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

Chain footprint

90 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

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

0.73

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.72

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.95

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.40

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.38

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.77

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

2.47

CMS adjusted total nurse staffing hours

Case-mix index

1.88

Higher values indicate more complex resident acuity

RN turnover

55%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

Baseline 61.21% · Performance 67.52% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 2.47 hours · Performance 2.49 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.98%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 43 · Observed rate 6.98% · Lower 95% interval 6.39%
Discharge to community	63.36%	50.57% 12.8 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 47.62% · Lower 95% interval 42.38%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 35 · Denominator 35
Falls with major injury	5.71%	0.77% 4.9 pts worse	Numerator 2 · Denominator 35
Discharge self-care score	46.15%	53.69% 7.5 pts worse	Numerator 12 · Denominator 26
Discharge mobility score	46.15%	50.94% 4.8 pts worse	Numerator 12 · Denominator 26
Pressure ulcers or injuries, new or worsened	2.86%	2.29% 0.6 pts worse	Numerator 1 · Denominator 35 · Adjusted rate 2.37%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.46%	8.2% 6.7 pts worse	Numerator 2 · Denominator 137
Staff flu vaccination coverage	40.96%	42% 1 pts worse	Numerator 77 · Denominator 188
Discharge function score	46.15%	56.45% 10.3 pts worse	Numerator 12 · Denominator 26
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	8.7%	25.2% 16.5 pts worse	Numerator 2 · Denominator 23

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 · Adjusted 1.1 · Observed 2.4 · Expected 4.1 · Used in QM five-star
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 · Adjusted 2.9 · Observed 4.3 · Expected 2.5 · 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	99.3%	91.6% 7.7 pts better	95.5% 3.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.3%
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 · Q1 5.2% · Q2 3.9% · Q3 3.8% · Q4 2.3% · 4Q avg 3.8% · Used in QM five-star
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 · Q1 92.0% · Q2 95.4% · Q3 93.5% · Q4 94.7% · 4Q avg 94.0%
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 · Q1 5.7% · Q2 12.3% · Q3 5.8% · Q4 4.1% · 4Q avg 6.9%
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 · Q1 15.9% · Q2 18.3% · Q3 17.5% · Q4 17.9% · 4Q avg 17.4%
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 · Q1 23.1% · Q2 25.4% · Q3 23.3% · Q4 28.0% · 4Q avg 25.1% · Used in QM five-star
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 · Q1 0.0% · Q2 1.6% · Q3 3.1% · Q4 3.1% · 4Q avg 2.0%
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 · Q1 4.0% · Q2 31.1% · Q3 9.2% · Q4 16.4% · 4Q avg 15.4% · Used in QM five-star
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 · Q1 15.3% · Q2 18.2% · Q3 6.5% · Q4 12.0% · 4Q avg 12.9% · Used in QM five-star
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 · Q1 1.5% · Q2 5.8% · Q3 0.5% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% · Used in QM five-star
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 · Q1 26.4% · Q2 19.4% · Q3 17.4% · Q4 11.3% · 4Q avg 18.4%
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 · Q1 9.1% · Q2 9.9% · Q3 12.4% · Q4 9.5% · 4Q avg 10.2% · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 97.4% · Q4 95.9% · 4Q avg 98.6%
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 · Adjusted 19.4% · Observed 25.0% · Expected 14.4% · Used in QM five-star
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 · Q1 3.8% · Q2 2.8% · Q3 5.4% · Q4 2.0% · 4Q avg 3.4% · Used in QM five-star
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 · 4Q avg 74.7%
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 · Adjusted 18.2% · Observed 25.0% · Expected 32.8% · Used in QM five-star

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