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 British Home, The during CMS and state inspections, most recent first.
The facility failed to conduct timely background checks for a resident and nine employees, contrary to its policy. A resident identified as an offender had a delayed CHIRP check, and multiple employees had background checks completed after their hire dates. Staff interviews revealed oversight and miscommunication as contributing factors.
The facility's kitchen failed to maintain sanitary conditions, with food items improperly stored on the floor, an ice machine with dust buildup, and a malfunctioning dishwasher temperature gauge. Additionally, ice cream was not labeled with open dates, and a garbage container lacked a lid, all of which could lead to contamination and infection risks.
A resident with impaired mobility developed a new wound excoriation on the right buttock due to the facility's failure to assess and report a new skin condition. Despite CNAs observing the issue during incontinence care, it was not reported to the licensed nurse, leading to a delay in treatment. The condition was later identified as moisture-associated skin damage and diaper dermatitis, highlighting a lapse in following the facility's skin assessment policy.
A resident with severe cognitive impairment and mobility challenges fell from a wheelchair due to inadequate supervision. Despite being placed near the nursing station for monitoring, staff failed to assist as the resident attempted to reach her leg, causing the wheelchair to flip. The facility lacked an updated care plan addressing the resident's specific needs, and staff did not effectively implement fall risk management policies.
A facility experienced a 12% medication error rate involving three residents. An LPN administered an incorrect dosage of Calcium Carbonate to a resident with dementia. An RN failed to ensure proper inhalation technique for a resident using an Albuterol inhaler. Another LPN did not follow guidelines for insulin administration, neglecting to clean the needle hub or prime the pen for a diabetic resident.
Failure to Conduct Timely Background Checks for Residents and Employees
Penalty
Summary
The facility failed to adhere to its policy of conducting timely background checks for both residents and employees, which has the potential to affect all 36 residents residing in the facility. Specifically, the facility did not conduct a Criminal History Information Response Process (CHIRP) check for a resident identified as an offender until more than two weeks after admission. This resident, an elderly male with cognitive and visual impairments, was admitted with multiple diagnoses, including adjustment disorder with depressed mood. The delay in conducting the CHIRP check resulted in multiple hits, necessitating further fingerprinting, which was not completed within the required timeframe. Additionally, the facility failed to perform timely background checks for nine out of ten employees reviewed. These employees, including CNAs, a receptionist, a scheduler, and RNs, had their background checks completed after their hire dates, contrary to the facility's policy. The checks included the Illinois Department of Public Health Health Care Worker Registry, Illinois Sex Offender background checks, and other necessary verifications. The facility's policy mandates that these checks be completed before employment to ensure the safety of residents, but this was not adhered to, as evidenced by the late completion of these checks. Interviews with facility staff, including the Director of Admissions, Human Resource Support, and the Medical Director, revealed a lack of clarity and communication regarding the responsibility and timing of these checks. The staff acknowledged the lapses and attributed them to oversight and miscommunication, particularly when key personnel were unavailable. The facility's policy clearly outlines the need for pre-employment and pre-admission background checks to prevent abuse, neglect, and exploitation, but these procedures were not followed, compromising resident safety.
Sanitation and Food Safety Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, affecting the preparation and serving of food to 37 residents. During an inspection, a surveyor observed boxes of cucumbers, broccoli, and tomatoes placed directly on the floor, contrary to facility policy. Additionally, the ice machine had dust and hard water marks, and the ice cream freezer contained half-full gallons of ice cream without open or best buy dates. A garbage container without a lid was also noted, which could lead to contamination. The facility's dishwasher final rinse temperature gauge was not functioning, and the staff could not confirm if the final rinse temperature met the required 180 degrees Fahrenheit. This malfunction could result in improper dishwashing, increasing the risk of infection. The Director of Dining Services acknowledged these issues, and the facility's policies on sanitation and infection prevention were not adhered to, as evidenced by the lack of proper labeling, dating, and storage of food items, as well as the maintenance of kitchen equipment.
Failure to Assess and Report New Skin Condition
Penalty
Summary
The facility failed to assess a new skin condition on a resident with impaired mobility and did not notify licensed staff to evaluate the skin condition. This resulted in the resident developing a new wound excoriation on the right buttock area. The resident, an elderly female with a history of tubulo-interstitial nephritis, urinary tract infection, and ESBL resistance, was noted to have no new skin issues in a skin evaluation conducted shortly before the incident. However, during incontinence care, CNAs observed a small, open red area on the resident's right lower buttock and redness and swelling in the groin areas. Despite this observation, the CNAs did not report the new skin issue to the licensed nurse, and there was no documentation of the new skin issue being reported. When the wound care nurse was informed, they assessed the resident and identified the condition as moisture-associated skin damage (MASD) on the right buttock and groin areas. The facility's policy requires immediate notification of the nurse on duty when skin concerns are observed, but this protocol was not followed. The lack of communication and documentation led to a delay in addressing the resident's skin condition, which was later diagnosed as diaper dermatitis exacerbated by MASD. The facility's policy on skin assessment emphasizes the importance of conducting a full body skin assessment upon admission, readmission, and when new skin alterations are identified, but this was not adhered to in this case.
Inadequate Supervision Leads to Resident Fall
Penalty
Summary
The facility failed to provide adequate supervision to prevent a fall involving a resident, identified as R194, who was affected by severe cognitive impairment and physical limitations. R194, a female resident with a history of dementia, cerebral infarction, and a right below-the-knee amputation, was admitted to the facility with significant mobility challenges, requiring maximum assistance for transfers and a mechanical lift. Despite these needs, R194 was left unattended in a wheelchair near the nursing station, where she attempted to reach her leg, causing the wheelchair to flip forward, resulting in a fall and a parietal scalp hematoma. The incident occurred after R194 had undergone a speech evaluation and physical therapy session, during which she used her right leg prosthesis for the first time since admission. The physical therapist assistant placed her in the wheelchair by the door of her room, intending for her to be monitored by the nursing staff. However, video footage revealed that nursing staff passed by without assisting R194 as she shifted her body and slumped in the chair, ultimately leading to her fall. The nursing staff failed to adhere to the facility's policy of monitoring residents at risk of falls closely, as no effective monitoring was in place at the time of the incident. Interviews with facility staff, including the Director of Nursing and the Registered Nurse, highlighted a lack of updated care plans addressing R194's mobility, transfers, and use of a leg prosthesis. The Director of Nursing acknowledged the failure in monitoring and the absence of a comprehensive care plan tailored to R194's specific needs. The facility's policy on falls and fall risk management was not effectively implemented, as evidenced by the lack of interventions to prevent the fall and the absence of documentation on the resident's response to interventions aimed at reducing fall risks.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to administer medications as ordered, resulting in a 12% medication error rate. This involved three residents out of a sample of 30. One resident, a female with unspecified dementia, was prescribed 1000 mg of Calcium Carbonate to be taken orally three times a day. However, the LPN administered only 500 mg, failing to provide the correct dosage as per the physician's order. Another resident, a female with chronic obstructive pulmonary disease, was prescribed an Albuterol Sulfate HFA inhaler to be used every eight hours. The RN did not follow the proper procedure for administering the inhaler, as the resident did not hold her breath after inhaling the medication, which is necessary for effective delivery of the medication. The third resident, a female with type 2 diabetes mellitus, was to receive 10 units of Novolog Flexpen insulin three times a day. The LPN administering the insulin did not follow the manufacturer's guidelines, as she failed to clean the needle hub, prime the pen, or perform an airshot before injection. These actions are necessary to ensure the correct dosage and prevent air from being injected.
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What surveyors actually found near you
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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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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Brookfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grove Of Lagrange Park, The | 1.8 mi | ★★★★★ | 12 | 0 |
| Plymouth Place | 1.8 mi | ★★★★★ | 3 | 0 |
| Nexus At Berwyn | 2 mi | ★★★★★ | 12 | 2 |
| Aperion Care Forest Park | 2.2 mi | ★★★★★ | 12 | 0 |
| Meadowbrook Manor - Lagrange | 2.3 mi | ★★★★★ | 4 | 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.