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 Celebrate Senior Living Niles during CMS and state inspections, most recent first.
Two residents experienced worsening and reopening of pressure ulcers due to inadequate assessment and intervention. Improper use of bedding on low air loss mattresses and insufficient repositioning contributed to the issue. Staff failed to follow facility protocols for pressure ulcer prevention and skin assessment, leading to a lack of timely reporting and documentation of skin issues.
The facility failed to date opened multidose vials, eye drops, inhalers, and nasal sprays, affecting several residents. Observations revealed undated medications on both the south and north wings, including Tetrahydrozoline Hydrochloride eye drops, Tuberculin PPD, Albuterol Sulfate, Fluticasone nasal spray, and Incruse Ellipta inhalers. The pharmacist and DON confirmed the necessity of dating these items due to their limited shelf life.
The facility failed to follow its policy on Enhanced Barrier Precautions (EBP) for residents with indwelling devices and wounds. Staff did not wear the required PPE, such as gowns, during care activities for residents with catheters, feeding tubes, and wounds. Additionally, there was a lack of signage indicating EBP outside residents' rooms, contrary to the facility's infection control policy.
A resident with multiple medical conditions, including dementia and overactive bladder, did not have a comprehensive care plan for incontinence at an LTC facility. Despite the facility's policy requiring checks every two hours, the resident was not consistently changed as needed. Staff interviews and family observations highlighted inconsistencies in care, and the care plan was only addressed after surveyor intervention.
A resident with severe osteoarthritis and morbid obesity was injured during a transfer from a regular bed to a bariatric bed using a bed sheet, despite expressing concerns and refusing a mechanical lift. The transfer, conducted by two nurses and four CNAs, resulted in an acute right proximal femoral fracture, as confirmed by a hospital X-ray. The facility's mechanical lift policy was not followed, leading to inadequate supervision and safety during the transfer.
Failure to Prevent and Manage Pressure Ulcers
Penalty
Summary
The facility failed to adequately assess and implement interventions to prevent the development and reopening of pressure ulcers for two residents, leading to the deterioration of existing pressure ulcers. One resident, a male with severe cognitive impairment and a history of a Stage 3 pressure ulcer on the left buttock, experienced a reopening of the healed ulcer. Despite being on a low air loss mattress, improper use of multiple layers of bedding and double briefs contributed to the reopening. The staff failed to report the reopening promptly, and the wound was not measured immediately due to a lack of knowledge on how to do so. Another resident, with a history of multiple pressure ulcers and intact cognition, experienced worsening of pressure ulcers on the sacrum, right heel, and left heel. The resident was dependent on staff for activities of daily living and had been repositioned inadequately, with observations noting that repositioning was not done every two hours as required. The use of multiple layers on the air mattress and improper positioning further contributed to the deterioration of the resident's skin condition. The facility's policies on pressure ulcer prevention and skin assessment were not followed, as evidenced by the lack of proper documentation and communication among staff regarding skin issues. The staff failed to adhere to the protocol of using only a flat sheet on the low air loss mattress, and the CNAs did not consistently perform or document skin assessments. These deficiencies highlight a systemic issue in the facility's approach to pressure ulcer management and prevention.
Failure to Date Opened Medications
Penalty
Summary
The facility failed to ensure that multidose vials, eye drops, inhalers, and nasal sprays were properly dated when opened, affecting seven residents in a sample of 32 reviewed for medication storage and labeling. During an observation on the south wing, six bottles of Tetrahydrozoline Hydrochloride eye drops were found opened and undated, along with a multidose vial of Tuberculin Purified Protein Derivative in the medication refrigerator. Additionally, a resident's Latanoprost Ophthalmic Emulsion solution was also opened and undated. Licensed Practical Nurse (LPN) confirmed that these items should be dated upon opening due to their limited shelf life. Further observations on the north wing revealed similar issues with undated medications, including Albuterol Sulfate, Fluticasone nasal spray, and Incruse Ellipta inhalation aerosol powder. The pharmacist confirmed the specific shelf life for each medication, emphasizing the importance of dating them upon opening. The Director of Nursing acknowledged the requirement for staff to label medications with the date once opened, as per the facility's policy on medication storage, which mandates safe, secure, and orderly storage of all drugs and biologicals.
Failure to Follow Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to its policy on the use of Personal Protective Equipment (PPE) for residents on Enhanced Barrier Precautions (EBP), affecting four residents. Resident R11, a male with severe cognitive impairment and multiple diagnoses including Parkinson's Disease and Acute Kidney Failure, was observed without an EBP sign outside his room. During physical therapy and incontinence care, staff did not wear the required PPE, such as gowns, and failed to perform hand hygiene as per the facility's policy. Resident R35, a female with a gastrostomy tube and Alzheimer's Disease, was also on EBP. However, during medication administration, the staff only wore gloves and did not use gowns as required. Similarly, Resident R254, a male with a cerebrovascular accident and an indwelling urinary catheter, was transferred without staff wearing gowns, despite being on EBP. There was no signage indicating EBP outside the rooms of these residents, contrary to the facility's policy. Resident R24, with multiple pressure ulcers and rheumatoid arthritis, was also on EBP but lacked appropriate signage and PPE supplies in or outside the room. Staff performed wound care and incontinence care wearing only gloves, without gowns, which is against the facility's infection control policy. The Director of Nursing confirmed that staff should wear gowns and gloves for residents with wounds, catheters, and feeding tubes, and that signage should be posted outside the rooms of residents on EBP.
Deficiency in Incontinence Care Planning
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for incontinence care for a resident, identified as R18, who was part of a sample of 32 residents reviewed for incontinence care. R18, an elderly resident with multiple medical diagnoses including overactive bladder, dementia, and anxiety disorder, was found to have no specific care plan addressing incontinence in the electronic medical record. Despite being dependent on staff for toileting and other personal hygiene tasks, the care plan for R18 was missing, which was confirmed by the Director of Nursing and the MDS/Restorative Nurse. Observations and interviews revealed inconsistencies in the incontinence care provided to R18. The resident and a family member expressed concerns about the irregularity of incontinence checks, which were supposed to occur every two hours. Video footage reviewed by the family member showed that R18 was not consistently changed every two hours as expected. Staff interviews indicated that CNAs were changing residents 2-3 times per shift, which did not align with the facility's policy of checking every two hours, especially for residents who could not request assistance. The facility's policy required a comprehensive, person-centered care plan to be developed within seven days of the completion of the required comprehensive assessment. However, the care plan for R18 was not found until after the surveyor's inquiry, and it did not address the use of a mechanical lift for incontinence care. The MDS/Restorative Nurse acknowledged the oversight and indicated that a new care plan was being created. The facility's policy emphasized the need for measurable objectives and timetables to meet residents' needs, which was not adhered to in R18's case.
Resident Injury During Improper Bed Transfer
Penalty
Summary
The facility failed to maintain resident safety during a transfer from a regular bed to a bariatric bed using a bed sheet, resulting in a serious injury. The incident involved a resident with multiple diagnoses, including morbid obesity and severe osteoarthritis, who was admitted to the facility and reported significant pain in the hips and knees. Despite the resident's refusal and expression of concern about being too heavy for the transfer, staff proceeded with the transfer using a bed sheet instead of a mechanical lift, which the resident had refused. During the transfer, the resident's leg was not repositioned, and the resident reported hearing a crack in the right hip, followed by severe pain. The staff, consisting of two nurses and four CNAs, attempted to reassure the resident and continued with the transfer despite the resident's protests. After the transfer, the resident continued to experience pain, which was initially managed with Tylenol, but the pain persisted, leading to further medical evaluation. The resident was eventually sent to the hospital, where an X-ray revealed an acute right proximal femoral fracture. The facility's mechanical lift transfer policy was not adhered to, as the resident was transferred manually despite clinical indications for mechanical assistance. The incident highlights a failure in ensuring adequate supervision and safety during resident transfers, resulting in a significant injury.
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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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Nursing homes near Niles
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Citadel At Saint Benedict | 0.4 mi | ★★★★★ | 0 | 0 |
| Elevate Care North Branch | 0.4 mi | ★★★★★ | 3 | 0 |
| Aperion Care Niles | 0.6 mi | ★★★★★ | 0 | 0 |
| Elevate Care Regency | 0.9 mi | ★★★★★ | 2 | 2 |
| Norwood Crossing | 1.2 mi | ★★★★★ | 5 | 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.