La Grange Park, IL

Plymouth Place

4-star overall rating with 4-star inspections with $29,450 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

315 North La Grange Road, La Grange Park, IL

(708) 482-6668

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

86

Certified beds

Average residents

73

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2008-10-22

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

1.68

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.55

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.67

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

4.91

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

2.23

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

4.45

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

1.38

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.15

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.72

CMS adjusted RN staffing hours

Adjusted total hours

5.03

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

11,256

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

Performance score

17.51

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.70% · Performance 22.05% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 4.41% · Performance 8.60% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.21

Baseline 41.18% · Performance 54.64% · Measure score 2.21 · Achievement 2.21 · Improvement 0

Adjusted total nurse staffing

4.79

Baseline 3.63 hours · Performance 4.44 hours · Measure score 4.79 · Achievement 4.79 · Improvement 3.28

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.68%	10.72% 1 pts worse	No Different than the National Rate · Eligible stays 651 · Observed rate 10.6% · Lower 95% interval 9.8%
Discharge to community	68.71%	50.57% 18.1 pts better	Better than the National Rate · Eligible stays 649 · Observed rate 63.79% · Lower 95% interval 64.09%
Medicare spending per beneficiary	0.87	1.02 0.2 pts better
Drug regimen review with follow-up	98.65%	95.27% 3.4 pts better	Numerator 366 · Denominator 371
Falls with major injury	0.27%	0.77% 0.5 pts better	Numerator 1 · Denominator 371
Discharge self-care score	56.95%	53.69% 3.3 pts better	Numerator 127 · Denominator 223
Discharge mobility score	60.54%	50.94% 9.6 pts better	Numerator 135 · Denominator 223
Pressure ulcers or injuries, new or worsened	1.08%	2.29% 1.2 pts better	Numerator 4 · Denominator 371 · Adjusted rate 1.02%
Healthcare-associated infections requiring hospitalization	8.6%	7.12% 1.5 pts worse	No Different than the National Rate · Eligible stays 384 · Observed rate 8.33% · Lower 95% interval 6.26%
Staff COVID-19 vaccination coverage	7.1%	8.2% 1.1 pts worse	Numerator 13 · Denominator 183
Staff flu vaccination coverage	49.29%	42% 7.3 pts better	Numerator 104 · Denominator 211
Discharge function score	60.99%	56.45% 4.5 pts better	Numerator 136 · Denominator 223
Transfer of health information to provider	98.89%	95.95% 2.9 pts better	Numerator 178 · Denominator 180
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 136 · Denominator 136
Resident COVID-19 vaccinations up to date	37.84%	25.2% 12.6 pts better	Numerator 70 · Denominator 185

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	2.0 0.4 pts better	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.0 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.6	2.3 1.7 pts better	1.8 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	89.6% 9.1 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 97.6% · Q3 100.0% · Q4 100.0% · 4Q avg 98.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	75.0%	91.6% 16.6 pts worse	95.5% 20.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 75.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.3% 3.3 pts better	3.3% 3.3 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 who have depressive symptoms	7.3%	50.3% 43 pts better	11.4% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 9.4% · Q3 5.6% · Q4 6.9% · 4Q avg 7.3%
Percentage of long-stay residents who lose too much weight	9.0%	6.5% 2.5 pts worse	5.4% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 11.8% · Q3 5.7% · Q4 3.4% · 4Q avg 9.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	2.8%	18.5% 15.7 pts better	19.6% 16.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.7% · Q3 2.8% · Q4 3.0% · 4Q avg 2.8%
Percentage of long-stay residents who received an antipsychotic medication	18.8%	22.8% 4 pts better	16.7% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 17.2% · Q3 14.3% · Q4 14.8% · 4Q avg 18.8% · 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	55.9%	17.2% 38.7 pts worse	16.3% 39.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 55.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	41.2%	15.0% 26.2 pts worse	14.9% 26.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 62.9% · Q3 31.2% · Q4 30.0% · 4Q avg 41.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.2%	1.1% 1.1 pts worse	1.0% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 3.2% · Q4 4.2% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	1.7% 0.4 pts better	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.9% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.4%	21.3% 10.1 pts worse	19.8% 11.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 39.8% · Q3 40.1% · Q4 20.0% · 4Q avg 31.4%
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 0.0% · Q2 8.8% · Q3 7.5% · Q4 10.5% · 4Q avg 6.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.1%	68.8% 24.3 pts better	81.7% 11.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 88.4% · Q2 90.6% · Q3 95.8% · Q4 99.1% · 4Q avg 93.1%
Percentage of short-stay residents who had an outpatient emergency department visit	10.2%	14.0% 3.8 pts better	12.0% 1.8 pts better	Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 9.1% · Expected 9.9% · 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 1.3% · Q4 1.3% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.8%	63.0% 22.8 pts better	79.7% 6.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.6%	26.2% 0.6 pts better	23.9% 1.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.6% · Observed 22.7% · Expected 21.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-24 · Fire 2025-01-24

6 health deficiencies

Top issue: Environmental (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-16 · Fire 2024-02-16

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-03-30 · Fire 2023-03-30

12 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-11

E · Potential for more than minimal harm 2025-01-24

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 2025-02-11

E · Potential for more than minimal harm 2025-01-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-02-11

F · Potential for more than minimal harm 2024-02-16

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-03-05

E · Potential for more than minimal harm 2024-02-16

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-03-05

E · Potential for more than minimal harm 2024-02-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-05

E · Potential for more than minimal harm 2024-02-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-05

F · Potential for more than minimal harm 2023-03-30

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-04-27

F · Potential for more than minimal harm 2023-03-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-04-27

E · Potential for more than minimal harm 2023-03-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-04-27

E · Potential for more than minimal harm 2023-03-30

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-04-27

E · Potential for more than minimal harm 2023-03-30

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2023-04-27

E · Potential for more than minimal harm 2023-03-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-24

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 2025-02-07

E · Potential for more than minimal harm 2025-01-24

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-02-07

E · Potential for more than minimal harm 2025-01-24

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 2025-02-07

E · Potential for more than minimal harm 2025-01-24

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 2025-02-07

D · Potential for more than minimal harm 2025-01-24

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 2025-02-07

D · Potential for more than minimal harm 2025-01-24

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2025-02-07

G · Actual harm 2025-01-02

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-01-17

F · Potential for more than minimal harm 2024-02-16

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 2024-03-05

G · Actual harm 2023-03-30

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 2023-04-17

F · Potential for more than minimal harm 2023-03-30

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 2023-04-17

E · Potential for more than minimal harm 2023-03-30

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-04-17

E · Potential for more than minimal harm 2023-03-30

F690 · Quality of Life and Care Deficiencies

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 2023-04-17

E · Potential for more than minimal harm 2023-03-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-17

D · Potential for more than minimal harm 2023-03-30

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 2023-04-17

D · Potential for more than minimal harm 2023-03-30

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-04-17

D · Potential for more than minimal harm 2023-03-30

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 2023-04-17

D · Potential for more than minimal harm 2023-03-30

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-17

D · Potential for more than minimal harm 2023-03-30

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 2023-04-17

D · Potential for more than minimal harm 2023-03-30

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 2023-04-17

C · Minimal harm 2023-03-30

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2023-04-17

Penalties and ownership

What sits behind the stars

$29,450 2023-03-30

Fine

Fine · fine $29,450

Fine

$0 2023-03-30

Payment Denial

Payment Denial · denial start 2023-04-22 · 5 days

5 day denial