North Aurora, IL

Asbury Gardens Nsg & Rehab

4-star overall rating with 4-star inspections with $6,350 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

212 Airport Road, North Aurora, IL

(630) 896-7778

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2014-09-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

1.02

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.38

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

3.19

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

4.59

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.39

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

4.02

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.70

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.90

CMS adjusted RN staffing hours

Adjusted total hours

4.07

CMS adjusted total nurse staffing hours

Case-mix index

1.54

Higher values indicate more complex resident acuity

RN turnover

31%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,845

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

34.83

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

1.60

Baseline 21.34% · Performance 20.69% · Measure score 1.60 · Achievement 1.60 · Improvement 1

Healthcare-associated infections

1.91

Baseline 9.43% · Performance 8.36% · Measure score 1.91 · Achievement 0 · Improvement 1.91

Total nurse turnover

8.41

Performance 29.31% · Measure score 8.41 · Achievement 8.41 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.02

Baseline 3.47 hours · Performance 3.65 hours · Measure score 2.02 · Achievement 2.02 · Improvement 0.27

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.8%	10.72% 1.1 pts worse	No Different than the National Rate · Eligible stays 112 · Observed rate 13.39% · Lower 95% interval 8.54%
Discharge to community	37.93%	50.57% 12.6 pts worse	Worse than the National Rate · Eligible stays 100 · Observed rate 32% · Lower 95% interval 30.66%
Medicare spending per beneficiary	1.18	1.02 0.2 pts worse
Drug regimen review with follow-up	97.26%	95.27% 2 pts better	Numerator 71 · Denominator 73
Falls with major injury	4.11%	0.77% 3.3 pts worse	Numerator 3 · Denominator 73
Discharge self-care score	60%	53.69% 6.3 pts better	Numerator 33 · Denominator 55
Discharge mobility score	60%	50.94% 9.1 pts better	Numerator 33 · Denominator 55
Pressure ulcers or injuries, new or worsened	1.37%	2.29% 0.9 pts better	Numerator 1 · Denominator 73 · Adjusted rate 1.32%
Healthcare-associated infections requiring hospitalization	8.36%	7.12% 1.2 pts worse	No Different than the National Rate · Eligible stays 62 · Observed rate 11.29% · Lower 95% interval 4.88%
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	63.64%	56.45% 7.2 pts better	Numerator 35 · Denominator 55
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 36 · Denominator 36
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 20 · Denominator 20
Resident COVID-19 vaccinations up to date	61.9%	25.2% 36.7 pts better	Numerator 26 · Denominator 42

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.3	2.0 0.3 pts worse	1.9 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.3	2.3 1 pts worse	1.8 1.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.9%	89.6% 7.3 pts better	93.4% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 98.0% · Q3 100.0% · Q4 95.7% · 4Q avg 96.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	91.6% 8.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.1%	3.3% 0.2 pts better	3.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.0% · Q3 4.4% · Q4 0.0% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	12.2%	50.3% 38.1 pts better	11.4% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 5.6% · Q3 14.3% · Q4 17.1% · 4Q avg 12.2%
Percentage of long-stay residents who lose too much weight	8.9%	6.5% 2.4 pts worse	5.4% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 12.5% · Q3 0.0% · Q4 7.4% · 4Q avg 8.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.1%	18.5% 0.4 pts better	19.6% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 18.2% · Q3 18.2% · Q4 13.8% · 4Q avg 18.1%
Percentage of long-stay residents who received an antipsychotic medication	9.3%	22.8% 13.5 pts better	16.7% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.4% · Q3 13.8% · Q4 12.5% · 4Q avg 9.3% · 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	34.0%	17.2% 16.8 pts worse	16.3% 17.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 34.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.7%	15.0% 6.7 pts worse	14.9% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 29.0% · Q3 16.1% · Q4 7.7% · 4Q avg 21.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.1% 0.6 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	1.7% 1.2 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.2%	21.3% 5.9 pts worse	19.8% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.3% · Q2 36.5% · Q3 32.7% · Q4 6.9% · 4Q avg 27.2%
Percentage of long-stay residents with pressure ulcers	3.5%	5.2% 1.7 pts better	5.1% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 2.4% · Q3 4.7% · Q4 1.3% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.2%	68.8% 14.4 pts better	81.7% 1.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 80.6% · Q2 83.5% · Q3 83.3% · Q4 84.9% · 4Q avg 83.2%
Percentage of short-stay residents who had an outpatient emergency department visit	14.2%	14.0% 0.2 pts worse	12.0% 2.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 14.3% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	5.1%	2.3% 2.8 pts worse	1.6% 3.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 5.1% · Q3 2.1% · Q4 5.7% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.6%	63.0% 30.6 pts better	79.7% 13.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	36.6%	26.2% 10.4 pts worse	23.9% 12.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 36.6% · Observed 32.5% · Expected 21.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-14 · Fire 2024-11-14

6 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-01-26 · Fire 2024-01-26

10 health deficiencies

Top issue: Environmental (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-02-02 · Fire 2023-02-02

7 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

10 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-29

F · Potential for more than minimal harm 2024-11-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-11-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-11-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-29

F · Potential for more than minimal harm 2024-01-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-15

F · Potential for more than minimal harm 2024-01-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-15

E · Potential for more than minimal harm 2024-01-26

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-02-15

E · Potential for more than minimal harm 2024-01-26

K222 · Egress Deficiencies

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 2024-02-15

F · Potential for more than minimal harm 2023-02-02

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-03-28

F · Potential for more than minimal harm 2023-02-02

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-03-28

F · Potential for more than minimal harm 2023-02-02

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-03-24

F · Potential for more than minimal harm 2023-02-02

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-03-28

F · Potential for more than minimal harm 2023-02-02

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-28

E · Potential for more than minimal harm 2023-02-02

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-03-28

E · Potential for more than minimal harm 2023-02-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-28

E · Potential for more than minimal harm 2023-02-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-28

E · Potential for more than minimal harm 2023-02-02

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-03-28

C · Minimal harm 2023-02-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-10

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2026-01-13

G · Actual harm 2025-12-11

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 2025-12-19

E · Potential for more than minimal harm 2024-11-14

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-11-14

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-11-14

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-11-14

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 2024-11-22

F · Potential for more than minimal harm 2024-01-26

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 2024-02-14

F · Potential for more than minimal harm 2024-01-26

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-02-15

F · Potential for more than minimal harm 2024-01-26

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-02-15

F · Potential for more than minimal harm 2024-01-26

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-02-14

E · Potential for more than minimal harm 2024-01-26

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-02-14

E · Potential for more than minimal harm 2024-01-26

F761 · Pharmacy Service Deficiencies

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 2024-02-14

D · Potential for more than minimal harm 2024-01-26

F578 · Resident Rights Deficiencies

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 2024-02-14

D · Potential for more than minimal harm 2024-01-26

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-14

D · Potential for more than minimal harm 2024-01-26

F756 · Pharmacy Service Deficiencies

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 2024-02-14

D · Potential for more than minimal harm 2024-01-26

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2024-02-14

D · Potential for more than minimal harm 2023-11-22

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 2023-12-04

E · Potential for more than minimal harm 2023-05-26

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 2023-05-31

D · Potential for more than minimal harm 2023-03-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-03-28

D · Potential for more than minimal harm 2023-02-02

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-02-16

D · Potential for more than minimal harm 2023-02-02

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 2023-02-16

D · Potential for more than minimal harm 2023-02-02

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 2023-02-16

D · Potential for more than minimal harm 2023-02-02

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-02-16

Penalties and ownership

What sits behind the stars

$2,117 2023-08-21

Fine

Fine · fine $2,117

Fine

$4,233 2023-07-31

Fine

Fine · fine $4,233

Fine