Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Central Baptist Village during CMS and state inspections, most recent first.
Staff failed to perform hand hygiene and change gloves between care activities, and did not consistently follow Enhanced Barrier Precautions, such as wearing gowns and gloves when required. For example, a CNA provided catheter and perineal care to a resident with an indwelling device without wearing a gown, and multiple staff members handled soiled materials, personal items, and environmental surfaces without proper hand hygiene. Facility leadership confirmed these actions were not in line with infection control policies.
Staff were observed mixing pureed food items together and standing over cognitively impaired residents while assisting with feeding, actions not directed by care plans and inconsistent with the facility's dignity policy. These practices failed to ensure residents were treated with respect and dignity during mealtimes.
Two residents who required staff assistance with ADLs, including toileting, personal hygiene, and grooming, did not receive the necessary care as outlined in their care plans. One resident was left waiting for help to use the bathroom and was not assisted with hair or oral care, while another repeatedly requested help with facial hair removal and did not receive it. The DON confirmed that staff are expected to provide these services, but the facility did not have a formal ADL policy.
A resident with severe cognitive impairment and upper extremity contractures did not have palm protectors applied according to physician orders. Staff interviews and observations confirmed that both the CNA and restorative aide forgot to apply the devices as scheduled, despite facility policy and documented care plans requiring their use to prevent worsening contractures.
A resident with an indwelling urinary catheter and a history of recurrent UTIs did not receive catheter care according to physician orders and facility policy. Observations showed the catheter drainage bag was stored in a visibly soiled privacy bag that touched the floor, and catheter care was performed without soap or cleaning of the catheter tubing. Staff interviews confirmed these actions did not meet required infection control standards.
Nursing staff failed to verify a resident's gastrostomy tube placement by aspirating gastric contents as required by the care plan and physician orders, instead using an outdated method of injecting air and listening for sounds in the abdomen. Staff reported they were trained to use this method, and the facility's enteral feeding policy had not been updated to current standards.
A nurse failed to administer prescribed doses of spironolactone, vitamin B12, and furosemide to a resident during a scheduled medication pass, resulting in a 10% medication error rate. The nurse admitted to forgetting the medications, and facility leadership confirmed that staff are expected to verify orders using the EMAR and follow established medication administration protocols.
Two residents in a facility experienced falls due to inadequate staff assistance and supervision. One resident, requiring two-person assistance for bed mobility, fell when a CNA on orientation attempted to reposition her alone. Another resident, needing supervision for ambulation, fell and sustained a laceration when left unsupervised in a wheelchair in the activity room.
The facility failed to document and track COVID-19 test results for HCPs during a COVID-19 outbreak, affecting all 102 residents. Despite several staff testing positive, there was no documentation of HCP testing, and staff reported testing themselves only when symptomatic. The facility's policy required immediate testing of all staff and residents in the affected unit, but this was not followed.
The facility failed to serve the correct portion sizes of Garlic Herb Roasted Pork Tenderloin to residents on mechanically altered diets. A food service worker used a 3-ounce scoop instead of the required 4-ounce spoodle due to concerns about insufficient supply, resulting in five residents receiving less than the intended portion size. The kitchen lacked standardized recipes for ground diet items, contributing to the inconsistency.
The facility failed to provide food substitutions with equivalent nutritive value to the planned menu items. Residents received half sandwiches with insufficient protein, such as 0.7 ounces of ham or a thin layer of peanut butter and jelly, instead of the required portions. Staff acknowledged the inadequacy, and the facility's policies required equivalent protein content in substitutions.
A resident at high risk for pressure wounds developed facility-acquired pressure injuries due to the facility's failure to follow the care plan. Despite the resident's need for pressure-relieving devices and regular repositioning, these interventions were not fully implemented, as confirmed by staff observations and interviews. The absence of a low air loss mattress, a critical component of the care plan, contributed to the development and reopening of pressure wounds.
The facility failed to follow its medication administration policy, resulting in a 9.09% error rate. A staff member attempted to administer an unauthorized medication to a resident and did not give the full dose of a prescribed medication. Additionally, a nurse administered a medication after breakfast instead of before, as ordered. These errors affected two residents.
Failure to Perform Hand Hygiene and Adhere to Enhanced Barrier Precautions
Penalty
Summary
Multiple instances of non-compliance with infection prevention and control protocols were observed among staff providing care to residents. Certified Nursing Assistants (CNAs) and Registered Nurses (RNs) failed to perform hand hygiene before and after glove use, and did not change gloves between different care activities. For example, a CNA emptied a resident's urine drainage bag, did not clean the spout, and proceeded to perform perineal care, handle personal items, and touch environmental surfaces such as door knobs and wheelchairs, all while wearing the same soiled gloves and without performing hand hygiene. Another CNA provided incontinence care, then assisted with dressing and bed adjustments, again without changing gloves or performing hand hygiene. In several cases, staff exited resident rooms and immediately interacted with other residents or handled clean items without appropriate hand hygiene, increasing the risk of cross-contamination. Staff also failed to adhere to Enhanced Barrier Precautions as required for residents with indwelling medical devices. In one instance, a CNA performed catheter care for a resident with a history of urinary tract infections and an order for enhanced barrier precautions, but did not wear a gown as required. The signage at the room entrance instructed staff to wear both gown and gloves, but this protocol was not followed. Additionally, after providing perineal care and handling soiled materials, the CNA continued to use the same gloves to apply a clean incontinence brief, further breaching infection control standards. Interviews with facility leadership, including the Assistant Director of Nursing (ADON), Director of Nursing (DON), and Infection Preventionist (IP), confirmed that staff are expected to perform hand hygiene before and after glove use, clean equipment such as urine bag spouts after emptying, and wear appropriate personal protective equipment (PPE) according to enhanced barrier precautions. Despite these expectations and existing facility policies, direct observations revealed repeated failures to follow these protocols during resident care activities, including wound care, gastrostomy tube flushes, and meal tray distribution.
Failure to Maintain Dignity During Assisted Feeding
Penalty
Summary
Surveyors observed that staff failed to assist residents with feeding in a manner that preserved their dignity. Specifically, registered nurses were seen mixing together all pureed food items on residents' trays before feeding them, despite there being no care plan directive to do so. This practice was observed with three cognitively impaired residents who required physical assistance with eating. In one instance, a nurse mixed a resident's pureed entrée items together and fed her the combined meal. In another case, a nurse mixed all of a resident's pureed food items together after the resident exhibited anxiety and attempted to grab her meal. The care plans for these residents did not specify that their foods should be mixed together. Additionally, staff were observed standing over residents while assisting them with meals, rather than sitting at eye level, which is not consistent with promoting dignity during feeding. The facility's administrator confirmed that staff should not stand over residents or mix pureed food items together when assisting with feeding. The facility's policy on resident dignity emphasizes the importance of promoting quality of life, dignity, and respect, and creating a positive and enjoyable experience during mealtimes. These observations indicate that staff actions did not align with the facility's stated policy or the residents' care plans.
Failure to Provide Assistance with Activities of Daily Living
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for residents who required help, as evidenced by observations and interviews with two residents. One resident was observed waiting in her wheelchair in the hallway, crying and expressing an urgent need to use the bathroom, but was unable to do so because her roommate was occupying the shared bathroom. Despite activating her call light and requesting help, she waited a long time without assistance and ultimately feared she would be incontinent. Later, the same resident was noted to have greasy, uncombed hair and facial hair, and reported that staff had not combed her hair or brushed her teeth that morning. Her care plan indicated she required staff assistance for personal hygiene and toileting due to impaired mobility, vision, and a history of stroke, but these needs were not met as observed. Another resident was seen in the dining room with greasy, uncombed hair and noticeable facial hair, and reported that despite repeated requests for help with facial hair removal, staff had not provided the assistance. This resident's care plan also required staff to assist with ADLs, including personal hygiene and bathing, due to impaired mobility and other medical conditions. There was no documentation of care refusals or combative behavior in her record. The Director of Nursing confirmed that CNAs are expected to provide such care but acknowledged the facility lacked a formal policy on ADL provision.
Failure to Apply Palm Protectors as Ordered for Resident with Contractures
Penalty
Summary
A deficiency occurred when staff failed to apply left and right palm protectors as ordered by the physician for a resident with contractures and impaired upper extremity mobility. Observations showed the resident sitting in the activity room without a palm protector on the right hand, with the hand closed and fingers extended against the palm. Interviews with nursing staff revealed uncertainty about the resident's orders, and both the CNA and restorative aide admitted to forgetting to apply the palm protectors as required. The physician's orders specified that the left palm protector should be on at bedtime and removed in the morning, while the right palm protector should be on at all times except during meals, personal hygiene, and showers. The care plan and MDS documented the resident's severe cognitive impairment, upper extremity impairments, and need for assistance with ADLs due to dementia, stroke, contracture, and possible pain in the hands and fingers. The facility's policy required orthoses to be provided and applied as ordered, with training for all nurses and nursing assistants. Despite this, the palm protectors were not applied according to the physician's orders, as confirmed by staff interviews and direct observation. The failure to follow the prescribed schedule for applying and removing the palm protectors constituted a deficiency in care for the resident, who was at risk for worsening contractures and potential injury to the hands.
Failure to Provide Proper Catheter Care and Maintain Infection Control
Penalty
Summary
A deficiency was identified when a resident with an indwelling urinary catheter, a history of flaccid neuropathic bladder, recurrent urinary tract infections, urine retention, and dementia, did not receive catheter care in accordance with physician orders and facility policy. Observations revealed that the resident's catheter drainage bag was stored in a privacy bag that was visibly soiled with a dried white stain and was seen dragging on the floor. The same soiled privacy bag was used on both the resident's wheelchair and bed. During catheter care, a CNA provided perineal care using only water, without soap, and did not clean the catheter tubing as required. The CNA also placed a clean incontinence brief on the resident while still wearing the same soiled gloves used during perineal care. Interviews with facility staff confirmed that catheter care should include cleaning the catheter tubing with soap and water, and that soiled privacy bags should be changed to prevent contamination. Facility policy and the resident's care plan both specify that catheter tubing and drainage bags must be kept off the floor and that careful perineal care should be performed to keep the catheter free from crusting. Despite these requirements, the observed practices did not align with the established protocols, resulting in a failure to provide appropriate catheter care to prevent urinary tract infections.
Failure to Properly Verify Gastrostomy Tube Placement
Penalty
Summary
The facility failed to properly check the placement of a resident's gastrostomy tube (GT) as required by the resident's care plan and physician orders. Specifically, nursing staff used the method of injecting air into the GT and auscultating the abdomen to confirm placement, rather than aspirating gastric contents as directed. This practice was observed on multiple occasions, and staff confirmed they had been trained to use this outdated method. The resident's care plan and physician orders both specified that tube placement and gastric contents should be checked prior to feeding and medication administration. Additionally, the facility's policy on enteral feeding, last revised in 2013, had not been updated to reflect current standards of practice.
Medication Administration Errors Result in Elevated Error Rate
Penalty
Summary
The facility failed to administer medications as ordered, resulting in a medication error rate of 10% during a medication pass observation. Specifically, a registered nurse prepared a resident's scheduled morning medications but omitted spironolactone 25 mg, vitamin B12 1000 mcg, and furosemide 40 mg tablets. The nurse acknowledged forgetting to include these medications. Review of the resident's order summary confirmed these medications were prescribed to be given at 8:00 AM daily. Interviews with facility leadership indicated that nurses are expected to check the electronic medication administration record (EMAR) and verify medication rights prior to administration, as outlined in the facility's policy for safe oral medication administration.
Inadequate Staff Assistance and Supervision Lead to Resident Falls
Penalty
Summary
The facility failed to provide the required staff assistance for bed mobility and ambulation for two residents, leading to falls and injuries. One resident, an elderly female with vascular dementia and multiple sclerosis, was assessed as high risk for falls and required two-person assistance for bed mobility. However, during a care procedure, a CNA on orientation attempted to reposition the resident alone, resulting in the resident sliding off the bed and falling. The CNA was supposed to work with a mentor, but the mentor was unavailable, and the CNA proceeded alone, contrary to the care plan and MDS assessment. Another resident, an elderly female with vascular dementia, Alzheimer's disease, and psychosis, also experienced a fall due to inadequate supervision. This resident was assessed as high risk for falls and required assistance for ambulation. Despite this, she was left unsupervised in a wheelchair in the activity room, where she stood up abruptly and fell, sustaining a laceration that required stitches. The lack of staff presence in the activity room at the time of the incident contributed to the fall, as no one was available to supervise or assist the resident.
Failure to Track COVID-19 Testing During Outbreak
Penalty
Summary
The facility failed to document and track COVID-19 test results for healthcare providers (HCP) during a COVID-19 outbreak, affecting all 102 residents. The deficiency was identified during an annual survey when the administrator reported 16 COVID-positive residents on the second floor. The infection preventionist (IP) was unable to provide testing results for HCPs exposed to a COVID-positive resident, R66, and admitted that staff tested themselves without documentation. The facility's policy required immediate testing of all staff and residents in the affected unit, but this was not followed. The report details that several staff members tested positive for COVID-19, starting with a nurse educator who potentially interacted with all staff on both floors. Subsequent positive cases included a rehab/restorative nurse, social services staff, and CNAs, all of whom had contact with residents and staff. Despite these exposures, there was no documentation of HCP testing, and staff reported testing themselves only when symptomatic. The IP stated it was too much to track staff testing, focusing only on residents. Interviews with staff revealed a lack of guidance and communication regarding COVID-19 testing protocols. Several staff members, including CNAs and nurses, indicated they were not informed about testing requirements and only tested themselves when they felt unwell. The director of nursing (DON) also confirmed the absence of tracking for staff COVID-19 testing, assuming the IP was responsible. The facility's policy outlined a testing plan for outbreak situations, but it was not implemented, leading to the deficiency.
Inadequate Portion Sizes for Mechanically Altered Diets
Penalty
Summary
The facility failed to serve the correct portion sizes of Garlic Herb Roasted Pork Tenderloin to residents on mechanically altered diets as per the approved menu. Specifically, five residents who were supposed to receive ground meats were served portions that were smaller than the planned 4 ounces. During lunch service, a food service worker used a 3-ounce scoop instead of the required 4-ounce spoodle spoon due to concerns about insufficient ground pork supply. This resulted in the affected residents receiving less than the intended portion size. The Assistant Food Service Manager confirmed that the ground pork portions served were less than the planned 4 ounces. The dietitian also stated that the portions should have matched the serving weight for residents on regular diets. It was noted that the kitchen lacked standardized recipes for ground diet items, which contributed to the inconsistency in portion sizes. The facility's policy required that modified-texture menu items be provided in proper amounts according to the menu diet spreads, but this was not adhered to in this instance.
Inadequate Protein in Food Substitutions
Penalty
Summary
The facility failed to provide food substitutions equivalent in nutritive value to the originally planned menu items for four residents. During meal service, residents received half sandwiches with insufficient protein content compared to the regular menu items. Specifically, residents received sandwiches with only 0.7 ounces of ham or a very thin layer of peanut butter and jelly, which did not meet the required protein portions as per the facility's dietary guidelines. The regular menu items, such as garlic herb pork, were supposed to provide 4 ounces of protein, while the substitutions provided significantly less. The facility's food service staff, including the Assistant Food Service Manager and the Food Service Director, acknowledged the inadequacy of the protein content in the substitutions. The facility's policies and procedures required that substitutions should contain protein equivalent to the planned menu items, and the dietitian confirmed that the substitutions should have contained three ounces of protein. However, the sandwiches served did not meet these requirements, leading to a deficiency in providing adequate nutrition to the residents.
Failure to Implement Pressure Ulcer Prevention Measures
Penalty
Summary
The facility failed to adhere to a resident's care plan designed to prevent and treat pressure wounds, resulting in the development of facility-acquired pressure injuries for a resident identified as high risk. The resident, who had a history of hemiplegia, hemiparesis, congestive heart failure, vascular dementia, and other conditions, was noted to have developed a stage 3 pressure wound on the sacrum due to decreased mobility and incontinence. Despite interventions being outlined in the care plan, such as the use of pressure-relieving devices and regular repositioning, these measures were not fully implemented. Observations revealed that the resident did not have a low air loss pressure-relieving mattress in place, which was a critical component of the care plan. Interviews with staff, including a CNA, LPN, and the Director of Nursing, confirmed the absence of the necessary pressure-relieving mattress. The wound care nurse acknowledged missing the implementation of this intervention, and the DON admitted that the mattress should have been in place since the initial development of the pressure wounds. The facility's policy on pressure area prevention and treatment required the use of pressure-relieving devices for all stages of pressure wounds, yet this was not followed, contributing to the reopening of a previously healed wound and the development of a new pressure wound.
Medication Administration Errors
Penalty
Summary
The facility failed to adhere to its medication administration policy, resulting in a 9.09% medication error rate. In one instance, a staff member prepared and attempted to administer an extra, unauthorized medication to a resident, which was identified as irbesartan 75 mg, a blood pressure medication not prescribed to the resident. Additionally, the same staff member did not administer the full dose of a prescribed medication, polyethylene glycol, to the resident, despite the resident not refusing the medication. In another instance, a registered nurse administered a medication, empagliflozin 10 mg, to a resident after breakfast, contrary to the physician's order to administer it before breakfast. The facility's policy requires medications ordered to be given before meals to be administered approximately thirty minutes before mealtime. These actions demonstrate a failure to follow physician orders and the facility's medication administration policy, impacting two of the four residents reviewed for medication administration.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,647 citations issued within 25 miles in the last 12 months — including the 29 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Norridge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ascension Resurrection Life | 1.1 mi | ★★★★★ | 14 | 0 |
| Norwood Crossing | 1.7 mi | ★★★★★ | 5 | 0 |
| Alden Estates Of Northmoor | 2 mi | ★★★★★ | 5 | 0 |
| Celebrate Senior Living Niles | 2.5 mi | ★★★★★ | 1 | 0 |
| Norridge Gardens | 2.6 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Central Baptist Village.
100% money-back within 48 hours.
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.