Westminster Place
Evanston, Illinois · CCN 145026
13 surveys since 2012, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 43
- Surveys
- 13
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 105
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Cook
- Medicare-certified since
- 1967
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 5
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=9, floor 20).
Last survey on record
Oct 18, 2024
752 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 | 5.23 | 4.30 |
| Registered-nurse hours per resident day | 1.88 | — |
| Annual nurse turnover | 23.1% | 39.8% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D685.7% | E114.3% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8802×
Provide and implement an infection prevention and control program.
- F6861×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F6901×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F7551×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
In the surveyor’s words
From the most serious findings on record at Westminster Place, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Sep 30, 2021
Based on observation, interview and record review, the facility failed to discard food items after reaching their good thru dates; failed to wear hair net(s) while in the kitchen; and failed to follow policy and procedure regarding food storage. These deficient practices have the potential to affect 48 residents receiving food prepared from the kitchen. Findings include: On 9/28/21 at 9:37AM, during the initial kitchen observation, V12 (Dining Services staff) was observed preparing vegetable salad without a hair net. V10 (Dining Services staff) was observed working at the baking station preparing cookies to be baked without a hair net. […]
- No harm, potential for more than minimal, patternF880Oct 18, 2024
Based on observation, interview, and record review the facility failed to implement its protocol on Enhanced barrier precaution. This deficiency affects all four (R42, R45, R108, and R110) residents in the sample of 14 reviewed for Infection Control Management. Findings include: 1.) On 10/15/24 at 9:34AM, Observed V12 (Certified Nursing Assistant/CNA) came out from the room donning off gown, gloves and face shield then disposed it to the garbage container outside the room. The he performed hand hygiene. Observed isolation set up outside the R42's room. On 10/15/24 at 9:37AM, V11 (Registered Nurse/RN) said that R42 is on Enhanced Barrier Precaution (EBP), but she does not know the reason. V11 is wearing surgical mask, she donned gown and gloves. […]
- No harm, potential for more than minimal, isolatedF686Oct 18, 2024
Based on observation, interview, and record review the facility failed to limit layers of linens when using a low air loss (LAL) mattress for residents with pressure ulcers. The facility also failed to follow a physician's order and failed to implement a wound prevention intervention. This deficiency affects two (R108 and R110) of three residents in the sample of 14 reviewed for Wound Care management. Findings include: 1.) On 10/15/24 at 10:16AM, Observed R108 lying in bed on Low air loss (LAL) mattress. R108 has fitted sheet covering the LAL mattress. V6 (Wound Care Nurse/WCN) lifted the top sheet linen to check the LAL mattress. Observed cloth pad and folded linen in quarters underneath R108. R108 wears disposable brief. […]
- No harm, potential for more than minimal, isolatedF690Oct 18, 2024
Based on observation, interview, and record review the facility failed to ensure proper perineal care is provided during incontinence care. This deficiency affects one (R108) of three residents in the sample of 14 reviewed for Incontinence care. Findings include: On 10/15/24 at 11:09AM, Observed V6 (Wound Care Nurse/WCN) and V13 (Certified Nursing Assistant/CNA) preparing to provide wound care to R108. Observed thick pad lining inside the disposable brief. V13 said that the caregiver has been applying the pad lining inside the disposable brief because R108 poops a lot. V13 said that he did not report this to the floor nurse and to V6 (WCN). […]
- No harm, potential for more than minimal, isolatedF755Oct 18, 2024
Based on observation, interview, and record review the facility failed to document count verification of controlled substances during nurses' shift change for one of three medication carts reviewed for Medication storage of controlled substances. Findings include: On 10/15/24 at 9:35AM, Checked medication cart with V11 (Registered Nurse/RN). Observed controlled substances count verification form for October 2024 has several missing initials of nurses dated 10/1/24, 10/2/24, 10/3/24, 10/11/24, and 10/15/24. V11 said that incoming nurse and outgoing nurse will sign the controlled medication verification form after counting the medications. V11 RN said that she counts the narcotic medications with the 11-7 shift nurse this morning around 7:30AM but she forgot to sign after counting. […]
Read 20 findings in full →The most serious and the most recent: 20 of 43 on record.
Every survey on record
FindingsAt actual harm or above
- Oct 18, 2024Standard4 findings
- Nov 3, 2023Standard2 findings
- Oct 27, 2022Standard1 finding
- Sep 30, 2021Standard2 findings
- Sep 5, 2019Standard5 findings
- Aug 31, 2018Standard7 findings
- Oct 27, 2017Standard10 findings
- Mar 15, 2017Complaint1 finding
Show the 5 earlier surveys
- Sep 22, 2016Standard3 findings
- Aug 20, 2015Standard2 findings
- Sep 5, 2014Standard2 findings
- Jul 12, 2013—3 findings
- Aug 24, 2012—1 finding
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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