7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Aurora, IL
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
4020 E New York Street, Aurora, IL
(331) 301-5590
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
68
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2020-12-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
1.58
Registered nurse staffing
LPN hours / resident day
0.59
Licensed practical nurse staffing
Aide hours / resident day
1.75
Nurse aide staffing
Weekend hours
3.45
Weekend nurse staffing
RN turnover
42%
Annual RN turnover
Total nurse turnover
56%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.5% |
68.8%
4.7 pts better
|
81.7%
8.2 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
14.0%
1.3 pts better
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 |
| 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 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.8% |
63.0%
22.2 pts worse
|
79.7%
38.9 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
26.2%
About the same
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-20
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-10-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-19
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-19
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 2024-08-19
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 2024-08-19
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-19
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-09-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-15
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-09-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-15
Fire Safety
Ensure that anesthesia apparatus are tested after any adjustment, modification or repair.
Corrected 2023-11-13
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 2023-09-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-15
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-11-18
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-11-18
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-11-18
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-11-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-18
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-11-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-22
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2022-11-18
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2022-11-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-01
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 2022-11-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-18
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-11-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-11-18
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-11-08
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-22
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 2024-09-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-08-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-22
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-08-22
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-06-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-15
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-09-13
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-09-13
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-09-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-13
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-09-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-13
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-07-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-11
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
General Partnership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
General Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
General Partnership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
General Partnership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
General Partnership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Operational/Managerial Control · Individual
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