Cycle 1
Health 2025-08-27 · Fire 2024-09-25
11 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Round Lake Beach, IL
Hillcrest Retirement Village
4-star overall rating with 4-star inspections with $18,974 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1740 North Circuit Drive, Round Lake Beach, IL
(847) 546-5300
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
140
Certified beds
Average residents
127
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2009-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.39
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.52
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.82
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
2.73
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
0.91
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.45
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.24
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
0.32
CMS adjusted RN staffing hours
Adjusted total hours
2.25
CMS adjusted total nurse staffing hours
Case-mix index
1.66
Higher values indicate more complex resident acuity
RN turnover
9%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,812
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.94
Composite VBP score used to determine payment impact.
Payment multiplier
0.9887
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.9
Baseline 18.67% · Performance 19.16% · Measure score 4.9 · Achievement 4.9 · Improvement 0
Healthcare-associated infections
0
Baseline 7.54% · Performance 8.21% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.96
Baseline 33.33% · Performance 27.06% · Measure score 8.96 · Achievement 8.96 · Improvement 6.90
Adjusted total nurse staffing
0.12
Baseline 2.14 hours · Performance 2.36 hours · Measure score 0.12 · Achievement 0 · Improvement 0.12
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.7% |
10.72%
2 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 18.18% · Lower 95% interval 9.14% |
| Discharge to community | 35.05% |
50.57%
15.5 pts worse
|
Worse than the National Rate · Eligible stays 77 · Observed rate 27.27% · Lower 95% interval 27.5% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 73 · Denominator 73 |
| Falls with major injury | 1.37% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 73 |
| Discharge self-care score | 7.14% |
53.69%
46.5 pts worse
|
Numerator 4 · Denominator 56 |
| Discharge mobility score | 28.57% |
50.94%
22.4 pts worse
|
Numerator 16 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 1.37% |
2.29%
0.9 pts better
|
Numerator 1 · Denominator 73 · Adjusted rate 1.23% |
| Healthcare-associated infections requiring hospitalization | 8.21% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 54 · Observed rate 11.11% · Lower 95% interval 5.1% |
| Staff COVID-19 vaccination coverage | 2.69% |
8.2%
5.5 pts worse
|
Numerator 5 · Denominator 186 |
| Staff flu vaccination coverage | 93.83% |
42%
51.8 pts better
|
Numerator 152 · Denominator 162 |
| Discharge function score | 10.71% |
56.45%
45.7 pts worse
|
Numerator 6 · Denominator 56 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 29 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 37.21% |
25.2%
12 pts better
|
Numerator 16 · Denominator 43 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.0
0.7 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
2.3
1.9 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.6% |
89.6%
About the same
|
93.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 93.3% · Q3 86.6% · Q4 81.6% · 4Q avg 89.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.3% |
91.6%
6.7 pts better
|
95.5%
2.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.8% |
3.3%
5.5 pts worse
|
3.3%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.6% · Q3 8.9% · Q4 8.8% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 91.9% |
50.3%
41.6 pts worse
|
11.4%
80.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 93.9% · Q3 92.2% · Q4 90.2% · 4Q avg 91.9% |
| Percentage of long-stay residents who lose too much weight | 8.3% |
6.5%
1.8 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.0% · Q3 9.4% · Q4 9.2% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.3% |
18.5%
16.8 pts worse
|
19.6%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 37.9% · Q3 33.0% · Q4 36.0% · 4Q avg 35.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 33.8% |
22.8%
11 pts worse
|
16.7%
17.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 33.9% · Q3 34.3% · Q4 34.2% · 4Q avg 33.8% · 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 | 11.9% |
17.2%
5.3 pts better
|
16.3%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 20.0% · Q3 5.5% · Q4 8.0% · 4Q avg 11.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.7% |
15.0%
7.3 pts better
|
14.9%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 11.3% · Q3 7.1% · Q4 3.0% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
1.1%
1.2 pts worse
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.0% · Q3 2.2% · Q4 1.2% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.9% |
1.7%
2.2 pts worse
|
1.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 3.0% · Q3 2.8% · Q4 1.8% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.5% |
21.3%
0.8 pts better
|
19.8%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 26.3% · Q3 14.1% · Q4 12.4% · 4Q avg 20.5% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
5.2%
2.4 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.1% · Q3 4.5% · Q4 1.9% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 42.1% |
68.8%
26.7 pts worse
|
81.7%
39.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 39.1% · Q3 43.9% · Q4 37.7% · 4Q avg 42.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
14.0%
0.5 pts better
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 13.7% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.1% |
2.3%
2.8 pts worse
|
1.6%
3.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 6.5% · Q3 9.4% · Q4 2.8% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 58.8% |
63.0%
4.2 pts worse
|
79.7%
20.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 58.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 7.3% |
26.2%
18.9 pts better
|
23.9%
16.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.3% · Observed 7.8% · Expected 25.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-25 · Fire 2023-08-10
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-08-10 · Fire 2022-07-13
7 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-25
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-11
E · Potential for more than minimal harm
2024-09-25
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-11
E · Potential for more than minimal harm
2024-09-25
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-11
E · Potential for more than minimal harm
2024-09-25
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-11
F · Potential for more than minimal harm
2023-08-10
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-08-31
F · Potential for more than minimal harm
2023-08-10
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-31
E · Potential for more than minimal harm
2023-08-10
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-31
E · Potential for more than minimal harm
2023-08-10
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-31
E · Potential for more than minimal harm
2023-08-10
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-08-31
F · Potential for more than minimal harm
2022-07-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-08-17
E · Potential for more than minimal harm
2022-07-13
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-08-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-14
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 2026-01-28
F · Potential for more than minimal harm
2025-08-27
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 2025-09-16
E · Potential for more than minimal harm
2025-08-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-27
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-27
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 2025-09-16
D · Potential for more than minimal harm
2025-08-27
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-27
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 2025-09-16
D · Potential for more than minimal harm
2025-08-27
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-27
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 2025-09-16
D · Potential for more than minimal harm
2025-08-27
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 2025-09-16
D · Potential for more than minimal harm
2025-08-27
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2025-09-16
G · Actual harm
2024-09-25
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 2024-10-14
E · Potential for more than minimal harm
2024-09-25
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 2024-10-14
E · Potential for more than minimal harm
2024-09-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-14
D · Potential for more than minimal harm
2024-09-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-14
G · Actual harm
2024-02-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-08
G · Actual harm
2024-02-20
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 2024-03-08
F · Potential for more than minimal harm
2023-08-10
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 2023-08-23
D · Potential for more than minimal harm
2023-08-10
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2023-08-23
D · Potential for more than minimal harm
2023-08-10
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 2023-08-23
D · Potential for more than minimal harm
2023-08-10
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-08-23
D · Potential for more than minimal harm
2023-08-10
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 2023-08-23
Penalties and ownership
What sits behind the stars
$18,974
2024-09-25
Fine
Fine · fine $18,974
Fine
Ownership
Earl Rosenbaum Declaration Of Trust
5% Or Greater Direct Ownership Interest · Organization
Bishop, Jack
5% Or Greater Direct Ownership Interest · Individual
Bishop, Karla
5% Or Greater Direct Ownership Interest · Individual
Bishop, Karla
Corporate Officer · Individual
Rosenbaum, Alan
Operational/Managerial Control · Individual
Rosenbaum, Alan
W-2 Managing Employee · Individual
Nearby options
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5-star overall rating with 4-star inspections with $35,902 in total fines with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Libertyville Manor Ext Care
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2-star overall rating with 1-star inspections with $246,461 in total fines with 10 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
#3
Alta Rehab At Wauconda
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4-star overall rating with 4-star inspections with $7,443 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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