Cycle 1
Health 2024-03-07 · Fire 2024-03-07
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Melrose Park, IL
Gottlieb Memorial Hospital
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
701 West North Avenue, Melrose Park, IL
(708) 450-4908
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
32
Certified beds
Average residents
24
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Trinity Health
Operator or chain grouping
Approved since
1985-06-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
3.93
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
2.23
Nurse aide staffing
Weekend hours
5.94
Weekend nurse staffing
RN turnover
18%
Annual RN turnover
Total nurse turnover
35%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
68.8%
30.5 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.2% |
14.0%
7.8 pts better
|
12.0%
5.8 pts better
|
Short Stay · 20240701-20250630 |
| 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 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.9% |
63.0%
32.9 pts better
|
79.7%
16.2 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.3% |
26.2%
0.1 pts worse
|
23.9%
2.4 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-04-14 · Fire 2023-04-14
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2021-11-10 · Fire 2021-11-10
3 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-03-07
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-03-13
F · Potential for more than minimal harm
2024-03-07
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-03-19
F · Potential for more than minimal harm
2024-03-07
K907 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2024-03-11
E · Potential for more than minimal harm
2024-03-07
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-03-14
F · Potential for more than minimal harm
2023-04-14
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-04-18
E · Potential for more than minimal harm
2023-04-14
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-04-18
E · Potential for more than minimal harm
2021-11-10
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-11-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-03-07
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 2024-03-21
D · Potential for more than minimal harm
2024-03-07
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-21
D · Potential for more than minimal harm
2024-03-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-21
C · Minimal harm
2024-03-07
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-03-21
D · Potential for more than minimal harm
2023-04-14
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-04-29
F · Potential for more than minimal harm
2021-11-10
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 2021-11-22
E · Potential for more than minimal harm
2021-11-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-11-24
E · Potential for more than minimal harm
2021-11-10
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-11-22
Penalties and ownership
What sits behind the stars
Ownership
Cunningham, Joy
Corporate Director · Individual
Early, Elizabeth
Corporate Director · Individual
Early, Elizabeth
Corporate Officer · Individual
Early, Elizabeth
W-2 Managing Employee · Individual
Freeman, Richard
Corporate Officer · Individual
Gomez, Tad
Corporate Director · Individual
Healey, Lori
Corporate Director · Individual
Kolawole, Adenrele
Corporate Officer · Individual
Loyola University Health System
5% Or Greater Indirect Ownership Interest · Organization
Lukasick, Melissa
Corporate Officer · Individual
Monice, Pierre
Corporate Director · Individual
Pekar, Maria
Corporate Officer · Individual
Pratt, Antoinette
Operational/Managerial Control · Individual
Rappis, Jill
Corporate Officer · Individual
Schwartz, Marc
Corporate Officer · Individual
Trinity Health Corporation
5% Or Greater Indirect Ownership Interest · Organization
Wojcik, Eva
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Bria Of Elmwood Park
Elmwood Park, IL
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $400,219 in total fines with 26 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#2
Oak Park Oasis
Oak Park, IL
1-star overall rating with 2-star inspections with abuse icon flag with $163,101 in total fines with 23 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle
#3
Berkeley Nursing & Rehab Center
Oak Park, IL
3-star overall rating with 3-star inspections with $311,943 in total fines with 6 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
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