24 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Zion, IL
1-star overall rating with 1-star inspections with $263,264 in total fines with 24 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
3615 16th Street, Zion, IL
(847) 746-8382
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
115
Certified beds
Average residents
87
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Allure Healthcare Services
Operator or chain grouping
Approved since
1982-03-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 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
0.61
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.56
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
5.14
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.59
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.43
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
3.77
CMS adjusted total nurse staffing hours
Case-mix index
1.87
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
11,356
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.10
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.65
Baseline 18.12% · Performance 20.67% · Measure score 1.65 · Achievement 1.65 · Improvement 0
Healthcare-associated infections
0
Baseline 6.67% · Performance 10.14% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.47
Performance 49.49% · Measure score 3.47 · Achievement 3.47 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.72
Baseline 3.56 hours · Performance 3.57 hours · Measure score 1.72 · Achievement 1.72 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.68% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 205 · Observed rate 12.68% · Lower 95% interval 8.84% |
| Discharge to community | 55.61% |
50.57%
5 pts better
|
No Different than the National Rate · Eligible stays 194 · Observed rate 50.52% · Lower 95% interval 47.82% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.01% |
95.27%
3.7 pts better
|
Numerator 100 · Denominator 101 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 101 |
| Discharge self-care score | 54.55% |
53.69%
0.9 pts better
|
Numerator 42 · Denominator 77 |
| Discharge mobility score | 55.84% |
50.94%
4.9 pts better
|
Numerator 43 · Denominator 77 |
| Pressure ulcers or injuries, new or worsened | 5.94% |
2.29%
3.7 pts worse
|
Numerator 6 · Denominator 101 · Adjusted rate 5.68% |
| Healthcare-associated infections requiring hospitalization | 10.14% |
7.12%
3 pts worse
|
No Different than the National Rate · Eligible stays 106 · Observed rate 13.21% · Lower 95% interval 6.24% |
| Staff COVID-19 vaccination coverage | 1.64% |
8.2%
6.6 pts worse
|
Numerator 2 · Denominator 122 |
| Staff flu vaccination coverage | 49.62% |
42%
7.6 pts better
|
Numerator 65 · Denominator 131 |
| Discharge function score | 55.84% |
56.45%
0.6 pts worse
|
Numerator 43 · Denominator 77 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | 97.87% |
96.28%
1.6 pts better
|
Numerator 46 · Denominator 47 |
| Resident COVID-19 vaccinations up to date | 3.77% |
25.2%
21.4 pts worse
|
Numerator 2 · Denominator 53 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.0
0.2 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.8 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
2.3
0.2 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 73.6% |
89.6%
16 pts worse
|
93.4%
19.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 72.0% · Q2 68.5% · Q3 74.3% · Q4 79.7% · 4Q avg 73.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 68.8% |
91.6%
22.8 pts worse
|
95.5%
26.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 68.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.9% |
3.3%
5.6 pts worse
|
3.3%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 8.2% · Q3 10.0% · Q4 10.8% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 79.2% |
50.3%
28.9 pts worse
|
11.4%
67.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 83.1% · Q3 78.5% · Q4 58.2% · 4Q avg 79.2% |
| Percentage of long-stay residents who lose too much weight | 10.2% |
6.5%
3.7 pts worse
|
5.4%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 14.8% · Q3 15.9% · Q4 6.8% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.0% |
18.5%
11.5 pts better
|
19.6%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.1% · Q3 4.8% · Q4 11.9% · 4Q avg 7.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.3% |
22.8%
5.5 pts better
|
16.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 17.8% · Q3 13.5% · Q4 20.0% · 4Q avg 17.3% · 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 | 38.8% |
17.2%
21.6 pts worse
|
16.3%
22.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 33.3% · Q3 60.9% · 4Q avg 38.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.9% |
15.0%
11.9 pts worse
|
14.9%
12 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 19.3% · Q3 32.8% · Q4 29.1% · 4Q avg 26.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
1.1%
1.5 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.1% · Q3 2.1% · Q4 3.2% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.3% |
1.7%
3.6 pts worse
|
1.7%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 4.4% · Q3 5.7% · Q4 2.7% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.8% |
21.3%
7.5 pts worse
|
19.8%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.4% · Q2 27.1% · Q3 22.7% · Q4 26.6% · 4Q avg 28.8% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
5.2%
0.2 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 3.6% · Q3 4.0% · Q4 5.4% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 47.1% |
68.8%
21.7 pts worse
|
81.7%
34.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 37.5% · Q2 43.5% · Q3 47.4% · Q4 57.6% · 4Q avg 47.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
14.0%
0.4 pts better
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 12.7% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
2.3%
About the same
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.7% · Q3 3.9% · Q4 1.4% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 18.1% |
63.0%
44.9 pts worse
|
79.7%
61.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 18.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.0% |
26.2%
7.2 pts better
|
23.9%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.0% · Observed 19.0% · Expected 23.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (10 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (16 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-07-26
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-07-26
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-21
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-07-29
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 2024-08-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-21
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-08-27
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-08-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-26
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-07-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-03
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-04
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-06-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-07-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-04-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-04-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-04-29
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-04-29
Fire Safety
Install proper backup exit lighting.
Corrected 2022-04-29
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 2022-04-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-04-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-04-29
Inspection history
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2026-01-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-01-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-09
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-30
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-30
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-06-15
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-06-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-05
Health
Respond appropriately to all alleged violations.
Corrected 2025-06-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-06
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-06
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-05-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-15
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2024-12-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-18
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-08-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-05
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-08-05
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 2024-07-16
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-07-16
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 2024-07-24
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-07-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-16
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-07
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-03
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 2024-01-03
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-03
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-10-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-25
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-10-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-21
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-08-21
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-08-14
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 2023-08-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-14
Health
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 2023-08-14
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-06-26
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 2023-06-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-03
Health
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 2023-07-16
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 2023-06-26
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-07-16
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-06-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-05
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-04-18
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-04-18
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 2022-04-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-04-18
Health
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 2022-04-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-04-18
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 2022-04-18
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-04-18
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2022-04-18
Penalties and ownership
Fine · fine $22,315
Fine
Fine · fine $92,820
Fine
Payment Denial · denial start 2024-08-10 · 20 days
20 day denial
Fine · fine $62,741
Fine
Payment Denial · denial start 2024-01-27 · 40 days
40 day denial
Fine · fine $85,388
Fine
Payment Denial · denial start 2023-07-07 · 9 days
9 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
Nearby options
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