9 health deficiencies
Top issue: Infection Control (2 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Glenview, IL
4-star overall rating with 4-star inspections with $47,853 in total fines with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
1700 East Lake Avenue, Glenview, IL
(847) 729-1300
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
135
Certified beds
Average residents
117
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Citadel Healthcare
Operator or chain grouping
Approved since
1993-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 3 overall / 4 health / 2 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
0.73
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
2.89
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
4,556
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9925
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.34
Baseline 22.56% · Performance 19.33% · Measure score 5.34 · Achievement 4.53 · Improvement 5.34
Healthcare-associated infections
1.83
Baseline 8.61% · Performance 7.77% · Measure score 1.83 · Achievement 0 · Improvement 1.83
Total nurse turnover
8.63
Baseline 48.28% · Performance 28.42% · Measure score 8.63 · Achievement 8.63 · Improvement 7.98
Adjusted total nurse staffing
0
Baseline 2.58 hours · Performance 2.69 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.17% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 200 · Observed rate 10% · Lower 95% interval 7.7% |
| Discharge to community | 55.64% |
50.57%
5.1 pts better
|
No Different than the National Rate · Eligible stays 192 · Observed rate 46.35% · Lower 95% interval 48.02% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.25% |
95.27%
4 pts better
|
Numerator 132 · Denominator 133 |
| Falls with major injury | 2.26% |
0.77%
1.5 pts worse
|
Numerator 3 · Denominator 133 |
| Discharge self-care score | 54.76% |
53.69%
1.1 pts better
|
Numerator 46 · Denominator 84 |
| Discharge mobility score | 57.14% |
50.94%
6.2 pts better
|
Numerator 48 · Denominator 84 |
| Pressure ulcers or injuries, new or worsened | 1.5% |
2.29%
0.8 pts better
|
Numerator 2 · Denominator 133 · Adjusted rate 1.12% |
| Healthcare-associated infections requiring hospitalization | 7.77% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 118 · Observed rate 9.32% · Lower 95% interval 4.91% |
| Staff COVID-19 vaccination coverage | 1.5% |
8.2%
6.7 pts worse
|
Numerator 2 · Denominator 133 |
| Staff flu vaccination coverage | 90.83% |
42%
48.8 pts better
|
Numerator 109 · Denominator 120 |
| Discharge function score | 55.95% |
56.45%
0.5 pts worse
|
Numerator 47 · Denominator 84 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 59 · Denominator 59 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 44 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 71.23% |
25.2%
46 pts better
|
Numerator 52 · Denominator 73 |
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 2.2 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.3
0.9 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
89.6%
8.5 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 98.1% · Q3 100.0% · Q4 98.0% · 4Q avg 98.1% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.4% |
3.3%
3.1 pts worse
|
3.3%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 5.6% · Q3 6.7% · Q4 5.9% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 93.6% |
50.3%
43.3 pts worse
|
11.4%
82.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 94.9% · Q3 93.8% · Q4 94.3% · 4Q avg 93.6% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
6.5%
0.7 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 4.0% · Q3 7.4% · Q4 14.3% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.5% |
18.5%
1 pts better
|
19.6%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 16.7% · Q3 17.5% · Q4 19.4% · 4Q avg 17.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 29.9% |
22.8%
7.1 pts worse
|
16.7%
13.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 30.6% · Q3 28.4% · Q4 34.2% · 4Q avg 29.9% · 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 | 9.7% |
17.2%
7.5 pts better
|
16.3%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 11.0% · Q3 15.2% · Q4 4.1% · 4Q avg 9.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.6% |
15.0%
8.4 pts better
|
14.9%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 8.4% · Q3 4.3% · Q4 3.2% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.1%
0.6 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 1.5% · 4Q avg 0.5% · 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 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.5% |
21.3%
3.8 pts better
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 16.4% · Q3 16.0% · Q4 21.3% · 4Q avg 17.5% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
5.2%
0.9 pts worse
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.6% · Q3 7.0% · Q4 7.4% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
68.8%
28.4 pts better
|
81.7%
15.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 97.8% · Q3 100.0% · Q4 96.4% · 4Q avg 97.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.4% |
14.0%
2.6 pts better
|
12.0%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 12.7% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
2.3%
0.1 pts better
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 4.1% · Q4 1.2% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
63.0%
37 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.2% |
26.2%
10 pts better
|
23.9%
7.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 19.0% · Expected 28.0% · Used in QM five-star |
Survey summary
Top issue: Infection Control (2 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
No concentrated health issue counts in this cycle.
7 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-25
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-09-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-25
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-09-25
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-09-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-25
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2024-09-25
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-02
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-02
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-10-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-02
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-10-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-10-13
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-10-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-13
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 2022-10-13
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-11-02
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 2022-11-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-10-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-10-13
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-10-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-10-13
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-10-13
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2022-10-13
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-10-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-10-13
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-10-13
Inspection history
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-01
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-08-01
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-08-01
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-08-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-01
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 2025-08-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-01
Health
Implement a program that monitors antibiotic use.
Corrected 2025-08-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-12-21
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-12-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-02
Health
Dispose of garbage and refuse properly.
Corrected 2023-10-02
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-10-02
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-02
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-02
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-10-02
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-02
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-10-02
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 2023-10-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-10
Penalties and ownership
Fine · fine $47,853
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
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