3 health deficiencies
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Dekalb, IL
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
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
Staffing
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
Weekend hours
0.00
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
Survey summary
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Infection Control (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-10-18
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-10-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-10-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-18
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-09-08
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-09-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-10-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-10-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-10-22
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-11-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-10-20
Inspection history
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
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
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-09
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
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-09-15
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-09-19
Penalties and ownership
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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
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
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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