Federal inspection record · CMS data as of October 1, 2026
Nexus at Elmwood
7733 West Grand Avenue, Elmwood Park, IL · (708) 452-9200
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 245
- Residents per day
- 178
- Ownership
- For-Profit
- Chain
- Bria Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1982
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.
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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.
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
Nexus at Elmwood carries 625.5 inspection points. That is fewer than 1% 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
109 health citations on record since 2023. 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 (24)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
-
G
Ensure each resident’s drug regimen must be free from unnecessary drugs.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
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.
-
J
Provide safe and appropriate respiratory care for a resident when needed.
-
G
Ensure services provided by the nursing facility meet professional standards of quality.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Provide safe and appropriate respiratory care for a resident when needed.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Protect each resident from the wrongful use of the resident's belongings or money.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Respond appropriately to all alleged violations.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care18E
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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 care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- 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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service11E
- E
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
Freedom from Abuse, Neglect, and Exploitation11F
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Administration11F
- F
Employ staff that are licensed, certified, or registered in accordance with state laws.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- F
Employ staff that are licensed, certified, or registered in accordance with state laws.
- D
Help the resident with transportation to and from laboratory services outside of the facility.
- E
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
- D
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Resident Assessment and Care Planning10E
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights10F
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- 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.
- D
Keep residents' personal and medical records private and confidential.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- F
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
Reasonably accommodate the needs and preferences of each resident.
Nursing and Physician Services5F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Observe each nurse aide's job performance and give regular training.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
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.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- F
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.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Environmental1F
- F
Keep all essential equipment working safely.
Inspection history
2026-03-29
52 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2025-02-03
24 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-03-14
33 health deficiencies · 39 fire-safety deficiencies
Top issue: Quality of Life and Care (15 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 51 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 51 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 67% 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
$663,222 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-07-09 | Fine | $152,090 |
| 2026-03-29 | Fine | $89,700 |
| 2026-03-29 | Payment Denial · 24 day denial | $0 |
| 2025-12-01 | Fine | $56,278 |
| 2025-12-01 | Payment Denial · 46 day denial | $0 |
| 2025-09-04 | Fine | $22,697 |
| 2025-06-11 | Fine | $14,505 |
| 2025-02-03 | Fine | $48,344 |
| 2025-01-07 | Fine | $12,425 |
| 2024-12-16 | Fine | $31,993 |
| 2024-08-14 | Fine | $12,519 |
| 2023-12-12 | Fine | $222,671 |
| 2023-12-12 | Payment Denial · 75 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 days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 2.0 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.5 pts worse | 79.0% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.7 pts better | 99.4% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 0.5% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms38.7 pts worse | 94.6% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts worse | 8.0% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.1 pts better | 12.3% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.4 pts worse | 29.1% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts worse | 0.2% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.6 pts better | 5.2% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.6 pts better | 5.4% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.8% | 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 incontinence1.8 pts worse | 21.6% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.8 pts worse | 8.6% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine31.3 pts worse | 38.7% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts better | 11.9% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.9 pts worse | 5.1% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 63.8% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts better | 21.6% | 25.6% | 23.4% |
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Who owns and runs it
9 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 |
|---|---|---|---|
| Boshes, Jeremy | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Boshes, Jeremy | Adp Of The SNF · Individual | 0% | 2 facilities |
| Forge Gp LLC | General Partnership Interest · Organization | 0% | 3 facilities |
| Forge Gp LLC | Limited Partnership Interest · Organization | 0% | 3 facilities |
| Marvin Mermelstein Family Trust | Limited Partnership Interest · Organization | 0% | 3 facilities |
| Nwagwu Youlo, Chimnoya | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Nwagwu Youlo, Chimnoya | Adp Of The SNF · Individual | 0% | 4 facilities |
| Seven Species LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Weinfeld, Avrum | Operational/Managerial Control · Individual | 0% | 17 facilities |
·
Fire safety
63 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness29F
- F
Address subsistence needs for staff and patients.
- F
Establish staff and initial training requirements.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
List the names and contact information of those in the facility.
- F
Establish staff and initial training requirements.
- F
Establish an Emergency Preparedness Program (EP).
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures including evacuation.
- F
Establish policies and procedures for sheltering.
- F
Establish policies and procedures for medical documentation.
- F
Establish policies and procedures for volunteers.
- F
Create arrangements with other facilities to receive patients.
- F
Develop a communication plan.
- F
List the names and contact information of those in the facility.
- F
Provide emergency officials' contact information.
- F
Provide primary/alternate means for communication.
- F
Establish methods for sharing information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Provide family notifications of emergency plan.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address patient/client population and determine types of services needed.
Smoke16F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have an enclosure around a vertical opening shaft.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- 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 smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems10F
- F
Have proper power supply for life support equipment.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- E
Ensure proper storage of liquid oxygen.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper power supply for life support equipment.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper power supply for life support equipment.
- E
Ensure proper usage of power strips and extension cords.
Egress5F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 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 exits that are accessible at all times.
Services2F
- F
Have elevators that firefighters can control in the event of a fire.
- F
Have elevators that firefighters can control in the event of a fire.
Miscellaneous1E
- E
Have restrictions on the use of portable space heaters.
·
Other homes nearby
-
Pearl Of Montclare, The
Chicago, IL · Pearl Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 34 min
- Fines
- $69,086
-
Berkeley Nursing & Rehab Center
Oak Park, IL
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 34 min
- Fines
- $265,646
-
Gottlieb Memorial Hospital
Melrose Park, IL · Trinity Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 20 min
- Fines
- $0