 pts better
|
14.9%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 0.0% · Q3 7.1% · Q4 9.3% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.1%
0.7 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.1% |
21.3%
12.2 pts better
|
19.8%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 10.0% · Q3 6.3% · Q4 8.5% · 4Q avg 9.1% |
| Percentage of long-stay residents with pressure ulcers | 8.6% |
5.2%
3.4 pts worse
|
5.1%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 5.4% · Q3 12.6% · Q4 10.5% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
68.8%
29.4 pts better
|
81.7%
16.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.4% · Q3 97.7% · Q4 98.4% · 4Q avg 98.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.5% |
14.0%
4.5 pts worse
|
12.0%
6.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 25.0% · Expected 15.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 7.8% |
2.3%
5.5 pts worse
|
1.6%
6.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q3 11.5% · Q4 6.7% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.4% |
63.0%
34.4 pts better
|
79.7%
17.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.0% |
26.2%
1.8 pts worse
|
23.9%
4.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.0% · Observed 28.6% · Expected 24.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-03-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-30
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-31
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-03-12
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-03-12
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-03-12
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-03-12
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-03-12
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-03-12
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-03-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-12
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-03-12
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-25
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-03-22
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-03-22
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-03-21
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-03-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-22
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2024-03-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-25
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-05-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-25
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-05-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-23
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-05-24
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-05-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-24
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-05-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-24
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-02-03
Health
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 2025-11-18
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-11-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-11-18
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-19
Health
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 2025-09-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-06
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-06
Health
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 2025-03-06
Health
Ensure each resident has a room at or above ground level.
Corrected 2025-03-19
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-06
Health
Provide appropriate foot care.
Corrected 2025-03-06
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-06
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-06
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-03-06
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-07-02
Health
Keep all essential equipment working safely.
Corrected 2024-03-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-15
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-03-15
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-03-15
Health
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 2024-03-15
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-03-15
Health
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 2024-03-15
Health
Provide activities to meet all resident's needs.
Corrected 2024-03-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-15
Health
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 2024-03-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-03-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-15
Health
Ensure each resident has a room at or above ground level.
Corrected 2024-03-15
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-05-20
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-05-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-20
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-05-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-20
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-05-20
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-05-20
Health
Ensure each resident has a room at or above ground level.
Corrected 2023-05-20
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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