| Avenora Elmhurst | |
| 200 East Lake Street, Elmhurst, Illinois 60126 | |
| (630) 516-5000 | |
| Name | Avenora Elmhurst |
|---|---|
| Location | 200 East Lake Street, Elmhurst, Illinois |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 108 |
| Occupancy Rate | 38.33% |
| Medicare ID (CCN) | 145111 |
| Legal Business Name | Sbnb, Inc. |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1205266988 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Sbnb Inc. |
| Doing Business As | Elmhurst Extended Care Center |
| Address | 200 E Lake St, Elmhurst, IL 60126 |
| Phone Number | 630-516-5000 |
| NPI Number | 1023003092 |
| Match | Possible same name, address or phone number |
| Organization Name | Elmhurst Extended Care Center |
| Address | 200 E Lake St, Elmhurst, IL 60126 |
| Phone Number | 630-834-4337 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 1.44 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.38 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.24 | 0.86 |
| Nurse aide hours per resident per day | 0.82 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 1.37 | 3.42 |
| RN hours per resident per day on the weekend | 0.31 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 46.9% | 45.8% |
| Registered nurse turnover | 61.9% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 4 |
| Total Amount of Fines in Dollars | $216,044 |
| Number of Payment Denials | 3 |
| Total Number of Penalties | 7 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 9, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by May 22, 2026 |
| Jan 8, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Feb 6, 2026 |
| Jan 8, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Feb 6, 2026 |
| May 9, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| Feb 26, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 7, 2025 |
| Oct 10, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Oct 17, 2024 |
| Oct 10, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Oct 17, 2024 |
| Oct 10, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Oct 17, 2024 |
| Oct 10, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Dec 27, 2024 |
| Oct 10, 2024 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Oct 17, 2024 |
| Oct 10, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 27, 2024 |
| Oct 10, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Dec 27, 2024 |
| Oct 10, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Oct 17, 2024 |
| Oct 10, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Oct 10, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 17, 2024 |
| Oct 10, 2024 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 17, 2024 |
| Oct 10, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 17, 2024 |
| Sep 18, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Oct 1, 2024 |
| Sep 18, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Oct 1, 2024 |
| Aug 30, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Sep 10, 2024 |
| Aug 30, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 10, 2024 |
| Aug 30, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 10, 2024 |
| Jul 15, 2024 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. F0626, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Dec 10, 2024 |
| Jun 5, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jun 6, 2024 |
| Jun 5, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Jun 6, 2024 |
| Nov 29, 2023 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Apr 1, 2024 |
| Nov 29, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Dec 5, 2023 |
| Nov 29, 2023 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Apr 9, 2024 |
| Nov 29, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 5, 2023 |
| Nov 29, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 5, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.39 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.73 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.47 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 60.15 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.24 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.01 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 27.28 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.41 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.38 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.46 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.21 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.29 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.52 | 15.38 |
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