Chicago, IL

Harmony Healthcare & Rehab Ctr

5-star overall rating with 4-star inspections with $5,244 in total fines with 9 recent health deficiencies

3919 West Foster Avenue, Chicago, IL

(773) 588-9500

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

169

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1994-02-15

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

0.84

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.38

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.80

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.02

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.22

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.95

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.88

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

0.68

CMS adjusted RN staffing hours

Adjusted total hours

2.46

CMS adjusted total nurse staffing hours

Case-mix index

1.68

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,637

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

Performance score

55.11

Composite VBP score used to determine payment impact.

Payment multiplier

1.0101

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 25.03% · Performance 16.84% · Measure score 10 · Achievement 10 · Improvement 9

Healthcare-associated infections

5.94

Baseline 9.39% · Performance 6.56% · Measure score 5.94 · Achievement 4.27 · Improvement 5.94

Total nurse turnover

6.10

Baseline 52.67% · Performance 38.74% · Measure score 6.10 · Achievement 6.10 · Improvement 4.51

Adjusted total nurse staffing

Baseline 2.67 hours · Performance 2.44 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.32%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 140 · Observed rate 10% · Lower 95% interval 7.07%
Discharge to community	53.95%	50.57% 3.4 pts better	No Different than the National Rate · Eligible stays 133 · Observed rate 46.62% · Lower 95% interval 45.33%
Medicare spending per beneficiary	1.57	1.02 0.6 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	54.76%	53.69% 1.1 pts better	Numerator 23 · Denominator 42
Discharge mobility score	52.38%	50.94% 1.4 pts better	Numerator 22 · Denominator 42
Pressure ulcers or injuries, new or worsened	1.32%	2.29% 1 pts better	Numerator 1 · Denominator 76 · Adjusted rate 0.74%
Healthcare-associated infections requiring hospitalization	6.56%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 72 · Observed rate 5.56% · Lower 95% interval 3.82%
Staff COVID-19 vaccination coverage	20.11%	8.2% 11.9 pts better	Numerator 38 · Denominator 189
Staff flu vaccination coverage	97.24%	42% 55.2 pts better	Numerator 141 · Denominator 145
Discharge function score	54.76%	56.45% 1.7 pts worse	Numerator 23 · Denominator 42
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 21 · Denominator 21
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 32 · Denominator 32
Resident COVID-19 vaccinations up to date	13.16%	25.2% 12 pts worse	Numerator 5 · Denominator 38

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	2.0 0.8 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	2.3 1.8 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	80.3%	89.6% 9.3 pts worse	93.4% 13.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 59.7% · Q2 87.7% · Q3 84.6% · Q4 89.3% · 4Q avg 80.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.8%	91.6% 7.2 pts better	95.5% 3.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of long-stay residents experiencing one or more falls with major injury	1.1%	3.3% 2.2 pts better	3.3% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.6% · Q3 1.3% · Q4 0.7% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	98.8%	50.3% 48.5 pts worse	11.4% 87.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 98.6% · Q3 98.7% · Q4 99.3% · 4Q avg 98.8%
Percentage of long-stay residents who lose too much weight	8.1%	6.5% 1.6 pts worse	5.4% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 9.3% · Q3 8.5% · Q4 4.4% · 4Q avg 8.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	6.6%	18.5% 11.9 pts better	19.6% 13 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 7.3% · Q3 6.9% · Q4 6.7% · 4Q avg 6.6%
Percentage of long-stay residents who received an antipsychotic medication	12.3%	22.8% 10.5 pts better	16.7% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 10.7% · Q3 16.8% · Q4 13.0% · 4Q avg 12.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.3%	17.2% 10.9 pts better	16.3% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.7% · Q3 1.6% · Q4 7.2% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.7%	15.0% 8.3 pts better	14.9% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 5.1% · Q3 4.8% · Q4 7.3% · 4Q avg 6.7% · 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 0.6% · Q2 0.9% · Q3 0.5% · Q4 0.0% · 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	17.4%	21.3% 3.9 pts better	19.8% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 25.2% · Q3 13.7% · Q4 13.7% · 4Q avg 17.4%
Percentage of long-stay residents with pressure ulcers	4.7%	5.2% 0.5 pts better	5.1% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 4.7% · Q3 4.1% · Q4 4.5% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	58.0%	68.8% 10.8 pts worse	81.7% 23.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 39.8% · Q2 53.5% · Q3 61.6% · Q4 71.6% · 4Q avg 58.0%
Percentage of short-stay residents who had an outpatient emergency department visit	15.2%	14.0% 1.2 pts worse	12.0% 3.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 15.6% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	2.3% 1 pts better	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.4% · Q3 1.2% · Q4 1.1% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	55.0%	63.0% 8 pts worse	79.7% 24.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 55.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.0%	26.2% 3.2 pts better	23.9% 0.9 pts better	Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 28.1% · Expected 29.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-06 · Fire 2024-09-06

9 health deficiencies

Top issue: Resident Rights (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-08-31 · Fire 2023-08-31

7 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 3 Health 2022-11-04 · Fire 2022-11-04

18 health deficiencies

Top issue: Quality of Life and Care (6 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 2025-02-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-24

E · Potential for more than minimal harm 2024-09-06

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-09-09

E · Potential for more than minimal harm 2024-09-06

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 2024-09-09

E · Potential for more than minimal harm 2024-09-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-09-06

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 2024-09-09

D · Potential for more than minimal harm 2024-09-06

F554 · Resident Rights Deficiencies

Health

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

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-09-06

F578 · Resident Rights Deficiencies

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 2024-09-09

D · Potential for more than minimal harm 2024-09-06

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-09-06

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-09-06

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2024-09-09

D · Potential for more than minimal harm 2024-03-25

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 2024-04-03

D · Potential for more than minimal harm 2024-02-18

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-02-19

D · Potential for more than minimal harm 2023-10-02

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-10-04

D · Potential for more than minimal harm 2023-10-02

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 2023-10-04

D · Potential for more than minimal harm 2023-10-02

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-10-04

E · Potential for more than minimal harm 2023-08-31

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-01

E · Potential for more than minimal harm 2023-08-31

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 2023-09-01

E · Potential for more than minimal harm 2023-08-31

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 2023-09-01

D · Potential for more than minimal harm 2023-08-31

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-08-31

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-01

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

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 2023-07-10

E · Potential for more than minimal harm 2023-06-01

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 2023-06-02

D · Potential for more than minimal harm 2023-06-01

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-02

F · Potential for more than minimal harm 2022-11-04

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 2022-11-05

F · Potential for more than minimal harm 2022-11-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-11-05

E · Potential for more than minimal harm 2022-11-04

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-11-05

E · Potential for more than minimal harm 2022-11-04

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-05

E · Potential for more than minimal harm 2022-11-04