3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
21 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Niles, IL
4-star overall rating with 4-star inspections with $64,531 in total fines with 3 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
6930 West Touhy Avenue, Niles, IL
(847) 647-0003
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
85
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Citadel Healthcare
Operator or chain grouping
Approved since
1992-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
1.08
Registered nurse staffing
LPN hours / resident day
0.37
Licensed practical nurse staffing
Aide hours / resident day
2.33
Nurse aide staffing
Weekend hours
3.28
Weekend nurse staffing
RN turnover
54%
Annual RN turnover
Total nurse turnover
52%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
2.0
1.1 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.3
1.2 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.1% |
89.6%
1.5 pts better
|
93.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.2% |
91.6%
5.6 pts better
|
95.5%
1.7 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
3.3%
1.7 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 66.4% |
50.3%
16.1 pts worse
|
11.4%
55 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 10.1% |
6.5%
3.6 pts worse
|
5.4%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.7% |
18.5%
2.8 pts better
|
19.6%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 20.1% |
22.8%
2.7 pts better
|
16.7%
3.4 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 | 19.3% |
17.2%
2.1 pts worse
|
16.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| 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 | 0.8% |
1.7%
0.9 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.3% |
21.3%
1 pts worse
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
5.2%
0.2 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.4% |
68.8%
12.6 pts better
|
81.7%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.1% |
14.0%
3.9 pts better
|
12.0%
1.9 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.3%
1.3 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.6% |
63.0%
23.6 pts better
|
79.7%
6.9 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.4% |
26.2%
5.2 pts worse
|
23.9%
7.5 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
21 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
20 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
17 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-07-08
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-07-08
Fire Safety
Use approved construction type or materials.
Corrected 2025-07-08
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 2025-07-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-08
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-07-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-08
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-07-08
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-07-08
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-07-08
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-07-08
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-07-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-07-08
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-08
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2025-07-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-08
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-06-13
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-06-13
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-06-13
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-06-13
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-06-13
Fire Safety
Install proper backup exit lighting.
Corrected 2024-06-13
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2024-06-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-06-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-06-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-06-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-13
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-06-13
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 2024-06-13
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-06-13
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-06-13
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-05-08
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-04-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-04-11
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-04-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-05
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-05-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-08
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-05-08
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-05-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-05-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-08
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 2023-05-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-11
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-05-08
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-05-08
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-18
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-06-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-13
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-13
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-26
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 2024-06-10
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-10
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-06-10
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-04-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-17
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 2023-03-29
Penalties and ownership
Fine · fine $29,660
Fine
Fine · fine $34,871
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
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