3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Elgin, IL
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
355 Raymond Street, Elgin, IL
(847) 697-6636
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
94
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aperion Care
Operator or chain grouping
Approved since
1982-07-08
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
RN hours / resident day
1.19
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.07
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.08
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.34
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.91
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.91
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
0.88
CMS adjusted RN staffing hours
Adjusted total hours
2.45
CMS adjusted total nurse staffing hours
Case-mix index
1.86
Higher values indicate more complex resident acuity
RN turnover
16%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
9,010
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25
Composite VBP score used to determine payment impact.
Payment multiplier
0.9836
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Performance 21.64% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Performance 9.30% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
10
Baseline 22.45% · Performance 19.05% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0
Baseline 2.74 hours · Performance 2.44 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.98% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 72 · Observed rate 15.28% · Lower 95% interval 8.55% |
| Discharge to community | 38.87% |
50.57%
11.7 pts worse
|
Worse than the National Rate · Eligible stays 61 · Observed rate 29.51% · Lower 95% interval 27.45% |
| Medicare spending per beneficiary | 1.47 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 102 · Denominator 102 |
| Falls with major injury | 0.98% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 102 |
| Discharge self-care score | 42.42% |
53.69%
11.3 pts worse
|
Numerator 28 · Denominator 66 |
| Discharge mobility score | 45.45% |
50.94%
5.5 pts worse
|
Numerator 30 · Denominator 66 |
| Pressure ulcers or injuries, new or worsened | 0.98% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 102 · Adjusted rate 0.61% |
| Healthcare-associated infections requiring hospitalization | 9.3% |
7.12%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 86 · Observed rate 13.95% · Lower 95% interval 6.72% |
| Staff COVID-19 vaccination coverage | 2.22% |
8.2%
6 pts worse
|
Numerator 3 · Denominator 135 |
| Staff flu vaccination coverage | 24.26% |
42%
17.7 pts worse
|
Numerator 33 · Denominator 136 |
| Discharge function score | 39.39% |
56.45%
17.1 pts worse
|
Numerator 26 · Denominator 66 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 31 · Denominator 31 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 40 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 9.09% |
25.2%
16.1 pts worse
|
Numerator 5 · Denominator 55 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.0
0.7 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
2.3
1.9 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.6 · 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 | 98.7% |
91.6%
7.1 pts better
|
95.5%
3.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
3.3%
2.2 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.5% · Q4 1.5% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 100.0% |
50.3%
49.7 pts worse
|
11.4%
88.6 pts worse
|
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 who lose too much weight | 0.0% |
6.5%
6.5 pts better
|
5.4%
5.4 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 who received an antianxiety or hypnotic medication | 0.0% |
18.5%
18.5 pts better
|
19.6%
19.6 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 who received an antipsychotic medication | 0.5% |
22.8%
22.3 pts better
|
16.7%
16.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · 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 | 2.2% |
17.2%
15 pts better
|
16.3%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 0.0% · Q3 1.9% · Q4 2.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.0% |
15.0%
13 pts better
|
14.9%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.9% · Q3 0.0% · Q4 2.0% · 4Q avg 2.0% · 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 | 9.0% |
21.3%
12.3 pts better
|
19.8%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 6.9% · Q3 10.7% · Q4 11.3% · 4Q avg 9.0% |
| Percentage of long-stay residents with pressure ulcers | 1.6% |
5.2%
3.6 pts better
|
5.1%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 1.4% · Q4 2.5% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
68.8%
31 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.8% |
14.0%
8.2 pts better
|
12.0%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 5.8% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.3%
2.3 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.9% |
63.0%
29.9 pts better
|
79.7%
13.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
26.2%
3.4 pts better
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 21.7% · Expected 22.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
23 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2025-03-31
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-03-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-31
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-03-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-31
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-31
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-03-31
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-03-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-02
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-03-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-31
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-05-23
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2024-05-23
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-05-23
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2024-06-13
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-05-23
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-05-23
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-05-23
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-05-23
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-05-23
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-05-23
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-23
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-24
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-05-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-23
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-06-14
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-05-23
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-05-23
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 2024-05-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-23
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-05-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-11
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 2023-05-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-11
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-05-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-11
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-18
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-29
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-27
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
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3-star overall rating with 3-star inspections with $27,381 in total fines with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Elgin, IL
1-star overall rating with 1-star inspections with abuse icon flag with $613,285 in total fines with 17 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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