Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Citadel Of Glenview,the during CMS and state inspections, most recent first.
The facility did not complete infectious screening assessments or care plans for several residents started on prophylactic antibiotics, and failed to monitor or document behaviors and medication side effects for a resident on psychotropic medications, contrary to facility policy and standard practice.
A resident with significant physical impairments and a need for assistance with eating was left unattended with an uncovered meal tray when the assigned CNA was called away to escort other residents. Upon return, the CNA removed a half-eaten sandwich from under the tray lid and proceeded to feed the resident, contrary to the facility's policy on dignity and individualized care.
A resident with severe cognitive impairment and mobility issues was found unable to independently remove a self-releasing belt applied while seated in a wheelchair. Staff confirmed the belt was used to prevent the resident from standing, and no restraint assessment was completed, resulting in unnecessary restriction of movement.
The facility did not complete required PASARR Level II screenings for two residents after new or changed diagnoses of serious mental illness and the addition of psychotropic medications. Staff acknowledged that screenings should have been conducted following these changes, but the process was not followed as required by facility policy.
Two residents with significant mental health diagnoses were admitted without required PASARR Level I and II screenings. Both the administrator and admission director confirmed that these screenings were not completed prior to admission, despite facility policy and the residents' documented psychiatric and behavioral conditions.
A resident who required substantial assistance with ADLs was observed with long, dirty fingernails containing black matter, indicating that nail care was not provided as required. The resident had multiple medical conditions, including ESRD and COPD, and facility policy mandated daily nail cleaning and regular trimming for dependent individuals. The CNA was responsible for this care but failed to deliver it.
A wound care nurse and wound tech were observed retrieving nystatin powder from a resident's bedside table to treat sacral redness, despite facility policy and confirmation from the DON that medications should not be left at bedside without a physician order. The resident had cognitive impairment and an active order for topical nystatin every shift.
Surveyors identified that a resident on dialysis did not have required Enhanced Barrier Precaution (EBP) signage or an isolation cart outside their room, and there was no physician order or care plan for EBP in place. Additionally, an LPN failed to clean and disinfect reusable vital sign equipment between resident uses, contrary to facility policy. These deficiencies were confirmed through observation and staff interviews.
A resident prescribed antibiotics for a wound infection did not receive a timely infection screening evaluation as required by the facility's Antibiotic Stewardship Program. The assessment was delayed because the Infection Preventionist, who is solely responsible for these evaluations, was not present, and no designee completed the task. This resulted in a failure to follow facility policy for monitoring antibiotic use.
Failure to Complete Required Assessments and Monitoring for Antibiotic and Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure that each resident’s drug regimen was free from unnecessary drugs by not completing required infectious screening assessments and care plans for residents started on antibiotics, and by failing to monitor behaviors and medication side effects for a resident on psychotropic medications. For three residents who were prescribed antibiotics for prophylactic purposes, there was no infectious screening assessment or care plan for antibiotic usage completed at the time the antibiotics were ordered. These assessments and care plans were only initiated after the surveyor inquired about them, despite facility policy requiring such documentation as part of the antibiotic stewardship program. The responsible staff member acknowledged the oversight and attributed it to her recent absence due to vacation. One resident was observed to be on multiple psychotropic medications, including anti-anxiety and antidepressant drugs, without any documented monitoring or recording of target behaviors or medication side effects in the Medication Administration Record (MAR). The facility’s comprehensive care plan for this resident specified that such monitoring should occur, and staff confirmed that this is the usual practice. However, no such documentation was found during the review, and staff acknowledged the omission as an oversight. The facility’s own policies require that antibiotic use be monitored and documented through infectious screening assessments, care plans, and surveillance tracking forms, and that residents on psychotropic medications have their behaviors and side effects monitored and recorded. In these cases, the required assessments, care plans, and monitoring were not completed as required by policy, affecting all four residents reviewed for unnecessary medications.
Failure to Provide Dignified Dining Experience
Penalty
Summary
A deficiency was identified when a resident was not treated with dignity and respect during meal service. The resident, who has diagnoses including blindness in the left eye, hemiplegia, and hemiparesis, and requires suctioning for oral secretions and pocketed food, was observed in bed with her meal tray uncovered and a fork in the food. The Certified Nursing Assistant (CNA) assigned to her was called away to escort other residents to the dining area, leaving the resident unattended with her meal tray uncovered. The CNA later stated she was in the process of assisting the resident with eating, who requires full assistance, but had been interrupted by the nurse's request. Upon returning, the CNA removed a half-eaten sandwich from under the tray lid, wrapped it in a napkin, and placed it in her pocket before proceeding to feed the resident. The resident's care plan indicated she is able to eat her meal with supervision or setup assistance. Facility policy requires that residents be cared for in a manner that promotes their sense of well-being and self-worth, but the observed actions did not align with this policy, resulting in a failure to provide a dignified dining experience.
Failure to Prevent Unnecessary Use of Physical Restraint
Penalty
Summary
A deficiency occurred when a resident was found seated in a wheelchair with a self-releasing belt applied around the chest-abdominal area. Despite the belt being labeled as 'self-releasing,' the resident was unable to remove it independently and could not follow commands to do so, as confirmed by both the Korean Program Director and the Director of Nursing. The Director of Nursing further stated that the belt was used to prevent the resident from standing up, and there was no completed restraint assessment for this resident. Medical records indicated the resident had diagnoses including metabolic encephalopathy, unspecified dementia with psychotic disturbance, reduced mobility, and a lesion of the sciatic nerve. The resident's BIMS score was 4, indicating severe cognitive impairment. Documentation showed an order for the self-releasing belt to be applied when the resident was in the wheelchair, and the care plan noted the use of the belt due to risk for skin injury. However, nursing notes confirmed the resident was unable to self-release the belt, and the facility's policy defined physical restraints as devices that the individual cannot remove easily, which restricts freedom of movement.
Failure to Complete PASARR Level II Screenings After New Mental Health Diagnoses
Penalty
Summary
The facility failed to refer two residents for a required PASARR Level II screening after new or changed diagnoses of serious mental illness were identified. For one resident, a new diagnosis of Paranoid Personality Disorder and the addition of psychotropic medications were documented, but no subsequent Level II PASARR was completed following these changes. The administrator confirmed that a new Level II PASARR should be completed when a new mental health diagnosis is added, and the social services staff acknowledged that this was not done after the resident's diagnosis and medication changes. For another resident, new diagnoses of unspecified psychosis and delusional disorder were recorded, along with the initiation of a psychiatric medication. The social services director confirmed that a new PASARR Level II screening should have been completed for this resident but was not. Facility policy requires coordination with the Medicaid PASARR program to determine the needs of individuals with mental disorders, but this process was not followed for these two residents after significant changes in their mental health status.
Failure to Complete PASARR Screening Prior to Admission
Penalty
Summary
The facility failed to ensure that Preadmission Screening and Resident Review (PASARR) Level I and Level II were conducted prior to admission for two residents with mental disorders or intellectual disabilities. Interviews with the admission director and administrator confirmed that PASARR screenings were not completed for these residents before their admission, despite both staff members acknowledging the requirement for such screenings to determine eligibility and specialized service needs. The facility's policy also states that nursing and medical needs for individuals with mental disorders or intellectual disabilities should be determined through coordination with the Medicaid PASARR program. Record reviews revealed that one resident, a female with diagnoses including dementia, unspecified psychosis, delusional disorder, bipolar disorder, and adjustment disorder, was admitted without a PASARR screening. Her care plan noted psychiatric illness and behavioral disturbances. Another resident with major depressive disorder and delusional disorders was also admitted without the required PASARR screening, with care plans indicating severe mental illness and behavioral concerns. The lack of PASARR completion prior to admission was confirmed by both the administrator and admission director.
Failure to Provide Nail Care to Dependent Resident
Penalty
Summary
A deficiency was identified when a resident who required assistance with activities of daily living (ADLs) was observed to have long and dirty fingernails with black matter underneath. The resident was alert and responsive in Spanish, but required substantial to maximal assistance with personal hygiene, as documented in the MDS assessment. The wound care nurse confirmed that the resident was confused and dependent on staff for ADLs and transfers. The CNA was identified as responsible for providing nail care as part of the ADL program, but this care was not provided as evidenced by the resident's unclean nails. The resident's medical history included altered mental status, dependence on renal dialysis, end stage renal disease (ESRD), and chronic obstructive pulmonary disease (COPD). The comprehensive care plan indicated a self-care performance deficit related to activity intolerance due to ESRD, hemodialysis, and COPD. Facility policy required that residents unable to perform ADLs independently receive necessary services to maintain grooming and hygiene, including daily cleaning and regular trimming of fingernails. Despite these requirements, the resident did not receive appropriate nail care.
Medication Left at Bedside Without Physician Order
Penalty
Summary
A deficiency was identified when a wound care nurse and wound tech were observed assisting a resident with a skin check, during which nystatin powder was retrieved from the resident's bedside table for application to a reddened sacral area. Upon inquiry, the wound care nurse confirmed that floor nurses are responsible for the resident's treatment and acknowledged that medication should not be left at the bedside. The Director of Nursing also confirmed that medications are not to be left at bedside unless ordered by a physician. The resident, who was admitted with diagnoses including metabolic encephalopathy, demyelinating disease of the central nervous system, and cognitive communication deficit, had an active physician order for nystatin powder to be applied topically every shift for redness. Facility policy requires all drugs and biologicals to be stored safely and securely, and not left at bedside without a physician's order.
Failure to Implement Enhanced Barrier Precautions and Equipment Disinfection
Penalty
Summary
The facility failed to implement proper Enhanced Barrier Precautions (EBP) for a resident undergoing dialysis. During observation, it was found that the resident's room did not have the required EBP signage or an isolation cart set up outside the door, despite the resident having an indwelling medical device (AV fistula) for hemodialysis. Interviews with nursing staff confirmed that the resident should have been on EBP due to the dialysis access, but the necessary precautions were not in place at the time of the survey. Additionally, there was no written physician order for EBP in the resident's chart, nor was there an EBP care plan documented prior to the surveyor's inquiry. The facility's policy, revised in March 2023, specifies that residents with indwelling medical devices, such as hemodialysis catheters, must be placed on EBP. This includes posting clear signage outside the resident's room, making PPE (gowns and gloves) available immediately outside the room, and ensuring access to hand hygiene products. The policy also requires a written physician order and a care plan for residents on EBP. These requirements were not met for the resident on dialysis at the time of the survey. In a separate observation, a LPN was seen using reusable vital sign equipment on a resident and then attempting to use the same equipment on another resident without cleaning or disinfecting it. The facility's policy requires that all non-critical resident-care items, such as blood pressure cuffs and pulse oximeters, be cleaned and disinfected between uses on different residents. The LPN acknowledged that cleaning and disinfection should occur after each use, and the DON confirmed this requirement during interview.
Failure to Monitor Antibiotic Use per Stewardship Program
Penalty
Summary
The facility failed to implement proper monitoring of antibiotic use as required by its Antibiotic Stewardship Program. Specifically, the Infection Preventionist (V3) stated that an infection screening evaluation assessment should be completed when a resident begins antibiotic medication. However, for one resident who was prescribed Doxycycline for a wound infection, the required assessment was not completed at the start of antibiotic therapy. The assessment, which should have been done on the day the antibiotic was ordered, was instead completed eight days later. V3 indicated that when she is not present in the facility, these assessments are not completed on time, as she is the only staff member responsible for them. The Director of Nursing (V2) confirmed that the expectation is for residents to be screened at the start of antibiotics and that the infection screening evaluation should be completed even in the absence of the Infection Preventionist. Facility policy requires that all clinical infections treated with antibiotics undergo review by the Infection Preventionist or designee, and that antibiotic usage and outcome data be collected and documented. In this case, the facility did not follow its own policy, resulting in a lapse in monitoring antibiotic use for a resident with a local skin and subcutaneous tissue infection.
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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 Glenview
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vi At The Glen | 0.9 mi | ★★★★★ | 0 | 0 |
| Glenview Terrace | 2.2 mi | ★★★★★ | 4 | 1 |
| Elevate Care Niles | 2.5 mi | ★★★★★ | 10 | 0 |
| Niles Nsg & Rehab Ctr | 2.6 mi | ★★★★★ | 3 | 0 |
| Elevate Care Abington | 2.8 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.