Cycle 1
Health 2024-07-26 · Fire 2024-07-26
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Aurora, IL
Thrive Of Fox Valley
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
Facility snapshot
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
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
Hours and turnover
RN hours / resident day
1.58
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.75
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.92
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
2.17
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.45
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.13
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.21
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.18
CMS adjusted RN staffing hours
Adjusted total hours
2.92
CMS adjusted total nurse staffing hours
Case-mix index
1.83
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,445
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.55
Baseline 21.39% · Performance 21.18% · Measure score 0.55 · Achievement 0.55 · Improvement 0
Healthcare-associated infections
3.54
Baseline 4.72% · Performance 6.78% · Measure score 3.54 · Achievement 3.54 · Improvement 0
Total nurse turnover
0.80
Baseline 58.11% · Performance 60.42% · Measure score 0.80 · Achievement 0.80 · Improvement 0
Adjusted total nurse staffing
0
Baseline 4.56 hours · Performance 2.97 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 708 · Observed rate 11.86% · Lower 95% interval 8.99% |
| Discharge to community | 71.55% |
50.57%
21 pts better
|
Better than the National Rate · Eligible stays 730 · Observed rate 63.15% · Lower 95% interval 67.38% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 425 · Denominator 425 |
| Falls with major injury | 1.65% |
0.77%
0.9 pts worse
|
Numerator 7 · Denominator 425 |
| Discharge self-care score | 59.93% |
53.69%
6.2 pts better
|
Numerator 175 · Denominator 292 |
| Discharge mobility score | 44.86% |
50.94%
6.1 pts worse
|
Numerator 131 · Denominator 292 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 424 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.78% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 403 · Observed rate 6.95% · Lower 95% interval 5.05% |
| Staff COVID-19 vaccination coverage | 79.35% |
8.2%
71.1 pts better
|
Numerator 123 · Denominator 155 |
| Staff flu vaccination coverage | 79.35% |
42%
37.3 pts better
|
Numerator 123 · Denominator 155 |
| Discharge function score | 62.67% |
56.45%
6.2 pts better
|
Numerator 183 · Denominator 292 |
| Transfer of health information to provider | 99.59% |
95.95%
3.6 pts better
|
Numerator 243 · Denominator 244 |
| Transfer of health information to patient | 95.51% |
96.28%
0.8 pts worse
|
Numerator 170 · Denominator 178 |
| Resident COVID-19 vaccinations up to date | 17.47% |
25.2%
7.7 pts worse
|
Numerator 40 · Denominator 229 |
Quality measures
Resident outcomes and process scores
| 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 · Q1 58.3% · Q2 70.0% · Q3 77.5% · Q4 85.2% · 4Q avg 73.5% |
| 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 · Adjusted 12.7% · Observed 12.0% · 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 0.6% · Q2 0.8% · Q3 0.8% · Q4 1.1% · 4Q avg 0.8% · Used in QM five-star |
| 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 · 4Q avg 40.8% |
| 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 · Adjusted 26.2% · Observed 28.3% · Expected 25.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-24 · Fire 2023-08-24
10 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2022-10-14 · Fire 2022-10-14
5 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-07-26
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-20
F · Potential for more than minimal harm
2024-07-26
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-10-20
F · Potential for more than minimal harm
2024-07-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-20
F · Potential for more than minimal harm
2024-07-26
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-19
E · Potential for more than minimal harm
2024-07-26
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-19
E · Potential for more than minimal harm
2024-07-26
K223 · Egress Deficiencies
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
E · Potential for more than minimal harm
2024-07-26
K321 · Smoke Deficiencies
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
E · Potential for more than minimal harm
2024-07-26
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-19
F · Potential for more than minimal harm
2023-08-24
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-09-15
F · Potential for more than minimal harm
2023-08-24
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-15
F · Potential for more than minimal harm
2023-08-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-15
F · Potential for more than minimal harm
2023-08-24
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-09-15
F · Potential for more than minimal harm
2023-08-24
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-09-15
F · Potential for more than minimal harm
2023-08-24
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-15
F · Potential for more than minimal harm
2023-08-24
K924 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that anesthesia apparatus are tested after any adjustment, modification or repair.
Corrected 2023-11-13
E · Potential for more than minimal harm
2023-08-24
K321 · Smoke Deficiencies
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
E · Potential for more than minimal harm
2023-08-24
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-15
E · Potential for more than minimal harm
2023-08-24
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-15
F · Potential for more than minimal harm
2022-10-14
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-11-18
F · Potential for more than minimal harm
2022-10-14
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-11-18
F · Potential for more than minimal harm
2022-10-14
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-11-18
F · Potential for more than minimal harm
2022-10-14
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-11-18
F · Potential for more than minimal harm
2022-10-14
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-22
F · Potential for more than minimal harm
2022-10-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-18
F · Potential for more than minimal harm
2022-10-14
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-11-23
F · Potential for more than minimal harm
2022-10-14
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-18
F · Potential for more than minimal harm
2022-10-14
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-22
F · Potential for more than minimal harm
2022-10-14
K907 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2022-11-18
F · Potential for more than minimal harm
2022-10-14
K908 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2022-11-18
F · Potential for more than minimal harm
2022-10-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-01
E · Potential for more than minimal harm
2022-10-14
K321 · Smoke Deficiencies
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
E · Potential for more than minimal harm
2022-10-14
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-18
E · Potential for more than minimal harm
2022-10-14
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-11-18
E · Potential for more than minimal harm
2022-10-14
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-11-18
E · Potential for more than minimal harm
2022-10-14
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-11-08
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-02
D · Potential for more than minimal harm
2024-11-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-22
D · Potential for more than minimal harm
2024-08-30
F585 · Resident Rights Deficiencies
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
D · Potential for more than minimal harm
2024-08-07
F755 · Pharmacy Service Deficiencies
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
F · Potential for more than minimal harm
2024-07-26
F812 · Nutrition and Dietary Deficiencies
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
D · Potential for more than minimal harm
2024-07-26
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-08-22
D · Potential for more than minimal harm
2024-07-26
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-22
D · Potential for more than minimal harm
2024-07-26
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-22
D · Potential for more than minimal harm
2024-07-26
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-22
D · Potential for more than minimal harm
2024-07-26
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-08-22
D · Potential for more than minimal harm
2024-05-28
F691 · Quality of Life and Care Deficiencies
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-06-22
D · Potential for more than minimal harm
2023-11-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-15
D · Potential for more than minimal harm
2023-10-24
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-15
E · Potential for more than minimal harm
2023-08-24
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-09-13
D · Potential for more than minimal harm
2023-08-24
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-09-13
D · Potential for more than minimal harm
2023-08-24
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-09-13
D · Potential for more than minimal harm
2023-08-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-13
D · Potential for more than minimal harm
2023-08-24
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-09-13
D · Potential for more than minimal harm
2023-08-24
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-13
D · Potential for more than minimal harm
2023-06-28
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-07-07
F · Potential for more than minimal harm
2022-10-14
F812 · Nutrition and Dietary Deficiencies
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
E · Potential for more than minimal harm
2022-10-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-11
Penalties and ownership
What sits behind the stars
Ownership
Ih Kcb Fox Valley, LLC
5% Or Greater Direct Ownership Interest · Organization
Bradley S Haber Revocable Trust Uad October 15 2013
5% Or Greater Indirect Ownership Interest · Organization
Bradley S Haber Revocable Trust Uad October 15 2013
General Partnership Interest · Organization
Burns, Shonda
Operational/Managerial Control · Individual
Cloch Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Cloch Family Trust
General Partnership Interest · Organization
Cloch, Brian
5% Or Greater Indirect Ownership Interest · Individual
Cloch, Brian
General Partnership Interest · Individual
Cloch, Brian
Operational/Managerial Control · Individual
Haber, Bradley
5% Or Greater Indirect Ownership Interest · Individual
Haber, Bradley
General Partnership Interest · Individual
Haber, Bradley
Operational/Managerial Control · Individual
Ih Fox Valley LLC
5% Or Greater Indirect Ownership Interest · Organization
Ih Fox Valley LLC
General Partnership Interest · Organization
Ih Kcb Fox Valley, LLC
Operational/Managerial Control · Organization
Kcb Real Estate Vii LP
5% Or Greater Indirect Ownership Interest · Organization
Kcb Real Estate Vii LP
Limited Partnership Interest · Organization
Lockwood Investments LLC
5% Or Greater Indirect Ownership Interest · Organization
Lockwood Investments LLC
Limited Partnership Interest · Organization
Yousuf, Mohammed
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
St Patrick's Residence
Naperville, IL
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Meadowbrook Manor - Naperville
Naperville, IL
2-star overall rating with 2-star inspections with $205,215 in total fines with 18 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Tabor Hills Health Care Fac
Naperville, IL
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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