27 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Dolton, IL
1-star overall rating with 2-star inspections with abuse icon flag with $84,533 in total fines with 27 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
1635 East 154th Street, Dolton, IL
(708) 841-9550
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
197
Certified beds
Average residents
152
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Extended Care Clinical
Operator or chain grouping
Approved since
1994-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.33
Registered nurse staffing
LPN hours / resident day
0.70
Licensed practical nurse staffing
Aide hours / resident day
1.40
Nurse aide staffing
Weekend hours
2.11
Weekend nurse staffing
RN turnover
29%
Annual RN turnover
Total nurse turnover
33%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.0
0.2 pts better
|
1.9
0.1 pts better
|
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 | 98.0% |
89.6%
8.4 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.5% |
3.3%
2.8 pts better
|
3.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 99.8% |
50.3%
49.5 pts worse
|
11.4%
88.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 1.2% |
6.5%
5.3 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.5% |
18.5%
13 pts better
|
19.6%
14.1 pts better
|
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 | 8.8% |
17.2%
8.4 pts better
|
16.3%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.3% |
15.0%
5.7 pts better
|
14.9%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.1%
0.4 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.2% |
21.3%
13.1 pts better
|
19.8%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
5.2%
1.5 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.3% |
68.8%
17.5 pts better
|
81.7%
4.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.0% |
14.0%
8 pts better
|
12.0%
6 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 10.4% |
2.3%
8.1 pts worse
|
1.6%
8.8 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.3% |
63.0%
16.3 pts better
|
79.7%
0.4 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 51.6% |
26.2%
25.4 pts worse
|
23.9%
27.7 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-09-23
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 2024-09-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-23
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 2024-09-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-25
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-23
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-09-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-23
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-23
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-10-30
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-10-30
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-10-30
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 2023-10-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-30
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-10-30
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 2023-10-30
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-10-30
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-11-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-04
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-11-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-02
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2022-11-07
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 2022-11-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-11-02
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-01-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-11-01
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2022-11-04
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-11-02
Fire Safety
Ensure proper storage of liquid oxygen.
Corrected 2022-11-07
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-11-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-11-01
Inspection history
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-11-17
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 2025-08-22
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-08-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-22
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-22
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-08-22
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-08-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-22
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-08-22
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-08-22
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-22
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-08-22
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-08-22
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-08-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-22
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 2025-08-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-22
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-08-22
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-08-22
Health
Post nurse staffing information every day.
Corrected 2025-08-22
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-08-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-04
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-06-04
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-02-14
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-02-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-02-06
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-26
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 2024-09-26
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-09-26
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-09-26
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-26
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-08-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-22
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-05
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-04-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-01
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-10-18
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-18
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-09-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-17
Penalties and ownership
Payment Denial · denial start 2025-06-11 · 12 days
12 day denial
Fine · fine $84,533
Fine
Payment Denial · denial start 2023-06-06 · 41 days
41 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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South Holland, IL
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