20 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Chicago, IL
3-star overall rating with 3-star inspections with 20 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
7370 West Talcott Avenue, Chicago, IL
(773) 594-7400
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
162
Certified beds
Average residents
120
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ascension Living
Operator or chain grouping
Approved since
1998-03-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
19 facilities
Chain averages 3 overall / 3 health / 3 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
1.65
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.23
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.54
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.42
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.01
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.22
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.64
CMS adjusted RN staffing hours
Adjusted total hours
4.39
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
48%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
11,146
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.05
Baseline 21.77% · Performance 21.04% · Measure score 1.05 · Achievement 0.85 · Improvement 1.05
Healthcare-associated infections
1.25
Baseline 6.40% · Performance 7.46% · Measure score 1.25 · Achievement 1.25 · Improvement 0
Total nurse turnover
3.98
Baseline 46.15% · Performance 47.42% · Measure score 3.98 · Achievement 3.98 · Improvement 0
Adjusted total nurse staffing
0.87
Baseline 3.37 hours · Performance 3.33 hours · Measure score 0.87 · Achievement 0.87 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.64% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 590 · Observed rate 10.34% · Lower 95% interval 8.77% |
| Discharge to community | 58.71% |
50.57%
8.1 pts better
|
Better than the National Rate · Eligible stays 651 · Observed rate 51% · Lower 95% interval 53.55% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.76% |
95.27%
1.5 pts better
|
Numerator 448 · Denominator 463 |
| Falls with major injury | 0.43% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 463 |
| Discharge self-care score | 46.37% |
53.69%
7.3 pts worse
|
Numerator 147 · Denominator 317 |
| Discharge mobility score | 27.76% |
50.94%
23.2 pts worse
|
Numerator 88 · Denominator 317 |
| Pressure ulcers or injuries, new or worsened | 3.24% |
2.29%
1 pts worse
|
Numerator 15 · Denominator 463 · Adjusted rate 3.99% |
| Healthcare-associated infections requiring hospitalization | 7.46% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 437 · Observed rate 7.09% · Lower 95% interval 5.62% |
| Staff COVID-19 vaccination coverage | 3.39% |
8.2%
4.8 pts worse
|
Numerator 4 · Denominator 118 |
| Staff flu vaccination coverage | 70.3% |
42%
28.3 pts better
|
Numerator 71 · Denominator 101 |
| Discharge function score | 36.59% |
56.45%
19.9 pts worse
|
Numerator 116 · Denominator 317 |
| Transfer of health information to provider | 98.97% |
95.95%
3 pts better
|
Numerator 383 · Denominator 387 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 20 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 13.62% |
25.2%
11.6 pts worse
|
Numerator 32 · Denominator 235 |
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 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.3
1.2 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.0% |
89.6%
2.4 pts better
|
93.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 93.2% · Q3 87.1% · Q4 92.5% · 4Q avg 92.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.4% |
91.6%
0.2 pts worse
|
95.5%
4.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.3%
0.2 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.1% · Q3 4.3% · Q4 3.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.2% |
50.3%
32.1 pts better
|
11.4%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 4.3% · Q3 18.2% · Q4 24.6% · 4Q avg 18.2% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
6.5%
1.3 pts better
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 5.1% · Q3 3.1% · Q4 1.7% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.5% |
18.5%
5 pts worse
|
19.6%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 19.0% · Q3 24.6% · Q4 29.0% · 4Q avg 23.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.2% |
22.8%
11.6 pts better
|
16.7%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 10.9% · Q3 9.3% · Q4 13.5% · 4Q avg 11.2% · 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 | 29.6% |
17.2%
12.4 pts worse
|
16.3%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.7% · 4Q avg 29.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.1% |
15.0%
6.1 pts worse
|
14.9%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 30.0% · Q3 15.0% · Q4 13.6% · 4Q avg 21.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.1%
0.2 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 1.2% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.7%
0.3 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.4% · Q3 2.9% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.2% |
21.3%
8.1 pts better
|
19.8%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 8.7% · Q3 12.6% · Q4 19.0% · 4Q avg 13.2% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
5.2%
0.7 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 8.4% · Q3 6.5% · Q4 5.4% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 42.1% |
68.8%
26.7 pts worse
|
81.7%
39.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 31.6% · Q3 45.9% · Q4 62.9% · 4Q avg 42.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.5% |
14.0%
1.5 pts better
|
12.0%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 10.7% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
2.3%
1.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.4% · Q3 0.0% · Q4 1.1% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 35.6% |
63.0%
27.4 pts worse
|
79.7%
44.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 35.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.6% |
26.2%
1.4 pts worse
|
23.9%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 24.5% · Expected 21.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (8 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-06
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-10-16
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-10-16
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-10-16
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 2023-09-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-08-10
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-08-04
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 2022-08-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-08-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-08-04
Inspection history
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-30
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-01-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-26
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Not marked corrected
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-23
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 2024-10-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-23
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-23
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 2024-10-23
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-10-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-23
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-10-23
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-10-23
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 2024-01-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-11
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-11-11
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-04
Health
Provide activities to meet all resident's needs.
Corrected 2023-10-20
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 2023-10-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-06
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-10-06
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 2023-10-06
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 2023-10-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-10-06
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-10-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-10-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-08-24
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 2022-08-24
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-08-24
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-08-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-08-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-08-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-08-24
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-08-24
Penalties and ownership
Payment Denial · denial start 2025-04-11 · 10 days
10 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Contracted Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Chicago, IL
3-star overall rating with 3-star inspections with $63,158 in total fines with 7 recent health deficiencies
Chicago, IL
2-star overall rating with 3-star inspections with $11,180 in total fines with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Norridge, IL
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Jump out