Federal inspection record · CMS data as of October 1, 2026
Avenora Elmhurst
200 East Lake Street, Elmhurst, IL · (630) 516-5000
- Certified beds
- 108
- Residents per day
- 41
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 10, 1967
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
Avenora Elmhurst carries 160.25 inspection points. That is fewer than 31% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care11E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights5E
- E
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Pharmacy Service3E
- E
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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
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.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1F
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Environmental1F
- F
Keep all essential equipment working safely.
Nursing and Physician Services1F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspection history
2026-01-08
9 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-10-10
14 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-11-29
16 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 1 h 4 min of it from a registered nurse.
This home
3 h 44 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 59% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$195,380 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-09 | Fine | $23,870 |
| 2026-01-08 | Fine | $38,376 |
| 2026-01-08 | Payment Denial · 7 day denial | $0 |
| 2024-07-15 | Fine | $68,842 |
| 2024-07-15 | Payment Denial · 98 day denial | $0 |
| 2024-06-05 | Fine | $64,292 |
| 2023-11-29 | Payment Denial · 76 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 3.0 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better | 96.5% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.8 pts better | 97.5% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 4.2% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.7 pts worse | 72.6% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts worse | 8.3% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.6 pts better | 9.8% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.4 pts worse | 24.1% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened13.3 pts worse | 26.1% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.5 pts worse | 25.5% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts worse | 2.1% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.9 pts worse | 27.7% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 3.0% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.2 pts better | 89.2% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit11.8 pts worse | 25.3% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts worse | 4.1% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.4 pts better | 88.6% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts better | 23.4% | 25.6% | 23.4% |
·
Who owns and runs it
40 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Matthew, Sanju | 5% Or Greater Direct Ownership Interest · Individual | 25% | 1 facilities |
| Dave, Madhusudan | 5% Or Greater Direct Ownership Interest · Individual | 15% | 1 facilities |
| Mathew, Soji | 5% Or Greater Direct Ownership Interest · Individual | 10% | 1 facilities |
| Simon, Thomas | 5% Or Greater Direct Ownership Interest · Individual | 10% | 2 facilities |
| Thomas, Jose | 5% Or Greater Direct Ownership Interest · Individual | 10% | 1 facilities |
| Thomas, Mathew | 5% Or Greater Direct Ownership Interest · Individual | 10% | 1 facilities |
| Dave, Dipti | 5% Or Greater Direct Ownership Interest · Individual | 6% | 1 facilities |
| Cyriac, Anish | 5% Or Greater Direct Ownership Interest · Individual | 5% | 1 facilities |
| Advance Inpatient Medicine LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Advance Inpatient Medicine LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Alex, Shijy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Alex, Shijy | Corporate Director · Individual | 0% | 1 facilities |
| Byrne, Mary | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Cdh Cpa Pllc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Cdh Cpa Pllc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Clinical Nutrition Consulting Services, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Clinical Nutrition Consulting Services, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Dave, Dipti | Corporate Officer · Individual | 0% | 1 facilities |
| Dave, Love | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Dave, Love | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Dave, Love | Corporate Director · Individual | 0% | 1 facilities |
| Dave, Love | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dave, Love | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dave, Madhusudan | Corporate Officer · Individual | 0% | 1 facilities |
| Elevate Therapy Consulting Group, LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Elevate Therapy Consulting Group, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Inspire Consulting Services, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Inspire Consulting Services, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lach, Krystine | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lasko, Jack | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Maiorana, Geraldine | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Manahan, Stephen | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Matthew, Sanju | Corporate Officer · Individual | 0% | 1 facilities |
| Morales, Melissa | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Pharmerica Drug Systems LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Siddique, Mohammad | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Siddique, Mohammad | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Siddique, Mohammad | Adp Of The SNF · Individual | 0% | 2 facilities |
| Thadathil Chacko, Mibin | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Thadathil Chacko, Mibin | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Install corridor and hallway doors that block smoke.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
Emergency Preparedness8F
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Create arrangements with other facilities to receive patients.
- F
Provide primary/alternate means for communication.
- F
Provide family notifications of emergency plan.
- F
Establish staff and initial training requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct testing and exercise requirements.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Install properly constructed and protected linen or trash chutes.
Egress2E
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
·
Other homes nearby
-
Grove Of Elmhurst, The
Elmhurst, IL · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 16 min
- Fines
- $155,963
-
Citadel At Casa Scalabrini
Northlake, IL · Citadel Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0
-
Bridgeway Senior Living
Bensenville, IL · Atied Associates
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 53 min
- Fines
- $141,118