Elmhurst, IL

Park Place Christian Community

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1150 Euclid Avenue, Elmhurst, IL

(630) 936-4100

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

37

Certified beds

Average residents

34

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2012-11-09

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

2.00

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.02

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

4.43

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

2.01

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.91

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

1.67

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

2.05

CMS adjusted RN staffing hours

Adjusted total hours

4.55

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

7%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

24%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,521

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

43.94

Composite VBP score used to determine payment impact.

Payment multiplier

0.9970

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.34

Baseline 21.79% · Performance 20.91% · Measure score 1.34 · Achievement 1.13 · Improvement 1.34

Healthcare-associated infections

5.53

Baseline 5.92% · Performance 6.18% · Measure score 5.53 · Achievement 5.53 · 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

6.31

Baseline 4.47 hours · Performance 4.87 hours · Measure score 6.31 · Achievement 6.31 · Improvement 2.56

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.49%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 309 · Observed rate 9.71% · Lower 95% interval 9.05%
Discharge to community	68.6%	50.57% 18 pts better	Better than the National Rate · Eligible stays 304 · Observed rate 69.74% · Lower 95% interval 63.71%
Medicare spending per beneficiary	0.73	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 185 · Denominator 185
Falls with major injury	0.54%	0.77% 0.2 pts better	Numerator 1 · Denominator 185
Discharge self-care score	59.21%	53.69% 5.5 pts better	Numerator 90 · Denominator 152
Discharge mobility score	52.63%	50.94% 1.7 pts better	Numerator 80 · Denominator 152
Pressure ulcers or injuries, new or worsened	0.54%	2.29% 1.8 pts better	Numerator 1 · Denominator 185 · Adjusted rate 0.6%
Healthcare-associated infections requiring hospitalization	6.18%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 144 · Observed rate 3.47% · Lower 95% interval 3.82%
Staff COVID-19 vaccination coverage	3.05%	8.2% 5.1 pts worse	Numerator 4 · Denominator 131
Staff flu vaccination coverage	87.97%	42% 46 pts better	Numerator 139 · Denominator 158
Discharge function score	53.29%	56.45% 3.2 pts worse	Numerator 81 · Denominator 152
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 157 · Denominator 157
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	21.9%	25.2% 3.3 pts worse	Numerator 23 · Denominator 105

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	2.0 0.1 pts better	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.1 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	2.3 0.9 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.5 · 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	1.1%	3.3% 2.2 pts better	3.3% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 5.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	50.3% 50.3 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	8.6%	6.5% 2.1 pts worse	5.4% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · 4Q avg 8.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.3%	18.5% 1.8 pts worse	19.6% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 15.0% · 4Q avg 20.3%
Percentage of long-stay residents who received an antipsychotic medication	0.0%	22.8% 22.8 pts better	16.7% 16.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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	46.6%	17.2% 29.4 pts worse	16.3% 30.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 46.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.7%	15.0% 1.7 pts worse	14.9% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.5%	1.7% 2.8 pts worse	1.7% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.3% · Q3 9.5% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.5%	21.3% 3.2 pts worse	19.8% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 33.4% · 4Q avg 24.5%
Percentage of long-stay residents with pressure ulcers	2.4%	5.2% 2.8 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 2.8% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.5%	68.8% 27.7 pts better	81.7% 14.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 97.4% · Q3 94.3% · Q4 96.7% · 4Q avg 96.5%
Percentage of short-stay residents who had an outpatient emergency department visit	11.9%	14.0% 2.1 pts better	12.0% 0.1 pts better	Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 10.4% · Expected 9.7% · 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 0.0% · Q2 0.0% · Q3 1.1% · Q4 1.1% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.3%	63.0% 35.3 pts better	79.7% 18.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.7%	26.2% 3.5 pts better	23.9% 1.2 pts better	Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 18.9% · Expected 19.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-25 · Fire 2025-04-25

4 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-05-02 · Fire 2024-05-02

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-06-08 · Fire 2023-06-08

2 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-25

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-05-08

F · Potential for more than minimal harm 2025-04-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-08

E · Potential for more than minimal harm 2025-04-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-08

E · Potential for more than minimal harm 2025-04-25

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-05-08

F · Potential for more than minimal harm 2024-05-02

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-05-16

F · Potential for more than minimal harm 2024-05-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-29

F · Potential for more than minimal harm 2024-05-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-05-02

K321 · Smoke Deficiencies

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 2024-05-10

F · Potential for more than minimal harm 2023-06-08

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-06-23

F · Potential for more than minimal harm 2023-06-08

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-06-28

E · Potential for more than minimal harm 2023-06-08

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2023-06-27

E · Potential for more than minimal harm 2023-06-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-22

E · Potential for more than minimal harm 2023-06-08

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-06-22

E · Potential for more than minimal harm 2023-06-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-06-22

E · Potential for more than minimal harm 2023-06-08

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2023-06-22

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-25

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 2025-04-26

F · Potential for more than minimal harm 2025-04-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-26

E · Potential for more than minimal harm 2025-04-25

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 2025-04-26

D · Potential for more than minimal harm 2025-04-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-26

G · Actual harm 2024-09-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-05-02

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 2024-05-03

D · Potential for more than minimal harm 2023-09-28

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-09-29

D · Potential for more than minimal harm 2023-06-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-09

Penalties and ownership

What sits behind the stars

Ownership

Rest Haven Illiana Christian Convalescent Home

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2004-05-05

Breems, Tim