Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Greek American Rehab Care Ctr during CMS and state inspections, most recent first.
Failure to implement ordered pressure ulcer prevention and wound care led to a resident’s sacral MASD progressing to a stage 3 pressure injury. The resident had dementia, was high risk on the Braden scale, and had orders for a low air loss mattress, heel suspension boots, and daily sacral wound care with Medi honey. Surveyors observed the resident on an inflated mattress without heel boots, and the record showed no skin care plan or weekly wound monitoring when the sacral breakdown was first identified, with care planning not initiated until after the wound deteriorated and required debridement.
Kitchen Waste Bin Left Uncovered: Surveyors observed a garbage bin more than half full of refuse without a lid near the food prep area while no staff were in the immediate vicinity. The FSD stated bins should be covered when no staff are working nearby, the Administrator was unsure of the kitchen waste bin policy, and the DON stated bins should have a lid on when not in use for infection control. The facility policy states trash cans shall be kept closed when not in active use.
A facility failed to protect resident privacy during insulin administration and to keep medical records confidential. An RN gave an insulin injection with the door wide open and visible from the hallway, and a WCN left a laptop screen displaying a resident’s physician orders exposed on a treatment cart where it could be seen by residents and staff passing by. The DON acknowledged that privacy and confidentiality should have been maintained.
The facility failed to refer a resident for a PASSAR level 2 screening after the resident developed a new psychiatric diagnosis and was started on an antidepressant for depression. The prior PASSRR level 1 had indicated no level 2 was needed unless new information emerged, and the DON acknowledged the resident should have had a level 2 completed because of the new diagnosis and medication. The facility could not produce a policy.
PASARR screening was not completed before admission for two residents reviewed. One resident with major depressive disorder had no PASARR Level I screen in the record, and the DON said it should have been completed. Another resident with schizoaffective disorder, anxiety, and major depressive disorder had no PASARR Level I or Level II completed; the Administrator and DON stated a Level I was only requested and completed later, with a referral for Level II onsite, and the facility had no PASARR policy.
Failure to follow care plan interventions and OT recommendations for two residents with limited mobility and ROM needs. One resident with dementia, weakness, and dependence for ADLs was repeatedly observed sliding down in a high-back chair while staff delayed or did not assist with repositioning, despite a care plan for a specialized wheelchair and mobility support. Another resident with CVA-related hemiplegia, aphasia, and right-hand stiffness had a splint/AROM care plan and OT recommendation for a right half lap tray, but documentation was incomplete and staff reported the splint had been discontinued after re-admission.
Improper Oxygen Tubing Storage: A resident with an active PRN nasal cannula O2 order had tubing observed on the bed, touching the floor, and not in use. A CNA was unsure how to store it, while an RN and the DON stated that unused oxygen tubing should be kept in a clear plastic bag for infection control and should not touch the floor.
A resident with dementia, Parkinson's disease, type 2 DM, palliative care, and a stage 3 sacral pressure ulcer had inconsistent hospice documentation across the POS, care plan, and hospice binder, listing different hospice providers. The hospice binder did not contain the hospice plan of care, and staff reported that Social Services coordinates hospice documents with the chosen hospice provider, but the needed hospice information was not available in the binder.
Infection control practices were not followed during resident care and medication administration. An RN used a portable BP machine without disinfecting it, then moved on to another resident without cleaning the equipment. A student removed gloves without hand hygiene, and an RN performed a blood sugar check, prepared sliding scale insulin, and administered insulin without gloves or hand hygiene, while also failing to disinfect the glucometer.
Failure to Implement Ordered Pressure Ulcer Prevention and Wound Care
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was not ensured for one resident with Alzheimer’s disease, dementia, a history of falling, and a sacral pressure ulcer. The resident was re-admitted with physician orders for bilateral heel suspension boots, a low air loss mattress, a single flat sheet, moisture barrier for incontinence care, a specialized cushion when up in chair, and daily sacral wound care with Medi honey and an island dressing. The resident was also identified as high risk on the Braden scale and had a comprehensive care plan noting a stage 3 sacral pressure ulcer and skin integrity impairment related to fragile skin, incontinence, and impaired mobility. The resident’s record showed that on 12/31/25 the sacrum was documented as MASD with a wound measuring 1.5 cm x 1.0 cm x 0.1 cm, small serous drainage, and treatment with normal saline, Medi honey, and an island gauze dressing. A wound care physician later assessed the sacral wound as an acute stage 3 pressure injury acquired on 1/13/26, with 76-100% adherent yellow slough and selective debridement performed. Survey observation on 1/14/26 found the resident on an inflated mattress rather than the ordered low air loss mattress, and no bilateral heel suspension boots were in place. The record review and staff interviews showed the ordered low air loss mattress and heel boots were not implemented as ordered. No skin care plan had been developed for prevention of skin impairment, and no care plan was initiated when MASD was first identified on 12/31/25; the care plan was not started until after the condition deteriorated to a stage 3 pressure ulcer. Weekly wound monitoring and documentation were also not done from the time MASD was identified. The wound care nurse stated she only developed skin care plans and weekly monitoring for stage 2 and above pressure ulcers, while the care plan coordinator stated he was not aware of the MASD and that changes such as sacral MASD must be addressed in the care plan to support healing and prevent deterioration.
Kitchen Waste Bin Left Uncovered
Penalty
Summary
The facility failed to follow management of waste bins in the kitchen. During an initial kitchen round on 1/13/2026 at 9:38 AM, surveyors observed one garbage bin that was more than half full of refuse and did not have a lid or cover. The garbage bin was located by the food preparation area, and there was no staff working in the immediate vicinity at that time. The Food Service Director stated that if no staff are currently working in the area, garbage bins should have the lid on. Later that day, the Administrator stated he was not sure of the policy for garbage bin management in the kitchen and was not sure if the garbage bin should have a lid when not in use. On 1/14/2026 at 9:35 AM, the DON stated garbage bins should have a lid on when not in use for infection control purposes. The facility policy, effective 1/13/2026, states that trash cans shall be kept closed when not in active use.
Failure to Protect Resident Privacy and Confidential Records
Penalty
Summary
The facility failed to assure resident privacy for personal care and confidential medical records for two residents. During insulin administration to one resident’s abdominal area, an RN provided the injection with the door widely open, allowing residents and employees passing in the hallway to see the care being given. In a separate observation, a laptop on top of a treatment cart outside a door had its screen exposed and displayed another resident’s physician orders, visible to employees and residents walking past in the hallway. The DON stated that privacy should be provided when administering insulin to the abdominal area and that resident medical records should be protected for confidentiality.
Failure to Refer for PASSAR Level 2 Screening
Penalty
Summary
The facility failed to refer a resident for a PASSAR level 2 screening after the resident developed newly evident serious mental illness and was prescribed medication related to that condition. Record review showed the resident had a new diagnosis of Delusional Disorder dated 5/12/2025 and Major Depressive Disorder dated 12/20/2025, along with an order for Venlafaxine HCI extended release 75 mg daily for depression. The resident’s prior PASSRR level 1, dated 6/5/2024, indicated no level 2 was required at that time, but also stated that if changes occurred or new information refuted those findings, a new screen must be submitted. During interview, the Administrator stated that residents with mental illness should have a PASSAR level 2 completed, and the DON stated the resident should have a PASSAR level 2 completed because of the new psychiatric diagnosis and prescribed medication. The facility was unable to present a policy.
PASARR Screening Not Completed Before Admission
Penalty
Summary
PASARR screening for mental disorders or intellectual disabilities was not completed prior to admission for 2 of 3 residents reviewed for PASARR. One resident, admitted on 9/20/2021, was later diagnosed with major depressive disorder on 10/15/2021 and had a physician order for Sertraline HCL 75 mg at bedtime, but the surveyor could not find a PASARR Level I screen in the record on 1/15/2026. The DON stated that this resident's PASARR Level I screen should have been completed. Another resident, admitted on 5/6/2021, had diagnoses including schizoaffective disorder, depressive type, other specified anxiety disorders, and major depressive disorder. The record also included orders for Divalproex Sodium as a mood stabilizer and Sertraline HCl for schizoaffective disorder and anxiety disorder, and the care plan described psychiatric illness with psychosis, schizophrenia, depressed mood, excessive worry about health issues, excessive eating at times, and extreme obsessive behavior. The Administrator and DON stated there was no PASARR Level I or Level II completed for this resident, that a PASARR Level I was requested and completed the day before the survey with a determination to refer for Level II onsite, and that the facility did not have a PASARR policy.
Failure to Follow Mobility and Splint Care Plans
Penalty
Summary
The facility failed to implement care plan interventions and follow OT recommendations for two residents with limited mobility and ROM needs. One resident was re-admitted with dementia, type 2 diabetes mellitus, osteoarthritis, and palliative care, and the care plan identified ADL self-care deficit, limited physical mobility due to weakness, and the need for a specialized wheelchair and assistance with mobility as needed. The resident’s functional abilities and goals indicated dependence with ADLs and transfers. During observation, the resident was seen sliding down in a high-back chair in the dining room and appeared confused, had facial grimacing, and looked uncomfortable. An activity aide said she had already observed the resident sliding but could not leave the dining room to get nursing staff. An RN then requested a CNA to pull up and reposition the resident. Later the same day, the resident was again observed sliding down in the high-back chair while two CNAs were standing in the dining room waiting for lunch trays and did not assist. One CNA stated they usually applied another nonslip device on top of the wheelchair cushion to prevent sliding. The restorative nurse stated she was not aware the resident had issues with sliding down in the high-back chair and was later informed that the resident had a care plan intervention for a specialized wheelchair to help with safe positioning and posture. The second resident was re-admitted with hemiplegia and hemiparesis following CVA affecting the right dominant side, aphasia, dementia, and stiffness of the right hand. The care plan included right hand splint use at night and off in the morning, with AROM to the right hand before and after splint application, and OT had recommended a right half lap tray with a wearing schedule of 4 to 5 hours per day. The MAR documented splint application at 8:00 PM, but there was no documentation of removal or AROM before and after application as indicated in the care plan. The resident was observed sitting in a wheelchair with a flexion contracture of the right arm, and staff stated the splint had been discontinued when he was re-admitted. The restorative nurse said she assessed the resident but did not document, and there were no updates in the splint care plan with the last revision dated 12/20/23.
Improper Oxygen Tubing Storage
Penalty
Summary
The facility failed to implement proper oxygen equipment storage for a resident who had an active order for nasal cannula oxygen as needed at 2 L to maintain O2 sats above 92% and a care plan problem related to shortness of breath. During observation, the resident’s oxygen nasal cannula tubing was found on top of the bed without a visible date, with the tubing touching the floor and not currently in use. A CNA stated she was unsure whether the tubing should be stored in a bag when not in use and looped it before placing it on top of the oxygen concentrator. An RN stated that when the resident was not using oxygen, the tubing should be stored in a plastic bag for infection control purposes. The DON stated that when oxygen is not in use, tubing should be stored in a clear plastic bag and should not touch the floor to prevent cross-contamination. The facility policy also stated that when not in use, oxygen tubing, masks, and cannulas should be bagged in a clear bag.
Missing hospice plan of care and inconsistent hospice provider documentation
Penalty
Summary
The facility failed to implement its hospice services agreement by not providing the hospice information needed for coordinated hospice care for one resident, R87. R87 was re-admitted with diagnoses including dementia, palliative care, Parkinson's disease, type 2 diabetes mellitus, and a stage 3 sacral pressure ulcer. At the time of observation, R87 was up in a wheelchair in the dining room. The active physician order sheet indicated admission or evaluation to one hospice provider, while the active comprehensive care plan stated that R87 was connected to a different hospice provider for hospice services. Review of the hospice binder with the LPN and ADON showed hospice services information, but no hospice plan of care was present. The Social Service Director and Social Worker stated they coordinated hospice residents' documents with the chosen hospice provider and that they obtain hospice information such as the plan of care, nurse notes, CNA visit notes, and other pertinent records for the resident's binder, but they were unable to find the hospice plan of care. The hospice plan of care was later requested and showed a benefit period from 12/17/25 to 2/14/26. The DON was informed that the active POS listed one hospice provider while the care plan and hospice binder listed another, and stated that the resident should have a physician order for the hospice provider.
Infection Control Lapses During Vital Signs, Glucose Checks, and Medication Administration
Penalty
Summary
The facility failed to implement appropriate infection prevention and control practices during resident care and medication administration. On 1/13/26 at 9:31 AM, an RN took a portable BP machine from the hallway without disinfecting it and used it in a resident’s room to obtain vital signs, including BP, pulse, and oxygen saturation. After giving the resident medications, the RN continued preparing to take vital signs of another resident without disinfecting the medical equipment. When interviewed, the RN stated that medical equipment used for resident vital signs is usually disinfected before and after use, but she forgot to do so. On 1/13/26 at 9:41 AM, four students wearing gloves were observed around a resident, and one LPN student removed gloves without performing hand hygiene. The instructor stated the student should have performed hand hygiene after removing the gloves, and the student said she forgot. Later, on 1/13/26 at 11:32 AM, an RN performed blood sugar testing on a resident’s finger without gloves, did not perform hand hygiene, and went to the medication cart to prepare sliding scale insulin without disinfecting the glucometer. The RN prepared insulin Aspart from a vial without hand hygiene or gloves, administered the insulin to the resident’s abdomen without gloves, and did not perform hand hygiene afterward. The RN stated she should have worn gloves for blood sugar testing and insulin preparation/administration, performed hand hygiene before preparing medications and after administration, and disinfected the glucometer after each resident use.
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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 Wheeling
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Addolorata Villa | 1.5 mi | ★★★★★ | 8 | 0 |
| Elevate Care Riverwoods | 1.7 mi | ★★★★★ | 1 | 0 |
| Bella Terra Wheeling | 1.8 mi | ★★★★★ | 0 | 0 |
| Warren Barr Buffalo Grove | 2.3 mi | ★★★★★ | 1 | 0 |
| Radford Green | 2.8 mi | ★★★★★ | 1 | 0 |
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