Frankfort, IL

Frankfort Terrace

3-star overall rating with 2-star inspections with 13 recent health deficiencies

40 North Smith, Frankfort, IL

(815) 469-3156

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

106

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1975-04-14

CMS approved date

Coverage

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

0.69

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.21

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.05

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

1.95

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

0.90

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

1.59

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.51

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

1.84

CMS adjusted total nurse staffing hours

Case-mix index

1.45

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 46% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary Not Available
1.02
This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
2.0
0.5 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.0 · Expected 1.3 · 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 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
89.6%
10.4 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 0.7%
3.3%
2.6 pts better
3.3%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 1.9% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 99.5%
50.3%
49.2 pts worse
11.4%
88.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.9% · Q3 99.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents who lose too much weight 3.2%
6.5%
3.3 pts better
5.4%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.1% · Q3 2.9% · Q4 4.9% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.7%
18.5%
6.8 pts better
19.6%
7.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 13.4% · Q3 13.6% · Q4 10.8% · 4Q avg 11.7%
Percentage of long-stay residents who received an antipsychotic medication 89.5%
22.8%
66.7 pts worse
16.7%
72.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 90.3% · Q2 88.9% · Q3 90.6% · Q4 88.2% · 4Q avg 89.5% · 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 9.8%
17.2%
7.4 pts better
16.3%
6.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 21.3% · Q3 8.2% · Q4 1.3% · 4Q avg 9.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.0%
15.0%
1 pts better
14.9%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 29.9% · Q3 12.6% · Q4 2.9% · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
1.1%
0.8 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.5%
1.7%
1.2 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.8%
21.3%
13.5 pts better
19.8%
12 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 7.0% · Q3 11.1% · Q4 4.8% · 4Q avg 7.8%
Percentage of long-stay residents with pressure ulcers 0.0%
5.2%
5.2 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.3%
68.8%
14.5 pts better
81.7%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q2 90.0% · 4Q avg 83.3%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 42.9%
63.0%
20.1 pts worse
79.7%
36.8 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 42.9%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-07 · Fire 2024-06-07

13 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 2 Health 2023-06-20 · Fire 2023-06-20

9 health deficiencies

Top issue: Infection Control (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-07-14 · Fire 2022-07-14

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2022-07-14

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2022-08-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-10

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-17

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 2025-07-10

F · Potential for more than minimal harm 2024-06-07

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 2024-07-07

F · Potential for more than minimal harm 2024-06-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-07

F · Potential for more than minimal harm 2024-06-07

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-07-07

E · Potential for more than minimal harm 2024-06-07

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 2024-07-07

D · Potential for more than minimal harm 2024-06-07

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-07-07

D · Potential for more than minimal harm 2024-06-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-07

D · Potential for more than minimal harm 2024-06-07

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-07

D · Potential for more than minimal harm 2024-06-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-07-07

D · Potential for more than minimal harm 2024-06-07

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 2024-07-07

D · Potential for more than minimal harm 2024-06-07

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2024-07-07

D · Potential for more than minimal harm 2024-06-07

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-07-07

E · Potential for more than minimal harm 2023-07-31

F584 · Resident Rights Deficiencies

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 2023-08-18

L · Immediate jeopardy 2023-06-20

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 2023-07-14

F · Potential for more than minimal harm 2023-06-20

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 2023-07-14

E · Potential for more than minimal harm 2023-06-20

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 2023-07-14

E · Potential for more than minimal harm 2023-06-20

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 2023-07-14

E · Potential for more than minimal harm 2023-06-20

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 2023-07-14

E · Potential for more than minimal harm 2023-06-20

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-20

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 2023-07-14

D · Potential for more than minimal harm 2023-06-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-14

C · Minimal harm 2023-06-20

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-07-14

E · Potential for more than minimal harm 2022-07-14

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 2022-08-07

E · Potential for more than minimal harm 2022-07-14

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 2022-08-07

D · Potential for more than minimal harm 2022-07-14

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 2022-08-07

D · Potential for more than minimal harm 2022-07-14

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 2022-08-07

D · Potential for more than minimal harm 2022-07-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-08-07

D · Potential for more than minimal harm 2022-07-14

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 2022-08-07

D · Potential for more than minimal harm 2022-07-14

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-08-12

Penalties and ownership

What sits behind the stars

Ownership

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