3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Arlington Hts, IL
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
761 Old Barn Lane, Arlington Hts, IL
(847) 364-2435
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
92
Certified beds
Average residents
59
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-07-02
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
RN hours / resident day
1.84
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.11
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.33
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
5.27
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.95
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.74
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.39
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.65
CMS adjusted RN staffing hours
Adjusted total hours
4.73
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
4%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
13%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
706
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.10
Composite VBP score used to determine payment impact.
Payment multiplier
1.0194
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.62
Baseline 18.55% · Performance 17.90% · Measure score 7.62 · Achievement 7.62 · Improvement 3.79
Healthcare-associated infections
7.1
Baseline 4.07% · Performance 5.71% · Measure score 7.1 · Achievement 7.1 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
4.81
Baseline 4.27 hours · Performance 4.45 hours · Measure score 4.81 · Achievement 4.81 · Improvement 0.65
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.99% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 484 · Observed rate 6.2% · Lower 95% interval 6.86% |
| Discharge to community | 62.79% |
50.57%
12.2 pts better
|
Better than the National Rate · Eligible stays 486 · Observed rate 62.35% · Lower 95% interval 58.95% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 85.94% |
95.27%
9.3 pts worse
|
Numerator 275 · Denominator 320 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 320 |
| Discharge self-care score | 26.69% |
53.69%
27 pts worse
|
Numerator 75 · Denominator 281 |
| Discharge mobility score | 29.89% |
50.94%
21 pts worse
|
Numerator 84 · Denominator 281 |
| Pressure ulcers or injuries, new or worsened | 1.25% |
2.29%
1 pts better
|
Numerator 4 · Denominator 320 · Adjusted rate 1.39% |
| Healthcare-associated infections requiring hospitalization | 5.71% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 292 · Observed rate 3.42% · Lower 95% interval 3.63% |
| Staff COVID-19 vaccination coverage | 1.47% |
8.2%
6.7 pts worse
|
Numerator 4 · Denominator 273 |
| Staff flu vaccination coverage | 95.27% |
42%
53.3 pts better
|
Numerator 504 · Denominator 529 |
| Discharge function score | 33.81% |
56.45%
22.6 pts worse
|
Numerator 95 · Denominator 281 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 161 · Denominator 161 |
| Transfer of health information to patient | 99.07% |
96.28%
2.8 pts better
|
Numerator 106 · Denominator 107 |
| Resident COVID-19 vaccinations up to date | 47.9% |
25.2%
22.7 pts better
|
Numerator 80 · Denominator 167 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
2.0
1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
2.3
2.1 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.6%
10.4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
91.6%
8.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.3%
3.3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.3% |
50.3%
42 pts better
|
11.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.9% · Q3 3.4% · Q4 3.4% · 4Q avg 8.3% |
| Percentage of long-stay residents who lose too much weight | 1.2% |
6.5%
5.3 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.3% |
18.5%
4.2 pts better
|
19.6%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 19.0% · Q3 15.0% · Q4 4.8% · 4Q avg 14.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.1% |
22.8%
19.7 pts better
|
16.7%
13.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.1% · 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 | 41.9% |
17.2%
24.7 pts worse
|
16.3%
25.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.7% |
15.0%
7.7 pts worse
|
14.9%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.0% · 4Q avg 22.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
1.1%
1 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.3% · Q3 0.0% · Q4 3.4% · 4Q avg 2.1% · 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 | 36.0% |
21.3%
14.7 pts worse
|
19.8%
16.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 36.7% · Q3 46.6% · Q4 34.1% · 4Q avg 36.0% |
| Percentage of long-stay residents with pressure ulcers | 5.8% |
5.2%
0.6 pts worse
|
5.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 6.1% · Q3 3.4% · Q4 1.7% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
68.8%
31.2 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% |
14.0%
8.1 pts better
|
12.0%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 5.1% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
2.3%
1.7 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.1% · Q3 0.6% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
63.0%
37 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.3% |
26.2%
7.9 pts better
|
23.9%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 15.1% · Expected 19.7% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Infection Control (1 deficiency)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-05-28
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2024-05-28
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-05-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-13
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-05-28
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-05-09
Fire Safety
Install proper backup exit lighting.
Corrected 2024-05-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-09
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-28
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-04-11
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-04-11
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-04-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-05
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-03-31
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 2023-04-03
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-02-15
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-01-14
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-01-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-21
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-02-14
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2022-02-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-01-12
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-02-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-01-14
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-01-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-01-13
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-15
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-05-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-12
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-12
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-02-04
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2022-02-04
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
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