Grove of Elmhurst, The
Elmhurst, Illinois · CCN 145339
62 surveys since 2011, 18 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
- 209
- Surveys
- 62
- Harm or worse
- 18
- Immediate jeopardy
- 7
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 180
- Ownership
- For profit - Corporation
- Chain
- LEGACY HEALTHCARE
- County
- Du Page
- Medicare-certified since
- 1978
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 232 for-profit facilities with 128 or more beds in Illinois.
Last survey on record
Jun 25, 2026
137 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.36 | 3.12 |
| Registered-nurse hours per resident day | 0.68 | — |
| Annual nurse turnover | 49.6% | 43.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $143,281 across 2 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J23.7% | K— | L— |
| Actual harm | G35.6% | H— | I— |
| No harm, potential for more than minimal | D3972.2% | E1018.5% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6776×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6845×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6864×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F8804×
Provide and implement an infection prevention and control program.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
In the surveyor’s words
From the most serious findings on record at Grove of Elmhurst, The, in the surveyor’s own words.
- Immediate jeopardy, patternF600Feb 24, 2022
Based on observation, interview, and record review, the facility failed to ensure residents were free from neglect when it failed to provide structures and processes to care for residents receiving anti-[CONDITION(S)] medications, residents with indwelling urinary catheters, and a resident with respiratory condition changes requiring a STAT X-ray. The facility neglected to follow their medication pass and controlled medication policies for two residents (R2 and R9) receiving anti-[CONDITION(S)] medications. This failure resulted in R2 and R9 experiencing multiple breakthrough seizures. R2 required hospitalization for [CONDITION(S)], Aspiration Pneumonia due to [CONDITION(S)] activity, sedation, and intubation with mechanical ventilation. […]
- Immediate jeopardy, isolatedF678Jun 11, 2026
Based on observation, interview and record review, the facility failed to follow its policy and perform AHA (American Heart Association) CPR (Cardiopulmonary Resuscitation).This failure resulted in Immediate Jeopardy. The Immediate Jeopardy began on 5/7/26 at 5:04 PM when the facility failed provide timely rescue breaths and placement of the available AED (Automatic External Defibrillator) on an unresponsive resident designated as full code.This applies to 82 of 83 residents (R1, R3-R83) reviewed for quality of care in the sample of 83.V1 (Administrator), V2 (Director of Nursing), and V36 (Corporate Consultant) were notified of the Immediate Jeopardy on 6/9/26 at 5:50 PM. […]
- Immediate jeopardy, isolatedF600May 9, 2024
Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from physical abuse by V3 (Agency CNA-Certified Nursing Assistant), when V3 punched R1 in the face and grabbed R1's lower arm. This applies to 1 of 4 residents (R1) reviewed for staff-to-resident abuse in the sample of 7. This failure resulted in R1 experiencing bruising on her face and lower arm and R1expericing a psychosocial impact. R1 stated she can still see V3's fist coming towards her face when she closes her eyes. The Immediate Jeopardy began on April 27, 2024, at 8:00 PM when V3 (Agency CNA) punched R1 in the face and grabbed R1's lower arm. […]
- Immediate jeopardy, isolatedF690Feb 24, 2022
Based on observation, interview, and record review the facility failed to provide catheter care and follow physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] This failure resulted in R8 experiencing marked distension of the urinary bladder with urine retention of 1200 ml (milliliters) of purulent urine, Hydronephrosis (swelling of the kidney), purulent drainage from the penis, indwelling catheter associated Urinary Tract Infection, [CONDITION(S)] due to Urinary Tract Infection, and hospitalization . […]
- Immediate jeopardy, isolatedF760Feb 24, 2022
Based on interview and record review the facility failed to administer anticonvulsant medications to residents as ordered by the physician and failed to follow the facility policy for medication administration and documentation. This failure resulted in R2 and R9 experiencing breakthrough seizures, R2 requiring hospitalization for [CONDITION(S)], and R9 requiring treatment at the local emergency room for a [CONDITION(S)] [MEDICATION(S)] more than 10 minutes and not relieved by medication ordered for breakthrough seizures. This applies to 3 of 3 residents (R2, R4, R9) reviewed for medications in the sample of 26. The immediate Jeopardy was noted to begin on December 2, 2021, when the facility failed to provide the anticonvulsant medication [MEDICATION(S)] ([MEDICATION(S)]). […]
Read 35 findings in full →The most serious and the most recent: 35 of 209 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 25, 2026Complaint1 finding
- Jun 11, 2026Complaint2 findings · 2 harm
- Jan 8, 2026Complaint3 findings
- Aug 11, 2025Complaint1 finding
- May 23, 2025Standard11 findings · 1 harm
- Jan 17, 2025Complaint2 findings
- Dec 20, 2024Complaint1 finding
- May 9, 2024Complaint3 findings · 1 harm
Show the 54 earlier surveys
- Apr 5, 2024Standard and complaint11 findings · 1 harm
- Mar 12, 2024Complaint1 finding
- Oct 19, 2023Complaint2 findings
- Jul 13, 2023Complaint4 findings
- Apr 7, 2023Complaint1 finding
- Mar 1, 2023Standard and complaint13 findings
- Jan 18, 2023Complaint1 finding
- Dec 1, 2022Complaint1 finding
- Jun 24, 2022Complaint1 finding
- Jun 9, 2022Complaint3 findings · 1 harm
- May 26, 2022Complaint3 findings
- May 13, 2022Complaint3 findings
- May 6, 2022Complaint1 finding
- Apr 4, 2022Complaint2 findings
- Feb 24, 2022Complaint6 findings · 4 harm
- Jan 10, 2022Complaint1 finding
- Dec 8, 2021Standard6 findings
- Nov 1, 2021Complaint1 finding · 1 harm
- Oct 27, 2021Complaint2 findings · 2 harm
- Oct 14, 2021Complaint1 finding
- Aug 18, 2021Complaint3 findings
- Apr 1, 2021Complaint3 findings
- Dec 8, 2020Complaint1 finding
- Oct 30, 2020Standard6 findings
- Oct 11, 2020Complaint1 finding
- Sep 17, 2020Complaint1 finding
- Aug 11, 2020Infection control1 finding
- Jul 17, 2020Infection control1 finding
- Nov 20, 2019Complaint3 findings
- Jul 29, 2019Complaint1 finding
- Jun 19, 2019Standard5 findings
- Apr 4, 2019Complaint2 findings
- Mar 14, 2019Complaint2 findings
- Dec 10, 2018Complaint1 finding
- Sep 4, 2018Complaint3 findings
- Jun 29, 2018Complaint2 findings
- May 25, 2018Standard6 findings
- Mar 13, 2018Complaint2 findings
- Nov 22, 2017Complaint1 finding
- May 18, 2017Complaint1 finding
- Apr 26, 2017Standard4 findings
- Nov 29, 2016Complaint1 finding
- Jun 17, 2016Standard11 findings
- Feb 9, 2016Complaint3 findings
- Jun 10, 2015Complaint1 finding
- May 7, 2015Standard3 findings
- Apr 22, 2015Complaint1 finding
- Apr 15, 2014Standard8 findings
- Oct 11, 2013—1 finding · 1 harm
- Sep 26, 2013—1 finding
- May 9, 2013Standard23 findings · 1 harm
- Apr 24, 2013—1 finding · 1 harm
- Jun 22, 2012—4 findings
- Aug 25, 2011—13 findings · 2 harm
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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction