2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Lincolnwood, IL
4-star overall rating with 4-star inspections with $42,026 in total fines with 2 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
7000 North Mccormick Blvd., Lincolnwood, IL
(847) 673-7166
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
40
Certified beds
Average residents
33
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Senior Lifestyle
Operator or chain grouping
Approved since
1994-04-01
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
2 facilities
Chain averages 4 overall / 3 health / 5 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
1.68
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.10
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.28
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.06
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.36
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.60
CMS adjusted RN staffing hours
Adjusted total hours
3.88
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
12,432
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.95% · Performance 22.85% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.18
Baseline 7.99% · Performance 7.49% · Measure score 1.18 · Achievement 1.16 · Improvement 1.18
Total nurse turnover
1.49
Baseline 44.12% · Performance 57.58% · Measure score 1.49 · Achievement 1.49 · Improvement 0
Adjusted total nurse staffing
2.24
Baseline 4.16 hours · Performance 3.72 hours · Measure score 2.24 · Achievement 2.24 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.09% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 154 · Observed rate 6.49% · Lower 95% interval 6.22% |
| Discharge to community | 60.52% |
50.57%
10 pts better
|
Better than the National Rate · Eligible stays 164 · Observed rate 53.66% · Lower 95% interval 53.32% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 32.32% |
95.27%
62.9 pts worse
|
Numerator 32 · Denominator 99 |
| Falls with major injury | 1.01% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 99 |
| Discharge self-care score | 60% |
53.69%
6.3 pts better
|
Numerator 36 · Denominator 60 |
| Discharge mobility score | 18.33% |
50.94%
32.6 pts worse
|
Numerator 11 · Denominator 60 |
| Pressure ulcers or injuries, new or worsened | 7.07% |
2.29%
4.8 pts worse
|
Numerator 7 · Denominator 99 · Adjusted rate 6.26% |
| Healthcare-associated infections requiring hospitalization | 7.49% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 120 · Observed rate 7.5% · Lower 95% interval 4.64% |
| Staff COVID-19 vaccination coverage | 10.61% |
8.2%
2.4 pts better
|
Numerator 14 · Denominator 132 |
| Staff flu vaccination coverage | 61.54% |
42%
19.5 pts better
|
Numerator 48 · Denominator 78 |
| Discharge function score | 46.67% |
56.45%
9.8 pts worse
|
Numerator 28 · Denominator 60 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 72 · Denominator 72 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 38.1% |
25.2%
12.9 pts better
|
Numerator 16 · Denominator 42 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
89.6%
5.3 pts better
|
93.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 95.2% · Q4 95.0% · 4Q avg 94.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
91.6%
3.4 pts better
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.3%
0.5 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 9.5% · Q4 0.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.5% |
50.3%
48.8 pts better
|
11.4%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.5% |
| Percentage of long-stay residents who lose too much weight | 1.6% |
6.5%
4.9 pts better
|
5.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.2% |
18.5%
9.3 pts better
|
19.6%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.2% |
22.8%
9.6 pts better
|
16.7%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.2% · 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 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.8% |
15.0%
3.8 pts worse
|
14.9%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.1% |
1.1%
2 pts worse
|
1.0%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 3.0% · 4Q avg 3.1% · 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 · 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 | 22.1% |
21.3%
0.8 pts worse
|
19.8%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 25.1% · 4Q avg 22.1% |
| Percentage of long-stay residents with pressure ulcers | 2.2% |
5.2%
3 pts better
|
5.1%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 3.6% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.8% |
68.8%
19 pts better
|
81.7%
6.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.7% · Q2 88.9% · Q3 93.5% · Q4 83.5% · 4Q avg 87.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% |
14.0%
3.5 pts better
|
12.0%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 9.6% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
2.3%
1.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.5% |
63.0%
24.5 pts better
|
79.7%
7.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.1% |
26.2%
6.1 pts better
|
23.9%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 18.1% · Expected 21.4% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Infection Control (1 deficiency)
22 fire-safety deficiencies
Top issue: Emergency Preparedness (11 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-02-01
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2025-02-01
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2025-02-01
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-02-01
Fire Safety
Provide family notifications of emergency plan.
Corrected 2025-02-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-01
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-01
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-02-01
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 2025-02-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-02-01
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-12-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-27
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-12-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-12-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-27
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-12-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-27
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-01-26
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-01-26
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2023-01-26
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2023-01-26
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-01-26
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-01-26
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-01-26
Fire Safety
Provide primary/alternate means for communication.
Corrected 2023-01-26
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-01-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-02-03
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-01-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-11
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-01-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-06
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2023-01-20
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-01-01
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-01-01
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-01-01
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-09
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 2025-12-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-27
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 2024-12-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-27
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-12-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-28
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-21
Penalties and ownership
Fine · fine $31,993
Fine
Fine · fine $10,033
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
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