Federal inspection record · CMS data as of October 1, 2026
Nexus at Berwyn
3601 South Harlem Avenue, Berwyn, IL · (708) 749-4160
- Certified beds
- 145
- Residents per day
- 136
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
Nexus at Berwyn carries 253.5 inspection points. That is fewer than 14% of Illinois's 659 rated homes.
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
54 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (9)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
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.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care16E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights9D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Keep residents' personal and medical records private and confidential.
Pharmacy Service6F
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F
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.
- E
Ensure medication error rates are not 5 percent or greater.
- D
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.
Resident Assessment and Care Planning5E
- D
Plan the resident's discharge to meet the resident's goals and needs.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary1F
- F
Dispose of garbage and refuse properly.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2025-02-28
19 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2024-04-25
20 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2022-12-02
15 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 5 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 47% of registered nurses left in the past year, along with 2 administrators.
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
$279,188 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-13 | Fine | $26,685 |
| 2025-12-12 | Fine | $88,199 |
| 2025-12-12 | Payment Denial · 16 day denial | $0 |
| 2025-07-01 | Fine | $11,349 |
| 2025-01-16 | Fine | $12,425 |
| 2024-04-12 | Fine | $140,530 |
| 2024-04-12 | Payment Denial · 74 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.5 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts better | 0.5 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts worse | 88.6% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 93.4% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 3.9% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms42.9 pts worse | 98.8% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts better | 3.9% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.9 pts better | 8.5% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.3 pts better | 10.4% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.1 pts better | 6.7% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.8 pts better | 3.2% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.1% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.2% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts worse | 26.6% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 5.5% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.2 pts worse | 52.8% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts better | 11.0% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.1 pts better | 69.3% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts worse | 27.3% | 25.6% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Zahav Of Berwyn Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 49% | 1 facilities |
| Zahav Investment Group LLC | 5% Or Greater Direct Ownership Interest · Organization | 40% | 1 facilities |
| Berger, Yosef | 5% Or Greater Direct Ownership Interest · Individual | 10% | 1 facilities |
| Bogoff, Jacob | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Bogoff, Jacob | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bogoff, Jacob | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gautam, Sagun | Adp Of The SNF · Individual | 0% | 5 facilities |
| Gidley, Mathew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gidley, Mathew | Adp Of The SNF · Individual | 0% | 1 facilities |
| W 1 Investments LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| W8 Solutions LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Weiss, Daniel | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Weiss, Michael | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
·
Fire safety
48 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke22F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install an approved automatic sprinkler system.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress8F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Have properly located and lighted "Exit" signs.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have proper power supply for life support equipment.
- E
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous5F
- E
Provide properly sized and located linen or trash receptacles.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of portable space heaters.
Services4F
- F
Have elevators that firefighters can control in the event of a fire.
- F
Have properly installed electrical wiring and gas equipment.
- F
Have elevators that firefighters can control in the event of a fire.
- E
Install properly constructed and protected linen or trash chutes.
Emergency Preparedness3F
- F
Establish policies and procedures for volunteers.
- F
List the names and contact information of those in the facility.
- F
Develop and maintain an Emergency Preparedness Program (EP).
·
Other homes nearby
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Alden Town Manor Rehab & Hcc
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 7 min
- Fines
- $270,515
-
British Home, The
Brookfield, IL
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 53 min
- Fines
- $0
-
Landmark of Cicero Rehabilitation and Nursing Cent
Cicero, IL · Infinity Healthcare Consulting · Special Focus
Not rated- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 1 h 59 min
- Fines
- $52,195