5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Lincolnshire, IL
4-star overall rating with 3-star inspections with $68,122 in total fines with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
960 Audubon Way, Lincolnshire, IL
(847) 876-2401
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
84
Certified beds
Average residents
77
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2009-08-21
CMS approved date
Coverage
Medicare + Medicaid
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
RN hours / resident day
1.58
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.05
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
5.46
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
2.41
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
5.08
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.69
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.47
CMS adjusted RN staffing hours
Adjusted total hours
5.07
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
278
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
74.69
Composite VBP score used to determine payment impact.
Payment multiplier
1.0244
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.75
Baseline 19.36% · Performance 19.23% · Measure score 4.75 · Achievement 4.75 · Improvement 0.08
Healthcare-associated infections
8.91
Baseline 5.13% · Performance 5.17% · Measure score 8.91 · Achievement 8.91 · Improvement 0
Total nurse turnover
9.32
Baseline 38.75% · Performance 25.58% · Measure score 9.32 · Achievement 9.32 · Improvement 8.97
Adjusted total nurse staffing
6.89
Baseline 4.64 hours · Performance 5.04 hours · Measure score 6.89 · Achievement 6.89 · Improvement 2.99
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.11% |
10.72%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 781 · Observed rate 13.19% · Lower 95% interval 10.37% |
| Discharge to community | 71.78% |
50.57%
21.2 pts better
|
Better than the National Rate · Eligible stays 777 · Observed rate 64.22% · Lower 95% interval 67.75% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.43% |
95.27%
4.2 pts better
|
Numerator 523 · Denominator 526 |
| Falls with major injury | 0.19% |
0.77%
0.6 pts better
|
Numerator 1 · Denominator 526 |
| Discharge self-care score | 41.19% |
53.69%
12.5 pts worse
|
Numerator 159 · Denominator 386 |
| Discharge mobility score | 39.38% |
50.94%
11.6 pts worse
|
Numerator 152 · Denominator 386 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 526 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.17% |
7.12%
2 pts better
|
Better than the National Rate · Eligible stays 446 · Observed rate 4.26% · Lower 95% interval 3.52% |
| Staff COVID-19 vaccination coverage | 7.89% |
8.2%
0.3 pts worse
|
Numerator 15 · Denominator 190 |
| Staff flu vaccination coverage | 73.54% |
42%
31.5 pts better
|
Numerator 139 · Denominator 189 |
| Discharge function score | 43.01% |
56.45%
13.4 pts worse
|
Numerator 166 · Denominator 386 |
| Transfer of health information to provider | 97.58% |
95.95%
1.6 pts better
|
Numerator 121 · Denominator 124 |
| Transfer of health information to patient | 99.2% |
96.28%
2.9 pts better
|
Numerator 370 · Denominator 373 |
| Resident COVID-19 vaccinations up to date | 30.6% |
25.2%
5.4 pts better
|
Numerator 82 · Denominator 268 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
2.0
0.9 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 2.1 · 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 1.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
89.6%
6.2 pts better
|
93.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 100.0% · Q3 96.6% · Q4 92.9% · 4Q avg 95.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.5% |
91.6%
5.1 pts worse
|
95.5%
9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.5% |
| 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 | 4.7% |
50.3%
45.6 pts better
|
11.4%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 11.1% · Q4 8.0% · 4Q avg 4.7% |
| Percentage of long-stay residents who lose too much weight | 12.9% |
6.5%
6.4 pts worse
|
5.4%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 20.0% · Q3 9.5% · Q4 12.5% · 4Q avg 12.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.1% |
18.5%
9.4 pts better
|
19.6%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 4.8% · Q3 4.8% · Q4 16.0% · 4Q avg 9.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 31.4% |
22.8%
8.6 pts worse
|
16.7%
14.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.0% · 4Q avg 31.4% · 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 need for help with daily activities has increased | 13.6% |
15.0%
1.4 pts better
|
14.9%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 20.0% · Q4 8.7% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
1.1%
0.7 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.2% · Q3 2.2% · Q4 0.0% · 4Q avg 1.8% · 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 3.3% · Q2 0.0% · Q3 0.0% · 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 | 20.7% |
21.3%
0.6 pts better
|
19.8%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 24.2% · Q3 24.9% · Q4 22.5% · 4Q avg 20.7% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
5.2%
1.7 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.4% · Q3 4.7% · Q4 2.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.3% |
68.8%
8.5 pts better
|
81.7%
4.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 78.9% · Q2 82.0% · Q3 73.5% · Q4 74.5% · 4Q avg 77.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.1% |
14.0%
4.9 pts better
|
12.0%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 8.6% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
2.3%
1.5 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.4% · Q3 0.8% · Q4 0.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.1% |
63.0%
14.1 pts better
|
79.7%
2.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
26.2%
3.8 pts better
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 21.1% · Expected 22.5% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-03-24
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-03-24
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-03-24
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-24
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-03-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-24
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-05-12
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2024-05-12
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-05-12
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2024-05-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-12
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-05-12
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-05-12
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-05-12
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2024-05-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-12
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-05-04
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-05-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-04
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-05-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-04
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-05-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-04
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-05-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-10
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-02-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-31
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-11-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-30
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-04-09
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-04-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-09
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 2024-04-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-30
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-04-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-30
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 2023-04-30
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-30
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 2023-04-30
Penalties and ownership
Fine · fine $37,681
Fine
Payment Denial · denial start 2025-03-14 · 10 days
10 day denial
Fine · fine $21,450
Fine
Fine · fine $8,991
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
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
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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3-star overall rating with 3-star inspections with $111,562 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Lincolnshire, IL
1-star overall rating with 1-star inspections with $314,777 in total fines with 23 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
Buffalo Grove, IL
3-star overall rating with 3-star inspections with $9,311 in total fines with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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