Aurora, IL

Avantara Aurora

4-star overall rating with 4-star inspections with 7 recent health deficiencies

400 West Sullivan Road, Aurora, IL

(630) 859-3700

Compare this facility

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

87

Certified beds

Average residents

69

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-10-16

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

Hours and turnover

RN hours / resident day

1.34

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.25

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.07

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.67

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.60

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.59

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

1.28

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.07

CMS adjusted RN staffing hours

Adjusted total hours

2.93

CMS adjusted total nurse staffing hours

Case-mix index

1.71

Higher values indicate more complex resident acuity

RN turnover

24%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

56%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,574

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

Performance score

16.23

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.23

Baseline 20.90% · Performance 19.94% · Measure score 3.23 · Achievement 3.23 · Improvement 2

Healthcare-associated infections

1.02

Baseline 5.34% · Performance 7.53% · Measure score 1.02 · Achievement 1.02 · Improvement 0

Total nurse turnover

2.25

Baseline 67.19% · Performance 55.56% · Measure score 2.25 · Achievement 1.99 · Improvement 2.25

Adjusted total nurse staffing

0

Baseline 2.67 hours · Performance 2.52 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.76%	10.72% About the same	No Different than the National Rate · Eligible stays 178 · Observed rate 11.24% · Lower 95% interval 8.26%
Discharge to community	52.06%	50.57% 1.5 pts better	No Different than the National Rate · Eligible stays 180 · Observed rate 45% · Lower 95% interval 44.61%
Medicare spending per beneficiary	1.06	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 126 · Denominator 126
Falls with major injury	1.59%	0.77% 0.8 pts worse	Numerator 2 · Denominator 126
Discharge self-care score	54.65%	53.69% 1 pts better	Numerator 47 · Denominator 86
Discharge mobility score	36.05%	50.94% 14.9 pts worse	Numerator 31 · Denominator 86
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 126 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.53%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 132 · Observed rate 8.33% · Lower 95% interval 4.92%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 86
Staff flu vaccination coverage	89.61%	42% 47.6 pts better	Numerator 69 · Denominator 77
Discharge function score	52.33%	56.45% 4.1 pts worse	Numerator 45 · Denominator 86
Transfer of health information to provider	97.56%	95.95% 1.6 pts better	Numerator 40 · Denominator 41
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 66 · Denominator 66
Resident COVID-19 vaccinations up to date	27.12%	25.2% 1.9 pts better	Numerator 16 · Denominator 59

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	2.0 0.9 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.3 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	2.3 0.6 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.0 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.6%	89.6% 9 pts better	93.4% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.3% · Q4 96.2% · 4Q avg 98.6%
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	0.5%	3.3% 2.8 pts better	3.3% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	95.8%	50.3% 45.5 pts worse	11.4% 84.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 96.0% · Q3 96.2% · Q4 95.7% · 4Q avg 95.8%
Percentage of long-stay residents who lose too much weight	6.4%	6.5% 0.1 pts better	5.4% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 10.2% · Q3 3.8% · Q4 4.3% · 4Q avg 6.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.8%	18.5% 4.7 pts better	19.6% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 16.3% · Q3 11.5% · Q4 12.5% · 4Q avg 13.8%
Percentage of long-stay residents who received an antipsychotic medication	10.5%	22.8% 12.3 pts better	16.7% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 13.2% · Q3 7.5% · Q4 8.6% · 4Q avg 10.5% · 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	12.0%	17.2% 5.2 pts better	16.3% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q2 9.7% · Q3 14.5% · Q4 14.1% · 4Q avg 12.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.6%	15.0% 7.4 pts better	14.9% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 8.3% · Q3 2.0% · Q4 13.0% · 4Q avg 7.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.9%	1.1% 0.8 pts worse	1.0% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.9% · Q3 1.4% · Q4 1.9% · 4Q avg 1.9% · 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 2.2% · Q2 0.0% · Q3 0.0% · 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	14.0%	21.3% 7.3 pts better	19.8% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 10.2% · Q3 13.1% · Q4 22.3% · 4Q avg 14.0%
Percentage of long-stay residents with pressure ulcers	2.6%	5.2% 2.6 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 5.3% · Q3 1.7% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.9%	68.8% 16.1 pts better	81.7% 3.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 87.2% · Q3 81.2% · Q4 79.9% · 4Q avg 84.9%
Percentage of short-stay residents who had an outpatient emergency department visit	15.7%	14.0% 1.7 pts worse	12.0% 3.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 16.7% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	2.3% 1.2 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.6%	63.0% 26.6 pts better	79.7% 9.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 89.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.8%	26.2% 0.6 pts worse	23.9% 2.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 27.5% · Expected 24.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-14 · Fire 2025-03-14

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-11 · Fire 2024-04-11

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-05-19 · Fire 2023-05-19

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-14

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 2025-03-28

E · Potential for more than minimal harm 2025-03-14

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 2025-03-28

E · Potential for more than minimal harm 2025-03-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-31

D · Potential for more than minimal harm 2025-03-14

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 2025-03-28

D · Potential for more than minimal harm 2025-03-14

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-03-14

F693 · Quality of Life and Care Deficiencies

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 2025-03-28

D · Potential for more than minimal harm 2025-03-14

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-03-28

G · Actual harm 2024-04-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-04-26

F · Potential for more than minimal harm 2024-04-11

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 2024-04-26

E · Potential for more than minimal harm 2024-04-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-26

D · Potential for more than minimal harm 2024-04-11

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 2024-04-26

C · Minimal harm 2024-04-11

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-04-26

E · Potential for more than minimal harm 2023-05-19