14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Niles, IL
2-star overall rating with 2-star inspections with $234,006 in total fines with 14 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
6840 West Touhy Avenue, Niles, IL
(847) 647-6400
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
212
Certified beds
Average residents
142
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Elevate Care
Operator or chain grouping
Approved since
1989-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 2 overall / 2 health / 2 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
0.65
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.01
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.48
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
2.50
CMS adjusted total nurse staffing hours
Case-mix index
1.91
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
10,464
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.09
Baseline 20.90% · Performance 20.46% · Measure score 2.09 · Achievement 2.09 · Improvement 0.63
Healthcare-associated infections
0.71
Baseline 9.19% · Performance 8.68% · Measure score 0.71 · Achievement 0 · Improvement 0.71
Total nurse turnover
4.71
Baseline 60.32% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 3.98
Adjusted total nurse staffing
0.60
Baseline 2.30 hours · Performance 2.68 hours · Measure score 0.60 · Achievement 0 · Improvement 0.60
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.28% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 158 · Observed rate 15.19% · Lower 95% interval 7.66% |
| Discharge to community | 52.76% |
50.57%
2.2 pts better
|
No Different than the National Rate · Eligible stays 165 · Observed rate 34.55% · Lower 95% interval 41.12% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 80.65% |
95.27%
14.6 pts worse
|
Numerator 75 · Denominator 93 |
| Falls with major injury | 1.08% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 93 |
| Discharge self-care score | 55.93% |
53.69%
2.2 pts better
|
Numerator 33 · Denominator 59 |
| Discharge mobility score | 49.15% |
50.94%
1.8 pts worse
|
Numerator 29 · Denominator 59 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 93 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.68% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 75 · Observed rate 17.33% · Lower 95% interval 5.47% |
| Staff COVID-19 vaccination coverage | 100% |
8.2%
91.8 pts better
|
Numerator 141 · Denominator 141 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 49.15% |
56.45%
7.3 pts worse
|
Numerator 29 · Denominator 59 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 30 · Denominator 30 |
| Transfer of health information to patient | 97.3% |
96.28%
1 pts better
|
Numerator 36 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 20% |
25.2%
5.2 pts worse
|
Numerator 10 · Denominator 50 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.0
0.8 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 3.0 · Expected 4.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
2.3
1.5 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.4 · Expected 2.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.8% |
89.6%
12.8 pts worse
|
93.4%
16.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 61.2% · Q2 75.9% · Q3 87.6% · Q4 81.8% · 4Q avg 76.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.9% |
91.6%
4.3 pts better
|
95.5%
0.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
3.3%
1.6 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.6% · Q3 4.1% · Q4 5.0% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 74.3% |
50.3%
24 pts worse
|
11.4%
62.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 70.5% · Q2 77.3% · Q3 70.4% · Q4 79.6% · 4Q avg 74.3% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
6.5%
0.3 pts better
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 7.9% · Q3 8.5% · Q4 5.3% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.9% |
18.5%
1.6 pts better
|
19.6%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 14.9% · Q3 17.7% · Q4 18.1% · 4Q avg 16.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.9% |
22.8%
4.1 pts worse
|
16.7%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 31.0% · Q3 25.6% · Q4 22.6% · 4Q avg 26.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.2% |
0.1%
0.1 pts worse
|
0.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.8% |
17.2%
11.4 pts better
|
16.3%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.9% · Q3 11.0% · Q4 4.3% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.9% |
15.0%
7.1 pts better
|
14.9%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 9.4% · Q3 5.3% · Q4 5.1% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.1%
0.9 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.7%
0.5 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 5.6% · Q3 2.5% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.9% |
21.3%
8.4 pts better
|
19.8%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 6.7% · Q3 13.4% · Q4 6.9% · 4Q avg 12.9% |
| Percentage of long-stay residents with pressure ulcers | 10.7% |
5.2%
5.5 pts worse
|
5.1%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 9.4% · Q3 12.0% · Q4 10.6% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.0% |
68.8%
1.2 pts better
|
81.7%
11.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.1% · Q2 65.2% · Q3 81.1% · Q4 78.5% · 4Q avg 70.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.2% |
14.0%
9.8 pts better
|
12.0%
7.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.2% · Observed 5.6% · Expected 15.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
2.3%
0.8 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.8% · Q3 3.2% · Q4 3.6% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.5% |
63.0%
13.5 pts better
|
79.7%
3.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.9% |
26.2%
4.3 pts better
|
23.9%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 33.7% · Expected 36.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (11 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Fire safety
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 2025-05-02
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-05-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-15
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-05-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-02
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-05-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-02
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-05-02
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-05-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-02
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-02
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-05-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-05-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-12-21
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-12-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-21
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-12-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-21
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-12-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-12-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-21
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-12-21
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-12-21
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-18
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-10-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-24
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 2025-04-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-24
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-24
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 2025-04-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-13
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-02-19
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-10-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-12
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-07-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-02
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-02
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-02
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-05-02
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 2024-05-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-12
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-12
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 2023-12-08
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-12-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-28
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 2023-09-07
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-09-07
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 2023-09-07
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-09-07
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2023-09-07
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 2023-09-07
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-09-07
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 2023-09-07
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2023-09-07
Health
Keep all essential equipment working safely.
Corrected 2023-09-07
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-09-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-07
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-09-07
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2023-09-07
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-09-07
Health
Post nurse staffing information every day.
Corrected 2022-12-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-02
Health
Dispose of garbage and refuse properly.
Corrected 2022-12-02
Health
Provide activities to meet all resident's needs.
Corrected 2022-12-02
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 2022-12-02
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-12-02
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 2022-12-02
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2022-12-02
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-12-02
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-12-02
Penalties and ownership
Fine · fine $12,220
Fine
Fine · fine $150,301
Fine
Fine · fine $12,519
Fine
Fine · fine $58,966
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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