11 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Chicago, IL
2-star overall rating with 3-star inspections with $8,512 in total fines with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
504 West Wellington Avenue, Chicago, IL
(773) 281-6200
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
85
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Alden Network
Operator or chain grouping
Approved since
1967-02-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
27 facilities
Chain averages 2 overall / 3 health / 1 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.44
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.74
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
2.91
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.17
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.56
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
2.97
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
13,141
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
7.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 17.55% · Performance 23.29% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.07
Baseline 6.40% · Performance 7.22% · Measure score 2.07 · Achievement 2.07 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
0.32
Baseline 2.63 hours · Performance 2.89 hours · Measure score 0.32 · Achievement 0 · Improvement 0.32
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.75% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 81 · Observed rate 9.88% · Lower 95% interval 6.95% |
| Discharge to community | 45.21% |
50.57%
5.4 pts worse
|
No Different than the National Rate · Eligible stays 89 · Observed rate 38.2% · Lower 95% interval 33% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 31.03% |
95.27%
64.2 pts worse
|
Numerator 18 · Denominator 58 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 58 |
| Discharge self-care score | 40.48% |
53.69%
13.2 pts worse
|
Numerator 17 · Denominator 42 |
| Discharge mobility score | 40.48% |
50.94%
10.5 pts worse
|
Numerator 17 · Denominator 42 |
| Pressure ulcers or injuries, new or worsened | 6.9% |
2.29%
4.6 pts worse
|
Numerator 4 · Denominator 58 · Adjusted rate 7.35% |
| Healthcare-associated infections requiring hospitalization | 7.22% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 7.84% · Lower 95% interval 3.46% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 118 |
| Staff flu vaccination coverage | 46.22% |
42%
4.2 pts better
|
Numerator 55 · Denominator 119 |
| Discharge function score | 64.29% |
56.45%
7.8 pts better
|
Numerator 27 · Denominator 42 |
| Transfer of health information to provider | 63.64% |
95.95%
32.3 pts worse
|
Numerator 14 · Denominator 22 |
| Transfer of health information to patient | 90.48% |
96.28%
5.8 pts worse
|
Numerator 19 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 19.35% |
25.2%
5.8 pts worse
|
Numerator 6 · Denominator 31 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 68.6% |
89.6%
21 pts worse
|
93.4%
24.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.5% · Q2 71.2% · Q3 62.7% · Q4 62.5% · 4Q avg 68.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 73.2% |
91.6%
18.4 pts worse
|
95.5%
22.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 73.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.3%
0.2 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.5% · Q3 2.7% · Q4 5.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.2% |
50.3%
37.1 pts better
|
11.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 11.4% · Q3 14.5% · Q4 16.4% · 4Q avg 13.2% |
| Percentage of long-stay residents who lose too much weight | 5.5% |
6.5%
1 pts better
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 10.1% · Q3 6.2% · Q4 3.0% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.6% |
18.5%
14.9 pts better
|
19.6%
16 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 4.2% · Q3 4.5% · Q4 2.9% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.2% |
22.8%
8.6 pts better
|
16.7%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 20.0% · Q3 10.9% · Q4 17.0% · 4Q avg 14.2% · 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 | 15.8% |
17.2%
1.4 pts better
|
16.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 8.8% · Q3 18.0% · Q4 26.9% · 4Q avg 15.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.8% |
15.0%
6.8 pts worse
|
14.9%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 10.8% · Q3 24.2% · Q4 38.7% · 4Q avg 21.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.1%
0.3 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
1.7%
1.5 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.6% · Q3 4.1% · Q4 1.3% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.2% |
21.3%
2.1 pts better
|
19.8%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 23.1% · Q3 13.5% · Q4 18.6% · 4Q avg 19.2% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
5.2%
1.9 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.9% · Q3 3.4% · Q4 1.1% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 10.0% |
68.8%
58.8 pts worse
|
81.7%
71.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 1.9% · Q3 9.1% · Q4 6.2% · 4Q avg 10.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.7% |
14.0%
3.3 pts better
|
12.0%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 10.5% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
2.3%
0.5 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.6% · Q4 8.3% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 5.6% |
63.0%
57.4 pts worse
|
79.7%
74.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 5.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.5% |
26.2%
0.3 pts worse
|
23.9%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 23.7% · Expected 21.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
10 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-08-02
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-07
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 2024-08-07
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-07-06
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-03
Fire Safety
Meet other general requirements.
Corrected 2023-09-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-29
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-20
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-07-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-28
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-06-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-21
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-06-01
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-05-27
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2022-05-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-05-18
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-05-18
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-05-12
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-05-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-05-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-05-18
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-10
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-09
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-12
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-02-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-29
Health
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 2024-07-29
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-07-29
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 2024-07-29
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-29
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-07
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-18
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-18
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-11-02
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-06-29
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-06-29
Health
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 2023-06-29
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-05-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-05-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-05-06
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 2022-05-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-05-06
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 2022-05-06
Penalties and ownership
Fine · fine $8,512
Fine
Payment Denial · denial start 2024-04-23 · 14 days
14 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
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