Homer Glen, IL

Victorian Village Hlth & Well

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

12525 W Renaissance Circle, Homer Glen, IL

(708) 590-5050

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2015-05-01

CMS approved date

Coverage

Medicare

Participation flags

Changed ownership

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

1.92

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.17

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

3.10

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

5.19

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

2.09

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

4.63

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

1.51

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.74

CMS adjusted RN staffing hours

Adjusted total hours

4.71

CMS adjusted total nurse staffing hours

Case-mix index

1.51

Higher values indicate more complex resident acuity

RN turnover

18%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

603

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

66.72

Composite VBP score used to determine payment impact.

Payment multiplier

1.0205

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.41

Baseline 24.03% · Performance 22.69% · Measure score 1.41 · Achievement 0 · Improvement 1.41

Healthcare-associated infections

Baseline 5.96% · Performance 4.77% · Measure score 10 · Achievement 10 · Improvement 9

Total nurse turnover

7.62

Baseline 44.09% · Performance 32.53% · Measure score 7.62 · Achievement 7.62 · Improvement 5.51

Adjusted total nurse staffing

7.65

Baseline 4.56 hours · Performance 5.25 hours · Measure score 7.65 · Achievement 7.65 · Improvement 5.18

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.22%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 705 · Observed rate 8.79% · Lower 95% interval 7.98%
Discharge to community	63.2%	50.57% 12.6 pts better	Better than the National Rate · Eligible stays 714 · Observed rate 61.06% · Lower 95% interval 60.07%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	56.11%	95.27% 39.2 pts worse	Numerator 280 · Denominator 499
Falls with major injury	0.4%	0.77% 0.4 pts better	Numerator 2 · Denominator 499
Discharge self-care score	32.45%	53.69% 21.2 pts worse	Numerator 122 · Denominator 376
Discharge mobility score	36.7%	50.94% 14.2 pts worse	Numerator 138 · Denominator 376
Pressure ulcers or injuries, new or worsened	2.81%	2.29% 0.5 pts worse	Numerator 14 · Denominator 499 · Adjusted rate 2.88%
Healthcare-associated infections requiring hospitalization	4.77%	7.12% 2.4 pts better	Better than the National Rate · Eligible stays 442 · Observed rate 2.94% · Lower 95% interval 3.45%
Staff COVID-19 vaccination coverage	2.63%	8.2% 5.6 pts worse	Numerator 3 · Denominator 114
Staff flu vaccination coverage	15.67%	42% 26.3 pts worse	Numerator 21 · Denominator 134
Discharge function score	39.36%	56.45% 17.1 pts worse	Numerator 148 · Denominator 376
Transfer of health information to provider	89.85%	95.95% 6.1 pts worse	Numerator 292 · Denominator 325
Transfer of health information to patient	99.36%	96.28% 3.1 pts better	Numerator 155 · Denominator 156
Resident COVID-19 vaccinations up to date	7.38%	25.2% 17.8 pts worse	Numerator 20 · Denominator 271

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.6% 10.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q2 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	91.6% 8.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
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 · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	50.3% 50.3 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	4.1%	6.5% 2.4 pts better	5.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.2%	18.5% 6.3 pts better	19.6% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 12.2%
Percentage of long-stay residents who received an antipsychotic medication	8.8%	22.8% 14 pts better	16.7% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 8.8% · 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 · Q2 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	26.8%	15.0% 11.8 pts worse	14.9% 11.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 26.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.3%	1.1% 2.2 pts worse	1.0% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.4%	1.7% 0.3 pts better	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.8%	21.3% 10.5 pts worse	19.8% 12 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 31.8%
Percentage of long-stay residents with pressure ulcers	1.9%	5.2% 3.3 pts better	5.1% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.8%	68.8% 27 pts better	81.7% 14.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 95.8% · Q3 95.3% · Q4 94.7% · 4Q avg 95.8%
Percentage of short-stay residents who had an outpatient emergency department visit	9.3%	14.0% 4.7 pts better	12.0% 2.7 pts better	Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 7.9% · Expected 9.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	2.3% 1.8 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.5% · Q3 0.0% · Q4 0.4% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.3%	63.0% 31.3 pts better	79.7% 14.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.7%	26.2% 0.5 pts better	23.9% 1.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.7% · Observed 21.0% · Expected 19.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-03 · Fire 2025-07-03

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-09-13 · Fire 2024-09-13

7 health deficiencies

Top issue: Infection Control (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2023-08-31 · Fire 2023-08-31

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-07-03

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 2025-07-16

E · Potential for more than minimal harm 2025-07-03

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-07-16

E · Potential for more than minimal harm 2025-07-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-07-16

F · Potential for more than minimal harm 2024-09-13

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-09-19

F · Potential for more than minimal harm 2024-09-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-09-19

F · Potential for more than minimal harm 2024-09-13

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2024-09-19

D · Potential for more than minimal harm 2024-09-13

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-09-19

F · Potential for more than minimal harm 2023-08-31

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-06

E · Potential for more than minimal harm 2023-08-31

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-09-06

D · Potential for more than minimal harm 2023-08-31

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-09-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-03

F808 · Nutrition and Dietary Deficiencies

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 2025-07-04

E · Potential for more than minimal harm 2025-07-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-07-03

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-06-05

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-06-05

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-06-06

F · Potential for more than minimal harm 2024-09-13

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 2024-09-14

F · Potential for more than minimal harm 2024-09-13

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-09-14

D · Potential for more than minimal harm 2024-09-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-14

D · Potential for more than minimal harm 2024-09-13

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 2024-09-14

D · Potential for more than minimal harm 2024-09-13

F690 · Quality of Life and Care Deficiencies

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 2024-09-14

D · Potential for more than minimal harm 2024-09-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-09-14

D · Potential for more than minimal harm 2024-09-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-14

F · Potential for more than minimal harm 2023-08-31

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 2023-09-01

E · Potential for more than minimal harm 2023-08-31

F808 · Nutrition and Dietary Deficiencies

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 2023-09-01

E · Potential for more than minimal harm 2023-08-31

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-08-31

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-08-31

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-08-31

F688 · Quality of Life and Care Deficiencies

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 2023-09-01

D · Potential for more than minimal harm 2023-08-31

F690 · Quality of Life and Care Deficiencies

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 2023-09-01

D · Potential for more than minimal harm 2023-08-31

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-08-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-01

Penalties and ownership

What sits behind the stars

Ownership

Rest Haven Illiana Christian Convalescent Home

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2015-01-26

Breems, Tim