7 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Loves Park, IL
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
6131 Park Ridge Road, Loves Park, IL
(815) 633-6810
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
54
Certified beds
Average residents
27
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2004-08-30
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
RN hours / resident day
1.16
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.37
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.83
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
5.36
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
2.53
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.73
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.04
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.39
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.07
CMS adjusted RN staffing hours
Adjusted total hours
4.94
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
65%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
11,732
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9815
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.79% · Performance 24.36% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.9
Baseline 5.75% · Performance 6.97% · Measure score 2.9 · Achievement 2.9 · Improvement 0
Total nurse turnover
0.67
Baseline 68.63% · Performance 63.49% · Measure score 0.67 · Achievement 0 · Improvement 0.67
Adjusted total nurse staffing
2.64
Baseline 3.37 hours · Performance 3.83 hours · Measure score 2.64 · Achievement 2.64 · Improvement 1.39
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.04% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 413 · Observed rate 11.14% · Lower 95% interval 9.12% |
| Discharge to community | 63.02% |
50.57%
12.5 pts better
|
Better than the National Rate · Eligible stays 439 · Observed rate 60.36% · Lower 95% interval 59.57% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.62% |
95.27%
4.4 pts better
|
Numerator 264 · Denominator 265 |
| Falls with major injury | 0.75% |
0.77%
About the same
|
Numerator 2 · Denominator 265 |
| Discharge self-care score | 64.74% |
53.69%
11 pts better
|
Numerator 123 · Denominator 190 |
| Discharge mobility score | 65.26% |
50.94%
14.3 pts better
|
Numerator 124 · Denominator 190 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 265 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.97% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 252 · Observed rate 6.35% · Lower 95% interval 4.85% |
| Staff COVID-19 vaccination coverage | 2.35% |
8.2%
5.8 pts worse
|
Numerator 2 · Denominator 85 |
| Staff flu vaccination coverage | 59.29% |
42%
17.3 pts better
|
Numerator 67 · Denominator 113 |
| Discharge function score | 59.47% |
56.45%
3 pts better
|
Numerator 113 · Denominator 190 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 220 · Denominator 220 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 44 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 5.97% |
25.2%
19.2 pts worse
|
Numerator 8 · Denominator 134 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 | 19.9% |
14.0%
5.9 pts worse
|
12.0%
7.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 18.6% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
2.3%
1.4 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.6% |
63.0%
35.6 pts better
|
79.7%
18.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.9% |
26.2%
6.7 pts worse
|
23.9%
9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.9% · Observed 28.8% · Expected 20.8% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-29
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-08-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-25
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-05
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-08-28
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-10-23
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-10-23
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-10-23
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-10-01
Fire Safety
Install proper backup exit lighting.
Corrected 2024-10-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-10
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-18
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-10-16
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-10-11
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 2024-10-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-01
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-09-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-03
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-09-03
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-09-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-03
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 2023-09-03
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-03
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-07
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-08-07
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-07
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-07-02
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-07-02
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2025-04-18
Health
Provide activities to meet all resident's needs.
Corrected 2025-04-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-15
Health
Keep all essential equipment working safely.
Corrected 2024-09-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-19
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-09-19
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-19
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 2024-09-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-19
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-02-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-25
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-24
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 2023-08-24
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-08-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-24
Penalties and ownership
Payment Denial · denial start 2023-08-29 · 5 days
5 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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3-star overall rating with 4-star inspections with $10,199 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Rockford, IL
4-star overall rating with 4-star inspections with $12,909 in total fines with 8 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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