Cycle 1
Health 2025-09-11 · Fire 2025-09-11
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Wheaton, IL
Dupage Care Center
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
400 N County Farm Rd, Wheaton, IL
(630) 665-6400
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
366
Certified beds
Average residents
198
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
1.41
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.40
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.41
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.22
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.57
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.03
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.36
CMS adjusted RN staffing hours
Adjusted total hours
4.05
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
20%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,053
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.90
Composite VBP score used to determine payment impact.
Payment multiplier
0.9862
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.75% · Performance 21.67% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.64
Baseline 6.12% · Performance 7.64% · Measure score 0.64 · Achievement 0.64 · Improvement 0
Total nurse turnover
10
Baseline 29.25% · Performance 19.77% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
1.71
Baseline 3.44 hours · Performance 3.57 hours · Measure score 1.71 · Achievement 1.71 · Improvement 0.02
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.79% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 174 · Observed rate 10.92% · Lower 95% interval 7.58% |
| Discharge to community | 61.51% |
50.57%
10.9 pts better
|
Better than the National Rate · Eligible stays 153 · Observed rate 56.86% · Lower 95% interval 56.47% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.45% |
95.27%
3.2 pts better
|
Numerator 127 · Denominator 129 |
| Falls with major injury | 0.78% |
0.77%
About the same
|
Numerator 1 · Denominator 129 |
| Discharge self-care score | 48.31% |
53.69%
5.4 pts worse
|
Numerator 57 · Denominator 118 |
| Discharge mobility score | 59.32% |
50.94%
8.4 pts better
|
Numerator 70 · Denominator 118 |
| Pressure ulcers or injuries, new or worsened | 3.1% |
2.29%
0.8 pts worse
|
Numerator 4 · Denominator 129 · Adjusted rate 3.36% |
| Healthcare-associated infections requiring hospitalization | 7.64% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 98 · Observed rate 8.16% · Lower 95% interval 4.64% |
| Staff COVID-19 vaccination coverage | 20.71% |
8.2%
12.5 pts better
|
Numerator 82 · Denominator 396 |
| Staff flu vaccination coverage | 61.59% |
42%
19.6 pts better
|
Numerator 271 · Denominator 440 |
| Discharge function score | 43.22% |
56.45%
13.2 pts worse
|
Numerator 51 · Denominator 118 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 91 · Denominator 91 |
| Resident COVID-19 vaccinations up to date | 53.7% |
25.2%
28.5 pts better
|
Numerator 29 · Denominator 54 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.0
0.3 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.2 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
2.3
1.8 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
89.6%
10.3 pts better
|
93.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.5% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| 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 | 1.1% |
3.3%
2.2 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.1% · Q3 0.5% · Q4 0.6% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
50.3%
47.8 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.4% · Q3 1.8% · Q4 3.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 4.1% |
6.5%
2.4 pts better
|
5.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.6% · Q3 6.1% · Q4 3.5% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.0% |
18.5%
5.5 pts better
|
19.6%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 13.9% · Q3 12.6% · Q4 11.8% · 4Q avg 13.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.6% |
22.8%
6.2 pts better
|
16.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 14.9% · Q3 16.7% · Q4 18.8% · 4Q avg 16.6% · 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 | 20.1% |
17.2%
2.9 pts worse
|
16.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 19.7% · Q3 21.3% · Q4 13.2% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.0% |
15.0%
11 pts better
|
14.9%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.9% · Q3 6.0% · Q4 2.9% · 4Q avg 4.0% · 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 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
1.7%
0.1 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.1% · Q3 1.1% · Q4 1.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.1% |
21.3%
5.2 pts better
|
19.8%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 19.6% · Q3 14.0% · Q4 16.8% · 4Q avg 16.1% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
5.2%
2.1 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.6% · Q3 2.8% · Q4 3.3% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
68.8%
31.2 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.4% |
14.0%
11.6 pts better
|
12.0%
9.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.4% · Observed 2.3% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
2.3%
0.7 pts better
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.4% · Q3 1.5% · Q4 1.6% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.7% |
63.0%
7.7 pts better
|
79.7%
9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.7% |
26.2%
10.5 pts better
|
23.9%
8.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 14.8% · Expected 22.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-23 · Fire 2024-08-23
11 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-10-26 · Fire 2023-10-26
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-11
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2025-10-15
F · Potential for more than minimal harm
2025-09-11
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 2025-10-15
F · Potential for more than minimal harm
2025-09-11
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-10-15
F · Potential for more than minimal harm
2024-08-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-12
F · Potential for more than minimal harm
2024-08-23
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-12
F · Potential for more than minimal harm
2024-08-23
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-12
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-09-11
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 2025-09-29
E · Potential for more than minimal harm
2025-09-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-09-11
F688 · Quality of Life and Care Deficiencies
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 2025-09-29
D · Potential for more than minimal harm
2025-09-11
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 2025-09-29
D · Potential for more than minimal harm
2025-09-11
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-09-11
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-09-11
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-29
F · Potential for more than minimal harm
2024-08-23
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 2024-09-09
E · Potential for more than minimal harm
2024-08-23
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 2024-09-09
E · Potential for more than minimal harm
2024-08-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-09
D · Potential for more than minimal harm
2024-08-23
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-09-09
D · Potential for more than minimal harm
2024-08-23
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-09
D · Potential for more than minimal harm
2024-08-23
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-09
D · Potential for more than minimal harm
2024-08-23
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 2024-09-09
D · Potential for more than minimal harm
2024-08-23
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-09-09
D · Potential for more than minimal harm
2024-08-23
F693 · Quality of Life and Care Deficiencies
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 2024-09-09
D · Potential for more than minimal harm
2024-08-23
F756 · Pharmacy Service Deficiencies
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 2024-09-09
G · Actual harm
2024-06-20
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 2024-06-24
E · Potential for more than minimal harm
2023-10-26
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 2023-11-08
E · Potential for more than minimal harm
2023-10-26
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-08
D · Potential for more than minimal harm
2023-10-26
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-11-03
D · Potential for more than minimal harm
2023-10-26
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 2023-11-03
D · Potential for more than minimal harm
2023-10-26
F690 · Quality of Life and Care Deficiencies
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 2023-11-03
D · Potential for more than minimal harm
2023-10-19
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-10-27
Penalties and ownership
What sits behind the stars
Ownership
Dupage County
5% Or Greater Direct Ownership Interest · Organization
Baker Tilly Us, Llp
Operational/Managerial Control · Organization
Berman, Shauna
Operational/Managerial Control · Individual
Bohan, Heidi
Operational/Managerial Control · Individual
Borske, Diane
Operational/Managerial Control · Individual
Butler, Elizabeth
Operational/Managerial Control · Individual
Cerny, Karen
Operational/Managerial Control · Individual
Chadwick, Janelle
Operational/Managerial Control · Individual
Coblentz, Susan
Operational/Managerial Control · Individual
Galleta, Arleen
Operational/Managerial Control · Individual
Klimek, Jonathan
Operational/Managerial Control · Individual
Lomadilla, Annabel
Operational/Managerial Control · Individual
Memisha, Inva
Operational/Managerial Control · Individual
Miele, Angelo
Operational/Managerial Control · Individual
Patel, Vinit
Operational/Managerial Control · Individual
Plata, Mario
Operational/Managerial Control · Individual
Rajagopal, Visalakshi
Operational/Managerial Control · Individual
Romero, Rhonda
Operational/Managerial Control · Individual
Symbria Rehab, Inc.
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Wynscape Health & Rehab
Wheaton, IL
5-star overall rating with 5-star inspections with 3 recent health deficiencies
#2
Ahva Care Of Winfield
Winfield, IL
3-star overall rating with 4-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Wheaton Village Nrsg & Rhb Ctr
Wheaton, IL
4-star overall rating with 4-star inspections with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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