Chicago, IL

Community First Medical Center

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

5645 West Addison Street, Chicago, IL

(773) 282-7000

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

66

Certified beds

Average residents

15

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1985-11-12

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

4.07

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

1.49

Nurse aide staffing

Weekend hours

4.99

Weekend nurse staffing

RN turnover

6%

Annual RN turnover

Total nurse turnover

13%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.9%
68.8%
25.1 pts better
81.7%
12.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.2%
14.0%
5.8 pts better
12.0%
3.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.4%
2.3%
0.9 pts better
1.6%
0.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 73.1%
63.0%
10.1 pts better
79.7%
6.6 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.6%
26.2%
0.6 pts better
23.9%
1.7 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-09 · Fire 2024-08-09

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-09-01 · Fire 2023-09-01

8 health deficiencies

Top issue: Infection Control (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-10-07 · Fire 2022-10-07

12 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-09-19

F · Potential for more than minimal harm 2024-08-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-15

F · Potential for more than minimal harm 2024-08-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-08-15

E · Potential for more than minimal harm 2024-08-09

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-11-08

F · Potential for more than minimal harm 2023-09-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-07

F · Potential for more than minimal harm 2023-09-01

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2023-09-07

F · Potential for more than minimal harm 2023-09-01

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-11-01

F · Potential for more than minimal harm 2023-09-01

K907 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure medical gas and vacuum systems have documented maintenance programs.

Corrected 2023-10-06

F · Potential for more than minimal harm 2023-09-01

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-10-01

E · Potential for more than minimal harm 2023-09-01

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Not marked corrected

F · Potential for more than minimal harm 2022-10-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-12-08

F · Potential for more than minimal harm 2022-10-07

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-04-26

E · Potential for more than minimal harm 2022-10-07

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Not marked corrected

E · Potential for more than minimal harm 2022-10-07

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 2022-11-30

C · Minimal harm 2022-10-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-22

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-08-09

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 2024-08-16

E · Potential for more than minimal harm 2024-08-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-16

D · Potential for more than minimal harm 2024-08-09

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-08-16

D · Potential for more than minimal harm 2024-08-09

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-08-16

F · Potential for more than minimal harm 2023-09-01

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 2023-09-14

F · Potential for more than minimal harm 2023-09-01

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 2023-09-14

F · Potential for more than minimal harm 2023-09-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-14

E · Potential for more than minimal harm 2023-09-01

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-09-14

D · Potential for more than minimal harm 2023-09-01

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 2023-09-14

D · Potential for more than minimal harm 2023-09-01

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-09-14

D · Potential for more than minimal harm 2023-09-01

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-09-14

D · Potential for more than minimal harm 2023-09-01

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-09-14

D · Potential for more than minimal harm 2023-03-22

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 2023-03-29

D · Potential for more than minimal harm 2023-03-22

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-03-29

D · Potential for more than minimal harm 2023-03-22

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 2023-03-29

D · Potential for more than minimal harm 2023-03-22

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 2023-03-29

F · Potential for more than minimal harm 2022-10-07

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 2022-10-10

F · Potential for more than minimal harm 2022-10-07

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2022-10-14

E · Potential for more than minimal harm 2022-10-07

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 2022-10-10

E · Potential for more than minimal harm 2022-10-07

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-10-14

D · Potential for more than minimal harm 2022-10-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-10-14

D · Potential for more than minimal harm 2022-10-07

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-10-14

D · Potential for more than minimal harm 2022-10-07

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 2022-10-14

D · Potential for more than minimal harm 2022-10-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-14

Penalties and ownership

What sits behind the stars

Ownership

Muckelrath, Rick

5% Or Greater Direct Ownership Interest · Individual

50% 1 facilities 2014-06-25
Fitzmaurice, Dennis

Corporate Officer · Individual

0% 1 facilities 2015-01-01
Fitzmaurice, Dennis

W-2 Managing Employee · Individual

0% 1 facilities 2015-01-01
Green, Edward

5% Or Greater Direct Ownership Interest · Individual

0% 1 facilities 2014-06-25
Green, Edward

Corporate Director · Individual

0% 1 facilities 2014-06-25
Muckelrath, Rick

Corporate Director · Individual

0% 1 facilities 2014-06-25
Pankau, Elizabeth

Corporate Officer · Individual

0% 1 facilities 2015-01-01

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Staffing
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#2

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Health
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Staffing
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Fines
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#3

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Overall
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Health
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Staffing
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Fines
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