10 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Joliet, IL
2-star overall rating with 3-star inspections with $115,684 in total fines with 10 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
777 Draper Avenue, Joliet, IL
(815) 727-4794
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
168
Certified beds
Average residents
115
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saba Healthcare
Operator or chain grouping
Approved since
2014-08-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 2 overall / 2 health / 1 staffing / 3 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
0.33
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.57
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
2.70
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.13
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.28
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.26
CMS adjusted RN staffing hours
Adjusted total hours
2.15
CMS adjusted total nurse staffing hours
Case-mix index
1.71
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
7,766
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9852
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.52
Baseline 20.23% · Performance 19.80% · Measure score 3.52 · Achievement 3.52 · Improvement 0.83
Healthcare-associated infections
2.09
Baseline 6.67% · Performance 7.21% · Measure score 2.09 · Achievement 2.09 · Improvement 0
Total nurse turnover
5.92
Baseline 50.00% · Performance 39.47% · Measure score 5.92 · Achievement 5.92 · Improvement 3.69
Adjusted total nurse staffing
0
Baseline 2.29 hours · Performance 2.28 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.78% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 63 · Observed rate 11.11% · Lower 95% interval 7.59% |
| Discharge to community | 52.2% |
50.57%
1.6 pts better
|
No Different than the National Rate · Eligible stays 36 · Observed rate 44.44% · Lower 95% interval 39.59% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 37 · Denominator 37 |
| Falls with major injury | 2.7% |
0.77%
1.9 pts worse
|
Numerator 1 · Denominator 37 |
| Discharge self-care score | 8.33% |
53.69%
45.4 pts worse
|
Numerator 2 · Denominator 24 |
| Discharge mobility score | 12.5% |
50.94%
38.4 pts worse
|
Numerator 3 · Denominator 24 |
| Pressure ulcers or injuries, new or worsened | 2.7% |
2.29%
0.4 pts worse
|
Numerator 1 · Denominator 37 · Adjusted rate 2.03% |
| Healthcare-associated infections requiring hospitalization | 7.21% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 28 · Observed rate 7.14% · Lower 95% interval 3.51% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 100 |
| Staff flu vaccination coverage | 40.16% |
42%
1.8 pts worse
|
Numerator 51 · Denominator 127 |
| Discharge function score | 8.33% |
56.45%
48.1 pts worse
|
Numerator 2 · Denominator 24 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 46.15% |
25.2%
20.9 pts better
|
Numerator 12 · Denominator 26 |
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 2.7 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.3
0.9 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.6% |
89.6%
12 pts worse
|
93.4%
15.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.1% · Q2 75.0% · Q3 77.4% · Q4 80.0% · 4Q avg 77.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.0% |
91.6%
1.6 pts worse
|
95.5%
5.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.3%
0.3 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.7% · Q3 3.5% · Q4 2.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 87.0% |
50.3%
36.7 pts worse
|
11.4%
75.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.6% · Q2 85.9% · Q3 87.4% · Q4 87.0% · 4Q avg 87.0% |
| Percentage of long-stay residents who lose too much weight | 0.6% |
6.5%
5.9 pts better
|
5.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.2% |
18.5%
5.7 pts worse
|
19.6%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 24.4% · Q3 26.3% · Q4 18.9% · 4Q avg 24.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 33.6% |
22.8%
10.8 pts worse
|
16.7%
16.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.7% · Q2 39.3% · Q3 34.8% · Q4 23.0% · 4Q avg 33.6% · 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 9.1% · Q2 11.9% · Q3 2.1% · Q4 3.8% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.2% |
15.0%
10.8 pts better
|
14.9%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 3.4% · Q3 4.3% · Q4 3.3% · 4Q avg 4.2% · 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 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.7%
1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.2% |
21.3%
8.1 pts better
|
19.8%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 18.0% · Q3 8.1% · Q4 9.5% · 4Q avg 13.2% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
5.2%
0.4 pts worse
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 6.3% · Q3 6.7% · Q4 3.1% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.4% |
68.8%
22.4 pts worse
|
81.7%
35.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 51.5% · Q2 42.9% · Q3 42.6% · Q4 51.2% · 4Q avg 46.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.7% |
14.0%
6.3 pts better
|
12.0%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.7% · Observed 8.8% · Expected 12.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
2.3%
1 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 51.0% |
63.0%
12 pts worse
|
79.7%
28.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 51.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.1% |
26.2%
10.9 pts worse
|
23.9%
13.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 37.1% · Observed 35.3% · Expected 22.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-11-05
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-11-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-05
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-05
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-11-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-05
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-11-05
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-08
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-01-08
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 2024-01-08
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-01-08
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-01-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-08
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-08
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2024-01-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-01-08
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-03-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-17
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-03-17
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-03-17
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-03-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-17
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-03-17
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-03-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-03-17
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-02
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-07-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-21
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-10-28
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-10-28
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 2024-10-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-28
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 2024-10-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-28
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-10-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-12
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-05-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-21
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 2023-12-21
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-21
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 2023-12-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-21
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-12-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-18
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2023-09-18
Health
Help the resident make transportation arrangements to and from radiology services.
Corrected 2023-09-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-13
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 2023-05-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-25
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-01-23
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-23
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-01-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-23
Penalties and ownership
Fine · fine $115,684
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
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