Below 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 Park Ridge Healthcare Center during CMS and state inspections, most recent first.
The facility failed to maintain nursing and CNA staffing levels as outlined in its facility assessment, which required 2 nurses and 4 CNAs on day and evening shifts and 1 nurse and 2 CNAs on nights. Review of a month of schedules showed that only 2 of 31 days met these staffing requirements. On the survey day, three CNAs covered the floor while one CNA provided 1:1 supervision, and staff reported that there were sometimes only one nurse and as few as two CNAs on the morning shift, making care a struggle. A resident was observed lying on a bed with the upper torso hanging off and the head on a floor mat for an extended period until a CNA, prompted by the surveyor, came to reposition the resident. The DON acknowledged ongoing staffing concerns related to staff illness, a small pool of available staff, lack of agency use, and the impact of a resident requiring 1:1 supervision on overall floor coverage.
A female resident with moderate cognitive impairment and multiple medical conditions was physically abused by a male resident with severe cognitive impairment and a history of aggression. The incident occurred in an unsupervised day room, resulting in facial injury and ongoing fear and anxiety for the victim. Staff interviews and documentation confirmed a pattern of aggressive behavior by the perpetrator and a lack of adequate supervision at the time of the incident.
A resident with complex medical conditions, including chronic kidney disease, experienced inadequate fluid intake due to a transcription error in the water flush order upon readmission to the facility. The order was incorrectly entered, leading to insufficient hydration and a subsequent hospitalization for hypernatremia. The error was due to miscommunication during the verbal hand-off report and failure to review hospital discharge records thoroughly.
The facility failed to ensure that all dietary staff were properly certified for food handling, affecting 37 residents. One staff member had been working for about a year without a current food handling certificate, and the facility lacked a policy on required qualifications for dietary staff.
The facility failed to implement adequate measures to minimize the risk of Legionella and other pathogens in its water systems. The DON was unaware of water management protocols, and the administrator confirmed no Legionella testing had been conducted during their tenure. The Maintenance Director lacked experience and only checked temperatures without addressing variances. The facility's water management policy was not followed, putting all 38 residents at risk.
The facility failed to maintain the dignity and rights of six residents by consistently leaving them in geriatric chairs with mechanical lift slings visible underneath. Staff justified this practice for ease of transfer and safety, despite acknowledging it could compromise resident dignity.
Failure to Maintain Adequate Nursing and CNA Staffing per Facility Assessment
Penalty
Summary
The deficiency involves the facility’s failure to follow its own facility assessment for direct care staffing and to ensure adequate nursing staff on all shifts. The facility assessment specified that day and evening shifts should each have 2 nurses and 4 CNAs, and night shift should have 1 nurse and 2 CNAs. Review of assignment sheets and actual working schedules from 12/20/2025 to 1/19/2026 showed that, out of 31 days, only 2 days were staffed according to these requirements. On the survey date, three CNAs were assigned to the floor while one CNA was assigned to 1:1 supervision, effectively reducing floor coverage. Staff interviews confirmed that on morning shifts there should be two nurses, but sometimes there is only one, and that CNA staffing fluctuates between two, three, or four CNAs, with staff describing it as a struggle when only two CNAs are available. During observations on the survey date, one resident was seen lying horizontally on his bed with his upper torso hanging off the bed and his head touching the floor mat. At 10:55 AM, the resident remained in this position until a CNA was called by the surveyor to observe and then repositioned the resident. The DON reported that staffing had been a concern recently due to staff illness and a limited pool of staff to call in for coverage, and also stated that the facility had not used agency staff for many years. The DON further explained that typical day-shift staffing should be two nurses and four CNAs, but this had been difficult to maintain, particularly because one resident required 1:1 supervision, which pulled a CNA from general floor duties, and that sometimes there was only one nurse on day shift.
Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to protect a resident's right to be free from physical abuse by another resident. One female resident with moderate cognitive impairment and multiple medical conditions, including Alzheimer's disease and anxiety disorder, reported being punched by a male resident with severe cognitive impairment, behavioral issues, and a history of aggression. The male resident had a behavioral care plan in place due to his potential for physical aggression, poor impulse control, and communication deficits, but there was no documentation of an abuse care plan for the female resident prior to the survey. On the day of the incident, the male resident became agitated and struck the female resident, resulting in redness and swelling on her face. No staff were present in the day room at the time of the incident, and the event was not witnessed. Multiple staff interviews confirmed that the male resident had a pattern of aggressive behavior, particularly toward female residents and staff, and that the female resident remained fearful and anxious after the incident. The absence of staff supervision in the day room contributed to the occurrence of the abuse. Documentation and interviews revealed that the female resident continued to experience fear and anxiety, avoiding therapy and requiring frequent reassurance for her safety. Staff acknowledged the ongoing behavioral challenges of the male resident and the difficulty in managing his aggression, especially given his communication barriers and cognitive limitations. The lack of adequate supervision and failure to prevent resident-to-resident abuse resulted in the female resident feeling unsafe and threatened within the facility.
Inadequate Fluid Intake Due to Transcription Error
Penalty
Summary
The facility failed to provide sufficient fluid intake to maintain proper hydration for a resident, identified as R1, who was admitted with multiple complex medical conditions, including chronic kidney disease and severe protein-calorie malnutrition. Upon readmission to the facility after a hospitalization, an error occurred in transcribing the physician's order for water flushes through R1's gastrostomy tube. The order was incorrectly entered as 200 ml four times a day, rather than the correct order of 200 ml before and after each meal, four times a day. This transcription error led to R1 receiving inadequate fluid intake, contributing to a subsequent hospitalization for hypernatremia. The deficiency was identified through interviews and record reviews, revealing that the error stemmed from a miscommunication during the verbal hand-off report and a failure to thoroughly review the hospital discharge records. The facility's Director of Nursing acknowledged the mistake, and the Medical Director noted that R1's kidney function had been declining prior to admission. The facility's policies on enteral nutrition and resident admission emphasize the importance of accurate order transcription and comprehensive information gathering, which were not adhered to in this instance.
Failure to Ensure Proper Certification for Dietary Staff
Penalty
Summary
The facility failed to ensure that all dietary staff were properly certified for food handling, which has the potential to affect all 37 residents who receive food by mouth from the kitchen. During a visit, the surveyor requested food handling certificates for all dietary staff. The dietary manager initially presented certificates for only three out of six dietary aides. Later, certificates for two additional staff were provided, but one staff member (V9) could not produce a certificate and was reportedly taking the test at that time. V9 had been working at the facility for about a year without a current food handling certificate on file. The administrator confirmed that V9's certificate had expired and that V9 was taking the test again. Despite V9 working part-time, the administrator acknowledged that a current food handling certificate should be on file. The facility did not have a policy regarding the required qualifications for dietary staff. According to the Illinois Food Handling Regulation Enforcement Act, all food handlers must complete food safety training within 30 days of beginning employment. The facility's failure to comply with this regulation was evident as V9 had been working for months without the necessary certification.
Failure to Implement Legionella Prevention Measures
Penalty
Summary
The facility failed to implement adequate measures to minimize the risk of Legionella and other opportunistic pathogens in its water systems. The Director of Nursing (DON), who is also the infection prevention nurse, was unaware of the facility's water management or Legionella prevention protocols, indicating a lack of proper training and delegation. The administrator confirmed that no Legionella testing had been conducted during their five-year tenure, except during construction or when there was an indication of a problem. The facility only monitored water temperatures and performed routine flushing, without any corrective actions for temperature variances outside control limits, as evidenced by incomplete temperature logs from July 2023 to April 2024. The Maintenance Director, who started six months ago, also lacked experience and training in Legionella testing and only checked temperatures without addressing variances outside the stated range. The facility's water management policy, revised in December 2017, required preventive maintenance, including monitoring hot water temperatures at least five times a week and implementing corrective actions for variances. However, the policy was not followed, as the temperature logs showed persistent variances without any corrective actions documented. The administrator admitted to instructing the Maintenance Director to adjust the water heater temperature settings, but no consistent measures were taken to address the issue. This failure to adhere to the water management policy and lack of corrective actions for temperature variances put all 38 residents at risk of exposure to Legionella and other pathogens.
Failure to Maintain Resident Dignity and Rights
Penalty
Summary
The facility failed to ensure the rights of six residents (R5, R13, R23, R26, R32, and R37) were maintained, specifically their right to a dignified existence and self-determination. Observations revealed that these residents were consistently left in geriatric chairs with mechanical lift slings visible underneath them. This practice was noted during multiple observations on different dates and times, both in the TV area and in a small activity room. The mechanical lift slings being left under the residents were visible to anyone passing by, which could be considered a dignity issue. The Director of Nursing (V2) and a Licensed Practical Nurse (V4) confirmed that leaving the slings under the residents was a typical practice in the facility, citing reasons such as ease of transfer and the residents' physical and cognitive impairments. The facility's resident rights policy, dated 08/23/2017, emphasizes the importance of promoting the exercise of rights for each resident, including those with communication problems, hearing problems, and cognitive limitations. Despite this policy, the practice of leaving mechanical lift slings under residents was acknowledged by the staff as potentially compromising the residents' dignity. The staff justified this practice by stating it was safer and more convenient for transferring residents, who often have conditions like osteoporosis, weakness, and severe cognitive impairments. However, this practice visibly marked the residents as being dependent on mechanical lifts, which could undermine their dignity and self-determination.
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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 Park Ridge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harmony Park Ridge | 0.5 mi | ★★★★★ | 6 | 0 |
| Avantara Park Ridge | 1.2 mi | ★★★★★ | 0 | 0 |
| Rivaya Care Of Des Plaines | 1.8 mi | ★★★★★ | 9 | 0 |
| Elevate Care Regency | 2 mi | ★★★★★ | 2 | 2 |
| Citadel At Saint Benedict | 2.4 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.