Cycle 1
Health 2025-05-09 · Fire 2025-05-09
6 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Skokie, IL
Warren Barr Lieberman
4-star overall rating with 4-star inspections with 6 recent health deficiencies
9700 Gross Point Road, Skokie, IL
(847) 674-7120
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
240
Certified beds
Average residents
229
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Legacy Healthcare
Operator or chain grouping
Approved since
1997-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
90 facilities
Chain averages 3 overall / 3 health / 3 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
Hours and turnover
RN hours / resident day
0.67
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.13
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.43
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.39
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
2.74
CMS adjusted total nurse staffing hours
Case-mix index
1.71
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,546
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.98% · Performance 25.81% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.23
Baseline 10.39% · Performance 9.46% · Measure score 1.23 · Achievement 0 · Improvement 1.23
Total nurse turnover
3.47
Baseline 47.24% · Performance 49.51% · Measure score 3.47 · Achievement 3.47 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.58 hours · Performance 2.71 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.4% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 289 · Observed rate 10.38% · Lower 95% interval 7.89% |
| Discharge to community | 49.69% |
50.57%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 283 · Observed rate 42.05% · Lower 95% interval 42.72% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 98.39% |
95.27%
3.1 pts better
|
Numerator 183 · Denominator 186 |
| Falls with major injury | 2.15% |
0.77%
1.4 pts worse
|
Numerator 4 · Denominator 186 |
| Discharge self-care score | 36.52% |
53.69%
17.2 pts worse
|
Numerator 42 · Denominator 115 |
| Discharge mobility score | 33.91% |
50.94%
17 pts worse
|
Numerator 39 · Denominator 115 |
| Pressure ulcers or injuries, new or worsened | 0.54% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 186 · Adjusted rate 0.42% |
| Healthcare-associated infections requiring hospitalization | 9.46% |
7.12%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 185 · Observed rate 12.43% · Lower 95% interval 6.63% |
| Staff COVID-19 vaccination coverage | 1.32% |
8.2%
6.9 pts worse
|
Numerator 3 · Denominator 228 |
| Staff flu vaccination coverage | 54.39% |
42%
12.4 pts better
|
Numerator 124 · Denominator 228 |
| Discharge function score | 32.17% |
56.45%
24.3 pts worse
|
Numerator 37 · Denominator 115 |
| Transfer of health information to provider | 97.01% |
95.95%
1.1 pts better
|
Numerator 65 · Denominator 67 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 58 · Denominator 58 |
| Resident COVID-19 vaccinations up to date | 15.96% |
25.2%
9.2 pts worse
|
Numerator 15 · Denominator 94 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.9 |
2.0
0.9 pts worse
|
1.9
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 3.1 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
2.3
0.5 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
89.6%
10.2 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.1% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
91.6%
6.6 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
3.3%
0.4 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.9% · Q3 2.4% · Q4 3.3% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 93.7% |
50.3%
43.4 pts worse
|
11.4%
82.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 90.8% · Q3 94.8% · Q4 96.8% · 4Q avg 93.7% |
| Percentage of long-stay residents who lose too much weight | 6.9% |
6.5%
0.4 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 8.2% · Q3 4.2% · Q4 5.8% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.3% |
18.5%
8.2 pts better
|
19.6%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 10.9% · Q3 10.8% · Q4 12.5% · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.3% |
22.8%
2.5 pts better
|
16.7%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 20.6% · Q3 20.8% · Q4 18.9% · 4Q avg 20.3% · 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 | 10.1% |
17.2%
7.1 pts better
|
16.3%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 11.6% · Q3 10.9% · Q4 3.9% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.1% |
15.0%
5.9 pts better
|
14.9%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 9.3% · Q3 8.9% · Q4 5.3% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.1%
0.9 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.7%
0.5 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.9% · Q3 1.5% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.1% |
21.3%
3.2 pts better
|
19.8%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 21.2% · Q3 15.2% · Q4 16.5% · 4Q avg 18.1% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
5.2%
1.3 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 6.1% · Q3 6.2% · Q4 7.0% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.0% |
68.8%
23.2 pts better
|
81.7%
10.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 85.3% · Q3 91.0% · Q4 96.9% · 4Q avg 92.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.3% |
14.0%
6.3 pts worse
|
12.0%
8.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 21.7% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
2.3%
0.1 pts better
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.3% · Q3 3.3% · Q4 1.9% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 51.3% |
63.0%
11.7 pts worse
|
79.7%
28.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 51.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.8% |
26.2%
3.6 pts worse
|
23.9%
5.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.8% · Observed 33.8% · Expected 27.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-28 · Fire 2024-03-28
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-01-27 · Fire 2023-01-27
14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-05-09
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-10
E · Potential for more than minimal harm
2025-05-09
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 2025-05-10
E · Potential for more than minimal harm
2025-05-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-10
D · Potential for more than minimal harm
2025-05-09
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 2025-05-10
D · Potential for more than minimal harm
2025-05-09
F693 · Quality of Life and Care Deficiencies
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 2025-05-10
D · Potential for more than minimal harm
2025-05-09
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-05-10
D · Potential for more than minimal harm
2024-03-28
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-03-29
D · Potential for more than minimal harm
2024-03-28
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-29
F · Potential for more than minimal harm
2023-12-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-18
E · Potential for more than minimal harm
2023-12-17
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 2023-12-18
E · Potential for more than minimal harm
2023-03-12
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-03-13
D · Potential for more than minimal harm
2023-03-12
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-13
F · Potential for more than minimal harm
2023-01-27
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 2023-01-30
F · Potential for more than minimal harm
2023-01-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-30
E · Potential for more than minimal harm
2023-01-27
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-01-30
D · Potential for more than minimal harm
2023-01-27
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-01-30
D · Potential for more than minimal harm
2023-01-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-01-30
D · Potential for more than minimal harm
2023-01-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-30
D · Potential for more than minimal harm
2023-01-27
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-30
D · Potential for more than minimal harm
2023-01-27
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 2023-01-30
D · Potential for more than minimal harm
2023-01-27
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 2023-01-30
C · Minimal harm
2023-01-27
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-01-30
Penalties and ownership
What sits behind the stars
Ownership
Garden, Daniel
5% Or Greater Direct Ownership Interest · Individual
Chaim Rajchenbach Descendants Tr Ua 04282008
5% Or Greater Direct Ownership Interest · Organization
Doros Generation Trust U/A/D 1/3/12
5% Or Greater Direct Ownership Interest · Organization
Ninio, Mordechay
5% Or Greater Direct Ownership Interest · Individual
Chaim Rajchenbach Descendants Tr Ua 04282008
Operational/Managerial Control · Organization
Chona, Shilip
W-2 Managing Employee · Individual
Tbdmd Il, LLC
Operational/Managerial Control · Organization
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