Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arista Healthcare during CMS and state inspections, most recent first.
Facility staff failed to follow infection control protocols, including hand hygiene and PPE use, for residents under Enhanced Barrier Precautions. Multiple staff members entered rooms without washing hands or wearing appropriate PPE, and visitors were not educated on contact precautions. This affected residents with increased infection risk due to medical devices and conditions.
The facility failed to maintain proper food safety and hygiene standards in their kitchen, affecting all residents receiving oral nutrition. Observations revealed improperly labeled or expired food items, a dirty bin with a dead fly in the walk-in cooler, and a cook with an inadequately worn hair net. The Dietary Manager confirmed these lapses, acknowledging that expired food should be discarded, the cooler cleaned twice daily, and scoops stored separately to prevent contamination.
The facility failed to maintain resident dignity and privacy during care. An ADON stood over a resident while feeding, and CNAs left residents exposed during incontinence and catheter care without closing curtains or doors. Residents expressed discomfort, and staff acknowledged the importance of privacy, which aligns with facility policies.
The facility failed to provide written notice of transfer reasons to residents, their representatives, and the Ombudsman before hospital transfers. This deficiency was identified in three residents, including one with multiple diagnoses and frequent hospitalizations. Interviews revealed a lack of awareness among staff about the notification requirements.
The facility failed to provide written bed hold policy information to residents and/or their representatives before hospital transfers, as required by federal regulations. This deficiency was identified in the cases of three residents transferred for various medical reasons. Interviews with staff revealed a lack of awareness and adherence to the policy, despite the facility's own guidelines mandating such information be provided.
A resident with multiple diagnoses experienced severe itching and discomfort due to skin impairment, which was not properly assessed or treated by the facility. Despite CNAs documenting the issue and notifying the LPN, the nurse did not follow up with an assessment or notify the physician, contrary to facility policy.
A facility failed to provide restorative therapy services as care planned for a resident with hemiplegia and muscle weakness. The resident's care plan required participation in Bed Mobility and AROM/AAROM Restorative Nursing Programs, but staff documented participation only nine times in 30 days. Interviews revealed the resident had not received services for weeks, and the restorative nurse confirmed the programs were not conducted as required. The DON acknowledged the care plan was not followed, leading to a deficiency.
The facility failed to provide proper urinary catheter care and hand hygiene, leading to potential risks of UTIs for two residents. CNAs were observed cleaning catheter tubing incorrectly and not following hand hygiene protocols. The DON confirmed the correct procedures, which were not adhered to, as per the facility's policies.
The facility failed to follow proper hand hygiene practices, affecting two residents. A nurse fed a resident and handled a dirty plate without cleaning her hands. Two CNAs provided care to a resident without changing gloves or cleaning hands between tasks. The DON confirmed the expectation for staff to clean hands after glove removal and before donning new gloves.
Infection Control Deficiencies in PPE and Hand Hygiene
Penalty
Summary
The facility staff failed to adhere to infection prevention and control protocols, specifically in performing hand hygiene and using Personal Protective Equipment (PPE) while providing care to residents under Enhanced Barrier Precautions (EBP) and Transmission-Based Precautions (TBP). This deficiency was observed in the care of seven residents, all of whom were at increased risk of infection due to various medical conditions and the presence of indwelling medical devices. The staff's non-compliance with established protocols was evident in multiple instances, such as entering rooms without washing hands, not wearing gowns or gloves during high-contact activities, and failing to educate visitors about necessary precautions. One resident, identified as R2, was at a higher risk for infection due to a feeding tube and indwelling Foley catheter. Despite having a care plan that required EBP, a registered nurse (RN) entered R2's room and repositioned the resident without donning a gown. Similarly, another resident, R3, who had a tracheostomy and feeding tube, was not provided care in accordance with EBP protocols. A speech-language pathologist and an RN both failed to wear appropriate PPE while providing direct care, and a certified nursing assistant (CNA) did not change gloves or perform hand hygiene between caring for different residents. Additionally, the facility staff did not educate visitors about contact precautions for a resident with a C. difficile infection. Visitors were observed in the resident's room without wearing gloves or gowns, and there was no evidence that they had been informed about the necessary precautions. Interviews with the Assistant Director of Nursing (ADON) and an Infection Prevention (IP) nurse revealed a lack of clarity regarding the implementation and discontinuation of TBP, further highlighting the facility's failure to maintain effective infection control practices.
Food Safety and Hygiene Deficiencies in Facility Kitchen
Penalty
Summary
The facility failed to adhere to proper food safety and hygiene standards in their kitchen, affecting all residents who receive oral nutrition. During a tour of the facility's kitchen, several deficiencies were observed. In the walk-in cooler, a large empty silver bin was found on the top shelf under the fan, containing crusted dirt, dust, and a dead house fly. Additionally, several food items were improperly labeled or expired, including a medium-sized bin labeled 'gravy' and a small bin of leftover fish fillets, both with past expiration dates. Other items, such as cut-up fruit and Spanish rice, were found without any labels or dates. In the kitchen, a bin of powdered mashed potatoes and large buckets of thickener and flour were not dated, and scoops were improperly stored inside the bins, posing a contamination risk. Furthermore, a cook was observed serving lunch with a hair net that did not fully cover her hair, leaving her bangs and the top front of her head exposed. The facility's policies require all food items to be labeled and dated to ensure food safety, and for kitchen staff to wear hair restraints that cover all hair to prevent contamination. The Dietary Manager acknowledged these lapses, stating that expired food should be discarded by the end of the expiration date, and that the walk-in cooler should be cleaned twice daily. The facility's policies also dictate that scoops should not be stored inside food bins to prevent contamination, and that refrigeration units should be routinely cleaned and free from waste.
Failure to Maintain Resident Dignity and Privacy
Penalty
Summary
The facility failed to provide care with dignity to three residents, as observed during a survey. One incident involved the Assistant Director of Nursing standing over a resident while assisting with feeding, which was acknowledged by the Director of Nursing as inappropriate for maintaining dignity and respect. Another incident involved two Certified Nursing Assistants providing incontinence care and a bed bath to a resident without closing the curtain, leaving the resident exposed to their roommate. The resident expressed discomfort and a preference for privacy, stating that staff often leave the door and curtain open, making them feel cold and uncomfortable. In a separate incident, two CNAs provided catheter and incontinence care to another resident without closing the door or pulling the curtain, exposing the resident to the hallway. One of the CNAs admitted to forgetting to ensure privacy and acknowledged the importance of doing so for dignity and privacy. The facility's policies emphasize the importance of treating residents with dignity and respect, maintaining their privacy, and ensuring their quality of life, which were not adhered to in these instances.
Failure to Provide Written Transfer Notices
Penalty
Summary
The facility failed to provide written notice of the reason for transfer to the resident, their representative, and the Ombudsman before transferring residents to the hospital. This deficiency was identified in three residents who were reviewed for hospital transfers. Resident 62 was transferred to the hospital with a diagnosis of pneumonia and acute cystitis, but there was no documentation of written notice being provided to the resident, their representative, or the Ombudsman. Similarly, Resident 69 was transferred for gastrostomy and jejunostomy tube evaluation without the required written notifications. Additionally, Resident 37, who had multiple diagnoses including cirrhosis of the liver and type 2 diabetes, was transferred to the hospital on several occasions for various medical conditions, including high ammonia levels. The clinical records for Resident 37 lacked documentation of written notification to the resident or their representative regarding the reason for transfer, and no copy was sent to the Ombudsman. Interviews with the facility's Administrator and Director of Nursing revealed a lack of awareness regarding the requirement to notify the resident, their representative, and the Ombudsman in writing about the reasons for hospital transfers.
Failure to Provide Bed Hold Policy Information Before Hospital Transfers
Penalty
Summary
The facility failed to provide written bed hold policy information to residents and/or their representatives prior to hospital transfers, as required by federal regulations. This deficiency was identified in the cases of three residents. One resident was transferred to the hospital with pneumonia and acute cystitis, another for gastrostomy and jejunostomy tube evaluation, and a third for high ammonia levels. In each case, there was no documentation that the residents or their representatives received the required bed hold policy information before the transfers. Interviews with facility staff revealed a lack of awareness and adherence to the policy. The Administrator confirmed the absence of documentation for bed hold notices, and the Director of Nursing admitted to not knowing the requirement to provide such documentation. The facility's own policy, last revised in July 2024, mandates that residents be informed of the bed hold and reserve bed payment policy upon admission and at the time of transfer. Despite this, the facility did not comply with these requirements, resulting in the deficiency noted in the report.
Failure to Assess and Treat Resident's Skin Impairment
Penalty
Summary
The facility failed to assess and provide necessary treatments and services for a resident experiencing severe itching and discomfort due to skin impairment. The resident, a cognitively moderately intact female with multiple diagnoses including chronic respiratory problems and depression, was observed scratching her arms, which showed redness, scratch marks, dry skin, and scabs. The resident reported that the itching had been ongoing for at least a month and that staff were aware of it. Despite this, there was no evidence that the nurse assessed the resident's skin condition or notified the physician for further evaluation and treatment. Certified Nursing Assistants (CNAs) had documented the resident's skin issues and notified the Licensed Practical Nurse (LPN) on duty, but the nurse failed to follow up with an assessment or notify the physician. The facility's policy required the nurse to review the CNA's completed shower sheet form for skin impairments and ensure follow-up, which was not done. The Director of Nursing and Infection Preventionist confirmed that the nurse should have checked the CNA skin attention form, assessed the resident, and notified the appropriate personnel for evaluation and treatment.
Failure to Provide Restorative Therapy Services as Care Planned
Penalty
Summary
The facility failed to provide restorative therapy services as care planned for a resident with multiple diagnoses, including hemiplegia and hemiparesis following a cerebral infarction, muscle weakness, and difficulty walking. The resident was admitted with a need for assistance with personal care and had a care plan that included participation in Bed Mobility and AROM/AAROM Restorative Nursing Programs. Despite the care plan's requirements, the facility staff documented the resident's participation in these programs only nine times over the past 30 days, with no documentation of resident refusal. Interviews revealed that the resident reported not receiving restorative nursing services for weeks, and the restorative nurse confirmed that the programs were not being conducted as frequently as required. The Director of Nursing acknowledged that the care plan was not being followed and that restorative nursing participation should be documented daily. The facility's policy on restorative nursing emphasizes the importance of maintaining the highest practicable physical, mental, and psychosocial well-being, yet the resident's care plan was not adhered to, leading to a deficiency in providing the necessary restorative services.
Inadequate Catheter Care and Hand Hygiene Practices
Penalty
Summary
The facility failed to provide appropriate urinary catheter care to prevent urinary tract infections (UTIs) for two residents. One resident, admitted with a urinary catheter due to neuromuscular dysfunction and other conditions, was observed with dried debris on the catheter tubing during care. Certified Nurse Assistants (CNAs) were seen wiping the catheter tubing incorrectly, towards the body, and without stabilizing the catheter to prevent pulling. The Director of Nursing (DON) confirmed that catheter tubing should be wiped away from the body to prevent UTIs and that staff should clean the tubing of any debris and inform a nurse for further assessment. Another resident, with a history of UTIs and under hospice care, was observed with a hard brown substance on the catheter tubing near the urethral meatus. A CNA cleaned the tubing incorrectly, towards the urethral meatus, and failed to perform proper hand hygiene between glove changes during care. The facility's catheter care policy requires hand washing before and after touching any part of the urinary catheter drainage system and specifies that encrustations should be removed from the meatus outward. The facility's hand hygiene policy also mandates hand hygiene before applying gloves, after removing gloves, and when moving from a contaminated to a clean body site during resident care.
Inadequate Hand Hygiene Practices
Penalty
Summary
The facility failed to adhere to standard infection control practices concerning hand hygiene, affecting two residents. In the first instance, a Restorative Nurse was observed feeding a resident, then moving another resident in a wheelchair, and subsequently returning to feed the first resident without cleaning her hands. The nurse further handled a dirty lunch plate and continued feeding the resident without performing hand hygiene. In another instance, two CNAs were providing incontinence care and a bed bath to a resident. One CNA moved a garbage can with gloved hands and then proceeded to provide care without changing gloves or cleaning hands. The other CNA changed gloves between cleaning different body parts but did not clean her hands in between. Both CNAs completed the care, dressed the resident, and transferred him to a wheelchair without removing gloves, cleaning hands, or donning new gloves. The Director of Nursing confirmed that staff should clean their hands after removing gloves and before putting on new ones, as per the facility's hand hygiene policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Naperville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Meadowbrook Manor - Naperville | 1.5 mi | ★★★★★ | 8 | 0 |
| St Patrick's Residence | 1.6 mi | ★★★★★ | 4 | 1 |
| Pearl Of Naperville, The | 1.8 mi | ★★★★★ | 10 | 0 |
| Tabor Hills Health Care Fac | 2 mi | ★★★★★ | 0 | 0 |
| Thrive Of Lisle | 2.4 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.