12 health deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hinsdale, IL
3-star overall rating with 3-star inspections with 12 recent health deficiencies
600 West Ogden Avenue, Hinsdale, IL
(630) 325-9630
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
202
Certified beds
Average residents
171
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pearl Healthcare
Operator or chain grouping
Approved since
1972-12-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
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
RN hours / resident day
1.16
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.51
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.81
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.48
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.67
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.06
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.90
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.99
CMS adjusted RN staffing hours
Adjusted total hours
2.98
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
12,235
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.27
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.05
Baseline 23.24% · Performance 21.66% · Measure score 2.05 · Achievement 0 · Improvement 2.05
Healthcare-associated infections
0
Baseline 9.03% · Performance 9.47% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.26
Baseline 52.38% · Performance 50.36% · Measure score 3.26 · Achievement 3.26 · Improvement 0.23
Adjusted total nurse staffing
0
Baseline 3.45 hours · Performance 2.82 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.28% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 361 · Observed rate 13.85% · Lower 95% interval 8.92% |
| Discharge to community | 53.58% |
50.57%
3 pts better
|
No Different than the National Rate · Eligible stays 399 · Observed rate 42.11% · Lower 95% interval 47.3% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.72% |
95.27%
3.5 pts better
|
Numerator 232 · Denominator 235 |
| Falls with major injury | 0.43% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 235 |
| Discharge self-care score | 52.11% |
53.69%
1.6 pts worse
|
Numerator 74 · Denominator 142 |
| Discharge mobility score | 59.15% |
50.94%
8.2 pts better
|
Numerator 84 · Denominator 142 |
| Pressure ulcers or injuries, new or worsened | 2.13% |
2.29%
0.2 pts better
|
Numerator 5 · Denominator 235 · Adjusted rate 1.74% |
| Healthcare-associated infections requiring hospitalization | 9.47% |
7.12%
2.4 pts worse
|
Worse than the National Rate · Eligible stays 213 · Observed rate 13.62% · Lower 95% interval 7.31% |
| Staff COVID-19 vaccination coverage | 3.55% |
8.2%
4.6 pts worse
|
Numerator 6 · Denominator 169 |
| Staff flu vaccination coverage | 30% |
42%
12 pts worse
|
Numerator 51 · Denominator 170 |
| Discharge function score | 50.7% |
56.45%
5.8 pts worse
|
Numerator 72 · Denominator 142 |
| Transfer of health information to provider | 97.8% |
95.95%
1.8 pts better
|
Numerator 89 · Denominator 91 |
| Transfer of health information to patient | 99.01% |
96.28%
2.7 pts better
|
Numerator 100 · Denominator 101 |
| Resident COVID-19 vaccinations up to date | 6.47% |
25.2%
18.7 pts worse
|
Numerator 9 · Denominator 139 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.0
0.2 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 4.0 · Expected 3.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.3
1.2 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.5 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.2% |
89.6%
14.4 pts worse
|
93.4%
18.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 72.3% · Q2 66.7% · Q3 69.9% · Q4 88.8% · 4Q avg 75.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 76.1% |
91.6%
15.5 pts worse
|
95.5%
19.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 76.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.3%
0.7 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.0% · Q3 2.4% · Q4 4.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 81.1% |
50.3%
30.8 pts worse
|
11.4%
69.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 86.9% · Q3 77.3% · Q4 80.7% · 4Q avg 81.1% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
6.5%
2.5 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.3% · Q3 6.5% · Q4 4.5% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.6% |
18.5%
7.9 pts better
|
19.6%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 10.5% · Q3 10.8% · Q4 10.8% · 4Q avg 10.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.8% |
22.8%
2 pts worse
|
16.7%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 27.8% · Q3 23.5% · Q4 22.6% · 4Q avg 24.8% · 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 | 7.5% |
17.2%
9.7 pts better
|
16.3%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 0.0% · Q3 7.7% · Q4 8.8% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.0% |
15.0%
6 pts better
|
14.9%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 11.0% · Q3 10.4% · Q4 8.8% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
1.1%
0.3 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 2.4% · Q4 0.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.7%
1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.8% |
21.3%
0.5 pts worse
|
19.8%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 19.9% · Q3 14.4% · Q4 21.5% · 4Q avg 21.8% |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
5.2%
1.4 pts worse
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 6.6% · Q3 7.2% · Q4 7.5% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 47.5% |
68.8%
21.3 pts worse
|
81.7%
34.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 59.6% · Q2 49.0% · Q3 40.0% · Q4 42.2% · 4Q avg 47.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.4% |
14.0%
3.6 pts better
|
12.0%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 11.7% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
2.3%
0.4 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 2.3% · Q3 2.2% · Q4 2.5% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 37.4% |
63.0%
25.6 pts worse
|
79.7%
42.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 37.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.7% |
26.2%
0.5 pts better
|
23.9%
1.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.7% · Observed 30.4% · Expected 28.3% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (9 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-16
Health
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.
Corrected 2025-05-06
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-05-06
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-12-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-31
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-12-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-29
Health
Dispose of garbage and refuse properly.
Corrected 2024-10-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-29
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-10-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-29
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 2024-10-29
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-10-29
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-29
Health
Keep all essential equipment working safely.
Corrected 2024-10-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-17
Health
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.
Corrected 2024-07-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-29
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-15
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-10-05
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-10-05
Health
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.
Corrected 2023-10-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-05
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-10-05
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-10-05
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-05
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-09-05
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-09-05
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-09-05
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-07-31
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-07-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-05
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-01-05
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-01-05
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 2023-01-05
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-05
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
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La Grange, IL
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