4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
23 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Streamwood, IL
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle
815 East Irving Park Road, Streamwood, IL
(630) 837-5300
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
214
Certified beds
Average residents
131
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Legacy Healthcare
Operator or chain grouping
Approved since
1991-08-28
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
1.13
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.40
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.83
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.35
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.52
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.22
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.07
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
0.94
CMS adjusted RN staffing hours
Adjusted total hours
2.79
CMS adjusted total nurse staffing hours
Case-mix index
1.65
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
6,013
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9883
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.77
Baseline 21.11% · Performance 20.61% · Measure score 1.77 · Achievement 1.77 · Improvement 0.72
Healthcare-associated infections
7.57
Baseline 6.37% · Performance 5.57% · Measure score 7.57 · Achievement 7.57 · Improvement 5.31
Total nurse turnover
3.74
Baseline 39.13% · Performance 48.39% · Measure score 3.74 · Achievement 3.74 · Improvement 0
Adjusted total nurse staffing
0.63
Baseline 2.18 hours · Performance 2.59 hours · Measure score 0.63 · Achievement 0 · Improvement 0.63
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.49% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 182 · Observed rate 17.03% · Lower 95% interval 9.32% |
| Discharge to community | 46.65% |
50.57%
3.9 pts worse
|
No Different than the National Rate · Eligible stays 160 · Observed rate 36.88% · Lower 95% interval 37.56% |
| Medicare spending per beneficiary | 1.25 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 118 · Denominator 118 |
| Falls with major injury | 0.85% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 118 |
| Discharge self-care score | 72.22% |
53.69%
18.5 pts better
|
Numerator 52 · Denominator 72 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 36 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 3.39% |
2.29%
1.1 pts worse
|
Numerator 4 · Denominator 118 · Adjusted rate 2.98% |
| Healthcare-associated infections requiring hospitalization | 5.57% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 104 · Observed rate 3.85% · Lower 95% interval 3.34% |
| Staff COVID-19 vaccination coverage | 4% |
8.2%
4.2 pts worse
|
Numerator 5 · Denominator 125 |
| Staff flu vaccination coverage | 95.68% |
42%
53.7 pts better
|
Numerator 133 · Denominator 139 |
| Discharge function score | 62.5% |
56.45%
6 pts better
|
Numerator 45 · Denominator 72 |
| Transfer of health information to provider | 95.74% |
95.95%
0.2 pts worse
|
Numerator 45 · Denominator 47 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 36 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 37.88% |
25.2%
12.7 pts better
|
Numerator 25 · Denominator 66 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.0
0.5 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 4.0 · Expected 3.1 · 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 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.6%
10.4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% |
91.6%
7.6 pts better
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.3%
1.1 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.6% · Q3 2.7% · Q4 1.8% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 65.2% |
50.3%
14.9 pts worse
|
11.4%
53.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 53.1% · Q2 68.0% · Q3 69.5% · Q4 69.5% · 4Q avg 65.2% |
| Percentage of long-stay residents who lose too much weight | 15.4% |
6.5%
8.9 pts worse
|
5.4%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 18.7% · Q3 13.1% · Q4 11.9% · 4Q avg 15.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.3% |
18.5%
0.2 pts better
|
19.6%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 16.7% · Q3 20.6% · Q4 20.6% · 4Q avg 18.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.3% |
22.8%
3.5 pts worse
|
16.7%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 25.0% · Q3 26.7% · Q4 25.3% · 4Q avg 26.3% · 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 | 9.6% |
17.2%
7.6 pts better
|
16.3%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 15.6% · Q3 11.3% · Q4 3.6% · 4Q avg 9.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.1% |
15.0%
3.9 pts better
|
14.9%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 10.2% · Q3 11.8% · Q4 8.7% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.1%
1.1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
1.7%
1.5 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.1% |
21.3%
1.2 pts better
|
19.8%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 24.6% · Q3 17.7% · Q4 16.4% · 4Q avg 20.1% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
5.2%
0.8 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.5% · Q3 3.9% · Q4 2.2% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
68.8%
30.9 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.5% · Q3 99.5% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% |
14.0%
2.3 pts better
|
12.0%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 13.7% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% |
2.3%
1.5 pts worse
|
1.6%
2.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.6% · Q3 3.3% · Q4 4.7% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.4% |
63.0%
35.4 pts better
|
79.7%
18.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.2% |
26.2%
2 pts worse
|
23.9%
4.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.2% · Observed 36.8% · Expected 31.1% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
23 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Infection Control (1 deficiency)
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Resident Rights (6 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-04-15
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2025-04-15
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-04-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-10
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-10
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-10
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-06-10
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-04-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-10
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-05-19
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-04-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-07
Fire Safety
Have proper power supply for life support equipment.
Corrected 2025-04-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-10
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-04-10
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 2025-04-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-25
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-10
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-04-10
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-04-10
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-10
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-04-18
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-04-18
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 2024-04-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-19
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-04-18
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 2024-04-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-17
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-04-19
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2024-04-18
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-12-20
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 2022-12-20
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-12-20
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-12-20
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-12-20
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-12-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-02
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-12-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-20
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-12-20
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-03
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-03
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-01-17
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-09-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-30
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2022-11-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-11-14
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 2022-11-14
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-14
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-11-14
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-11-14
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-11-14
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-11-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-14
Penalties and ownership
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
Corporate Officer · Individual
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