Chicago, IL

Peterson Park Health Care Ctr

3-star overall rating with 3-star inspections with $49,226 in total fines with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

6141 North Pulaski Road, Chicago, IL

(773) 478-2000

Compare this facility

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

Facility snapshot

Beds

196

Certified beds

Average residents

171

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1995-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

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

0.68

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.13

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.50

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

3.37

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.72

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

2.76

CMS adjusted total nurse staffing hours

Case-mix index

1.74

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,587

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

Performance score

32.32

Composite VBP score used to determine payment impact.

Payment multiplier

0.9870

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.14

Baseline 19.95% · Performance 19.98% · Measure score 3.14 · Achievement 3.14 · Improvement 0

Healthcare-associated infections

4.51

Baseline 9.69% · Performance 7.34% · Measure score 4.51 · Achievement 1.66 · Improvement 4.51

Total nurse turnover

4.46

Baseline 35.85% · Performance 45.45% · Measure score 4.46 · Achievement 4.46 · Improvement 0

Adjusted total nurse staffing

0.81

Baseline 2.28 hours · Performance 2.74 hours · Measure score 0.81 · Achievement 0 · Improvement 0.81

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.34%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 67 · Observed rate 13.43% · Lower 95% interval 8.12%
Discharge to community	36.99%	50.57% 13.6 pts worse	No Different than the National Rate · Eligible stays 52 · Observed rate 23.08% · Lower 95% interval 25.52%
Medicare spending per beneficiary	1.45	1.02 0.4 pts worse
Drug regimen review with follow-up	97.22%	95.27% 2 pts better	Numerator 35 · Denominator 36
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 36
Discharge self-care score	14.81%	53.69% 38.9 pts worse	Numerator 4 · Denominator 27
Discharge mobility score	14.81%	50.94% 36.1 pts worse	Numerator 4 · Denominator 27
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 36 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.34%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 35 · Observed rate 8.57% · Lower 95% interval 3.99%
Staff COVID-19 vaccination coverage	13.51%	8.2% 5.3 pts better	Numerator 10 · Denominator 74
Staff flu vaccination coverage	72%	42% 30 pts better	Numerator 126 · Denominator 175
Discharge function score	7.41%	56.45% 49 pts worse	Numerator 2 · Denominator 27
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	23.81%	25.2% 1.4 pts worse	Numerator 5 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.4%	89.6% 5.8 pts better	93.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 92.0% · Q3 96.0% · Q4 96.4% · 4Q avg 95.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.9%	91.6% 7.3 pts better	95.5% 3.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury	3.7%	3.3% 0.4 pts worse	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.0% · Q3 4.0% · Q4 3.0% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	97.6%	50.3% 47.3 pts worse	11.4% 86.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 95.9% · Q2 98.8% · Q3 96.8% · Q4 98.7% · 4Q avg 97.6%
Percentage of long-stay residents who lose too much weight	6.4%	6.5% 0.1 pts better	5.4% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.6% · Q3 5.0% · Q4 5.9% · 4Q avg 6.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	8.4%	18.5% 10.1 pts better	19.6% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 6.2% · Q3 8.6% · Q4 9.2% · 4Q avg 8.4%
Percentage of long-stay residents who received an antipsychotic medication	20.8%	22.8% 2 pts better	16.7% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 20.2% · Q3 19.2% · Q4 22.0% · 4Q avg 20.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	1.0%	0.1% 0.9 pts worse	0.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 1.1% · Q4 1.8% · 4Q avg 1.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.0%	17.2% 5.2 pts better	16.3% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 16.3% · Q3 8.7% · Q4 8.1% · 4Q avg 12.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.7%	15.0% 8.3 pts better	14.9% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 6.6% · Q3 5.3% · Q4 4.9% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	1.1% 0.9 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	1.7% 0.8 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.8% · Q3 0.6% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.5%	21.3% 5.8 pts better	19.8% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 18.8% · Q3 14.8% · Q4 14.7% · 4Q avg 15.5%
Percentage of long-stay residents with pressure ulcers	3.2%	5.2% 2 pts better	5.1% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.3% · Q3 2.8% · Q4 2.7% · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	58.6%	68.8% 10.2 pts worse	81.7% 23.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 55.8% · Q2 46.5% · Q3 64.9% · Q4 67.3% · 4Q avg 58.6%
Percentage of short-stay residents who had an outpatient emergency department visit	8.0%	14.0% 6 pts better	12.0% 4 pts better	Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 10.0% · Expected 14.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	2.3% 1 pts better	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	72.1%	63.0% 9.1 pts better	79.7% 7.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 72.1%
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 30.0% · Expected 27.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-20 · Fire 2024-09-20

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-10-19 · Fire 2023-10-19

12 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-11-03 · Fire 2022-11-03

18 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-20

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-09-20

Inspection history

Recent health citations

G · Actual harm 2026-01-30

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-01-31

F · Potential for more than minimal harm 2025-11-29

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-03-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-02

F · Potential for more than minimal harm 2024-09-20

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 2024-09-21

F · Potential for more than minimal harm 2024-09-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-21

E · Potential for more than minimal harm 2024-09-20

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 2024-09-21

E · Potential for more than minimal harm 2024-09-20

F693 · Quality of Life and Care Deficiencies

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 2024-09-21

E · Potential for more than minimal harm 2024-09-20

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 2024-09-21

E · Potential for more than minimal harm 2024-09-20

F803 · Nutrition and Dietary Deficiencies

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 2024-09-21

D · Potential for more than minimal harm 2024-09-20

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-09-21

D · Potential for more than minimal harm 2024-09-20

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-09-21

D · Potential for more than minimal harm 2024-09-20

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-09-21

D · Potential for more than minimal harm 2024-09-20

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-09-21

E · Potential for more than minimal harm 2024-05-20

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-03-18

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-03-20

D · Potential for more than minimal harm 2024-03-18

F693 · Quality of Life and Care Deficiencies

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 2024-03-20

E · Potential for more than minimal harm 2023-10-19

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 2023-10-20

E · Potential for more than minimal harm 2023-10-19

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-10-20

E · Potential for more than minimal harm 2023-10-19

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-10-19

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 2023-10-20

D · Potential for more than minimal harm 2023-10-19

F584 · Resident Rights Deficiencies

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 2023-10-20

D · Potential for more than minimal harm 2023-10-19

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-10-19

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-10-19

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-10-19

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-10-05

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-10-06

D · Potential for more than minimal harm 2023-10-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-10-06

J · Immediate jeopardy 2023-09-22

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 2023-09-23

D · Potential for more than minimal harm 2023-09-22

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-22

F584 · Resident Rights Deficiencies

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 2023-09-27

D · Potential for more than minimal harm 2023-04-20

F774 · Administration Deficiencies

Health

Help the resident with transportation to and from laboratory services outside of the facility.

Corrected 2023-04-20

G · Actual harm 2023-03-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-03-24

D · Potential for more than minimal harm 2023-03-21

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 2023-04-04

D · Potential for more than minimal harm 2023-03-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-04-03

E · Potential for more than minimal harm 2022-11-03

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-11-04

E · Potential for more than minimal harm 2022-11-03

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 2022-11-04

E · Potential for more than minimal harm 2022-11-03