13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Crestwood, IL
2-star overall rating with 2-star inspections with abuse icon flag with $311,874 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
14255 South Cicero Avenue, Crestwood, IL
(708) 371-0400
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
297
Certified beds
Average residents
186
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Extended Care Clinical
Operator or chain grouping
Approved since
1992-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 2 overall / 2 health / 1 staffing / 4 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
0.32
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.98
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.38
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.95
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.26
CMS adjusted RN staffing hours
Adjusted total hours
2.76
CMS adjusted total nurse staffing hours
Case-mix index
1.67
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
9,587
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9831
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
4.91
Baseline 10.01% · Performance 7.29% · Measure score 4.91 · Achievement 1.81 · Improvement 4.91
Total nurse turnover
1.65
Performance 56.93% · Measure score 1.65 · Achievement 1.65 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.40
Baseline 2.53 hours · Performance 2.82 hours · Measure score 0.40 · Achievement 0 · Improvement 0.40
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.99% |
10.72%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 55 · Observed rate 25.45% · Lower 95% interval 9.44% |
| Discharge to community | 31.5% |
50.57%
19.1 pts worse
|
Worse than the National Rate · Eligible stays 57 · Observed rate 15.79% · Lower 95% interval 20.71% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 29 · Denominator 29 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 29 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 29 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.29% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 10.34% · Lower 95% interval 4.2% |
| Staff COVID-19 vaccination coverage | 1.8% |
8.2%
6.4 pts worse
|
Numerator 3 · Denominator 167 |
| Staff flu vaccination coverage | 5.91% |
42%
36.1 pts worse
|
Numerator 12 · Denominator 203 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.8% |
89.6%
2.2 pts better
|
93.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.1% · Q2 90.8% · Q3 95.4% · Q4 98.3% · 4Q avg 91.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.5% |
91.6%
0.9 pts better
|
95.5%
3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% |
3.3%
2.3 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.6% · Q3 1.1% · Q4 1.7% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 56.8% |
50.3%
6.5 pts worse
|
11.4%
45.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.4% · Q2 49.1% · Q3 67.3% · Q4 67.1% · 4Q avg 56.8% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
6.5%
2 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 6.9% · Q3 5.5% · Q4 1.8% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2% |
18.5%
7.3 pts better
|
19.6%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 11.2% · Q3 13.2% · Q4 9.8% · 4Q avg 11.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.0% |
22.8%
6.8 pts better
|
16.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 18.0% · Q3 16.0% · Q4 11.1% · 4Q avg 16.0% · 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 | 11.8% |
17.2%
5.4 pts better
|
16.3%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 3.0% · Q3 18.3% · Q4 13.0% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.8% |
15.0%
2.2 pts better
|
14.9%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 4.1% · Q3 24.7% · Q4 14.0% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
1.1%
1 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.1% |
1.7%
1.6 pts better
|
1.7%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.9% |
21.3%
3.6 pts worse
|
19.8%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 22.7% · Q3 39.1% · Q4 21.0% · 4Q avg 24.9% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
5.2%
0.8 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 7.4% · Q3 7.7% · Q4 5.7% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 35.8% |
68.8%
33 pts worse
|
81.7%
45.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 46.2% · Q3 33.0% · Q4 44.0% · 4Q avg 35.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% |
14.0%
8.1 pts better
|
12.0%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 7.1% · Expected 13.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
2.3%
1.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 35.1% |
63.0%
27.9 pts worse
|
79.7%
44.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 35.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.9% |
26.2%
5.3 pts better
|
23.9%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 25.0% · Expected 28.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (10 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2025-03-07
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-03-07
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-03-07
Inspection history
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 2025-07-03
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 2025-05-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-14
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-03
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 2025-02-21
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-21
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-02-21
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-21
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-21
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-02-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-21
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-02-21
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-02-21
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-02-21
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-02-07
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 2025-02-07
Health
Keep all essential equipment working safely.
Corrected 2025-02-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-03
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-05
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 2024-04-08
Health
Post nurse staffing information every day.
Corrected 2024-03-05
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-03-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-18
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-12-18
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-11-10
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-11-10
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-06
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-04-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-24
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-03-24
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-03-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-03-24
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 2023-03-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-24
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-03-24
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 2023-03-24
Penalties and ownership
Fine · fine $12,929
Fine
Fine · fine $173,339
Fine
Payment Denial · denial start 2025-02-28 · 3 days
3 day denial
Fine · fine $13,910
Fine
Fine · fine $63,388
Fine
Payment Denial · denial start 2024-03-16 · 23 days
23 day denial
Fine · fine $48,308
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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