Elmhurst, IL

Grove Of Elmhurst, The

2-star overall rating with 3-star inspections with $61,031 in total fines with 15 recent health deficiencies

127 West Diversey, Elmhurst, IL

(630) 530-5225

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

139

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1978-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.73

Registered nurse staffing

LPN hours / resident day

0.72

Licensed practical nurse staffing

Aide hours / resident day

1.95

Nurse aide staffing

Weekend hours

3.38

Weekend nurse staffing

RN turnover

55%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
2.0
0.9 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.9
2.3
0.6 pts worse
1.8
1.1 pts worse
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.3%
91.6%
7.7 pts better
95.5%
3.8 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.8%
3.3%
0.5 pts worse
3.3%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 94.0%
50.3%
43.7 pts worse
11.4%
82.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.9%
6.5%
0.4 pts worse
5.4%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.4%
18.5%
1.1 pts better
19.6%
2.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 25.1%
22.8%
2.3 pts worse
16.7%
8.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 2.0%
0.1%
1.9 pts worse
0.1%
1.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 15.4%
17.2%
1.8 pts better
16.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.9%
15.0%
2.1 pts better
14.9%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.0%
1.1%
0.9 pts worse
1.0%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.4%
1.7%
1.3 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.4%
21.3%
2.9 pts better
19.8%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 10.2%
5.2%
5 pts worse
5.1%
5.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
68.8%
29.8 pts better
81.7%
16.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 19.4%
14.0%
5.4 pts worse
12.0%
7.4 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 3.4%
2.3%
1.1 pts worse
1.6%
1.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 74.7%
63.0%
11.7 pts better
79.7%
5 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.2%
26.2%
8 pts better
23.9%
5.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-23 · Fire 2025-05-23

15 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-05 · Fire 2024-04-05

18 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-01 · Fire 2023-03-01

20 health deficiencies

Top issue: Quality of Life and Care (11 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 2026-01-08

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 2026-01-16

D · Potential for more than minimal harm 2026-01-08

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 2026-01-16

D · Potential for more than minimal harm 2026-01-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-16

E · Potential for more than minimal harm 2025-08-11

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 2025-08-22

G · Actual harm 2025-05-23

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 2025-05-24

E · Potential for more than minimal harm 2025-05-23

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 2025-05-24

D · Potential for more than minimal harm 2025-05-23

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 2025-05-24

D · Potential for more than minimal harm 2025-05-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-05-23

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-05-23

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 2025-05-24

D · Potential for more than minimal harm 2025-05-23

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-05-23

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-05-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-05-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-05-23

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-01-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-24

D · Potential for more than minimal harm 2025-01-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-24

D · Potential for more than minimal harm 2024-12-20

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 2025-01-02

J · Immediate jeopardy 2024-05-09

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 2024-05-10

D · Potential for more than minimal harm 2024-05-09

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 2024-05-10

D · Potential for more than minimal harm 2024-05-09

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-05-10

G · Actual harm 2024-04-05

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-25

E · Potential for more than minimal harm 2024-04-05

F554 · Resident Rights Deficiencies

Health

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

Corrected 2024-04-25

E · Potential for more than minimal harm 2024-04-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-04-25

E · Potential for more than minimal harm 2024-04-05

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 2024-04-25

E · Potential for more than minimal harm 2024-04-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-25

E · Potential for more than minimal harm 2024-04-05

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-04-25

D · Potential for more than minimal harm 2024-04-05

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-25

D · Potential for more than minimal harm 2024-04-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-25

D · Potential for more than minimal harm 2024-04-05

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-04-25

D · Potential for more than minimal harm 2024-04-05

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-04-25

D · Potential for more than minimal harm 2024-04-05

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 2024-04-25

E · Potential for more than minimal harm 2024-03-12

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 2024-03-26

D · Potential for more than minimal harm 2023-10-19

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 2023-11-13

D · Potential for more than minimal harm 2023-10-19

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 2023-11-13

D · Potential for more than minimal harm 2023-07-13

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 2023-08-01

D · Potential for more than minimal harm 2023-07-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-01

D · Potential for more than minimal harm 2023-07-13

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-01

D · Potential for more than minimal harm 2023-07-13

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 2023-08-01

D · Potential for more than minimal harm 2023-04-07

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-21

E · Potential for more than minimal harm 2023-03-01

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 2023-03-21

D · Potential for more than minimal harm 2023-03-01

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 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-01

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 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-01

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 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-01

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 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-01

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 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-03-21

Penalties and ownership

What sits behind the stars

$61,031 2024-04-05

Fine

Fine · fine $61,031

Fine

$0 2024-04-05

Payment Denial

Payment Denial · denial start 2024-05-04 · 6 days

6 day denial

Ownership

Chaim Rajchenbach Descendants Tr Ua 04282008

5% Or Greater Direct Ownership Interest · Organization

50% 83 facilities 2017-05-03
Doros Generation Trust U/A/D 1/3/12

5% Or Greater Direct Ownership Interest · Organization

50% 78 facilities 2017-05-03
Elmbrook Hc Realty, LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2015-11-06
Forbright Bank

Operational/Managerial Control · Organization

0% 30 facilities 2024-07-31
Forbright Bank

5% Or Greater Security Interest · Organization

0% 30 facilities 2024-07-31
Legacy Healthcare Financial Services LLC

Operational/Managerial Control · Organization

0% 67 facilities 2015-11-06
Liyanapatabendi, Chool

Operational/Managerial Control · Individual

0% 1 facilities 2015-11-06
Morris, Margaux

Operational/Managerial Control · Individual

0% 3 facilities 2024-03-11
Shabat, Menachem

Operational/Managerial Control · Individual

0% 84 facilities 2017-05-03

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