Deficiency Index

Complete Care at Margate Park

Chicago, Illinois · CCN 145881

73 surveys since 2011, 20 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
286
Surveys
73
Harm or worse
20
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file39/73

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

The facility

Certified beds
310
Ownership
For profit - Limited Liability company
Chain
COMPLETE CARE
County
Cook
Medicare-certified since
1996

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 232 for-profit facilities with 128 or more beds in Illinois.

Last survey on record

Jul 16, 2026

116 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 day3.013.12
Registered-nurse hours per resident day0.45—
Annual nurse turnover47.4%43.2%

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

Enforcement

Fines
$138,739 across 4 penalties
Payment denials
1
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ11.0%K—L—
Actual harmG98.8%H—I—
No harm, potential for more than minimalD7472.5%E109.8%F87.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 102 of the 286 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F68911×

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

  • F6008×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6097×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6845×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6865×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

In the surveyor’s words

From the most serious findings on record at Complete Care at Margate Park, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Sep 15, 2023

    Based on observation, interview and record review the facility failed to ensure resident safety by allowing a resident (R1) out on a community pass unsupervised. This failure resulted in staff not following the proper protocol procedures for residents with community pass privileges, which allowed R1, who can only go out on community pass supervised, to sign out on community pass on 8/31/23 unsupervised. R1 has not returned to the facility. This situation was identified as an immediate jeopardy. The Administrator was notified and presented with the immediate jeopardy template on 09/12/2023. The immediate jeopardy began on 8/31/2023 and removed on 9/15/2023. The facility presented an acceptable removal plan on 9/15/2023. […]

  • Actual harm, isolatedF689Jul 16, 2026

    Based on interview and record review, the facility failed to follow the plan of care and provide verbal cues for one resident (R7) who was assessed as having a high risk for falls. This failure affected one of three residents reviewed for falls. This failure resulted in R7 falling to the ground and sustaining a hip fracture. Findings include: R7's medical diagnoses include but are not limited to extrapyramidal and movement disorder, dementia, hypertensive heart and chronic kidney disease with heart failure, chronic obstructive pulmonary disease. R7's Minimum Data Set (MDS) dated [DATE] has a Brief Interview for Mental Status score of 10, indicating R7's cognition is moderately impaired. […]

  • Actual harm, isolatedF689Sep 23, 2025

    Based on interview and record review, the facility failed to provide adequate supervision for a resident while at the facility. This failure affected 1(R1) resident out of 5 residents reviewed for supervision. R1 incurred a full thickness burn on his left leg with a surface area of 136.90 cm^2 .Findings include:On 09/18/2025 at 3:12pm, V10 (Smoke Monitor/Receptionist) stated that on 07/29/2025, he (V10) was in the dining room, opening the door to the patio for the 3pm smoking time. When V10 saw him (R1) in the dining room, he (V10) said, Wow, he got some burn. V10 stated he sent him (R1) upstairs because he (R1) could not stay in the patio with a big burn on his leg. V10 said there is no way he (R1) got the burn in the patio because it was not hot that day for him to get a huge burn mark. […]

  • Actual harm, isolatedF600Aug 6, 2025

    Based on interview and record review, the facility failed to ensure that residents are free from abuse for one of three residents (R1) reviewed for abuse in the sample of nine. R1 suffered a head laceration after being pushed to the floor.Findings include:R1's face sheet documents R1 is a 44 -year-old admitted to the facility on 11.3.2023, with diagnoses including but not limited to: Chronic Obstructive Pulmonary Disease, Diabetes, Convulsions, and chronic kidney disease. R1's MDS (Minimum Data Set of 5.22.2025) documents a BIMS (Brief Interview for Mental Status) of 15 denoting R1 is cognitively intact.R2's face sheet documents R2 is a [AGE] year-old admitted to the facility on 11.15.2024 with diagnoses including but not limited to: Heart Failure, Peripheral Vascular Disease, Violent… […]

  • Actual harm, isolatedF726Aug 6, 2025

    Based on interview and record review, the facility failed to assess and immediately start CPR (Cardiopulmonary Resuscitation) for resident found unresponsive on the floor for one of one resident (R3) reviewed for CPR in the sample of sample of nine. This failure resulted in R3 being without vital signs and not receiving immediate CPR.Findings include:R3's face sheet documents R3 was a [AGE] year-old admitted to the facility on 9.12.2011, with diagnoses including but not limited to: Chronic Obstructive Pulmonary Disease, Asthma, Hypertension, and Hyperlipidemia. […]

Read 39 findings in full →The most serious and the most recent: 39 of 286 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 14, 2026Complaint2 findings
  • Jul 16, 2026Complaint1 finding · 1 harm
  • Jun 14, 2026Complaint1 finding
  • May 15, 2026Complaint3 findings
  • Apr 13, 2026Complaint2 findings
  • Feb 27, 2026Standard14 findings
  • Nov 20, 2025Complaint4 findings
  • Sep 23, 2025Complaint4 findings · 1 harm
Show the 65 earlier surveys
  • Aug 6, 2025Complaint2 findings · 2 harm
  • Jul 21, 2025Complaint1 finding
  • Jul 18, 2025Complaint3 findings · 1 harm
  • Jun 20, 2025Complaint1 finding
  • Apr 17, 2025Complaint2 findings
  • Apr 3, 2025Standard16 findings
  • Mar 28, 2025Complaint2 findings
  • Mar 21, 2025Complaint1 finding
  • Feb 26, 2025Complaint1 finding
  • Feb 18, 2025Complaint1 finding
  • Jan 15, 2025Complaint2 findings
  • Dec 20, 2024Complaint2 findings
  • Nov 21, 2024Complaint6 findings · 2 harm
  • Oct 18, 2024Complaint1 finding
  • Oct 10, 2024Complaint3 findings
  • Aug 23, 2024Complaint4 findings · 1 harm
  • Jul 24, 2024Complaint1 finding
  • Jul 14, 2024Complaint1 finding
  • Jul 5, 2024Complaint2 findings
  • Jun 21, 2024Complaint4 findings
  • Feb 29, 2024Standard7 findings
  • Feb 22, 2024Complaint2 findings
  • Jan 17, 2024Complaint3 findings
  • Dec 29, 2023Complaint2 findings
  • Nov 19, 2023Complaint1 finding · 1 harm
  • Sep 15, 2023Complaint1 finding · 1 harm
  • Jul 30, 2023Complaint1 finding
  • Jun 30, 2023Complaint1 finding
  • Mar 17, 2023Standard and complaint18 findings
  • Nov 6, 2022Complaint2 findings
  • Aug 5, 2022Complaint2 findings
  • Jun 29, 2022Complaint2 findings
  • Apr 21, 2022Standard8 findings
  • Apr 15, 2022Complaint4 findings
  • Dec 23, 2021Complaint1 finding
  • Jul 13, 2021Complaint1 finding
  • Jun 16, 2021Standard13 findings
  • Mar 1, 2021Complaint3 findings
  • Oct 2, 2020Complaint2 findings
  • Feb 21, 2020Complaint2 findings · 1 harm
  • Feb 5, 2020Standard and complaint8 findings
  • Mar 13, 2019Complaint1 finding
  • Jan 17, 2019Standard and complaint12 findings · 1 harm
  • Dec 17, 2018Complaint4 findings
  • Oct 18, 2018Complaint10 findings · 3 harm
  • Jul 27, 2018Complaint1 finding
  • Jun 13, 2018Complaint5 findings
  • May 10, 2018Complaint1 finding
  • Apr 12, 2018Complaint6 findings · 1 harm
  • Feb 28, 2018Complaint2 findings
  • Dec 21, 2017Standard4 findings
  • Nov 9, 2017Complaint2 findings
  • Jun 29, 2017Complaint3 findings · 1 harm
  • Jan 20, 2017Complaint1 finding
  • Nov 16, 2016Standard8 findings
  • Apr 14, 2016Complaint1 finding
  • Dec 10, 2015Standard12 findings · 1 harm
  • Feb 27, 2015Complaint1 finding
  • Jan 8, 2015Standard12 findings
  • Feb 11, 2014—6 findings
  • Oct 23, 2013—2 findings · 1 harm
  • Sep 10, 2013—2 findings
  • Jan 18, 2013—4 findings
  • Mar 8, 2012—7 findings · 1 harm
  • Jan 28, 2011—8 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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