| Tri-state Village Nrsg & Rhb | |
| 2500 East 175th Street, Lansing, Illinois 60438 | |
| (708) 474-7330 | |
| Name | Tri-state Village Nrsg & Rhb |
|---|---|
| Location | 2500 East 175th Street, Lansing, Illinois |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 84 |
| Occupancy Rate | 94.52% |
| Medicare ID (CCN) | 145879 |
| Legal Business Name | Tri-state Village Nursing and Rehabilitation Center LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Atied Associates (12 nursing homes) |
| Chain Average Overall Rating | 1.8 out of 5 |
| NPI Number | 1861963217 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Tri-state Village Nursing and Rehabilitation Center LLC |
| Address | 2500 175th St, Lansing, IL 60438 |
| Phone Number | 708-474-7330 |
| 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 | 3.29 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.81 | 0.86 |
| Nurse aide hours per resident per day | 1.69 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.82 | 3.42 |
| RN hours per resident per day on the weekend | 0.43 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 25.8% | 45.8% |
| Registered nurse turnover | 11.1% | 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 | 5 |
| Total Amount of Fines in Dollars | $279,810 |
| Number of Payment Denials | 3 |
| Total Number of Penalties | 8 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 13, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Mar 27, 2026 |
| Mar 13, 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 | Potential for harm, isolated | Corrected by Mar 27, 2026 |
| Nov 17, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Dec 5, 2025 |
| Aug 27, 2025 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940, Administration, Complaint inspection | Potential for harm, widespread | Corrected by Sep 5, 2025 |
| Aug 27, 2025 | 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 | Potential for harm, isolated | Corrected by Sep 5, 2025 |
| Apr 30, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by May 23, 2025 |
| Apr 30, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 23, 2025 |
| Apr 30, 2025 | 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, pattern | Corrected by May 23, 2025 |
| Apr 30, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by May 23, 2025 |
| Apr 30, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by May 23, 2025 |
| Apr 30, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Apr 30, 2025 | 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 May 23, 2025 |
| Apr 30, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Apr 30, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Apr 30, 2025 | 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 May 23, 2025 |
| Apr 30, 2025 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Apr 30, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 23, 2025 |
| Apr 30, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by May 23, 2025 |
| Apr 30, 2025 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Minimal harm potential, widespread | Corrected by May 23, 2025 |
| Apr 23, 2025 | 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 | Immediate jeopardy, isolated | Corrected by Apr 23, 2025 |
| Mar 13, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 28, 2025 |
| Nov 7, 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 | Potential for harm, isolated | Corrected by Nov 30, 2024 |
| Nov 7, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Nov 30, 2024 |
| Aug 11, 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 Aug 29, 2024 |
| Jun 28, 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 Jul 25, 2024 |
| Jun 28, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jul 25, 2024 |
| Jun 28, 2024 | 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, isolated | Corrected by Jul 25, 2024 |
| Apr 26, 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, widespread | Corrected by May 20, 2024 |
| Apr 26, 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 May 20, 2024 |
| Apr 26, 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, Complaint inspection | Potential for harm, isolated | Corrected by May 20, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.68 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 13.88 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.28 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 4.18 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 100 | 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 | 0.68 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.7 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.57 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.6 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.77 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 25.27 | 15.38 |