14 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Chicago, IL
4-star overall rating with 3-star inspections with $4,784 in total fines with 14 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
6300 North California Avenue, Chicago, IL
(773) 973-1900
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
164
Certified beds
Average residents
148
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Legacy Healthcare
Operator or chain grouping
Approved since
1989-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
90 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
0.95
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.42
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.89
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.27
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.14
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.00
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
0.73
CMS adjusted RN staffing hours
Adjusted total hours
2.49
CMS adjusted total nurse staffing hours
Case-mix index
1.79
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
3,641
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.33
Composite VBP score used to determine payment impact.
Payment multiplier
0.9963
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.37
Baseline 25.67% · Performance 19.73% · Measure score 6.37 · Achievement 3.67 · Improvement 6.37
Healthcare-associated infections
5.26
Baseline 8.77% · Performance 6.60% · Measure score 5.26 · Achievement 4.14 · Improvement 5.26
Total nurse turnover
4.59
Baseline 44.94% · Performance 44.91% · Measure score 4.59 · Achievement 4.59 · Improvement 0
Adjusted total nurse staffing
1.10
Baseline 1.77 hours · Performance 2.42 hours · Measure score 1.10 · Achievement 0 · Improvement 1.10
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.9% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 5.05% · Lower 95% interval 6.24% |
| Discharge to community | 57.89% |
50.57%
7.3 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 48.96% · Lower 95% interval 48.18% |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 86 · Denominator 86 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 86 |
| Discharge self-care score | 67.35% |
53.69%
13.7 pts better
|
Numerator 33 · Denominator 49 |
| Discharge mobility score | 48.98% |
50.94%
2 pts worse
|
Numerator 24 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 86 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.6% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 63 · Observed rate 6.35% · Lower 95% interval 3.89% |
| Staff COVID-19 vaccination coverage | 6.25% |
8.2%
1.9 pts worse
|
Numerator 7 · Denominator 112 |
| Staff flu vaccination coverage | 63.76% |
42%
21.8 pts better
|
Numerator 95 · Denominator 149 |
| Discharge function score | 65.31% |
56.45%
8.9 pts better
|
Numerator 32 · Denominator 49 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 33 · Denominator 33 |
| Transfer of health information to patient | 97.14% |
96.28%
0.9 pts better
|
Numerator 34 · Denominator 35 |
| Resident COVID-19 vaccinations up to date | 31.37% |
25.2%
6.2 pts better
|
Numerator 16 · Denominator 51 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.0
0.8 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.8 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.3
0.8 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.7% |
89.6%
12.9 pts worse
|
93.4%
16.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 75.2% · Q2 80.0% · Q3 76.7% · Q4 74.6% · 4Q avg 76.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.9% |
91.6%
1.7 pts worse
|
95.5%
5.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
3.3%
1.8 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.4% · Q3 0.8% · Q4 1.6% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 95.5% |
50.3%
45.2 pts worse
|
11.4%
84.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 94.4% · Q3 95.8% · Q4 95.6% · 4Q avg 95.5% |
| Percentage of long-stay residents who lose too much weight | 7.9% |
6.5%
1.4 pts worse
|
5.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 10.3% · Q3 7.7% · Q4 8.0% · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.1% |
18.5%
10.4 pts better
|
19.6%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 7.9% · Q3 7.6% · Q4 8.0% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.4% |
22.8%
9.4 pts better
|
16.7%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 14.5% · Q3 11.4% · Q4 12.7% · 4Q avg 13.4% · 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 | 6.9% |
17.2%
10.3 pts better
|
16.3%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 12.5% · Q3 5.5% · Q4 3.8% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.2% |
15.0%
11.8 pts better
|
14.9%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 6.9% · Q3 1.9% · Q4 3.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.1%
0.7 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.4% · 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 0.0% · Q2 1.4% · Q3 0.8% · 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 | 28.8% |
21.3%
7.5 pts worse
|
19.8%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 28.0% · Q3 30.6% · Q4 25.6% · 4Q avg 28.8% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
5.2%
0.9 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.1% · Q3 3.6% · Q4 5.2% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.9% |
68.8%
15.1 pts better
|
81.7%
2.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 87.8% · Q3 82.5% · Q4 73.2% · 4Q avg 83.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
14.0%
1.7 pts better
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 13.3% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
2.3%
1.1 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.8% · Q4 1.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.6% |
63.0%
25.6 pts better
|
79.7%
8.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.7% |
26.2%
2.5 pts worse
|
23.9%
4.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 33.7% · Expected 28.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-21
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-12-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-21
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 2024-11-21
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-21
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-01-02
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-12-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-29
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-12-29
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 2023-12-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-29
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-12-29
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-12-29
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-02-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-01-16
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-16
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-01-16
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-01-16
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-01-16
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-01-16
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-01-16
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 2023-01-16
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-01-16
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-14
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-29
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-23
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 2024-11-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-23
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 2024-11-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-23
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-05
Health
Dispose of garbage and refuse properly.
Corrected 2023-12-19
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 2023-12-19
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-12-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-19
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 2023-12-19
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-12-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-19
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-12-19
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 2023-03-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-10
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-01-10
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 2023-01-10
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-10
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-01-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-10
Penalties and ownership
Fine · fine $4,784
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Security Interest · Organization
Nearby options
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Chicago, IL
3-star overall rating with 4-star inspections with 9 recent health deficiencies
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