18 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Matteson, IL
2-star overall rating with 2-star inspections with $521,986 in total fines with 18 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
21020 Kostner Avenue, Matteson, IL
(708) 747-1300
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
154
Certified beds
Average residents
121
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Generations Healthcare
Operator or chain grouping
Approved since
1993-12-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 4 overall / 3 health / 3 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
0.94
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.75
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.57
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.26
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.74
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.08
CMS adjusted total nurse staffing hours
Case-mix index
1.67
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
13,425
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
5.46
Composite VBP score used to determine payment impact.
Payment multiplier
0.9806
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.74% · Performance 23.87% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.07% · Performance 8.06% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.19
Baseline 65.26% · Performance 54.74% · Measure score 2.19 · Achievement 2.19 · Improvement 2.10
Adjusted total nurse staffing
0
Baseline 2.86 hours · Performance 2.95 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.32% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 125 · Observed rate 16.8% · Lower 95% interval 8.02% |
| Discharge to community | 63.58% |
50.57%
13 pts better
|
Better than the National Rate · Eligible stays 124 · Observed rate 48.39% · Lower 95% interval 52.17% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 84 · Denominator 84 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 84 |
| Discharge self-care score | 37.74% |
53.69%
15.9 pts worse
|
Numerator 20 · Denominator 53 |
| Discharge mobility score | 26.42% |
50.94%
24.5 pts worse
|
Numerator 14 · Denominator 53 |
| Pressure ulcers or injuries, new or worsened | 3.57% |
2.29%
1.3 pts worse
|
Numerator 3 · Denominator 84 · Adjusted rate 3.35% |
| Healthcare-associated infections requiring hospitalization | 8.06% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 75 · Observed rate 10.67% · Lower 95% interval 4.9% |
| Staff COVID-19 vaccination coverage | 1.15% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 87 |
| Staff flu vaccination coverage | 58.76% |
42%
16.8 pts better
|
Numerator 104 · Denominator 177 |
| Discharge function score | 26.42% |
56.45%
30 pts worse
|
Numerator 14 · Denominator 53 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 60 · Denominator 60 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 31.03% |
25.2%
5.8 pts better
|
Numerator 18 · Denominator 58 |
Quality measures
| 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 2.3 · Expected 2.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
2.3
0.4 pts worse
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.1 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
89.6%
5.3 pts better
|
93.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 83.5% · Q3 98.0% · Q4 99.0% · 4Q avg 94.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.3% |
91.6%
4.7 pts better
|
95.5%
0.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| 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 2.1% · Q3 3.0% · Q4 2.9% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 44.5% |
50.3%
5.8 pts better
|
11.4%
33.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 40.9% · Q3 64.0% · Q4 69.6% · 4Q avg 44.5% |
| Percentage of long-stay residents who lose too much weight | 8.2% |
6.5%
1.7 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 8.4% · Q3 10.2% · Q4 9.2% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.8% |
18.5%
9.7 pts better
|
19.6%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.1% · Q3 6.7% · Q4 10.8% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.9% |
22.8%
18.9 pts better
|
16.7%
12.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.8% · Q3 3.0% · Q4 2.9% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.3% |
0.1%
0.2 pts worse
|
0.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.1% |
17.2%
4.1 pts better
|
16.3%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 13.3% · Q3 7.1% · Q4 9.6% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.5% |
15.0%
2.5 pts better
|
14.9%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 12.3% · Q3 7.9% · Q4 9.5% · 4Q avg 12.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.1%
0.6 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 1.1% · Q4 0.4% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 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 long-stay residents with new or worsened bowel or bladder incontinence | 23.0% |
21.3%
1.7 pts worse
|
19.8%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 25.2% · Q3 31.5% · Q4 12.1% · 4Q avg 23.0% |
| Percentage of long-stay residents with pressure ulcers | 16.1% |
5.2%
10.9 pts worse
|
5.1%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 13.1% · Q3 22.0% · Q4 16.5% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.2% |
68.8%
12.4 pts better
|
81.7%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 75.9% · Q2 72.4% · Q3 85.3% · Q4 93.3% · 4Q avg 81.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
14.0%
3.4 pts better
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 13.6% · Expected 14.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
2.3%
2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.3% |
63.0%
13.3 pts better
|
79.7%
3.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.3% |
| 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 34.6% · Expected 37.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (10 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
14 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2025-05-07
Fire Safety
Have proper power supply for life support equipment.
Corrected 2025-05-14
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-07
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 2025-05-07
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 2025-05-07
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-05-07
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-07-09
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2024-07-09
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-07-09
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-09
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-07-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-09
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-07-15
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-07-09
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 2024-07-09
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 2024-07-09
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-09
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-08-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-09
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-07-09
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-09-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-22
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-09-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-22
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-09-22
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-22
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-09-22
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-02-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-16
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-11-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-01
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Not marked corrected
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-04
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-06-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-01
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 2025-06-04
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-06-04
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 2025-06-04
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-06-04
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-05
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-06
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-04
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2024-11-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-01
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 2024-07-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-01
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-04
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-04
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-01
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 2023-12-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-29
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-12-29
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-29
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 2023-12-29
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-12-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-29
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-09-22
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-22
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 2023-09-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-22
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 2023-09-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-22
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-22
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-22
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-14
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-14
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-07-14
Penalties and ownership
Fine · fine $204,450
Fine
Payment Denial · denial start 2025-06-06 · 56 days
56 day denial
Fine · fine $33,040
Fine
Fine · fine $14,050
Fine
Fine · fine $161,680
Fine
Payment Denial · denial start 2024-05-07 · 55 days
55 day denial
Fine · fine $108,766
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
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