Cycle 1
Health 2025-04-18 · Fire 2025-04-18
7 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Des Plaines, IL
Lee Manor
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1301 Lee Street, Des Plaines, IL
(847) 635-4000
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
262
Certified beds
Average residents
205
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1979-06-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
0.82
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.41
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.91
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.14
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.77
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.63
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.69
CMS adjusted RN staffing hours
Adjusted total hours
2.64
CMS adjusted total nurse staffing hours
Case-mix index
1.63
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,558
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9831
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.16% · Performance 21.49% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.78
Baseline 8.57% · Performance 7.76% · Measure score 1.78 · Achievement 0 · Improvement 1.78
Total nurse turnover
7.54
Baseline 30.08% · Performance 32.88% · Measure score 7.54 · Achievement 7.54 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.54 hours · Performance 2.68 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.24% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 211 · Observed rate 8.53% · Lower 95% interval 7.19% |
| Discharge to community | 40.22% |
50.57%
10.4 pts worse
|
Worse than the National Rate · Eligible stays 185 · Observed rate 32.97% · Lower 95% interval 32.38% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.39% |
95.27%
4.1 pts better
|
Numerator 163 · Denominator 164 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 164 |
| Discharge self-care score | 12% |
53.69%
41.7 pts worse
|
Numerator 15 · Denominator 125 |
| Discharge mobility score | 7.2% |
50.94%
43.7 pts worse
|
Numerator 9 · Denominator 125 |
| Pressure ulcers or injuries, new or worsened | 1.83% |
2.29%
0.5 pts better
|
Numerator 3 · Denominator 164 · Adjusted rate 1.03% |
| Healthcare-associated infections requiring hospitalization | 7.76% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 150 · Observed rate 8.67% · Lower 95% interval 5.45% |
| Staff COVID-19 vaccination coverage | 1.56% |
8.2%
6.6 pts worse
|
Numerator 4 · Denominator 257 |
| Staff flu vaccination coverage | 16.79% |
42%
25.2 pts worse
|
Numerator 46 · Denominator 274 |
| Discharge function score | 10.4% |
56.45%
46.1 pts worse
|
Numerator 13 · Denominator 125 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 84 · Denominator 84 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 27.37% |
25.2%
2.2 pts better
|
Numerator 26 · Denominator 95 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.0
0.1 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.7 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.3
1.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
89.6%
7.4 pts better
|
93.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 98.4% · Q3 96.3% · Q4 97.4% · 4Q avg 97.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.4% |
91.6%
4.8 pts better
|
95.5%
0.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.3%
0.5 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.7% · Q3 2.6% · Q4 1.6% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 61.2% |
50.3%
10.9 pts worse
|
11.4%
49.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 57.2% · Q2 67.4% · Q3 67.4% · Q4 52.5% · 4Q avg 61.2% |
| Percentage of long-stay residents who lose too much weight | 11.1% |
6.5%
4.6 pts worse
|
5.4%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 9.6% · Q3 8.6% · Q4 12.3% · 4Q avg 11.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.6% |
18.5%
6.9 pts better
|
19.6%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 12.7% · Q3 11.2% · Q4 10.0% · 4Q avg 11.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.3% |
22.8%
3.5 pts better
|
16.7%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 19.0% · Q3 19.3% · Q4 17.9% · 4Q avg 19.3% · 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 | 11.6% |
17.2%
5.6 pts better
|
16.3%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 18.4% · Q3 11.8% · Q4 6.1% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.8% |
15.0%
2.2 pts better
|
14.9%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 12.7% · Q3 13.2% · Q4 12.7% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.1%
0.5 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.4% · Q3 0.4% · Q4 1.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.7%
0.5 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.1% · Q3 2.7% · Q4 2.7% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
21.3%
3.1 pts worse
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 31.5% · Q3 17.1% · Q4 23.8% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
5.2%
1.7 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.2% · Q3 2.8% · Q4 4.7% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.9% |
68.8%
12.1 pts better
|
81.7%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 84.4% · Q2 81.2% · Q3 81.9% · Q4 75.5% · 4Q avg 80.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.4% |
14.0%
10.6 pts better
|
12.0%
8.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.4% · Observed 3.3% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% |
2.3%
1.5 pts worse
|
1.6%
2.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 1.5% · Q3 4.8% · Q4 4.2% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.5% |
63.0%
22.5 pts better
|
79.7%
5.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% |
26.2%
5.6 pts better
|
23.9%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 22.9% · Expected 26.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-22 · Fire 2024-03-22
2 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Cycle 3
Health 2023-04-26 · Fire 2023-04-26
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-18
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-05-10
F · Potential for more than minimal harm
2024-03-22
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-05-10
F · Potential for more than minimal harm
2024-03-22
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2024-05-10
F · Potential for more than minimal harm
2024-03-22
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-05-10
F · Potential for more than minimal harm
2024-03-22
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-05-10
F · Potential for more than minimal harm
2023-04-26
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-05-18
Inspection history
Recent health citations
G · Actual harm
2025-04-18
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-19
G · Actual harm
2025-04-18
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 2025-04-19
G · Actual harm
2025-04-18
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-19
D · Potential for more than minimal harm
2025-04-18
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 2025-04-19
D · Potential for more than minimal harm
2025-04-18
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-04-19
D · Potential for more than minimal harm
2025-04-18
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-04-19
C · Minimal harm
2025-04-18
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-04-19
D · Potential for more than minimal harm
2024-11-19
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 2024-12-09
E · Potential for more than minimal harm
2024-03-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-01
D · Potential for more than minimal harm
2023-09-11
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-19
D · Potential for more than minimal harm
2023-04-26
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-04-26
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-04-26
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-04-26
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-04-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-17
G · Actual harm
2023-03-02
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 2023-03-10
Penalties and ownership
What sits behind the stars
$0
2025-04-18
Payment Denial
Payment Denial · denial start 2025-05-11 · 29 days
29 day denial
Ownership
Dorothy Vangel Qss Trust
5% Or Greater Direct Ownership Interest · Organization
Dorothy Vangel Qss Trust
Operational/Managerial Control · Organization
Gabrys, Allan
Corporate Officer · Individual
Mcniff, William
Operational/Managerial Control · Individual
Meyers, Elizabeth
W-2 Managing Employee · Individual
Vangel, Christopher
Corporate Officer · Individual
Nearby options
Other facilities in reach
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Generations Oakton Pavillion
Des Plaines, IL
2-star overall rating with 2-star inspections with abuse icon flag with $246,873 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Alden Des Plaines Rehab & Hc
Des Plaines, IL
3-star overall rating with 4-star inspections with $28,893 in total fines with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Ascension Nazarethville Place
Des Plaines, IL
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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