Cycle 1
Health 2025-02-27 · Fire 2025-02-27
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Brookfield, IL
British Home, The
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
8700 West 31st Street, Brookfield, IL
(708) 485-0135
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
37
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-03-16
CMS approved date
Coverage
Medicare
Participation flags
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
1.25
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.64
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.43
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.32
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.89
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.97
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.01
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
1.24
CMS adjusted RN staffing hours
Adjusted total hours
4.29
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,363
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9833
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.42% · Performance 23.33% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.12
Baseline 9.32% · Performance 7.32% · Measure score 4.12 · Achievement 1.71 · Improvement 4.12
Total nurse turnover
3.12
Performance 50.91% · Measure score 3.12 · Achievement 3.12 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.31
Baseline 4.29 hours · Performance 3.74 hours · Measure score 2.31 · Achievement 2.31 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.78% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 370 · Observed rate 11.35% · Lower 95% interval 8.12% |
| Discharge to community | 56.55% |
50.57%
6 pts better
|
Better than the National Rate · Eligible stays 356 · Observed rate 49.72% · Lower 95% interval 50.86% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 92.49% |
95.27%
2.8 pts worse
|
Numerator 197 · Denominator 213 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 213 |
| Discharge self-care score | 64.89% |
53.69%
11.2 pts better
|
Numerator 122 · Denominator 188 |
| Discharge mobility score | 63.3% |
50.94%
12.4 pts better
|
Numerator 119 · Denominator 188 |
| Pressure ulcers or injuries, new or worsened | 0.94% |
2.29%
1.4 pts better
|
Numerator 2 · Denominator 213 · Adjusted rate 0.97% |
| Healthcare-associated infections requiring hospitalization | 7.32% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 249 · Observed rate 7.63% · Lower 95% interval 4.81% |
| Staff COVID-19 vaccination coverage | 12.75% |
8.2%
4.6 pts better
|
Numerator 13 · Denominator 102 |
| Staff flu vaccination coverage | 72.55% |
42%
30.5 pts better
|
Numerator 74 · Denominator 102 |
| Discharge function score | 62.23% |
56.45%
5.8 pts better
|
Numerator 117 · Denominator 188 |
| Transfer of health information to provider | 98.25% |
95.95%
2.3 pts better
|
Numerator 56 · Denominator 57 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 133 · Denominator 133 |
| Resident COVID-19 vaccinations up to date | 58.65% |
25.2%
33.5 pts better
|
Numerator 61 · Denominator 104 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
89.6%
8.8 pts better
|
93.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 98.4% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
50.3%
47.8 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 10.3% |
6.5%
3.8 pts worse
|
5.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.3% |
18.5%
4.8 pts worse
|
19.6%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.3% |
22.8%
14.5 pts better
|
16.7%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.3% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.3% |
15.0%
18.3 pts worse
|
14.9%
18.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.1%
0.2 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.3% |
1.7%
1.6 pts worse
|
1.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.4% |
21.3%
6.1 pts worse
|
19.8%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.4% |
| Percentage of long-stay residents with pressure ulcers | 4.0% |
5.2%
1.2 pts better
|
5.1%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.5% |
68.8%
24.7 pts better
|
81.7%
11.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 91.1% · Q3 92.7% · Q4 95.5% · 4Q avg 93.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.1% |
14.0%
7.9 pts better
|
12.0%
5.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.1% · Observed 6.0% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
2.3%
1 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.8% · Q3 0.8% · Q4 1.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.3% |
63.0%
31.3 pts better
|
79.7%
14.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.5% |
26.2%
1.3 pts worse
|
23.9%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 27.5% · Expected 23.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-15 · Fire 2024-03-15
5 health deficiencies
Top issue: Infection Control (1 deficiency)
12 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Cycle 3
Health 2023-04-07 · Fire 2023-04-07
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-27
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-03-13
F · Potential for more than minimal harm
2025-02-27
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-13
E · Potential for more than minimal harm
2025-02-27
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-03-13
F · Potential for more than minimal harm
2024-03-15
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-04-16
F · Potential for more than minimal harm
2024-03-15
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-04-16
F · Potential for more than minimal harm
2024-03-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-25
F · Potential for more than minimal harm
2024-03-15
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-04-16
F · Potential for more than minimal harm
2024-03-15
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-04-16
F · Potential for more than minimal harm
2024-03-15
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-02
F · Potential for more than minimal harm
2024-03-15
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-05-07
F · Potential for more than minimal harm
2024-03-15
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-04-16
E · Potential for more than minimal harm
2024-03-15
K223 · Egress Deficiencies
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 2024-04-16
E · Potential for more than minimal harm
2024-03-15
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-04-16
E · Potential for more than minimal harm
2024-03-15
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-10
E · Potential for more than minimal harm
2024-03-15
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-04-16
F · Potential for more than minimal harm
2023-04-07
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-04-27
F · Potential for more than minimal harm
2023-04-07
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2023-05-01
F · Potential for more than minimal harm
2023-04-07
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-05-01
F · Potential for more than minimal harm
2023-04-07
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-05-01
F · Potential for more than minimal harm
2023-04-07
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-04-07
K321 · Smoke Deficiencies
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 2023-05-01
E · Potential for more than minimal harm
2023-04-07
K364 · Smoke Deficiencies
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-04-07
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-04-07
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-04-07
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2023-05-01
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-02-27
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-02-27
F · Potential for more than minimal harm
2025-02-27
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-02-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-27
D · Potential for more than minimal harm
2025-02-27
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-14
D · Potential for more than minimal harm
2025-02-27
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-14
F · Potential for more than minimal harm
2024-03-15
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 2024-04-05
E · Potential for more than minimal harm
2024-03-15
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-04-05
D · Potential for more than minimal harm
2024-03-15
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 2024-04-05
D · Potential for more than minimal harm
2024-03-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-05
D · Potential for more than minimal harm
2024-03-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-05
G · Actual harm
2023-09-03
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-06
F · Potential for more than minimal harm
2023-04-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-19
E · Potential for more than minimal harm
2023-04-07
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 2023-04-19
E · Potential for more than minimal harm
2023-04-07
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 2023-04-19
E · Potential for more than minimal harm
2023-04-07
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-04-19
D · Potential for more than minimal harm
2023-04-07
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-04-19
D · Potential for more than minimal harm
2023-04-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-19
D · Potential for more than minimal harm
2023-04-07
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-04-19
Penalties and ownership
What sits behind the stars
$0
2023-09-03
Payment Denial
Payment Denial · denial start 2023-09-28 · 8 days
8 day denial
Ownership
British Home Life Services Corporation
5% Or Greater Direct Ownership Interest · Organization
Bennett, Lorna
Corporate Director · Individual
Blatz, Mary
Corporate Director · Individual
Bond, Barbara
Corporate Director · Individual
Cortopassi, Ellen
Corporate Director · Individual
Garrison, Karen
Corporate Director · Individual
Gomez, Isabel
Operational/Managerial Control · Individual
Jablonski, Bruce
Corporate Director · Individual
Larson, John
Operational/Managerial Control · Individual
Larson, John
Corporate Officer · Individual
Mahajan, Dheeraj
Operational/Managerial Control · Individual
Mcallister, Paul
Corporate Director · Individual
Nowak, Slawomir
Operational/Managerial Control · Individual
Robinson, Elisa
Corporate Director · Individual
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