9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Highwood, IL
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
50 Pleasant Avenue, Highwood, IL
(847) 432-9142
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
104
Certified beds
Average residents
97
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aliya Healthcare
Operator or chain grouping
Approved since
1997-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 3 overall / 3 health / 1 staffing / 5 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
0.63
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.55
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.79
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
2.96
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
2.93
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.71
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
1.96
CMS adjusted total nurse staffing hours
Case-mix index
2.07
Higher values indicate more complex resident acuity
RN turnover
15%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
8,574
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9841
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.52
Baseline 19.35% · Performance 21.19% · Measure score 0.52 · Achievement 0.52 · Improvement 0
Healthcare-associated infections
0
Baseline 6.63% · Performance 8.89% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 30.77% · Performance 13.21% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0
Baseline 2.06 hours · Performance 2.05 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.33% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 50 · Observed rate 16% · Lower 95% interval 7.91% |
| Discharge to community | 34.97% |
50.57%
15.6 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 17.95% · Lower 95% interval 23.39% |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 58 · Denominator 58 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 58 |
| Discharge self-care score | 60.61% |
53.69%
6.9 pts better
|
Numerator 20 · Denominator 33 |
| Discharge mobility score | 51.52% |
50.94%
0.6 pts better
|
Numerator 17 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 58 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.89% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 17.65% · Lower 95% interval 4.71% |
| Staff COVID-19 vaccination coverage | 68.22% |
8.2%
60 pts better
|
Numerator 73 · Denominator 107 |
| Staff flu vaccination coverage | 43.31% |
42%
1.3 pts better
|
Numerator 68 · Denominator 157 |
| Discharge function score | 75.76% |
56.45%
19.3 pts better
|
Numerator 25 · Denominator 33 |
| Transfer of health information to provider | 96.3% |
95.95%
0.3 pts better
|
Numerator 26 · Denominator 27 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 28.57% |
25.2%
3.4 pts better
|
Numerator 10 · Denominator 35 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.0
0.1 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
2.3
1.1 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.9% |
89.6%
3.7 pts worse
|
93.4%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.1% · Q2 81.7% · Q3 86.4% · Q4 91.0% · 4Q avg 85.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% |
91.6%
5 pts better
|
95.5%
1.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% |
3.3%
2.4 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 99.7% |
50.3%
49.4 pts worse
|
11.4%
88.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.8% · 4Q avg 99.7% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
6.5%
0.2 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 6.5% · Q3 6.0% · Q4 8.8% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.0% |
18.5%
3.5 pts better
|
19.6%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 14.1% · Q3 16.9% · Q4 17.1% · 4Q avg 15.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.7% |
22.8%
6.1 pts better
|
16.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 15.3% · Q3 17.4% · Q4 19.7% · 4Q avg 16.7% · 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 | 1.9% |
17.2%
15.3 pts better
|
16.3%
14.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 4.6% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.4% |
15.0%
12.6 pts better
|
14.9%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.4% · Q3 1.3% · Q4 2.7% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.1%
1.1 pts better
|
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% · 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 | 25.3% |
21.3%
4 pts worse
|
19.8%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 27.7% · Q3 33.3% · Q4 22.8% · 4Q avg 25.3% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
5.2%
2.3 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 4.7% · Q4 5.3% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 39.4% |
68.8%
29.4 pts worse
|
81.7%
42.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.8% · Q3 47.7% · Q4 61.9% · 4Q avg 39.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.1% |
14.0%
1.9 pts better
|
12.0%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 14.0% · Expected 12.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
2.3%
0.2 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.8% · Q3 3.0% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.6% |
63.0%
22.4 pts worse
|
79.7%
39.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 40.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
26.2%
4.1 pts better
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 26.3% · Expected 28.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-15
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-12-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-16
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-16
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-11-16
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-11-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-18
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-11-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-11-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-11-18
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-03
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-30
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 2024-11-16
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-11-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-16
Health
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 2024-11-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-16
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2024-11-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-26
Health
Respond appropriately to all alleged violations.
Corrected 2024-09-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-25
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-03-29
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-30
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-27
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 2023-10-23
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-23
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-10-23
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-10-23
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-06-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-10-18
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 2022-10-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-18
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 2022-10-18
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Nearby options
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3-star overall rating with 3-star inspections with $24,397 in total fines with 8 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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3-star overall rating with 3-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Northbrook, IL
5-star overall rating with 5-star inspections with $10,059 in total fines with 10 fire-safety deficiencies in the latest cycle
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