16 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Chicago, IL
2-star overall rating with 2-star inspections with $124,281 in total fines with 16 recent health deficiencies
2833 North Nordica Avenue, Chicago, IL
(773) 622-6144
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
104
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pearl Healthcare
Operator or chain grouping
Approved since
1995-08-01
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
0.67
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.06
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.58
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
2.90
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
6,297
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.36
Composite VBP score used to determine payment impact.
Payment multiplier
0.9877
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.95
Baseline 19.92% · Performance 19.14% · Measure score 4.95 · Achievement 4.95 · Improvement 2.20
Healthcare-associated infections
7.76
Baseline 10.77% · Performance 6.00% · Measure score 7.76 · Achievement 6.14 · Improvement 7.76
Total nurse turnover
0.63
Baseline 60.00% · Performance 61.11% · Measure score 0.63 · Achievement 0.63 · Improvement 0
Adjusted total nurse staffing
0
Baseline 4.13 hours · Performance 2.76 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.44% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 107 · Observed rate 16.82% · Lower 95% interval 8.55% |
| Discharge to community | 47.51% |
50.57%
3.1 pts worse
|
No Different than the National Rate · Eligible stays 95 · Observed rate 38.95% · Lower 95% interval 37.04% |
| Medicare spending per beneficiary | 1.36 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 117 · Denominator 117 |
| Falls with major injury | 1.71% |
0.77%
0.9 pts worse
|
Numerator 2 · Denominator 117 |
| Discharge self-care score | 58.21% |
53.69%
4.5 pts better
|
Numerator 39 · Denominator 67 |
| Discharge mobility score | 50.75% |
50.94%
0.2 pts worse
|
Numerator 34 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 1.71% |
2.29%
0.6 pts better
|
Numerator 2 · Denominator 117 · Adjusted rate 1.25% |
| Healthcare-associated infections requiring hospitalization | 6% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 59 · Observed rate 3.39% · Lower 95% interval 3.15% |
| Staff COVID-19 vaccination coverage | 10.53% |
8.2%
2.3 pts better
|
Numerator 10 · Denominator 95 |
| Staff flu vaccination coverage | 56.84% |
42%
14.8 pts better
|
Numerator 54 · Denominator 95 |
| Discharge function score | 59.7% |
56.45%
3.2 pts better
|
Numerator 40 · Denominator 67 |
| Transfer of health information to provider | 97.73% |
95.95%
1.8 pts better
|
Numerator 43 · Denominator 44 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 22.86% |
25.2%
2.3 pts worse
|
Numerator 16 · Denominator 70 |
Quality measures
| 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 2.3 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
2.3
1 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.5% |
89.6%
1.9 pts better
|
93.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 92.9% · Q3 88.3% · Q4 86.3% · 4Q avg 91.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.3% |
91.6%
4.7 pts better
|
95.5%
0.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.3%
1 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.0% · Q3 1.1% · Q4 3.2% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 69.4% |
50.3%
19.1 pts worse
|
11.4%
58 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 58.7% · Q2 57.5% · Q3 75.6% · Q4 86.4% · 4Q avg 69.4% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
6.5%
2.3 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 8.5% · Q3 0.0% · Q4 1.2% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.1% |
18.5%
8.4 pts better
|
19.6%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 10.6% · Q3 10.6% · Q4 9.3% · 4Q avg 10.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.4% |
22.8%
8.4 pts better
|
16.7%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 7.9% · Q3 16.9% · Q4 15.5% · 4Q avg 14.4% · 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 | 6.6% |
17.2%
10.6 pts better
|
16.3%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 0.0% · Q3 9.0% · Q4 9.8% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.2% |
15.0%
4.8 pts better
|
14.9%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 14.6% · Q3 2.4% · Q4 17.1% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.1%
0.6 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.5% |
21.3%
5.2 pts worse
|
19.8%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 32.7% · Q3 20.7% · Q4 24.5% · 4Q avg 26.5% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
5.2%
1.2 pts worse
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 9.5% · Q3 3.1% · Q4 5.8% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 30.9% |
68.8%
37.9 pts worse
|
81.7%
50.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 28.1% · Q3 35.5% · Q4 32.3% · 4Q avg 30.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.6% |
14.0%
4.6 pts worse
|
12.0%
6.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 18.7% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.8% |
2.3%
2.5 pts worse
|
1.6%
3.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 6.1% · Q3 3.8% · Q4 5.6% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 37.5% |
63.0%
25.5 pts worse
|
79.7%
42.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 37.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.0% |
26.2%
8.8 pts worse
|
23.9%
11.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.0% · Observed 37.4% · Expected 25.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (11 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Infection Control (6 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-04-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-05-31
Inspection history
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-06-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-01
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-04-01
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 2025-04-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-04-01
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-01
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 2025-04-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-01
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 2025-04-01
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-04-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-04-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-26
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-26
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-04-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-26
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-26
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-04-26
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 2024-04-26
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 2024-04-26
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 2024-04-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-26
Health
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.
Corrected 2024-04-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-02
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-10-02
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-10-02
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-10-02
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-05-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-26
Health
Dispose of garbage and refuse properly.
Corrected 2023-05-26
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-26
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-05-26
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-05-26
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-05-26
Health
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.
Corrected 2023-05-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-26
Health
Respond appropriately to all alleged violations.
Corrected 2023-05-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-26
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 2023-05-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-01
Penalties and ownership
Fine · fine $14,505
Fine
Fine · fine $9,311
Fine
Fine · fine $100,465
Fine
Payment Denial · denial start 2023-05-06 · 25 days
25 day denial
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
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
Elmwood Park, IL
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $400,219 in total fines with 26 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Oak Park, IL
3-star overall rating with 3-star inspections with $311,943 in total fines with 6 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
Chicago, IL
1-star overall rating with 2-star inspections with $57,261 in total fines with 17 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out