9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Chicago, IL
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
908 West Argyle Street, Chicago, IL
(773) 271-0300
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
72
Certified beds
Average residents
55
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-10-03
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
1.57
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.48
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.29
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
5.34
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
2.05
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.76
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.09
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.60
CMS adjusted RN staffing hours
Adjusted total hours
5.44
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
10%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
1,907
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.11
Composite VBP score used to determine payment impact.
Payment multiplier
1.0078
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.12
Baseline 17.81% · Performance 19.99% · Measure score 3.12 · Achievement 3.12 · Improvement 0
Healthcare-associated infections
0
Baseline 5.44% · Performance 7.71% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 20.78% · Performance 22.35% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
8.12
Baseline 5.87 hours · Performance 5.39 hours · Measure score 8.12 · Achievement 8.12 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.92% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 277 · Observed rate 9.39% · Lower 95% interval 8.08% |
| Discharge to community | 69.79% |
50.57%
19.2 pts better
|
Better than the National Rate · Eligible stays 270 · Observed rate 67.78% · Lower 95% interval 63.47% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.69% |
95.27%
3.4 pts better
|
Numerator 151 · Denominator 153 |
| Falls with major injury | 0.65% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 153 |
| Discharge self-care score | 44.17% |
53.69%
9.5 pts worse
|
Numerator 53 · Denominator 120 |
| Discharge mobility score | 60.83% |
50.94%
9.9 pts better
|
Numerator 73 · Denominator 120 |
| Pressure ulcers or injuries, new or worsened | 2.61% |
2.29%
0.3 pts worse
|
Numerator 4 · Denominator 153 · Adjusted rate 3.16% |
| Healthcare-associated infections requiring hospitalization | 7.71% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 154 · Observed rate 7.79% · Lower 95% interval 5.08% |
| Staff COVID-19 vaccination coverage | 7.64% |
8.2%
0.6 pts worse
|
Numerator 11 · Denominator 144 |
| Staff flu vaccination coverage | 91.08% |
42%
49.1 pts better
|
Numerator 194 · Denominator 213 |
| Discharge function score | 68.33% |
56.45%
11.9 pts better
|
Numerator 82 · Denominator 120 |
| Transfer of health information to provider | 99.07% |
95.95%
3.1 pts better
|
Numerator 107 · Denominator 108 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 54.65% |
25.2%
29.4 pts better
|
Numerator 47 · Denominator 86 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.0
0.6 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.5 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
2.3
1.5 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
89.6%
9.8 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.4% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.1% |
91.6%
0.5 pts worse
|
95.5%
4.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.1% |
| 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 | 9.1% |
50.3%
41.2 pts better
|
11.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 14.8% · Q3 8.0% · Q4 3.2% · 4Q avg 9.1% |
| Percentage of long-stay residents who lose too much weight | 12.1% |
6.5%
5.6 pts worse
|
5.4%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 21.2% · Q3 8.8% · Q4 0.0% · 4Q avg 12.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.1% |
18.5%
2.4 pts better
|
19.6%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 11.4% · Q3 17.6% · Q4 17.1% · 4Q avg 16.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.2% |
22.8%
2.6 pts better
|
16.7%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 16.0% · Q3 17.9% · Q4 29.2% · 4Q avg 20.2% · 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 | 17.8% |
17.2%
0.6 pts worse
|
16.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.2% |
15.0%
9.8 pts better
|
14.9%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 3.4% · Q3 3.7% · Q4 6.5% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.1%
1.1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.7% |
1.7%
6 pts worse
|
1.7%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 12.8% · Q3 2.6% · Q4 8.1% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.3% |
21.3%
11 pts better
|
19.8%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 15.5% · Q3 5.5% · Q4 8.6% · 4Q avg 10.3% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
5.2%
0.2 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.2% · Q3 3.8% · Q4 4.1% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
68.8%
29.1 pts better
|
81.7%
16.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 97.5% · Q3 97.5% · Q4 99.2% · 4Q avg 97.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
14.0%
6.4 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.7% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
2.3%
1.2 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 1.1% · Q4 1.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 55.7% |
63.0%
7.3 pts worse
|
79.7%
24 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 55.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
26.2%
4.1 pts better
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 18.5% · Expected 20.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Infection Control (2 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-09-06
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-06-01
Inspection history
Health
Post nurse staffing information every day.
Corrected 2024-08-31
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 2024-08-31
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-31
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 2024-08-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-31
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-08-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-31
Health
Ensure staff are vaccinated for COVID-19
Corrected 2023-05-31
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-05-31
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-31
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 2023-05-31
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-05-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-05-31
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-31
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 2022-03-31
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-03-31
Penalties and ownership
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
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