6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Oak Park, IL
3-star overall rating with 3-star inspections with $311,943 in total fines with 6 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
6909 West North Avenue, Oak Park, IL
(708) 386-1112
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
72
Certified beds
Average residents
50
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.69
Registered nurse staffing
LPN hours / resident day
0.52
Licensed practical nurse staffing
Aide hours / resident day
1.83
Nurse aide staffing
Weekend hours
2.80
Weekend nurse staffing
RN turnover
33%
Annual RN turnover
Total nurse turnover
41%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
89.6%
3.7 pts better
|
93.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.3%
3.3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 85.5% |
50.3%
35.2 pts worse
|
11.4%
74.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 4.3% |
6.5%
2.2 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.1% |
18.5%
11.4 pts better
|
19.6%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.1% |
22.8%
1.7 pts better
|
16.7%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.5% |
17.2%
11.7 pts better
|
16.3%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.6% |
15.0%
6.4 pts better
|
14.9%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.1%
0.8 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.7%
0.5 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.9% |
21.3%
18.4 pts better
|
19.8%
16.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 8.6% |
5.2%
3.4 pts worse
|
5.1%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 22.1% |
68.8%
46.7 pts worse
|
81.7%
59.6 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.3%
2.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 25.0% |
63.0%
38 pts worse
|
79.7%
54.7 pts worse
|
Short Stay · 2024Q3-2025Q2 |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
33 fire-safety deficiencies
Top issue: Emergency Preparedness (23 deficiencies)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-05-08
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-05-08
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-05-08
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-05-08
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-05-08
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-05-08
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-05-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-08
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-05-08
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-08
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 2025-05-08
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-05-08
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-05-08
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 2025-05-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-08
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-05-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-19
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-08-12
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-08-12
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2024-08-12
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-08-12
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-08-12
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-08-12
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-08-12
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-08-12
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-08-12
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-12
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-12
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-08-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-05
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 2024-08-12
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-04
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-07-19
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-07-19
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-07-19
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-07-19
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-07-19
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2023-07-19
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2023-07-19
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-07-19
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-07-19
Fire Safety
Develop a communication plan.
Corrected 2023-07-19
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-07-19
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-07-19
Fire Safety
Provide primary/alternate means for communication.
Corrected 2023-07-19
Fire Safety
Establish methods for sharing information.
Corrected 2023-07-19
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2023-07-19
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-07-19
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-07-19
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-07-19
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-07-19
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-07-19
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-07-19
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-07-19
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-07-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-19
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-08-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-12
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-07-19
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-08-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-19
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-07-21
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2023-07-19
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-23
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-04-23
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-23
Health
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.
Corrected 2025-04-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-23
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2024-07-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-19
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 2024-07-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-05
Health
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.
Corrected 2023-10-27
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-08-18
Health
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.
Corrected 2023-10-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-18
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 2023-08-18
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-08-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-18
Health
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected 2023-08-18
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2023-08-18
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-09-04
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 2023-09-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-04
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-06-23
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-29
Health
Implement a program that monitors antibiotic use.
Corrected 2023-10-09
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-04
Health
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.
Corrected 2023-09-29
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 2023-09-04
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 2023-09-04
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-04
Penalties and ownership
Fine · fine $81,840
Fine
Payment Denial · denial start 2025-05-03 · 16 days
16 day denial
Fine · fine $33,840
Fine
Fine · fine $4,938
Fine
Fine · fine $4,938
Fine
Fine · fine $14,814
Fine
Fine · fine $4,938
Fine
Fine · fine $4,587
Fine
Fine · fine $13,762
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $13,762
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $15,261
Fine
Payment Denial · denial start 2023-06-23 · 126 days
126 day denial
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $13,762
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Oak Park, IL
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Elmwood Park, IL
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $400,219 in total fines with 26 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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