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 Avantara Long Grove during CMS and state inspections, most recent first.
A resident with a history of falls attempted to pick up a dropped item from the floor while in a wheelchair, causing a near-fall incident. The RN on duty did not consider this a fall and failed to document or report it, contrary to the facility's fall policy. The resident's care plan was not updated, and the incident was not communicated to the Restorative Director for further investigation and intervention.
The facility failed to remove razors from the rooms of residents with dementia, posing an accidental hazard. Observations revealed razors without safety covers in the bathrooms of two residents with severe cognitive impairments. Staff interviews confirmed that residents should not have access to razors due to safety concerns, especially for those who wander. Despite the facility's policy to remove hazardous items, razors were accessible to residents with dementia, indicating a significant oversight in maintaining a safe environment.
The facility failed to consistently offer bedtime snacks to residents as required by physician orders and facility policy. Several residents, including those with diabetes and other chronic conditions, were not regularly provided snacks, leading to confusion and unmet needs. The Clinical Care Coordinator admitted that not all residents receive snacks nightly, and there was uncertainty about documentation procedures.
The facility failed to implement proper infection control measures, including contact isolation for a resident with MRSA and enhanced barrier precautions for residents with indwelling devices. Staff did not wear the required PPE or change contaminated gloves during care, despite clear policies and signage. These lapses were acknowledged by facility staff, highlighting a significant deficiency in infection prevention practices.
Two residents experienced a lack of privacy and dignity during personal care in an LTC facility. One resident was exposed to a parking lot view due to partially open blinds, despite expressing discomfort. Another resident was exposed to the hallway during care, with the door left open. Both incidents violated the facility's privacy policies.
A facility failed to obtain physician-ordered weekly weights for a resident with multiple diagnoses, including heart failure. The resident's care plan required monitoring weights due to the risk of fluctuating weights from diuretic use and heart failure. Despite physician orders, the resident's weight was not recorded on three occasions. The Clinical Care Coordinator confirmed that weights are done monthly and as ordered, emphasizing the importance for residents with heart failure. The facility's policy stated weights should be obtained monthly unless otherwise ordered.
A resident with an indwelling urinary catheter experienced improper handling of the drainage bag by two CNAs, who placed it on the bed and lifted it above the bladder level, contrary to facility policy. The resident had multiple medical conditions, including a recent UTI, and the care plan lacked specific interventions for maintaining the drainage bag below the bladder.
The facility failed to administer oxygen therapy as ordered for three residents. One resident with chronic respiratory failure had her oxygen set incorrectly, while another with pneumonia had her oxygen concentrator set higher than prescribed. A third resident with acute respiratory failure also received oxygen at a higher rate than ordered. Staff acknowledged the need to follow physician orders for oxygen therapy.
A resident was found with medications left at their bedside, which were signed off as administered. The facility failed to conduct a safety assessment or obtain a physician order and care plan for self-administration, violating their policy.
A facility failed to timely assess and treat a resident's scalp eczema, which had been present for several months. The condition worsened over time, with staff only applying A&D ointment and using a medicated shampoo provided by the resident's POA. The wound care team and the resident's nurse were unaware of the condition until recently, and the resident's medical record did not document the eczema until May 12, 2024. This lack of timely assessment and treatment constitutes a deficiency in the quality of care.
Failure to Identify and Respond to Resident Fall Risk
Penalty
Summary
The facility failed to identify and appropriately respond to a fall incident involving a resident with a history of falls. On the observed date, a resident attempted to pick up a clothing protector from the floor while seated in a high-back wheelchair without foot pedals, causing his buttocks to come off the seat. Despite the surveyor's warning, the registered nurse (RN) did not intervene adequately, and the resident's behavior of reaching for items on the floor was not addressed as a fall risk. The RN considered the incident a behavior rather than a fall, leading to a lack of proper documentation and follow-up. The resident in question had multiple diagnoses, including Parkinson's disease, dementia, and intellectual disabilities, and was assessed as high risk for falls. Previous incidents of the resident reaching for items and sliding from the wheelchair were documented, but the facility's fall policy was not implemented. The resident's care plan, which noted the risk of falls due to reaching for dropped items, was not updated following the incident, and no incident report or post-fall assessment was completed. The facility's Fall Occurrence Policy requires that falls be documented, assessed, and followed up with appropriate interventions. However, the RN did not report the fall to the Restorative Director, who was responsible for investigating falls and updating care plans. The lack of communication and failure to follow the fall policy resulted in the incident not being properly addressed, leaving the resident at continued risk for falls.
Failure to Remove Razors Poses Hazard to Residents with Dementia
Penalty
Summary
The facility failed to ensure the safety of residents by not removing razors from the rooms of residents with dementia, which posed an accidental hazard. During observations, surveyors found disposable razors without safety covers in the bathrooms of two residents with dementia, who were part of a sample of 32 residents. These residents, identified as having severe cognitive impairments and requiring assistance for mobility, were at risk due to their conditions. The presence of razors was confirmed on multiple occasions, indicating a lack of adequate supervision and adherence to safety protocols. Interviews with facility staff, including a CNA and an LPN, revealed that residents were not supposed to have access to razors due to safety concerns, especially for those who wander. The facility's policy explicitly stated that hazardous items, such as sharps, should be removed to prevent accidents. Despite this policy, razors were found in rooms accessible to residents with dementia and other cognitive impairments, highlighting a significant oversight in maintaining a safe environment for vulnerable residents.
Failure to Consistently Offer Bedtime Snacks to Residents
Penalty
Summary
The facility failed to ensure that bedtime snacks were consistently offered to residents, as required by their physician orders and facility policy. Specifically, three residents within the sample and one resident outside the sample were not regularly offered bedtime snacks. Resident 58, who has multiple diagnoses including osteoarthritis and depression, was only offered a snack twice in the last 30 days despite a physician order to offer a bedtime snack. Resident 526, with conditions such as seizures and diabetes, was not offered any snacks since admission, contrary to her physician order. Resident 112, diagnosed with osteoarthritis and anxiety disorder, was offered a snack only once in the last 30 days, despite a standing order for bedtime snacks. Additionally, Resident 1, with multiple health issues including diabetes and quadriplegia, was only offered snacks twice in the last 30 days. During a resident council meeting, the involved residents expressed that they were not often offered snacks and were unsure of where to obtain them. One resident mentioned seeing snacks at the nurse's station but assumed they were for staff use. The Clinical Care Coordinator acknowledged that snacks are distributed by floor staff each night, but not all residents receive them, with a focus on diabetic residents. Documentation of snack acceptance or refusal is supposed to be recorded under physician orders, but there was uncertainty about whether aides could document this in the plan of care. The facility's policy mandates that bedtime snacks be offered daily, which was not adhered to in these cases.
Failure to Implement Proper Infection Control Measures
Penalty
Summary
The facility failed to implement proper contact isolation precautions for a resident diagnosed with MRSA in a sacral wound. Despite physician orders and care plans indicating the need for contact isolation, the appropriate signage was not displayed outside the resident's room. This oversight was acknowledged by both the Registered Nurse Supervisor and the Infection Preventionist, who noted the potential risk of MRSA spread due to incorrect PPE usage. Additionally, the facility did not adhere to enhanced barrier precautions for several residents requiring such measures. For instance, a resident with a Foley catheter was not provided care with the necessary gown and gloves by a Certified Nursing Assistant (CNA), who mistakenly believed that only gloves were required. Similarly, another CNA failed to wear a gown while performing catheter care for a resident, despite clear signage indicating the need for both gloves and a gown during high-contact activities. Furthermore, during incontinence care for a resident with a G-tube, two CNAs did not change gloves after they became contaminated with urine, and they did not wear gowns as required by enhanced barrier precautions. The Director of Nurses confirmed that staff should follow the isolation signage and change gloves when contaminated to prevent cross-contamination. The facility's policy on incontinence and perineal care also mandates glove changes after contamination, which was not followed in this instance.
Failure to Ensure Resident Privacy and Dignity During Personal Care
Penalty
Summary
The facility failed to maintain the dignity and privacy of two residents during personal care activities. In the first instance, a Certified Nursing Assistant (CNA) provided incontinence care to a resident with multiple medical conditions, including multiple sclerosis and pressure ulcers. The resident was left exposed to the window, which had a clear view of the parking lot, despite expressing discomfort and requesting the blinds be closed. The CNA did not fully close the blinds, citing the resident's preference for a lighter room, which led to the resident feeling uncomfortable and exposed. In the second instance, two CNAs were performing incontinence care for another resident with several health issues, including chronic pain and morbid obesity. During the care, the resident was exposed with the door open to the hallway, allowing visibility from outside the room. A Wound Care Coordinator, who was outside the room, eventually closed the door. The resident expressed embarrassment about being seen in such a state. Both incidents highlight a failure to adhere to the facility's policies on privacy and dignity, which require closing doors and curtains during personal care to prevent exposure.
Failure to Obtain Physician-Ordered Weights for Resident
Penalty
Summary
The facility failed to obtain weights as ordered by a physician for a resident (R34) who was reviewed for quality of care. R34 had multiple diagnoses, including hemiplegia, hemiparesis, chronic respiratory failure, dysphagia, hypertensive heart disease, and heart failure. The physician's orders from March 26, 2021, required weekly weights to monitor for increased edema and to notify the physician if there was a weight gain of 5 pounds in a week. However, R34's weight was not recorded on July 19, 2024, July 28, 2024, and August 2, 2024, as per the monitoring record. R34's care plan, dated April 5, 2024, highlighted the risk for fluctuating weights due to diuretic use and heart failure, emphasizing the need to monitor weights per physician's orders. The Clinical Care Coordinator acknowledged that weights are done monthly and as ordered by a physician, noting the importance of weighing residents with heart failure to assess fluid retention. The facility's policy, reviewed on June 6, 2024, stated that residents' weights should be obtained monthly unless otherwise ordered by a physician.
Improper Handling of Urinary Catheter Drainage Bag
Penalty
Summary
The facility failed to ensure proper handling of an indwelling urinary catheter drainage bag for a resident, leading to a deficiency in catheter care. During an observation, two CNAs were seen providing catheter care to a resident with an indwelling catheter. The CNAs lifted the drainage bag and placed it on the resident's bed, and at one point, held it above the level of the resident's bladder while moving it to the side rail. This action was repeated when the bag was moved to the other side of the bed. Both CNAs acknowledged that the drainage bag should not be placed on the bed and should be kept below the bladder level to prevent infection. The resident involved had multiple medical diagnoses, including retention of urine, benign prostatic hyperplasia, obstructive and reflux uropathy, and a recent urinary tract infection. The resident's care plan noted the presence of an indwelling urinary catheter due to obstructive uropathy but lacked specific interventions for maintaining the drainage bag below the bladder level. The facility's policy on indwelling catheters also stated that the drainage bag should always be positioned below the bladder to prevent backflow, which was not adhered to in this instance.
Failure to Administer Oxygen Therapy as Ordered
Penalty
Summary
The facility failed to administer oxygen therapy as ordered by a physician for three residents. Resident R34, diagnosed with conditions such as chronic respiratory failure and heart failure, was observed with her oxygen concentrator set at 3 liters per minute, contrary to the physician's order of 2 liters per minute at bedtime. Additionally, her oxygen cannula was found laying on her chest instead of being applied properly. Staff members acknowledged that oxygen should be administered as per physician's orders and that any discrepancies should be corrected immediately. Resident R95, with diagnoses including pneumonia and sepsis, had her oxygen concentrator set at 4.5 liters per minute and later at 4 liters per minute, despite the physician's order for continuous oxygen at 2 liters per minute. Similarly, Resident R519, who has acute respiratory failure among other conditions, was found with her oxygen concentrator set at 4 liters per minute, exceeding the ordered range of 2-3 liters per minute. These observations indicate a failure to adhere to prescribed oxygen therapy protocols, as confirmed by facility staff and documented in the facility's policy on oxygen therapy administration.
Failure to Administer Medications as Ordered
Penalty
Summary
The facility failed to ensure that physician-prescribed medications were administered as ordered for a resident. During an observation, a resident was found with four medication cups on their bedside table, containing various medications that were supposed to be administered at 9:00 AM. The resident mentioned that the nurse had left the medications there, which was a common practice. However, the Medication Administration Record (MAR) indicated that these medications were signed off as having been administered, despite the resident not having taken them. Further investigation revealed that the resident had not been assessed for the ability to self-administer medications, nor was there a physician order or care plan in place to allow for self-administration. The Director of Nurses confirmed that the necessary safety assessment, physician order, and care plan were absent from the resident's electronic medical record (EMAR). The facility's policy requires these steps to be completed before a resident can self-administer medications, highlighting a failure to adhere to established protocols.
Failure to Timely Assess and Treat Resident's Scalp Eczema
Penalty
Summary
The facility failed to ensure timely assessment and treatment for a resident with eczema on her scalp. The resident was observed with dry, yellow/red crusty scabs covering the entire top of her head, and her hair appeared greasy or wet. The resident and her power of attorney (POA) reported that the condition had been present for several months, with the POA providing photographic evidence dating back to December. Despite the resident's condition worsening over time, the facility's staff had only been applying A&D ointment and using a medicated shampoo provided by the POA, without a formal treatment plan in place until May 12, 2024. The wound care nurse and nurse practitioner were unaware of the resident's scalp condition until it was reported by social services the previous week, and the registered nurse responsible for the resident was also unaware of the condition, mistaking it for wet hair from a shower. The resident's electronic medical record did not document the eczema until May 12, 2024, and there was no prior assessment or description of the condition. The resident's care plan, initiated in December 2021, included interventions for potential pressure ulcer development and other conditions but did not address the scalp eczema until recently. The facility's skin care policy emphasizes prompt identification, documentation, and treatment of skin breakdown, but this was not followed in the resident's case. The lack of timely assessment and appropriate treatment for the resident's scalp eczema constitutes a deficiency in the quality of care provided by the facility.
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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 Long Grove
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alden Long Grove Rehab &hc Ctr | 1.6 mi | ★★★★★ | 10 | 2 |
| Warren Barr Buffalo Grove | 1.9 mi | ★★★★★ | 1 | 0 |
| Addolorata Villa | 2.7 mi | ★★★★★ | 8 | 0 |
| Radford Green | 3.7 mi | ★★★★★ | 1 | 0 |
| Bella Terra Wheeling | 3.8 mi | ★★★★★ | 0 | 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.