14 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Joliet, IL
1-star overall rating with 2-star inspections with $38,682 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
210 North Springfield Avenue, Joliet, IL
(815) 725-3400
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
154
Certified beds
Average residents
116
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Prime Healthcare
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.93
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.52
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.31
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.64
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
0.80
CMS adjusted RN staffing hours
Adjusted total hours
2.82
CMS adjusted total nurse staffing hours
Case-mix index
1.61
Higher values indicate more complex resident acuity
RN turnover
59%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
71%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
9,829
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.38
Composite VBP score used to determine payment impact.
Payment multiplier
0.9829
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.74
Baseline 24.41% · Performance 22.02% · Measure score 2.74 · Achievement 0 · Improvement 2.74
Healthcare-associated infections
3.57
Baseline 7.57% · Performance 6.77% · Measure score 3.57 · Achievement 3.57 · Improvement 2.62
Total nurse turnover
1.18
Baseline 74.76% · Performance 66.39% · Measure score 1.18 · Achievement 0 · Improvement 1.18
Adjusted total nurse staffing
1.47
Baseline 3.88 hours · Performance 3.50 hours · Measure score 1.47 · Achievement 1.47 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.14% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 246 · Observed rate 12.2% · Lower 95% interval 7.69% |
| Discharge to community | 51.82% |
50.57%
1.2 pts better
|
No Different than the National Rate · Eligible stays 248 · Observed rate 45.56% · Lower 95% interval 45.13% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 88.75% |
95.27%
6.5 pts worse
|
Numerator 142 · Denominator 160 |
| Falls with major injury | 1.25% |
0.77%
0.5 pts worse
|
Numerator 2 · Denominator 160 |
| Discharge self-care score | 49.07% |
53.69%
4.6 pts worse
|
Numerator 53 · Denominator 108 |
| Discharge mobility score | 50.93% |
50.94%
About the same
|
Numerator 55 · Denominator 108 |
| Pressure ulcers or injuries, new or worsened | 3.77% |
2.29%
1.5 pts worse
|
Numerator 6 · Denominator 159 · Adjusted rate 3.88% |
| Healthcare-associated infections requiring hospitalization | 6.77% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 167 · Observed rate 6.59% · Lower 95% interval 4.63% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 88 |
| Staff flu vaccination coverage | 95.1% |
42%
53.1 pts better
|
Numerator 97 · Denominator 102 |
| Discharge function score | 56.48% |
56.45%
About the same
|
Numerator 61 · Denominator 108 |
| Transfer of health information to provider | 97.26% |
95.95%
1.3 pts better
|
Numerator 71 · Denominator 73 |
| Transfer of health information to patient | 93.75% |
96.28%
2.5 pts worse
|
Numerator 45 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 18.18% |
25.2%
7 pts worse
|
Numerator 14 · Denominator 77 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.0
0.7 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.3
0.5 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.0% |
89.6%
5.6 pts worse
|
93.4%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.6% · Q2 80.9% · Q3 85.9% · Q4 86.7% · 4Q avg 84.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.0% |
91.6%
5.4 pts better
|
95.5%
1.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.8% |
3.3%
2.5 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 6.4% · Q3 4.3% · Q4 3.3% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 33.3% |
50.3%
17 pts better
|
11.4%
21.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 19.4% · Q3 34.6% · Q4 50.0% · 4Q avg 33.3% |
| Percentage of long-stay residents who lose too much weight | 8.1% |
6.5%
1.6 pts worse
|
5.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.2% · Q3 10.7% · Q4 12.3% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.7% |
18.5%
1.8 pts better
|
19.6%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 16.0% · Q3 17.7% · Q4 18.2% · 4Q avg 16.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.6% |
22.8%
1.2 pts better
|
16.7%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 17.2% · Q3 19.4% · Q4 27.0% · 4Q avg 21.6% · 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 | 27.9% |
17.2%
10.7 pts worse
|
16.3%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 29.2% · Q3 20.0% · Q4 30.0% · 4Q avg 27.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.2% |
15.0%
9.2 pts worse
|
14.9%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 21.9% · Q3 33.8% · Q4 20.8% · 4Q avg 24.2% · 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 0.0% · Q2 0.9% · Q3 0.0% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.7%
0.6 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 2.3% · Q4 1.2% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
21.3%
3.1 pts worse
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 11.8% · Q3 34.7% · Q4 26.3% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
5.2%
0.1 pts worse
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 5.5% · Q3 8.2% · Q4 6.0% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.5% |
68.8%
3.3 pts worse
|
81.7%
16.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 59.3% · Q2 59.3% · Q3 74.7% · Q4 70.1% · 4Q avg 65.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.9% |
14.0%
2.9 pts worse
|
12.0%
4.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 18.0% · Expected 11.9% · 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 0.9% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.5% |
63.0%
2.5 pts worse
|
79.7%
19.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.1% |
26.2%
5.1 pts better
|
23.9%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.1% · Observed 23.0% · Expected 26.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (9 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (13 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-09-20
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 2024-10-24
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-09-20
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-10-18
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2023-10-31
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-12-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-31
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-10-24
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-24
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-01-16
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-12-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-01-31
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-01-16
Inspection history
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-29
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 2025-12-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-12
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-21
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-03-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-01
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-28
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 2024-09-28
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-09-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-28
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 2024-09-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-28
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 2024-09-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-28
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-09-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-28
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 2024-05-12
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-12
Health
Provide appropriate foot care.
Corrected 2024-02-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-29
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-10-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-10-29
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 2023-10-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-29
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-10-29
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-10-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-04
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-05
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-03-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-13
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-01-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-16
Health
Provide appropriate foot care.
Corrected 2023-01-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-16
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 2023-01-16
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-01-16
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-01-16
Penalties and ownership
Fine · fine $15,345
Fine
Fine · fine $14,352
Fine
Fine · fine $8,985
Fine
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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