Deficiency Index

Avantara Aurora

Aurora, Illinois · CCN 145944

25 surveys since 2011, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
105
Surveys
25
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file20/25

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
87
Ownership
For profit - Limited Liability company
Chain
LEGACY HEALTHCARE
County
Kane
Medicare-certified since
1997

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 140 for-profit facilities of 66–99 beds in Illinois.

Last survey on record

May 20, 2026

173 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.463.18
Registered-nurse hours per resident day1.22—
Annual nurse turnover52.6%45.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG13.4%H—I—
No harm, potential for more than minimalD2069.0%E517.2%F26.9%
No harm, potential for minimalA—B—C13.4%
CMS’s current file: 29 of the 105 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F7613×

    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.

  • F8033×

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  • F6892×

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

In the surveyor’s words

From the most serious findings on record at Avantara Aurora, in the surveyor’s own words.

  • Actual harm, isolatedF692Apr 11, 2024

    Based on observation, interview, and record review, the facility failed to follow physician's orders and weigh a resident weekly. The facility also failed to implement interventions for residents with weight loss. This failure resulted in R76 having a significant weight loss. This applies to 5 of 7 residents (R76, R40, R13, R10, and R53) reviewed for weight loss in the sample of 20. The findings include: 1. The EMR (Electronic Medical Record) showed R76 was admitted to the facility on [DATE], with multiple diagnoses including stroke, type 2 diabetes, protein-calorie malnutrition, dysphagia, and gastrostomy status. R76's MDS (Minimum Data Set) dated March 23, 2024, showed R76 had moderate cognitive impairment. […]

  • No harm, potential for more than minimal, widespreadF803Mar 14, 2025

    Based on observation, interview and record review, the facility failed to follow their planned menu resulting in lunch entrees being served to residents with inadequate protein. This applies to all 78 residents in the facility receiving General, Low Concentrated Sweets, No Added Salt, Pureed, and Mechanical Soft diets at the facility. The findings include: The facility's Long-Term Care Facility Application for Medicare and Medicaid (Form CMS-Centers for Medicare and Medicaid Services-671) dated 3/14/25 documents that the total census was 79 residents. […]

  • No harm, potential for more than minimal, widespreadF803Apr 11, 2024

    Based on observation, interview and record review, the facility failed to follow their planned menu/recipes resulting in lunch entrees being served to residents with inadequate protein. This applies to all 66 residents in the facility receiving General, Low Concentrated Sweets, No Added Salt, Pureed, and Mechanical Soft diets at the facility. The findings include: Long-Term Care Facility Application for Medicare and Medicaid, dated April 8, 2024, showed the facility census was 71 residents. Client List Report, printed April 9, 2024, showed all but five residents in the facility received either a General, Low Concentrated Sweets, No Added Salt, Pureed or Mechanical Soft diet. […]

  • No harm, potential for more than minimal, widespreadF812Mar 3, 2022

    Based on observation, interview, and record review the facility failed to handle food in a manner to prevent cross contamination, failed to sanitize equipment in a manner to prevent food born illness, and failed to use equipment in a manner to prevent food born illness. This failure has the potential to affect all 62 facility residents. The findings include: The facility's 3/2/22 Resident Census and Conditions of Residents form showed 62 residents in the facility. 1. On 3/1/22 from 11:10 AM-11:50 AM, V5 lead cook was observed plating food from the steam table area to individual resident plates and trays. V5 grabbed fish filets using gloved hands and placing the fish on plates. […]

  • No harm, potential for more than minimal, widespreadF886Mar 3, 2022

    Based on interview and record review, the facility failed to do twice weekly COVID-19 testing on a partially vaccinated employee. This has the potential to affect all 62 facility residents. The findings include: The facility's 3/2/22 Resident Census and Conditions of Residents form showed 62 residents in the facility. On 3/3/22 at 11:14 AM, V3 Director of Nursing (DON) said COVID-19 testing is being done twice weekly for unvaccinated staff because that's our county's expectation. We have to continue doing this until 3/6/22 due to an outbreak we had in December 2021. V21 had one COVID vaccine dose in December 2021. […]

Read 22 findings in full →The most serious and the most recent: 22 of 105 on record.

Every survey on record

FindingsAt actual harm or above

  • May 20, 2026Complaint1 finding
  • May 14, 2026Standard10 findings
  • Mar 14, 2025Standard7 findings
  • Apr 11, 2024Standard5 findings · 1 harm
  • May 19, 2023Standard6 findings
  • Mar 3, 2022Standard11 findings
  • Apr 8, 2021Standard3 findings
  • Jun 23, 2020Infection control1 finding
Show the 17 earlier surveys
  • Apr 18, 2019Standard7 findings
  • May 10, 2018Standard10 findings · 1 harm
  • Feb 8, 2018Complaint2 findings
  • Nov 29, 2017Complaint1 finding
  • Jun 9, 2017Standard5 findings
  • May 26, 2016Standard2 findings
  • Jan 12, 2016Complaint2 findings
  • May 13, 2015Complaint2 findings
  • Apr 24, 2015Standard2 findings
  • Apr 24, 2014Complaint1 finding
  • Mar 13, 2014Standard6 findings
  • Feb 24, 2014—2 findings
  • May 1, 2013—8 findings
  • Apr 27, 2012—2 findings · 1 harm
  • Mar 23, 2012—1 finding
  • Feb 29, 2012—1 finding
  • Apr 28, 2011—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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