Cycle 1
Health 2024-09-12 · Fire 2024-09-12
3 health deficiencies
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Dekalb, IL
Oak Crest
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
2944 Greenwood Acres Drive, Dekalb, IL
(815) 756-8461
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
17
Certified beds
Average residents
13
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2006-07-31
CMS approved date
Coverage
Medicare
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
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.41% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 40 · Observed rate 15% · Lower 95% interval 7.29% |
| Discharge to community | 67.55% |
50.57%
17 pts better
|
Better than the National Rate · Eligible stays 39 · Observed rate 66.67% · Lower 95% interval 53.84% |
| Medicare spending per beneficiary | 0.73 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.48% |
95.27%
3.2 pts better
|
Numerator 65 · Denominator 66 |
| Falls with major injury | 1.52% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 66 |
| Discharge self-care score | 71.11% |
53.69%
17.4 pts better
|
Numerator 32 · Denominator 45 |
| Discharge mobility score | 57.78% |
50.94%
6.8 pts better
|
Numerator 26 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 1.52% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 66 · Adjusted rate 2.34% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 4.91% |
8.2%
3.3 pts worse
|
Numerator 14 · Denominator 285 |
| Staff flu vaccination coverage | 97.96% |
42%
56 pts better
|
Numerator 288 · Denominator 294 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 30 · Denominator 45 |
| Transfer of health information to provider | 51.43% |
95.95%
44.5 pts worse
|
Numerator 18 · Denominator 35 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 30 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 62.5% |
25.2%
37.3 pts better
|
Numerator 20 · Denominator 32 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 | 18.2% |
14.0%
4.2 pts worse
|
12.0%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.2% · Observed 16.7% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.8% |
2.3%
3.5 pts worse
|
1.6%
4.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 13.0% · Q3 0.0% · Q4 0.0% · 4Q avg 5.8% · 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 | 21.5% |
26.2%
4.7 pts better
|
23.9%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 22.2% · Expected 24.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-15 · Fire 2023-08-15
3 health deficiencies
Top issue: Infection Control (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2022-09-14 · Fire 2022-09-14
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-12
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-09-12
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-12
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-12
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-12
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-18
C · Minimal harm
2024-09-12
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-18
F · Potential for more than minimal harm
2023-08-15
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-09-08
F · Potential for more than minimal harm
2023-08-15
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-09-08
F · Potential for more than minimal harm
2023-08-15
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-24
F · Potential for more than minimal harm
2023-08-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-15
F · Potential for more than minimal harm
2023-08-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-15
E · Potential for more than minimal harm
2023-08-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-10-01
F · Potential for more than minimal harm
2022-09-14
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-21
F · Potential for more than minimal harm
2022-09-14
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-10-22
E · Potential for more than minimal harm
2022-09-14
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-11-17
E · Potential for more than minimal harm
2022-09-14
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-10-20
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-09-12
F761 · Pharmacy Service Deficiencies
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 2024-10-07
F · Potential for more than minimal harm
2024-09-12
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-04
F · Potential for more than minimal harm
2024-09-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-09
D · Potential for more than minimal harm
2023-08-15
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 2023-09-15
D · Potential for more than minimal harm
2023-08-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-15
D · Potential for more than minimal harm
2023-08-15
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-09-15
F · Potential for more than minimal harm
2022-09-14
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-09-19
Penalties and ownership
What sits behind the stars
Ownership
Blackburn, Lynn
Operational/Managerial Control · Individual
Bothe, Joseph
Operational/Managerial Control · Individual
Bothe, Joseph
Corporate Director · Individual
Daleo, Karen
Operational/Managerial Control · Individual
Daleo, Karen
Corporate Director · Individual
Englehart, Erik
Operational/Managerial Control · Individual
Gastiger, Joe
Corporate Officer · Individual
Hamel, Kayte
Operational/Managerial Control · Individual
Hamel, Kayte
Corporate Director · Individual
Lynch, Timothy
Operational/Managerial Control · Individual
Lynch, Timothy
Corporate Officer · Individual
Maas, Roger
Operational/Managerial Control · Individual
Maas, Roger
Corporate Director · Individual
Neeley, Lynn
Operational/Managerial Control · Individual
Neeley, Lynn
Corporate Director · Individual
Nelson, Doug
Operational/Managerial Control · Individual
Nelson, Doug
Corporate Director · Individual
Nevdal, Aaron
Operational/Managerial Control · Individual
Nevdal, Aaron
Corporate Director · Individual
Parness, Barbara
Operational/Managerial Control · Individual
Parness, Barbara
Corporate Director · Individual
Prange, Nancy
Operational/Managerial Control · Individual
Prange, Nancy
Corporate Director · Individual
Stice, Doug
Operational/Managerial Control · Individual
Stice, Doug
Corporate Director · Individual
Sundog It
Operational/Managerial Control · Organization
Thornton, Michael
Operational/Managerial Control · Individual
Thornton, Michael
Corporate Director · Individual
Vanburen, David
Operational/Managerial Control · Individual
Vanburen, David
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Bethany Rehab & Hcc
Dekalb, IL
1-star overall rating with 1-star inspections with abuse icon flag with $419,794 in total fines with 26 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Dekalb County Rehab & Nursing
Dekalb, IL
3-star overall rating with 3-star inspections with $187,304 in total fines with 7 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
Aperion Care Dekalb
Dekalb, IL
1-star overall rating with 2-star inspections with $68,368 in total fines with 17 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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