Cycle 1
Health 2024-11-15 · Fire 2024-11-15
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Chicago, IL
Buckingham Pavilion
3-star overall rating with 4-star inspections with 9 recent health deficiencies
2625 West Touhy Avenue, Chicago, IL
(773) 973-5333
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
235
Certified beds
Average residents
107
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1975-04-14
CMS approved date
Coverage
Medicare + Medicaid
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
0.67
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.22
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.81
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
2.70
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
0.89
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.56
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
2.49
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,658
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.59
Composite VBP score used to determine payment impact.
Payment multiplier
0.9822
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.93
Baseline 19.72% · Performance 20.54% · Measure score 1.93 · Achievement 1.93 · Improvement 0
Healthcare-associated infections
0
Baseline 6.77% · Performance 8.99% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.71
Baseline 38.89% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 0
Adjusted total nurse staffing
1.20
Baseline 2.50 hours · Performance 3.06 hours · Measure score 1.20 · Achievement 0 · Improvement 1.20
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.39% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 142 · Observed rate 7.04% · Lower 95% interval 6.06% |
| Discharge to community | 43.89% |
50.57%
6.7 pts worse
|
No Different than the National Rate · Eligible stays 125 · Observed rate 38.4% · Lower 95% interval 33.66% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 77 · Denominator 77 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 77 |
| Discharge self-care score | 48.33% |
53.69%
5.4 pts worse
|
Numerator 29 · Denominator 60 |
| Discharge mobility score | 28.33% |
50.94%
22.6 pts worse
|
Numerator 17 · Denominator 60 |
| Pressure ulcers or injuries, new or worsened | 1.3% |
2.29%
1 pts better
|
Numerator 1 · Denominator 77 · Adjusted rate 1.39% |
| Healthcare-associated infections requiring hospitalization | 8.99% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 91 · Observed rate 12.09% · Lower 95% interval 5.49% |
| Staff COVID-19 vaccination coverage | 0.86% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 116 |
| Staff flu vaccination coverage | 56.41% |
42%
14.4 pts better
|
Numerator 110 · Denominator 195 |
| Discharge function score | 30% |
56.45%
26.5 pts worse
|
Numerator 18 · Denominator 60 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 95.45% |
96.28%
0.8 pts worse
|
Numerator 21 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 17.86% |
25.2%
7.3 pts worse
|
Numerator 5 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.0
0.6 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
2.3
0.7 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.5% |
89.6%
1.1 pts worse
|
93.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 70.8% · Q2 94.7% · Q3 93.7% · Q4 93.8% · 4Q avg 88.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.8% |
91.6%
0.2 pts better
|
95.5%
3.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.8% |
| 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 · 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 who have depressive symptoms | 49.9% |
50.3%
0.4 pts better
|
11.4%
38.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 49.4% · Q2 52.3% · Q3 48.9% · Q4 48.9% · 4Q avg 49.9% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
6.5%
3.8 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.3% · Q3 2.3% · Q4 4.7% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.4% |
18.5%
10.1 pts better
|
19.6%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.1% · Q3 8.8% · Q4 7.5% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.8% |
22.8%
3 pts better
|
16.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 19.2% · Q3 18.8% · Q4 20.3% · 4Q avg 19.8% · 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 | 14.1% |
17.2%
3.1 pts better
|
16.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 21.2% · Q3 4.1% · Q4 8.4% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
15.0%
3.3 pts worse
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.8% · Q2 16.5% · Q3 6.0% · Q4 18.5% · 4Q avg 18.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.1%
0.9 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.7%
1.4 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.4% |
21.3%
12.9 pts better
|
19.8%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 10.3% · Q3 3.2% · Q4 1.1% · 4Q avg 8.4% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
5.2%
0.6 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 5.4% · Q3 8.8% · Q4 2.5% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 41.9% |
68.8%
26.9 pts worse
|
81.7%
39.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 40.3% · Q3 46.5% · Q4 49.2% · 4Q avg 41.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
14.0%
4.8 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.5% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
2.3%
0.5 pts better
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.2% · Q3 2.1% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.7% |
63.0%
12.3 pts worse
|
79.7%
29 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.8% |
26.2%
4.4 pts better
|
23.9%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 21.3% · Expected 23.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-08 · Fire 2023-12-08
8 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-02-02 · Fire 2023-02-02
10 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-11-15
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-11-15
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 2024-12-09
D · Potential for more than minimal harm
2024-11-15
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-11-15
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-11-15
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-11-15
F693 · Quality of Life and Care Deficiencies
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 2024-12-09
D · Potential for more than minimal harm
2024-11-15
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-12-09
D · Potential for more than minimal harm
2024-11-15
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-12-09
C · Minimal harm
2024-11-15
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-09
F · Potential for more than minimal harm
2023-12-08
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 2024-01-10
E · Potential for more than minimal harm
2023-12-08
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-01-10
D · Potential for more than minimal harm
2023-12-08
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 2024-01-10
D · Potential for more than minimal harm
2023-12-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-10
D · Potential for more than minimal harm
2023-12-08
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-10
D · Potential for more than minimal harm
2023-12-08
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-10
D · Potential for more than minimal harm
2023-12-08
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 2024-01-10
D · Potential for more than minimal harm
2023-12-08
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-01-10
F · Potential for more than minimal harm
2023-02-02
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 2023-03-01
E · Potential for more than minimal harm
2023-02-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-01
E · Potential for more than minimal harm
2023-02-02
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-03-01
E · Potential for more than minimal harm
2023-02-02
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 2023-03-01
D · Potential for more than minimal harm
2023-02-02
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 2023-03-01
D · Potential for more than minimal harm
2023-02-02
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-03-01
D · Potential for more than minimal harm
2023-02-02
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-01
D · Potential for more than minimal harm
2023-02-02
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-01
D · Potential for more than minimal harm
2023-02-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-01
D · Potential for more than minimal harm
2023-02-02
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-03-01
Penalties and ownership
What sits behind the stars
Ownership
Stern, Sheldon
5% Or Greater Direct Ownership Interest · Individual
Kazlow, Leah
5% Or Greater Direct Ownership Interest · Individual
Slatus, Rita
5% Or Greater Direct Ownership Interest · Individual
Kazlow, Leah
Corporate Director · Individual
Kazlow, Leah
Corporate Officer · Individual
Slatus, Rita
Corporate Director · Individual
Slatus, Rita
Corporate Officer · Individual
Stern, Sheldon
Operational/Managerial Control · Individual
Stern, Sheldon
Corporate Director · Individual
Stern, Sheldon
Corporate Officer · Individual
Stern, Sheldon
W-2 Managing Employee · Individual
Nearby options
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2-star overall rating with 3-star inspections with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
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#3
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4-star overall rating with 5-star inspections with $19,383 in total fines
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