Cycle 1
Health 2024-08-21 · Fire 2024-08-21
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Wauconda, IL
Alta Rehab At Wauconda
4-star overall rating with 4-star inspections with $7,443 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
176 Thomas Court, Wauconda, IL
(847) 526-5551
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
149
Certified beds
Average residents
142
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aperion Care
Operator or chain grouping
Approved since
1996-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 2 overall / 2 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
Hours and turnover
RN hours / resident day
1.06
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.57
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.09
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.72
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.35
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.81
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
0.80
CMS adjusted RN staffing hours
Adjusted total hours
2.80
CMS adjusted total nurse staffing hours
Case-mix index
1.82
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,816
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9887
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.14
Baseline 21.48% · Performance 20.44% · Measure score 2.14 · Achievement 2.14 · Improvement 1.83
Healthcare-associated infections
8.35
Baseline 5.21% · Performance 5.34% · Measure score 8.35 · Achievement 8.35 · Improvement 0
Total nurse turnover
3.48
Baseline 19.10% · Performance 49.46% · Measure score 3.48 · Achievement 3.48 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.31 hours · Performance 3.20 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.92% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 713 · Observed rate 12.9% · Lower 95% interval 10.39% |
| Discharge to community | 64.97% |
50.57%
14.4 pts better
|
Better than the National Rate · Eligible stays 694 · Observed rate 59.08% · Lower 95% interval 60.37% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.87% |
95.27%
3.6 pts better
|
Numerator 436 · Denominator 441 |
| Falls with major injury | 0.45% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 441 |
| Discharge self-care score | 42.41% |
53.69%
11.3 pts worse
|
Numerator 134 · Denominator 316 |
| Discharge mobility score | 35.76% |
50.94%
15.2 pts worse
|
Numerator 113 · Denominator 316 |
| Pressure ulcers or injuries, new or worsened | 1.13% |
2.29%
1.2 pts better
|
Numerator 5 · Denominator 441 · Adjusted rate 0.99% |
| Healthcare-associated infections requiring hospitalization | 5.34% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 423 · Observed rate 4.73% · Lower 95% interval 3.63% |
| Staff COVID-19 vaccination coverage | 15.73% |
8.2%
7.5 pts better
|
Numerator 59 · Denominator 375 |
| Staff flu vaccination coverage | 55.61% |
42%
13.6 pts better
|
Numerator 104 · Denominator 187 |
| Discharge function score | 29.43% |
56.45%
27 pts worse
|
Numerator 93 · Denominator 316 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 305 · Denominator 305 |
| Transfer of health information to patient | 96.3% |
96.28%
About the same
|
Numerator 78 · Denominator 81 |
| Resident COVID-19 vaccinations up to date | 4.64% |
25.2%
20.6 pts worse
|
Numerator 11 · Denominator 237 |
Quality measures
Resident outcomes and process scores
| 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 2.1 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
2.3
2.1 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.2% |
89.6%
4.6 pts better
|
93.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 91.3% · Q3 96.8% · Q4 91.8% · 4Q avg 94.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.0% |
91.6%
11.6 pts worse
|
95.5%
15.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.3%
0.1 pts better
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.3% · Q3 4.3% · Q4 2.1% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 75.0% |
50.3%
24.7 pts worse
|
11.4%
63.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 70.7% · Q2 77.0% · Q3 78.7% · Q4 73.9% · 4Q avg 75.0% |
| Percentage of long-stay residents who lose too much weight | 0.6% |
6.5%
5.9 pts better
|
5.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.1% |
18.5%
8.4 pts better
|
19.6%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 11.5% · Q3 16.0% · Q4 6.1% · 4Q avg 10.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.1% |
22.8%
10.7 pts better
|
16.7%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 14.9% · Q3 10.5% · Q4 8.2% · 4Q avg 12.1% · 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 | 6.7% |
17.2%
10.5 pts better
|
16.3%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.5% · Q3 8.3% · Q4 9.6% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.1% |
15.0%
5.9 pts better
|
14.9%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 7.2% · Q3 6.7% · Q4 6.4% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
1.1%
0.3 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.7%
1.1 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.5% |
21.3%
5.2 pts worse
|
19.8%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 35.7% · Q3 23.6% · Q4 21.1% · 4Q avg 26.5% |
| Percentage of long-stay residents with pressure ulcers | 9.5% |
5.2%
4.3 pts worse
|
5.1%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 12.9% · Q3 10.2% · Q4 4.7% · 4Q avg 9.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 55.3% |
68.8%
13.5 pts worse
|
81.7%
26.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 62.7% · Q2 65.7% · Q3 53.1% · Q4 38.5% · 4Q avg 55.3% |
| 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 10.6% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.3%
1.3 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 0.3% · Q4 0.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.2% |
63.0%
10.8 pts worse
|
79.7%
27.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.6% |
26.2%
0.4 pts worse
|
23.9%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.6% · Observed 28.0% · Expected 25.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-26 · Fire 2023-07-26
10 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
32 fire-safety deficiencies
Top issue: Emergency Preparedness (11 deficiencies)
Cycle 3
Health 2022-06-16 · Fire 2022-06-16
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-21
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-10-09
E · Potential for more than minimal harm
2024-08-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-09
E · Potential for more than minimal harm
2024-08-21
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-09-09
E · Potential for more than minimal harm
2024-08-21
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-09-09
E · Potential for more than minimal harm
2024-08-21
K321 · Smoke Deficiencies
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 2024-09-09
E · Potential for more than minimal harm
2024-08-21
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-09-09
E · Potential for more than minimal harm
2024-08-21
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-09
E · Potential for more than minimal harm
2024-08-21
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-09
E · Potential for more than minimal harm
2024-08-21
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-09-09
F · Potential for more than minimal harm
2023-07-26
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-08-29
F · Potential for more than minimal harm
2023-07-26
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-08-29
F · Potential for more than minimal harm
2023-07-26
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2023-08-29
F · Potential for more than minimal harm
2023-07-26
E23 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2023-08-29
F · Potential for more than minimal harm
2023-07-26
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-08-29
F · Potential for more than minimal harm
2023-07-26
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-08-29
F · Potential for more than minimal harm
2023-07-26
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-08-30
F · Potential for more than minimal harm
2023-07-26
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-08-30
F · Potential for more than minimal harm
2023-07-26
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-08-31
F · Potential for more than minimal harm
2023-07-26
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-08-29
F · Potential for more than minimal harm
2023-07-26
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-08-30
F · Potential for more than minimal harm
2023-07-26
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-08-25
F · Potential for more than minimal harm
2023-07-26
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-25
F · Potential for more than minimal harm
2023-07-26
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-25
F · Potential for more than minimal harm
2023-07-26
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-09-25
F · Potential for more than minimal harm
2023-07-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-29
F · Potential for more than minimal harm
2023-07-26
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-25
F · Potential for more than minimal harm
2023-07-26
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-29
F · Potential for more than minimal harm
2023-07-26
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-08-29
F · Potential for more than minimal harm
2023-07-26
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-08-23
E · Potential for more than minimal harm
2023-07-26
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-08-24
E · Potential for more than minimal harm
2023-07-26
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-26
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-08-25
E · Potential for more than minimal harm
2023-07-26
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-09-25
E · Potential for more than minimal harm
2023-07-26
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-08-15
E · Potential for more than minimal harm
2023-07-26
K321 · Smoke Deficiencies
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 2023-08-29
E · Potential for more than minimal harm
2023-07-26
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-25
E · Potential for more than minimal harm
2023-07-26
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-09-25
E · Potential for more than minimal harm
2023-07-26
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-08-24
E · Potential for more than minimal harm
2023-07-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-28
E · Potential for more than minimal harm
2023-07-26
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-25
E · Potential for more than minimal harm
2023-07-26
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-08-31
F · Potential for more than minimal harm
2022-06-16
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-07-22
F · Potential for more than minimal harm
2022-06-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-07-25
F · Potential for more than minimal harm
2022-06-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-14
F · Potential for more than minimal harm
2022-06-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-07-01
F · Potential for more than minimal harm
2022-06-16
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-07-18
F · Potential for more than minimal harm
2022-06-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-07-21
F · Potential for more than minimal harm
2022-06-16
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-07-22
F · Potential for more than minimal harm
2022-06-16
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2022-07-22
E · Potential for more than minimal harm
2022-06-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-08-20
E · Potential for more than minimal harm
2022-06-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-07-08
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-20
D · Potential for more than minimal harm
2024-12-30
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-09
D · Potential for more than minimal harm
2024-12-30
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-09
D · Potential for more than minimal harm
2024-12-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-16
D · Potential for more than minimal harm
2024-11-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-05
G · Actual harm
2024-09-11
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-12
D · Potential for more than minimal harm
2024-08-21
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-06
D · Potential for more than minimal harm
2024-08-21
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-06
D · Potential for more than minimal harm
2024-08-21
F688 · Quality of Life and Care Deficiencies
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 2024-09-06
D · Potential for more than minimal harm
2024-08-21
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-06
D · Potential for more than minimal harm
2024-08-21
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-06
D · Potential for more than minimal harm
2024-08-21
F803 · Nutrition and Dietary Deficiencies
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 2024-09-06
D · Potential for more than minimal harm
2024-06-17
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-06-18
E · Potential for more than minimal harm
2024-04-10
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-01-16
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-02-02
F · Potential for more than minimal harm
2023-11-21
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-12
D · Potential for more than minimal harm
2023-11-21
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-12-12
D · Potential for more than minimal harm
2023-08-07
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-08
G · Actual harm
2023-07-26
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-27
F · Potential for more than minimal harm
2023-07-26
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-10
D · Potential for more than minimal harm
2023-07-26
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-07-27
G · Actual harm
2023-07-20
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-07-21
F · Potential for more than minimal harm
2022-06-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-07-11
D · Potential for more than minimal harm
2022-06-16
F585 · Resident Rights Deficiencies
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 2022-07-11
D · Potential for more than minimal harm
2022-06-16
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-07-08
D · Potential for more than minimal harm
2022-06-16
F690 · Quality of Life and Care Deficiencies
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 2022-07-08
D · Potential for more than minimal harm
2022-06-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-08
Penalties and ownership
What sits behind the stars
$7,443
2023-07-20
Fine
Fine · fine $7,443
Fine
Ownership
Lan 3 Op LLC
5% Or Greater Direct Ownership Interest · Organization
Ancona, Cecila
W-2 Managing Employee · Individual
Aperion Care Exec Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Aperion Care Inc
Operational/Managerial Control · Organization
Berkowitz, David
5% Or Greater Indirect Ownership Interest · Individual
David A Berkowitz Revoc Tr David Berkowitz Ttee
5% Or Greater Indirect Ownership Interest · Organization
Goldfarb, Brian
Corporate Officer · Individual
Hoffman, Joshua
5% Or Greater Indirect Ownership Interest · Individual
Jh Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Lan 3 Investor Group LLC
5% Or Greater Indirect Ownership Interest · Organization
Meystel, Yosef
5% Or Greater Indirect Ownership Interest · Individual
Sirichana, Tiffany
W-2 Managing Employee · Individual
Spector, Jennifer
Corporate Officer · Individual
Ulbert, Lisa
Corporate Officer · Individual
Yosef Meystel Declaration Of Tr Of Yosef Meystel Ttee
5% Or Greater Indirect Ownership Interest · Organization
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Pearl Of Crystal Lake, The
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