Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Grove Of Skokie, The during CMS and state inspections, most recent first.
Two residents did not receive care and services as ordered by their physicians and required by facility protocols, including failures to apply prescribed treatments, document skin assessments, update care plans, and notify family members. Staff applied inappropriate treatments and did not follow wound care orders, resulting in deficiencies in skin care and wound management.
The facility did not complete required PASARR screenings for several residents with mental health diagnoses prior to admission. Multiple residents with conditions such as dementia, schizoaffective disorder, and schizophrenia were admitted without proper screening or documentation, and PASARR assessments were only initiated after surveyor inquiry. The facility also lacked a policy on PASARR screening.
A resident with multiple comorbidities developed a facility-acquired stage 4 coccyx wound that was not properly assessed or documented according to facility policy. Staff were unable to provide consistent information about the wound's status, pain management, or nutritional intake, and regular skin assessments were not documented. The wound was omitted from the pressure ulcer list until prompted by surveyors, and there were lapses in pain medication and weight monitoring.
A resident with a colostomy and urinary incontinence did not receive proper incontinence care, as CNAs failed to adequately clean the resident's skin and improperly handled soiled linens, violating the facility's infection control policy.
The facility failed to label and date a package of pita bread and a bulk bag of Indian flour, and did not follow proper sanitization procedures for blender items. These deficiencies have the potential to affect 131 residents on an oral diet and 13 residents on a puree diet.
A resident was left exposed with his bare chest and legs visible from the hallway while a CNA was changing the linen on his bed. The resident preferred his door to be closed when changing, but this preference was not documented in his medical record until after the incident. The DON and CNA acknowledged that staff should use the privacy curtain or close the door to ensure privacy.
Failure to Follow Physician Orders and Facility Protocols for Skin Care and Wound Management
Penalty
Summary
The facility failed to provide necessary care and services in accordance with residents' care plans, physician orders, facility protocols, and professional standards of practice for two residents reviewed for quality of care. For one resident with cognitive and communication impairment and a high risk for skin impairment, staff observed redness and a fungal rash under both breasts. Although there was a physician order for Nystatin powder to be applied twice daily, the LPN had not applied it as ordered, and instead, a CNA applied Vitamin D ointment, which was not appropriate for a fungal rash. The wound care nurse initiated the treatment order but did not document a written assessment, update the care plan in a timely manner, or notify the family of the treatment. There was also a delay in obtaining the treatment order after a concern was raised by the resident's home care case manager, and no documentation of the initial assessment was found in the medical record. For another resident with multiple comorbidities, including a left above-the-knee amputation, diabetes, and high risk for skin impairment, the facility did not follow physician orders for wound care. During wound care observation, the LPN applied Nystatin powder to the sacral area, which was not ordered for that site, and did not apply skin prep as required by the physician's order. The LPN also applied Nystatin powder to the perineal area, which was consistent with the order, but the wound care for the right hip was performed as ordered. Documentation and care plan updates were not completed as required by facility policy, and the wound care nurse did not ensure that all new skin impairments were assessed, documented, and communicated to the physician and family. Facility policies require prompt identification, documentation, and treatment of skin breakdown, adherence to physician orders, and timely updates to care plans. In both cases, there were failures to document skin assessments, follow physician orders for wound care, update care plans, and notify family members as required by facility protocol. These actions and inactions led to the identified deficiencies in the provision of care and services for the affected residents.
Failure to Complete Required PASARR Screenings for Residents with Mental Disorders
Penalty
Summary
The facility failed to conduct required PASARR (Pre-Admission Screening and Resident Review) screenings for residents with mental disorders or related conditions prior to admission. Specifically, four residents with diagnoses such as dementia, schizoaffective disorder, major depressive disorder, schizophrenia, and anxiety were admitted without documentation of a PASARR screening in their medical records. In several cases, the admissions director acknowledged that the screenings had not been completed at the time of admission and only initiated them after being prompted by surveyors. For some residents, the only documentation available was an outdated pre-admission screening from many years prior, which did not meet current requirements. Comprehensive assessments for these residents indicated varying levels of cognitive impairment, and their medical records included orders for antipsychotic, antidepressant, and antianxiety medications. Despite these significant mental health diagnoses and medication regimens, there was no evidence that the facility had evaluated whether these residents required specialized services or placement in a more appropriate setting as mandated by PASARR regulations. Additionally, the facility was unable to provide a policy regarding PASARR screening when requested by surveyors.
Failure to Assess and Document Pressure Ulcer
Penalty
Summary
A deficiency occurred when the facility failed to properly assess and document a pressure ulcer for one resident with significant comorbidities, including congestive heart failure, atrial fibrillation, and osteomyelitis. The resident, who had moderate cognitive impairment and required partial to moderate assistance, developed a facility-acquired stage 4 coccyx wound. Despite the facility's policy requiring prompt identification and documentation of skin breakdown, there was a lack of timely and consistent wound assessments, with only one skin evaluation provided for several months and no clear record of when the wound first appeared. Staff interviews revealed confusion and lack of knowledge regarding the resident's wound status, weight loss, and pain management. The assigned nurse was unable to describe the wound or provide information on the resident's nutritional intake, and the wound care nurse was uncertain about the duration of the wound prior to notification. The Director of Nursing stated that nurses were not expected to complete skin assessments and that skin assessments were not entered as orders, relying instead on CNAs to notify nurses of any skin impairments. However, documentation supporting regular skin checks was lacking. Further review showed that the resident's wound was not included on the facility's pressure ulcer list until specifically requested by surveyors, and there were gaps in pain management orders and weight monitoring. The wound was described as unstageable with visible muscle, foul odor, and purulent discharge upon hospital transfer. The facility's failure to follow its own policy for wound identification, documentation, and treatment led to a delay in appropriate care for the resident's pressure ulcer.
Inadequate Infection Control in Incontinence Care
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices during the handling of soiled linens and incontinence care for a resident. The resident, who was admitted with multiple diagnoses and is cognitively intact, requires substantial assistance for mobility and has a colostomy and urinary incontinence. During an observation, two CNAs were seen removing the resident's soiled incontinence brief and linens. However, they did not adequately clean the resident's skin, particularly the buttocks, groin, and scrotum, using only a disposable wipe without soap and water. The CNAs also failed to open the wipe properly and did not wash the affected areas before applying ointment and a clean brief. Additionally, the soiled linens were improperly handled as they were thrown on the floor instead of being placed in a designated container or bag, which is against the facility's infection control policy. The Director of Nursing confirmed that the resident should be changed every two hours and that proper cleaning with soap and water is necessary to prevent skin breakdown. The facility's policy mandates washing and drying the perineal area and disposing of soiled items correctly to prevent infection and skin irritation.
Failure to Label Food and Follow Sanitization Procedures
Penalty
Summary
The facility failed to follow its Kitchen Policy by not labeling and dating a package of pita bread and a bulk bag of Indian flour. This was observed by the surveyor in the walk-in refrigerator and dry food storage area. The Dietary Manager confirmed that all food should be dated with an open date and expiration date, and acknowledged the oversight. The facility's Kitchen Policy mandates that refrigerated food should be covered, dated, and labeled, and that large bulk items in dry storage should be labeled. This deficiency has the potential to affect 131 residents on an oral diet. Additionally, the facility did not adhere to the Sanitizer Manufacturer Instructions and Procedures for 3 Compartment Sinks. The surveyor observed a cook sanitizing blender items for less than 30 seconds, contrary to the manufacturer's instructions which require immersion for at least 60 seconds. The Dietary Manager and the cook provided conflicting information regarding the correct sanitization time. This failure has the potential to affect 13 residents on a puree diet.
Failure to Ensure Resident Privacy
Penalty
Summary
The facility failed to follow the Statement of Resident Rights when a resident was left exposed, showing his bare chest and legs visible from the hallway. This incident occurred while a Certified Nurse Aide was changing the linen on the resident's bed. The resident expressed a preference for his door to be closed when changing and not to be exposed to the public. Despite this, the door was left open, and the resident's privacy was compromised. Another resident confirmed that the exposed resident was visible from across the hallway. The Director of Nursing stated that staff should use the privacy curtain or close the door to ensure privacy. The Certified Nursing Assistant also acknowledged that staff should close the door or use the privacy curtain when changing a resident. The Social Service Director mentioned that she was informed by the Administrator that the resident preferred to be in his brief and did not want to use the privacy curtain or have his door closed. However, this preference was not documented in the resident's medical record until after the incident. The failure to ensure the resident's privacy affected one resident reviewed for privacy in a total sample of 26.
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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 Skokie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Citadel Of Skokie, The | 0.9 mi | ★★★★★ | 4 | 0 |
| Warren Barr Lieberman | 1.1 mi | ★★★★★ | 0 | 0 |
| Alden Estates Of Skokie | 1.3 mi | ★★★★★ | 6 | 0 |
| Alden Estates Of Evanston | 1.7 mi | ★★★★★ | 4 | 0 |
| Westminster Place | 1.7 mi | ★★★★★ | 0 | 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.