Federal inspection record · CMS data as of October 1, 2026

Kenwood Vlge Nrsg And Rhb Ctr

4505 South Drexel, Chicago, IL · (773) 285-0550

  • Cited for abuse (CMS abuse icon)

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
155
Residents per day
139
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 23, 1995

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.

  2. Staffing

    no change (already 1)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 1)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Illinois homes

Kenwood Vlge Nrsg And Rhb Ctr carries 220 inspection points. That is fewer than 19% of Illinois's 659 rated homes.

5★4★3★2★1★+20 homes above 459.7505102550100200400inspection points → fewer is better on the leftThis home · 220 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–31 pts
  • 4★ 31–73 pts
  • 3★ 73–120.25 pts
  • 2★ 120.25–219 pts
  • 1★ over 219 pts

Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

72 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 6 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 40 4 pts
E 15 8 pts
F 10 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (6)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 27, 2026 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected April 20, 2026

  2. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 18, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected October 31, 2025

  3. G

    Respond appropriately to all alleged violations.

    October 18, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected October 31, 2025

  4. G

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

    July 25, 2025 · Complaint inspection · Quality of Life and Care · F692 · Corrected August 12, 2025

  5. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 4, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 21, 2025

  6. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 4, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 21, 2025

Everything else, by area of care

Quality of Life and Care16E
  1. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 16, 2026 · Complaint · F677 · Corrected August 27, 2026

  2. D

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    July 28, 2026 · Complaint · F678 · Corrected August 14, 2026

  3. D

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

    March 27, 2026 · Standard · F692 · Corrected April 20, 2026

  4. D

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

    March 27, 2026 · Standard · F695 · Corrected April 20, 2026

  5. D

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

    January 22, 2026 · Complaint · F684 · Corrected February 5, 2026

  6. D

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

    December 14, 2025 · Complaint · F684 · Corrected December 24, 2025

  7. D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    March 4, 2025 · Complaint · F740 · Corrected March 21, 2025

  8. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 30, 2025 · Standard · F689 · Corrected February 14, 2025

  9. E

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

    January 30, 2025 · Standard · F695 · Corrected February 14, 2025

  10. D

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

    January 30, 2025 · Standard · F684 · Corrected February 14, 2025

  11. D

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

    January 30, 2025 · Standard · F686 · Corrected February 14, 2025

  12. D

    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.

    January 30, 2025 · Standard · F688 · Corrected February 14, 2025

  13. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 16, 2024 · Complaint · F689 · Corrected October 4, 2024

  14. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 8, 2023 · Standard · F677 · Corrected January 3, 2024

  15. D

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

    December 8, 2023 · Standard · F686 · Corrected January 3, 2024

  16. D

    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.

    December 8, 2023 · Standard · F693 · Corrected January 3, 2024

Nutrition and Dietary10F
  1. F

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    August 16, 2026 · Complaint · F804 · Corrected August 27, 2026

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 27, 2026 · Standard · F812 · Corrected April 20, 2026

  3. E

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    March 27, 2026 · Standard · F805 · Corrected April 20, 2026

  4. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 30, 2025 · Standard · F812 · Corrected February 14, 2025

  5. D

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

    January 30, 2025 · Standard · F813 · Corrected February 14, 2025

  6. F

    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.

    February 5, 2024 · Complaint · F803 · Corrected February 14, 2024

  7. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 8, 2023 · Standard · F812 · Corrected December 22, 2023

  8. F

    Dispose of garbage and refuse properly.

    December 8, 2023 · Standard · F814 · Corrected December 22, 2023

  9. D

    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.

    December 8, 2023 · Standard · F803 · Corrected December 22, 2023

  10. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 22, 2023 · Complaint · F812 · Corrected December 22, 2023

Resident Rights8D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 27, 2026 · Standard · F550 · Corrected April 20, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    March 27, 2026 · Standard · F558 · Corrected April 20, 2026

  3. D

    Reasonably accommodate the needs and preferences of each resident.

    January 30, 2025 · Standard · F558 · Corrected February 14, 2025

  4. D

    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.

    January 30, 2025 · Standard · F578 · Corrected February 14, 2025

  5. D

    Keep residents' personal and medical records private and confidential.

    January 30, 2025 · Standard · F583 · Corrected February 14, 2025

  6. D

    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.

    January 30, 2025 · Standard · F584 · Corrected February 14, 2025

  7. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    January 4, 2024 · Complaint · F557 · Corrected January 17, 2024

  8. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    December 8, 2023 · Standard · F557 · Corrected January 17, 2024

Infection Control7E
  1. E

    Provide and implement an infection prevention and control program.

    March 27, 2026 · Standard · F880 · Corrected April 20, 2026

  2. E

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    March 27, 2026 · Complaint · F887 · Corrected April 20, 2026

  3. D

    Implement a program that monitors antibiotic use.

    March 27, 2026 · Standard · F881 · Corrected April 20, 2026

  4. E

    Provide and implement an infection prevention and control program.

    January 30, 2025 · Standard · F880 · Corrected February 14, 2025

  5. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    January 30, 2025 · Standard · F883 · Corrected February 14, 2025

  6. D

    Provide and implement an infection prevention and control program.

    December 8, 2023 · Standard · F880 · Corrected January 3, 2024

  7. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    December 8, 2023 · Standard · F883 · Corrected January 3, 2024

Freedom from Abuse, Neglect, and Exploitation7E
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    March 27, 2026 · Standard · F609 · Corrected April 20, 2026

  2. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 16, 2026 · Complaint · F600 · Corrected April 10, 2026

  3. E

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 22, 2026 · Complaint · F600 · Corrected February 5, 2026

  4. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 29, 2025 · Complaint · F600 · Corrected February 5, 2026

  5. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 18, 2025 · Complaint · F609 · Corrected October 31, 2025

  6. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 23, 2025 · Complaint · F600 · Corrected February 5, 2025

  7. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    September 16, 2024 · Complaint · F600 · Corrected October 4, 2024

Pharmacy Service6E
  1. E

    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.

    March 27, 2026 · Standard · F761 · Corrected April 20, 2026

  2. D

    Ensure medication error rates are not 5 percent or greater.

    March 27, 2026 · Standard · F759 · Corrected April 20, 2026

  3. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    January 30, 2025 · Standard · F755 · Corrected February 14, 2025

  4. E

    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.

    January 30, 2025 · Standard · F761 · Corrected February 14, 2025

  5. E

    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.

    December 8, 2023 · Standard · F761 · Corrected January 3, 2024

  6. D

    Ensure medication error rates are not 5 percent or greater.

    December 8, 2023 · Standard · F759 · Corrected January 3, 2024

Resident Assessment and Care Planning5D
  1. D

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

    March 27, 2026 · Standard · F644 · Corrected April 20, 2026

  2. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    March 27, 2026 · Standard · F645 · Corrected April 20, 2026

  3. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    March 2, 2026 · Complaint · F645 · Corrected March 10, 2026

  4. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    July 25, 2025 · Complaint · F655 · Corrected August 12, 2025

  5. D

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

    January 30, 2025 · Standard · F644 · Corrected February 14, 2025

Environmental4F
  1. F

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    March 28, 2025 · Complaint · F925 · Corrected April 8, 2025

  2. E

    Put firmly secured handrails on each side of hallways.

    January 30, 2025 · Standard · F924 · Corrected February 14, 2025

  3. D

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    December 8, 2023 · Standard · F914 · Corrected December 22, 2023

  4. F

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    November 22, 2023 · Complaint · F925 · Corrected December 19, 2023

Administration2E
  1. E

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    January 30, 2025 · Standard · F770 · Corrected February 14, 2025

  2. C

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    December 8, 2023 · Standard · F838 · Corrected December 20, 2023

Nursing and Physician Services1F
  1. F

    Post nurse staffing information every day.

    November 14, 2024 · Complaint · F732 · Corrected November 22, 2024

Inspection history

  1. 2026-03-27

    27 health deficiencies · 9 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (8 deficiencies)

  2. 2025-01-30

    26 health deficiencies · 4 fire-safety deficiencies

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

  3. 2023-12-08

    19 health deficiencies · 0 fire-safety deficiencies

    Top issue: Nutrition and Dietary (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 7 min of nursing staff time a day, 26 min of it from a registered nurse.

This home

3 h 7 min

Illinois average

3 h 28 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 46% of nursing staff and 61% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$143,572 in federal fines on record over the past three years.

DatePenaltyAmount
2026-03-02Fine$78,000
2025-10-18Fine$40,352
2025-07-25Fine$25,220
2025-01-23Payment Denial · 11 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts worse2.92.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse3.12.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better96.9%90.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts better100.0%91.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better1.5%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms36 pts worse91.9%55.9%13.5%
Percentage of long-stay residents who lose too much weight1.5 pts better4.6%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15.1 pts better3.3%18.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication24.8 pts worse46.5%21.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.7 pts better6.1%12.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.2 pts better7.8%13.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse1.0%0.8%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better0.0%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence12 pts better7.8%19.8%18.3%
Percentage of long-stay residents with pressure ulcers2.7 pts worse7.5%4.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.4 pts better89.4%70.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.3 pts worse20.8%13.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication7.2 pts worse9.4%2.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.3 pts better85.5%63.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission18.1 pts worse43.7%25.6%23.4%

·

Who owns and runs it

16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nathan And Shirley Rothner Family Trust5% Or Greater Direct Ownership Interest · Organization100%13 facilities
Avenue Associates LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Desai, ManishOperational/Managerial Control · Individual0%2 facilities
Desai, ManishAdp Of The SNF · Individual0%2 facilities
Elkaim, DanielOperational/Managerial Control · Individual0%1 facilities
Elkaim, DanielAdp Of The SNF · Individual0%1 facilities
Katz, HaroldTrustee Of The SNF · Individual0%12 facilities
Mashiach, YaacovCorporate Officer · Individual0%9 facilities
Mashiach, YaacovOperational/Managerial Control · Individual0%9 facilities
Mashiach, YaacovAdp Of The SNF · Individual0%9 facilities
Mashiach, YechielCorporate Officer · Individual0%10 facilities
Mashiach, YechielOperational/Managerial Control · Individual0%10 facilities
Mashiach, YechielAdp Of The SNF · Individual0%10 facilities
Rothner, WilliamTrustee Of The SNF · Individual0%24 facilities
Sepessy, LauraOperational/Managerial Control · Individual0%1 facilities
Sepessy, LauraAdp Of The SNF · Individual0%1 facilities

·

Fire safety

13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness13F
  1. F

    Develop Emergency Preparedness policies and procedures.

    March 27, 2026 · E13 · Corrected April 22, 2026

  2. F

    Address subsistence needs for staff and patients.

    March 27, 2026 · E15 · Corrected April 22, 2026

  3. F

    Establish policies and procedures for volunteers.

    March 27, 2026 · E24 · Corrected April 22, 2026

  4. F

    Create arrangements with other facilities to receive patients.

    March 27, 2026 · E25 · Corrected April 22, 2026

  5. F

    List the names and contact information of those in the facility.

    March 27, 2026 · E30 · Corrected April 22, 2026

  6. F

    Provide emergency officials' contact information.

    March 27, 2026 · E31 · Corrected April 22, 2026

  7. F

    Establish staff and initial training requirements.

    March 27, 2026 · E37 · Corrected April 22, 2026

  8. F

    Develop and maintain an Emergency Preparedness Program (EP).

    March 27, 2026 · E4 · Corrected April 22, 2026

  9. F

    Conduct risk assessment and an All-Hazards approach.

    March 27, 2026 · E6 · Corrected April 22, 2026

  10. F

    Develop Emergency Preparedness policies and procedures.

    January 30, 2025 · E13 · Corrected February 14, 2025

  11. F

    Provide family notifications of emergency plan.

    January 30, 2025 · E35 · Corrected February 14, 2025

  12. F

    Establish staff and initial training requirements.

    January 30, 2025 · E37 · Corrected February 19, 2025

  13. F

    Develop and maintain an Emergency Preparedness Program (EP).

    January 30, 2025 · E4 · Corrected February 14, 2025

·

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