8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Hanover Park, IL
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
2000 West Lake Street, Hanover Park, IL
(630) 556-2000
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
Beds
150
Certified beds
Average residents
94
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ignite Medical Resorts
Operator or chain grouping
Approved since
2011-01-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.15
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.48
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.25
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.77
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.92
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.92
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
2.69
CMS adjusted total nurse staffing hours
Case-mix index
1.65
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
12,126
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9813
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.95% · Performance 21.88% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 9.30% · Performance 9.21% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.51
Baseline 52.94% · Performance 41.18% · Measure score 5.51 · Achievement 5.51 · Improvement 3.69
Adjusted total nurse staffing
0
Baseline 2.55 hours · Performance 2.71 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.87% |
10.72%
1.9 pts better
|
No Different than the National Rate · Eligible stays 461 · Observed rate 8.89% · Lower 95% interval 6.96% |
| Discharge to community | 58.23% |
50.57%
7.7 pts better
|
Better than the National Rate · Eligible stays 515 · Observed rate 49.32% · Lower 95% interval 53.07% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.74% |
95.27%
4.5 pts better
|
Numerator 388 · Denominator 389 |
| Falls with major injury | 1.03% |
0.77%
0.3 pts worse
|
Numerator 4 · Denominator 389 |
| Discharge self-care score | 59.7% |
53.69%
6 pts better
|
Numerator 160 · Denominator 268 |
| Discharge mobility score | 55.97% |
50.94%
5 pts better
|
Numerator 150 · Denominator 268 |
| Pressure ulcers or injuries, new or worsened | 0.26% |
2.29%
2 pts better
|
Numerator 1 · Denominator 389 · Adjusted rate 0.24% |
| Healthcare-associated infections requiring hospitalization | 9.21% |
7.12%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 379 · Observed rate 11.08% · Lower 95% interval 6.94% |
| Staff COVID-19 vaccination coverage | 76.65% |
8.2%
68.5 pts better
|
Numerator 128 · Denominator 167 |
| Staff flu vaccination coverage | 83.83% |
42%
41.8 pts better
|
Numerator 140 · Denominator 167 |
| Discharge function score | 63.81% |
56.45%
7.4 pts better
|
Numerator 171 · Denominator 268 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 125 · Denominator 125 |
| Transfer of health information to patient | 99.58% |
96.28%
3.3 pts better
|
Numerator 239 · Denominator 240 |
| Resident COVID-19 vaccinations up to date | 42.59% |
25.2%
17.4 pts better
|
Numerator 92 · Denominator 216 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 100.0% · Q2 100.0% · Q3 96.7% · Q4 93.5% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.0% |
91.6%
1.6 pts worse
|
95.5%
5.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.3%
0.4 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.9% · Q3 6.7% · Q4 0.0% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 75.4% |
50.3%
25.1 pts worse
|
11.4%
64 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.1% · Q2 81.8% · Q3 85.7% · Q4 56.7% · 4Q avg 75.4% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
6.5%
2.9 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 7.1% · Q3 4.0% · Q4 0.0% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.8% |
18.5%
0.7 pts better
|
19.6%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 16.7% · Q3 19.2% · Q4 20.7% · 4Q avg 17.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.2% |
22.8%
13.6 pts better
|
16.7%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 8.3% · Q4 8.0% · 4Q avg 9.2% · 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 | 13.4% |
17.2%
3.8 pts better
|
16.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.8% |
15.0%
6.2 pts better
|
14.9%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 6.9% · Q3 8.0% · Q4 7.1% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.1%
0.2 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.7%
0.9 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.2% |
21.3%
12.9 pts worse
|
19.8%
14.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 54.9% · Q3 28.1% · Q4 16.6% · 4Q avg 34.2% |
| 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 1.9% · Q2 2.2% · Q3 2.6% · Q4 4.8% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.9% |
68.8%
19.1 pts better
|
81.7%
6.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 88.7% · Q3 91.0% · Q4 89.8% · 4Q avg 87.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% |
14.0%
6.2 pts better
|
12.0%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 8.3% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
2.3%
1.2 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.9% · Q3 0.9% · Q4 1.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.1% |
63.0%
25.1 pts better
|
79.7%
8.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.4% |
26.2%
2.8 pts better
|
23.9%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 26.2% · Expected 26.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-10
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 2025-04-10
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-10
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-01
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-08-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-19
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-08-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-01
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-08-01
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 2024-08-01
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-08-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-01
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2024-08-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-08-20
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-01
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-29
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-09-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-29
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 2023-09-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-29
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-09-29
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-09-29
Inspection history
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 2025-04-13
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-04-13
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 2025-04-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-07
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-07-26
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-07-26
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-07-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-26
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-07-26
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-07-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-11
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-06-11
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 2023-08-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-29
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 2023-08-29
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 2023-08-29
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-29
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-29
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-29
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-20
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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