Above average — CMS composite of the measures below.
The next survey window likely opens 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 Niles Nsg & Rehab Ctr during CMS and state inspections, most recent first.
A resident with dementia, gait difficulty, and a vertebral fracture had a documented history of falls and a care plan that included use of a floor mat at the bedside. During observation, the resident was found in bed while the floor mat was folded and stored behind the headboard instead of being in place as ordered. The DON confirmed that staff are expected to follow care plan interventions and that a floor mat should be at the bedside for residents at risk for falls, consistent with the facility’s incident/accident/fall guidelines.
Two residents with indwelling urinary catheters did not receive care consistent with the facility’s catheter care guidelines. For one resident with dementia and acute kidney failure, a CNA performed catheter care without wiping the catheter from the insertion site, contrary to the facility’s requirement to clean the peri area and at least four inches of the catheter in one direction away from the body. For another resident with neuromuscular bladder dysfunction and malnutrition, catheter tubing was observed under the leg without a stat lock or leg stabilizer in place, despite facility guidelines requiring tubing to be kept off the body and secured with a leg anchor to prevent tugging.
Surveyors found that the facility did not follow its unit refrigerator policy for labeling, storage, and expiration monitoring of foods brought in by families for two residents. In both cases, personal refrigerators contained multiple expired and unlabeled items, including visibly spoiled foods, while no temperature monitoring logs were present. CNAs, an LPN, the DON, and the housekeeping supervisor all described processes requiring labeling, daily checks, and housekeeping oversight of temperatures and food freshness, but their statements showed inconsistent practice and reliance on families who reported they had not been instructed to label items. Review of the written policy confirmed requirements for daily temperature checks, regular cleaning, removal of spoiled/expired food, and proper sealing and dating of perishable items, which were not consistently implemented.
A resident receiving lithium for schizoaffective disorder had elevated lithium levels that were not promptly communicated to the psych NP or addressed with a medication adjustment, despite developing symptoms of weakness and confusion. The resident continued to receive the same lithium dose until a subsequent, much higher lithium level prompted discontinuation of the medication, after which the resident was hospitalized for altered mental status and lithium toxicity.
The facility did not follow its pharmacy policy by failing to label open dates on inhalers for three residents, which is crucial for medications with shortened expiration dates. This was discovered during a medication storage inspection, and the facility had to estimate the open dates post-surveyor inquiry.
Failure to Implement Care-Planned Fall Prevention Interventions
Penalty
Summary
Surveyors identified that the facility failed to implement fall care plan interventions for a resident with a history of falls. The resident was an elderly female admitted with dementia, walking difficulty, and a vertebral fracture, and the facility’s fall log documented two prior falls for her, on 5/10/25 and 8/19/25, both without injury. Her fall care plan included an intervention for a floor mat on the side of the bed. However, on 12/2/25 at 10:22 AM, she was observed in bed with the floor mat folded and stored behind the headboard instead of being placed at the bedside as care-planned. In an interview on 12/3/25 at 1:57 PM, the DON stated that staff should follow care plan interventions and that the floor mat should be at the bedside when a resident at risk for falls is in bed. The facility’s written guidelines for incidents/accidents/falls stated that, based on the results of an incident/accident/fall, the resident’s care plan will be addressed to ensure needed points of focus have measurable goals with appropriate interventions in place. This failure to follow the established fall care plan intervention for the resident with a documented fall history constituted the deficiency related to ensuring the area was free from accident hazards and that adequate supervision and assistance devices were provided to prevent accidents.
Failure to Follow Indwelling Catheter Care Protocols
Penalty
Summary
The facility failed to follow its own indwelling catheter care policy for two residents with indwelling urinary catheters. For one resident, an older female admitted with dementia, acute kidney failure, and elevated white blood cells, a CNA was observed providing catheter care without wiping down the catheter from the insertion site. During an infection control interview, the Infection Preventionist stated that staff should wipe down the indwelling catheter from the insertion site to prevent infection. The facility’s written guidelines for indwelling catheter care require cleaning the peri area and at least four inches of the catheter, moving in one direction away from the body, using a fresh, soapy, wet washcloth for each swipe. For another resident, an older female admitted with neuromuscular dysfunction of the bladder, anxiety, and malnutrition, the catheter tubing was observed under her leg without being secured with a stat lock. During a wound care observation, the wound care nurse stated that a stat lock should be on the resident’s thigh to prevent tension or tugging on the catheter and that the floor nurse is responsible for applying it. The facility’s guidelines for indwelling catheter care specify ensuring that tubing is not under the resident and that a leg anchor or stabilizer should be applied to prevent tugging on the catheter.
Failure to Follow Unit Refrigerator Policy for Labeling and Expired Food Monitoring
Penalty
Summary
The deficiency involves the facility’s failure to follow its policy on unit refrigerators regarding labeling, storage, and monitoring of expiration dates for foods brought in by families for residents. For one resident, an older female with multiple diagnoses including fractures, diabetes, osteoarthritis, acute cystitis, hypertensive heart disease, and dysphagia, surveyors inspected her personal refrigerator and found no temperature monitoring log despite a thermometer reading of 40°F. Multiple food items were expired or unlabeled, including hard candy with past expiration dates, a smoothie snack with a past expiration date, unlabeled containers of pound cake, soup, kimchi, and Korean kangjam, discolored and visibly spoiled boiled purple yam in a ziplock bag, and a piece of pound cake with brownish-black raised texture suggestive of spoilage. Additional items included cans of peach juice and orange pineapple juice with printed expiration dates, very soft and mushy black plums in an unlabeled ziplock bag, and high-calcium black soy milk packs without expiration dates on the packaging. For a male resident with diagnoses including diabetes, end stage renal disease, cerebral infarction, dysphasia, hypertensive heart disease, speech and language deficit, arthritis, and seizure, his personal refrigerator was inspected with a CNA present. Items found included yogurt with an expiration date that had passed, organic roasted chestnut with a past expiration date, and several unlabeled items such as dried fish, boiled purple potatoes, grapes, cherry tomatoes, and boiled corn in ziplock bags. The CNA stated that housekeeping maintains the personal refrigerator log and acknowledged that food brought in by families should be checked for expiration and labeled, and that consuming expired food is not safe. Interviews with staff revealed inconsistent implementation of the facility’s policies. A CNA reported that she labels food when she receives it but was unsure if others do the same, and confirmed that all foods need labels and should be checked to ensure they are still fresh. An LPN stated that CNAs and housekeeping must check food in personal refrigerators daily and that housekeeping maintains temperature logs, and she personally identified spoiled and expired items in one resident’s refrigerator when they were pointed out. The DON stated that staff are responsible for labeling and dating food brought by families and that housekeeping checks food for freshness and expiration, while also noting that sometimes CNAs ask families to write dates on items. The housekeeping supervisor reported that housekeeping is responsible for daily temperature checks and inspection of food for freshness and expiration, that all food should be labeled and opened items kept no more than 72 hours, but also stated that sometimes they have no control over what families bring. The resident’s family later reported they had not been advised by the facility to label food they bring. Review of the written policy on Unit Refrigerators showed requirements for daily temperature checks, cleaning every three days by housekeeping, and removal of spoiled or expired food, as well as resident/caregiver responsibility to seal, date, and promptly store perishable items, which were not consistently followed in these cases.
Failure to Adjust Lithium Therapy Following Elevated Blood Levels
Penalty
Summary
A deficiency occurred when the facility failed to assess side effects and adjust medication for a resident who was receiving lithium carbonate for schizoaffective disorder. The resident's lithium blood level was found to be elevated at 1.53 mEq/L, above the normal range of 0.6 - 1.20 mEq/L. The registered nurse on duty notified the medical nurse practitioner, who reviewed the lab result but did not issue a new order, and the resident continued to receive the same lithium dosage. The psych nurse practitioner, who was responsible for managing the resident's psychotropic medication, was not notified of the elevated lithium level at that time. Over the following days, the resident began to exhibit symptoms including general weakness and later developed confusion and altered mental status. Multiple nurses observed and documented these changes, but the lithium dosage was not adjusted, and the medication continued to be administered as ordered. It was not until a subsequent lithium level was drawn, showing a significantly higher result of 2.81 mEq/L, that the psych nurse practitioner was notified and discontinued the lithium. By this time, the resident's condition had deteriorated, with increased confusion and inability to follow commands. The resident was ultimately transferred to the emergency room, where she was diagnosed with altered mental status and lithium toxicity. The facility's policy required monitoring for adverse reactions and side effects of psychotropic medications, but the failure to communicate abnormal lab results to the appropriate practitioner and to adjust the medication in response to elevated lithium levels led to the resident's hospitalization.
Failure to Label Open Dates on Inhalers
Penalty
Summary
The facility failed to adhere to its pharmacy policy by not labeling the open dates on inhalers for three residents during a medication storage and labeling task. Specifically, inhalers for three residents were found without open dates, which is against the facility's policy that requires medications with shortened expiration dates to be labeled upon opening. This oversight was identified during an inspection of the medication cart on the 3rd floor, where inhalers for these residents were observed to be opened but undated. The residents involved were prescribed inhalers for conditions such as acute respiratory failure with hypoxia, asthma, and chronic obstructive pulmonary disease. The Director of Nursing acknowledged the importance of dating medications with shortened expiration dates to ensure their effectiveness. However, the facility had to estimate the open dates for the inhalers after the surveyor's inquiry, indicating a lapse in following the established pharmacy policy.
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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) |
|---|---|---|---|---|
| Elevate Care Niles | 0.4 mi | ★★★★★ | 10 | 0 |
| Elevate Care Abington | 1.2 mi | ★★★★★ | 1 | 0 |
| Rivaya Care Of Des Plaines | 1.3 mi | ★★★★★ | 9 | 0 |
| Glenview Terrace | 1.4 mi | ★★★★★ | 4 | 1 |
| Avantara Park Ridge | 1.5 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.