Federal inspection record · CMS data as of October 1, 2026
St James Wellness Rehab Villas
1251 East Richton Road, Crete, IL · (708) 672-6700
- Certified beds
- 110
- Residents per day
- 82
- Ownership
- For-Profit
- Chain
- Extended Care Clinical
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 27, 1989
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
St James Wellness Rehab Villas carries 60 inspection points. That is fewer than 73% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
35 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care16E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate foot care.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights6F
- D
Reasonably accommodate the needs and preferences of each resident.
- F
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service4E
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
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.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Environmental4F
- E
Keep all essential equipment working safely.
- F
Keep all essential equipment working safely.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-02-27
6 health deficiencies · 26 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-12-06
20 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2023-11-17
9 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 12 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 12 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 46% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 2.4 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts better | 91.4% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.2 pts worse | 84.5% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 2.5% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms43.1 pts worse | 99.0% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 4.8% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts better | 10.8% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.4 pts better | 9.3% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.8 pts better | 8.0% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts better | 10.5% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.3% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 1.9% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts better | 18.3% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.9 pts worse | 8.7% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine39 pts worse | 31.0% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.3 pts better | 7.2% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine33.7 pts worse | 29.5% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts worse | 26.0% | 25.6% | 23.4% |
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Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| B & Z Grandchildren Tr | 5% Or Greater Direct Ownership Interest · Organization | 20% | 5 facilities |
| Adams Vales Accumulation Trust | 5% Or Greater Direct Ownership Interest · Organization | 9% | 6 facilities |
| Daniel Rothner Accumulation Trust | 5% Or Greater Direct Ownership Interest · Organization | 9% | 6 facilities |
| Kathryn Vales Accumulation Trust | 5% Or Greater Direct Ownership Interest · Organization | 9% | 6 facilities |
| Kimberly Vales Accumulation Trust | 5% Or Greater Direct Ownership Interest · Organization | 9% | 6 facilities |
| Melissa Rothner Accumulation Trust | 5% Or Greater Direct Ownership Interest · Organization | 9% | 6 facilities |
| N & S Rothner Trust | 5% Or Greater Direct Ownership Interest · Organization | 9% | 2 facilities |
| Nathan And Shirley Rothner Family Trust | 5% Or Greater Direct Ownership Interest · Organization | 9% | 13 facilities |
| Rachel Rothner Accumulation Trust | 5% Or Greater Direct Ownership Interest · Organization | 9% | 6 facilities |
| William Rothner Accumulation Trust | 5% Or Greater Direct Ownership Interest · Organization | 9% | 6 facilities |
| Adams Vales Accumulation Trust | Trustee Of The SNF · Organization | 0% | 6 facilities |
| Aronin, David | Corporate Director · Individual | 0% | 9 facilities |
| B & Z Grandchildren Tr | Trustee Of The SNF · Organization | 0% | 5 facilities |
| Daniel Rothner Accumulation Trust | Trustee Of The SNF · Organization | 0% | 6 facilities |
| Extended Care Clinical LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Extended Care Consulting LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Holloway, Sekena | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Holloway, Sekena | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kathryn Vales Accumulation Trust | Trustee Of The SNF · Organization | 0% | 6 facilities |
| Kimberly Vales Accumulation Trust | Trustee Of The SNF · Organization | 0% | 6 facilities |
| Melissa Rothner Accumulation Trust | Trustee Of The SNF · Organization | 0% | 6 facilities |
| Miretzky, Steven | Corporate Director · Individual | 0% | 10 facilities |
| N & S Rothner Trust | Trustee Of The SNF · Organization | 0% | 2 facilities |
| Nathan And Shirley Rothner Family Trust | Trustee Of The SNF · Organization | 0% | 13 facilities |
| Rachel Rothner Accumulation Trust | Trustee Of The SNF · Organization | 0% | 6 facilities |
| Roth & Co, Llp | Adp Of The SNF · Organization | 0% | 41 facilities |
| Wallace, Lance | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wallace, Lance | Adp Of The SNF · Individual | 0% | 1 facilities |
| William Rothner Accumulation Trust | Trustee Of The SNF · Organization | 0% | 6 facilities |
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Fire safety
38 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install an approved automatic sprinkler system.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Emergency Preparedness7F
- F
Develop Emergency Preparedness policies and procedures.
- F
Create arrangements with other facilities to receive patients.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Miscellaneous6F
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress5F
- F
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
Services1F
- F
Have elevators that firefighters can control in the event of a fire.
Construction1E
- E
Install a two-hour-resistant firewall separation.
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