12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Orland Park, IL
3-star overall rating with 3-star inspections with $60,348 in total fines with 12 recent health deficiencies
14601 South John Humphrey Dr, Orland Park, IL
(708) 349-8300
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
275
Certified beds
Average residents
178
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Legacy Healthcare
Operator or chain grouping
Approved since
1996-08-23
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
RN hours / resident day
0.76
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.19
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.84
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.78
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
0.59
CMS adjusted RN staffing hours
Adjusted total hours
2.99
CMS adjusted total nurse staffing hours
Case-mix index
1.76
Higher values indicate more complex resident acuity
RN turnover
49%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
8,988
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.09
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.93
Baseline 24.49% · Performance 23.43% · Measure score 0.93 · Achievement 0 · Improvement 0.93
Healthcare-associated infections
7.54
Baseline 11.94% · Performance 6.36% · Measure score 7.54 · Achievement 4.94 · Improvement 7.54
Total nurse turnover
0
Baseline 58.54% · Performance 68.92% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.57
Baseline 2.42 hours · Performance 3.11 hours · Measure score 1.57 · Achievement 0 · Improvement 1.57
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.87% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 628 · Observed rate 13.22% · Lower 95% interval 10.04% |
| Discharge to community | 60.42% |
50.57%
9.9 pts better
|
Better than the National Rate · Eligible stays 625 · Observed rate 51.36% · Lower 95% interval 54.8% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.53% |
95.27%
2.3 pts better
|
Numerator 435 · Denominator 446 |
| Falls with major injury | 1.12% |
0.77%
0.4 pts worse
|
Numerator 5 · Denominator 445 |
| Discharge self-care score | 53.82% |
53.69%
0.1 pts better
|
Numerator 162 · Denominator 301 |
| Discharge mobility score | 44.52% |
50.94%
6.4 pts worse
|
Numerator 134 · Denominator 301 |
| Pressure ulcers or injuries, new or worsened | 0.45% |
2.29%
1.8 pts better
|
Numerator 2 · Denominator 445 · Adjusted rate 0.39% |
| Healthcare-associated infections requiring hospitalization | 6.36% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 427 · Observed rate 6.32% · Lower 95% interval 4.63% |
| Staff COVID-19 vaccination coverage | 12.08% |
8.2%
3.9 pts better
|
Numerator 25 · Denominator 207 |
| Staff flu vaccination coverage | 24.05% |
42%
17.9 pts worse
|
Numerator 76 · Denominator 316 |
| Discharge function score | 52.49% |
56.45%
4 pts worse
|
Numerator 158 · Denominator 301 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 121 · Denominator 121 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 255 · Denominator 255 |
| Resident COVID-19 vaccinations up to date | 7.49% |
25.2%
17.7 pts worse
|
Numerator 17 · Denominator 227 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.0
0.3 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.5 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
2.3
0.4 pts better
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.2 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.5% |
89.6%
14.1 pts worse
|
93.4%
17.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 81.6% · Q3 73.2% · Q4 67.7% · 4Q avg 75.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 65.4% |
91.6%
26.2 pts worse
|
95.5%
30.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 65.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.3%
0.5 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 4.0% · Q3 4.1% · Q4 4.8% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 97.3% |
50.3%
47 pts worse
|
11.4%
85.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 97.4% · Q3 97.3% · Q4 97.4% · 4Q avg 97.3% |
| Percentage of long-stay residents who lose too much weight | 11.5% |
6.5%
5 pts worse
|
5.4%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 15.1% · Q3 9.4% · Q4 11.1% · 4Q avg 11.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.3% |
18.5%
7.2 pts better
|
19.6%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 11.2% · Q3 10.1% · Q4 9.9% · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.0% |
22.8%
4.2 pts worse
|
16.7%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 30.2% · Q3 23.9% · Q4 27.4% · 4Q avg 27.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.2% |
0.1%
0.1 pts worse
|
0.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.7% |
17.2%
10.5 pts better
|
16.3%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.6% · Q3 5.4% · Q4 5.2% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.2% |
15.0%
6.8 pts better
|
14.9%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 11.1% · Q3 4.9% · Q4 6.8% · 4Q avg 8.2% · 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 0.7% · 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 | 0.2% |
1.7%
1.5 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.4% |
21.3%
1.9 pts better
|
19.8%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 24.8% · Q3 13.8% · Q4 14.6% · 4Q avg 19.4% |
| Percentage of long-stay residents with pressure ulcers | 8.3% |
5.2%
3.1 pts worse
|
5.1%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 9.4% · Q3 8.5% · Q4 7.0% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 15.5% |
68.8%
53.3 pts worse
|
81.7%
66.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 18.2% · Q3 21.2% · Q4 14.2% · 4Q avg 15.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.5% |
14.0%
1.5 pts worse
|
12.0%
3.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 15.5% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
2.3%
About the same
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.3% · Q3 2.2% · Q4 2.8% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 15.7% |
63.0%
47.3 pts worse
|
79.7%
64 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 15.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.3% |
26.2%
2.1 pts worse
|
23.9%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 29.4% · Expected 24.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-20
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-06-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-28
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 2025-04-28
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-28
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-04-28
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-28
Health
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.
Corrected 2025-04-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-28
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 2025-04-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-16
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-11
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-04-11
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-11
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-04-11
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-04-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-11
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-11
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-04-11
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-04-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-04
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-19
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-05-19
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-05-19
Penalties and ownership
Fine · fine $13,549
Fine
Fine · fine $9,798
Fine
Fine · fine $37,001
Fine
Payment Denial · denial start 2023-10-26 · 39 days
39 day denial
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Nearby options
Orland Park, IL
1-star overall rating with 2-star inspections with $30,160 in total fines with 16 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Homer Glen, IL
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Palos Heights, IL
3-star overall rating with 3-star inspections with $39,805 in total fines with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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