Saint Charles, IL

Grove Of St Charles

3-star overall rating with 3-star inspections with 10 recent health deficiencies

611 Allen Lane, Saint Charles, IL

(630) 377-2211

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1981-08-31

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

1.36

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.30

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.55

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.66

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.45

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

1.31

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.06

CMS adjusted RN staffing hours

Adjusted total hours

2.77

CMS adjusted total nurse staffing hours

Case-mix index

1.75

Higher values indicate more complex resident acuity

RN turnover

31%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,360

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

Performance score

6.18

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

How the VBP score is built

Readmission

Baseline 21.11% · Performance 24.13% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 7.50% · Performance 9.60% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.47

Performance 53.57% · Measure score 2.47 · Achievement 2.47 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 2.72 hours · Performance 2.45 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.86%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 89 · Observed rate 13.48% · Lower 95% interval 7.54%
Discharge to community	47.39%	50.57% 3.2 pts worse	No Different than the National Rate · Eligible stays 88 · Observed rate 34.09% · Lower 95% interval 37.75%
Medicare spending per beneficiary	1.23	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 76 · Denominator 76
Falls with major injury	1.32%	0.77% 0.6 pts worse	Numerator 1 · Denominator 76
Discharge self-care score	21.74%	53.69% 31.9 pts worse	Numerator 10 · Denominator 46
Discharge mobility score	43.48%	50.94% 7.5 pts worse	Numerator 20 · Denominator 46
Pressure ulcers or injuries, new or worsened	2.63%	2.29% 0.3 pts worse	Numerator 2 · Denominator 76 · Adjusted rate 2.12%
Healthcare-associated infections requiring hospitalization	9.6%	7.12% 2.5 pts worse	No Different than the National Rate · Eligible stays 66 · Observed rate 15.15% · Lower 95% interval 6.28%
Staff COVID-19 vaccination coverage	3.45%	8.2% 4.7 pts worse	Numerator 3 · Denominator 87
Staff flu vaccination coverage	59.72%	42% 17.7 pts better	Numerator 43 · Denominator 72
Discharge function score	34.78%	56.45% 21.7 pts worse	Numerator 16 · Denominator 46
Transfer of health information to provider	96.15%	95.95% 0.2 pts better	Numerator 25 · Denominator 26
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 32 · Denominator 32
Resident COVID-19 vaccinations up to date	94.87%	25.2% 69.7 pts better	Numerator 37 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.1	2.0 1.1 pts worse	1.9 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.6 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	2.3 0.1 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.6 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.8%	89.6% 8.2 pts better	93.4% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 97.4% · Q3 97.6% · Q4 100.0% · 4Q avg 97.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	91.8%	91.6% 0.2 pts better	95.5% 3.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 91.8%
Percentage of long-stay residents experiencing one or more falls with major injury	2.9%	3.3% 0.4 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.2% · Q3 1.2% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	96.2%	50.3% 45.9 pts worse	11.4% 84.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 95.5% · Q3 98.7% · Q4 94.3% · 4Q avg 96.2%
Percentage of long-stay residents who lose too much weight	10.2%	6.5% 3.7 pts worse	5.4% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 9.4% · Q3 10.7% · Q4 10.6% · 4Q avg 10.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	47.1%	18.5% 28.6 pts worse	19.6% 27.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 43.5% · Q2 53.7% · Q3 48.1% · Q4 43.3% · 4Q avg 47.1%
Percentage of long-stay residents who received an antipsychotic medication	30.7%	22.8% 7.9 pts worse	16.7% 14 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 29.2% · Q3 30.6% · Q4 32.7% · 4Q avg 30.7% · 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 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3%
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 13.4% · Q2 8.0% · Q3 13.0% · Q4 5.6% · 4Q avg 9.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.0%	15.0% 6 pts better	14.9% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.1% · Q3 6.7% · Q4 6.2% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	1.1% 0.3 pts better	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.7% 1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.8%	21.3% 7.5 pts better	19.8% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 18.3% · Q3 9.0% · Q4 9.9% · 4Q avg 13.8%
Percentage of long-stay residents with pressure ulcers	4.3%	5.2% 0.9 pts better	5.1% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.1% · Q3 5.5% · Q4 3.4% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.6%	68.8% 15.8 pts better	81.7% 2.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.8% · Q2 80.6% · Q3 75.9% · Q4 86.1% · 4Q avg 84.6%
Percentage of short-stay residents who had an outpatient emergency department visit	19.2%	14.0% 5.2 pts worse	12.0% 7.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 19.2% · Observed 23.9% · Expected 14.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	2.3% 0.8 pts better	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 2.3% · Q4 2.3% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	64.0%	63.0% 1 pts better	79.7% 15.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 64.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.6%	26.2% 4.6 pts better	23.9% 2.3 pts better	Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 28.2% · Expected 31.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-26 · Fire 2024-07-25

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-07-25 · Fire 2023-09-28

11 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-09-28 · Fire 2022-07-27

12 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

G · Actual harm 2025-09-26

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-09-29

F · Potential for more than minimal harm 2025-09-26

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 2025-09-29

E · Potential for more than minimal harm 2025-09-26

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 2025-09-29

E · Potential for more than minimal harm 2025-09-26

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-09-26

F554 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-09-26

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-09-26

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 2025-09-29

D · Potential for more than minimal harm 2025-09-26

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-09-26

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-09-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-29

D · Potential for more than minimal harm 2024-08-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-08-26

D · Potential for more than minimal harm 2024-08-25

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2024-08-26

E · Potential for more than minimal harm 2024-07-25

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-08-01

E · Potential for more than minimal harm 2024-07-25

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 2024-08-01

D · Potential for more than minimal harm 2024-07-25

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-25

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 2024-08-01

D · Potential for more than minimal harm 2024-07-25

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 2024-08-01

D · Potential for more than minimal harm 2024-07-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-25

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-03-17

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 2024-03-18

E · Potential for more than minimal harm 2023-12-13

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 2023-12-22

D · Potential for more than minimal harm 2023-10-25

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 2023-11-02

F · Potential for more than minimal harm 2023-09-28

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 2023-10-13