Itasca, IL

Forest View Rehab & Nursing Center

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $328,101 in total fines with 42 recent health deficiencies

535 South Elm, Itasca, IL

(630) 773-9416

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

144

Certified beds

Average residents

129

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Infinity Healthcare Consulting

Operator or chain grouping

Approved since

1993-05-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

70 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

Hours and turnover

RN hours / resident day

0.63

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.61

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.73

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

2.98

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.65

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.59

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

0.49

CMS adjusted RN staffing hours

Adjusted total hours

2.33

CMS adjusted total nurse staffing hours

Case-mix index

1.75

Higher values indicate more complex resident acuity

RN turnover

11%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,778

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

42.72

Composite VBP score used to determine payment impact.

Payment multiplier

0.9957

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.48

Baseline 23.88% · Performance 20.47% · Measure score 4.48 · Achievement 2.07 · Improvement 4.48

Healthcare-associated infections

3.54

Baseline 10.40% · Performance 8.22% · Measure score 3.54 · Achievement 0 · Improvement 3.54

Total nurse turnover

9.08

Baseline 32.05% · Performance 26.58% · Measure score 9.08 · Achievement 9.08 · Improvement 7.10

Adjusted total nurse staffing

0

Baseline 2.15 hours · Performance 2.27 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.09%
10.72%
0.4 pts worse
No Different than the National Rate · Eligible stays 45 · Observed rate 13.33% · Lower 95% interval 7.16%
Discharge to community 36.47%
50.57%
14.1 pts worse
No Different than the National Rate · Eligible stays 25 · Observed rate 16% · Lower 95% interval 23%
Medicare spending per beneficiary 1.4
1.02
0.4 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 53 · Denominator 53
Falls with major injury 1.89%
0.77%
1.1 pts worse
Numerator 1 · Denominator 53
Discharge self-care score 51.35%
53.69%
2.3 pts worse
Numerator 19 · Denominator 37
Discharge mobility score 51.35%
50.94%
0.4 pts better
Numerator 19 · Denominator 37
Pressure ulcers or injuries, new or worsened 1.89%
2.29%
0.4 pts better
Numerator 1 · Denominator 53 · Adjusted rate 1.44%
Healthcare-associated infections requiring hospitalization 8.22%
7.12%
1.1 pts worse
No Different than the National Rate · Eligible stays 30 · Observed rate 13.33% · Lower 95% interval 4.68%
Staff COVID-19 vaccination coverage 10.43%
8.2%
2.2 pts better
Numerator 12 · Denominator 115
Staff flu vaccination coverage 41.86%
42%
0.1 pts worse
Numerator 54 · Denominator 129
Discharge function score 43.24%
56.45%
13.2 pts worse
Numerator 16 · Denominator 37
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 12%
25.2%
13.2 pts worse
Numerator 3 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.6
2.0
0.6 pts worse
1.9
0.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.2 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
2.3
0.8 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 77.4%
89.6%
12.2 pts worse
93.4%
16 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 63.0% · Q2 76.0% · Q3 87.6% · Q4 83.7% · 4Q avg 77.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
91.6%
6.9 pts better
95.5%
3 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
3.3%
0.5 pts better
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 3.3% · Q4 1.6% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 99.6%
50.3%
49.3 pts worse
11.4%
88.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.2% · Q3 99.1% · Q4 100.0% · 4Q avg 99.6%
Percentage of long-stay residents who lose too much weight 2.5%
6.5%
4 pts better
5.4%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.8% · Q3 2.9% · Q4 0.0% · 4Q avg 2.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.0%
18.5%
2.5 pts worse
19.6%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 20.0% · Q3 19.6% · Q4 23.2% · 4Q avg 21.0%
Percentage of long-stay residents who received an antipsychotic medication 39.4%
22.8%
16.6 pts worse
16.7%
22.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 41.2% · Q3 35.1% · Q4 43.3% · 4Q avg 39.4% · 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 4.9%
17.2%
12.3 pts better
16.3%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 2.1% · Q3 4.9% · Q4 4.1% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 6.7%
15.0%
8.3 pts better
14.9%
8.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 1.0% · Q3 8.7% · Q4 8.9% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
1.1%
0.4 pts better
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.8% · Q3 0.0% · Q4 1.3% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.1%
1.7%
0.4 pts worse
1.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 0.9% · Q3 0.0% · Q4 1.7% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.9%
21.3%
0.4 pts better
19.8%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 19.5% · Q3 21.5% · Q4 19.7% · 4Q avg 20.9%
Percentage of long-stay residents with pressure ulcers 3.5%
5.2%
1.7 pts better
5.1%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 1.6% · Q3 4.6% · Q4 3.3% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 28.2%
68.8%
40.6 pts worse
81.7%
53.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 35.1% · Q3 32.6% · Q4 17.5% · 4Q avg 28.2%
Percentage of short-stay residents who had an outpatient emergency department visit 9.0%
14.0%
5 pts better
12.0%
3 pts better
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 9.5% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 6.2%
2.3%
3.9 pts worse
1.6%
4.6 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 56.8%
63.0%
6.2 pts worse
79.7%
22.9 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.3%
26.2%
2.9 pts better
23.9%
0.6 pts better
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 21.4% · Expected 21.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-01 · Fire 2025-05-01

42 health deficiencies

Top issue: Nutrition and Dietary (15 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-12 · Fire 2024-04-12

18 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-05-25 · Fire 2023-05-25

22 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-16

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 2026-01-22

D · Potential for more than minimal harm 2026-01-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-01-22

D · Potential for more than minimal harm 2026-01-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-22

D · Potential for more than minimal harm 2026-01-12

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2026-01-15

D · Potential for more than minimal harm 2026-01-12

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2026-01-15

E · Potential for more than minimal harm 2025-12-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-12-11

F · Potential for more than minimal harm 2025-11-24

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-12-06

F · Potential for more than minimal harm 2025-11-24

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-12-06

F · Potential for more than minimal harm 2025-11-24

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2025-12-06

F · Potential for more than minimal harm 2025-11-24

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-12-03

E · Potential for more than minimal harm 2025-11-24

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 2025-12-05

E · Potential for more than minimal harm 2025-11-24

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-12-06

E · Potential for more than minimal harm 2025-11-24

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2025-12-06

D · Potential for more than minimal harm 2025-11-24

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-12-05

K · Immediate jeopardy 2025-11-17

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 2025-11-21

F · Potential for more than minimal harm 2025-11-17

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2025-11-21

J · Immediate jeopardy 2025-11-04

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 2025-11-21

F · Potential for more than minimal harm 2025-11-04

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-11-21

F · Potential for more than minimal harm 2025-11-04

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2025-11-21

F · Potential for more than minimal harm 2025-09-17

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-09-26

E · Potential for more than minimal harm 2025-09-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-26

F · Potential for more than minimal harm 2025-07-28

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-08-18

F · Potential for more than minimal harm 2025-07-28

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-08-18

F · Potential for more than minimal harm 2025-07-28

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2025-08-18

F · Potential for more than minimal harm 2025-07-28

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 2025-08-18

E · Potential for more than minimal harm 2025-07-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-08-18

D · Potential for more than minimal harm 2025-07-28

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2025-08-18

F · Potential for more than minimal harm 2025-07-01

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-07-08

G · Actual harm 2025-05-01

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-05-14

F · Potential for more than minimal harm 2025-05-01

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-05-14

F · Potential for more than minimal harm 2025-05-01

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-05-14

F · Potential for more than minimal harm 2025-05-01

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 2025-05-14

F · Potential for more than minimal harm 2025-05-01

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-05-14

F · Potential for more than minimal harm 2025-05-01

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-05-14

F · Potential for more than minimal harm 2025-05-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-14

E · Potential for more than minimal harm 2025-05-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-05-14

E · Potential for more than minimal harm 2025-05-01

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 2025-05-14

D · Potential for more than minimal harm 2025-05-01

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-05-01

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 2025-05-14

D · Potential for more than minimal harm 2025-05-01

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-05-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-05-14

G · Actual harm 2025-03-26

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 2025-04-01

E · Potential for more than minimal harm 2024-11-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-11-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-10-25

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-18

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-09-23

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-10-02

E · Potential for more than minimal harm 2024-09-23

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 2024-10-02

D · Potential for more than minimal harm 2024-09-23

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-02

D · Potential for more than minimal harm 2024-09-23

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 2024-10-02

D · Potential for more than minimal harm 2024-08-22

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-31

D · Potential for more than minimal harm 2024-06-16

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-06-24

D · Potential for more than minimal harm 2024-05-22

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-05-29

G · Actual harm 2024-04-12

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 2024-04-29

F · Potential for more than minimal harm 2024-04-12

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 2024-04-29

E · Potential for more than minimal harm 2024-04-12

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 2024-04-29

D · Potential for more than minimal harm 2024-04-12

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-04-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-11

D · Potential for more than minimal harm 2024-03-26

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-04-11

D · Potential for more than minimal harm 2024-01-26

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 2024-02-10

D · Potential for more than minimal harm 2024-01-26

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-02-12

L · Immediate jeopardy 2024-01-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-06

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-12-15

J · Immediate jeopardy 2023-08-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-08-29

J · Immediate jeopardy 2023-08-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-08-29

G · Actual harm 2023-08-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-08-29

F · Potential for more than minimal harm 2023-05-25

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-06-07

E · Potential for more than minimal harm 2023-05-25

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-06-07

E · Potential for more than minimal harm 2023-05-25

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-06-07

E · Potential for more than minimal harm 2023-05-25

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 2023-06-07

E · Potential for more than minimal harm 2023-05-25

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 2023-06-07

E · Potential for more than minimal harm 2023-05-25

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-06-07

E · Potential for more than minimal harm 2023-05-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-07

D · Potential for more than minimal harm 2023-05-25

F578 · Resident Rights Deficiencies

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 2023-06-07

D · Potential for more than minimal harm 2023-05-25

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2023-06-07

D · Potential for more than minimal harm 2023-05-25

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 2023-06-07

D · Potential for more than minimal harm 2023-05-25

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 2023-06-07

D · Potential for more than minimal harm 2023-05-25

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 2023-06-07

D · Potential for more than minimal harm 2023-05-25

F758 · Pharmacy Service Deficiencies

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 2023-06-07

D · Potential for more than minimal harm 2023-05-25

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-06-07

D · Potential for more than minimal harm 2023-05-25

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-06-07

Penalties and ownership

What sits behind the stars

$79,900 2025-05-01

Fine

Fine · fine $79,900

Fine

$0 2025-05-01

Payment Denial

Payment Denial · denial start 2025-05-23 · 9 days

9 day denial

$14,505 2025-03-26

Fine

Fine · fine $14,505

Fine

$12,263 2024-03-26

Fine

Fine · fine $12,263

Fine

$66,400 2023-12-06

Fine

Fine · fine $66,400

Fine

$155,033 2023-08-14

Fine

Fine · fine $155,033

Fine

Ownership

Blisko, Michael

5% Or Greater Direct Ownership Interest · Individual

50% 33 facilities 2019-01-01
Gubin Enterprises Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

50% 31 facilities 2019-01-01
Granrath, Rebecca

W-2 Managing Employee · Individual

0% 2 facilities 2021-04-06

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2-star overall rating with 1-star inspections with $159,227 in total fines with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

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2-star overall rating with 2-star inspections with abuse icon flag with 19 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

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4-star overall rating with 4-star inspections with $87,340 in total fines with 6 recent health deficiencies

Overall
4 / 5
Health
4 / 5
Staffing
1 / 5
Fines
$87,340

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