Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Prairieview At The Garlands during CMS and state inspections, most recent first.
A resident with significant cardiac and vascular history and moderate cognitive impairment developed a heel pressure injury, sacral skin breakdown, and a reddened inner thigh area while facility documentation and assessments were incomplete. Staff observed the heel wound without a dressing, noted the sacral area was open and non-blanchable, and confirmed barrier cream was not applied during incontinent care. Records showed the resident was admitted with existing pressure injuries, but the initial MDS/care plan did not fully reflect those findings and later skin changes were not consistently documented or addressed.
The facility failed to maintain a functioning lock for the drawer containing the emergency supply of controlled substances, which could be opened without a key. A nurse had not checked the drawer in a long time, and the drawer contained Schedule II narcotics like fentanyl, morphine, and oxycontin. The DON stated that controlled substances must be double locked, but the boxes within the drawer were not affixed to the cabinet. The facility's policy did not specify that controlled substances must be separately locked in a permanently affixed container.
A facility failed to administer insulin correctly for a resident with Diabetes Type II. The RN did not follow the manufacturer's instructions for priming the insulin pen and did not hold the dose button for the required time, potentially affecting the resident's insulin dosage. The DON confirmed the importance of following these instructions to ensure proper dosing.
A facility failed to safely transfer a high fall risk resident with a history of multiple falls. Despite the availability of a mechanical lift, staff used a gait belt for the transfer, contrary to the resident's needs and the facility's safe lifting policy. The resident's increased weakness and multiple recent falls highlight the need for reassessment and adherence to proper transfer techniques.
A resident with CHF and hypertension received Metolazone daily instead of as needed due to a transcription error, leading to hypotension and dizziness. The facility's double-check process for new admission medication orders was not followed, resulting in the resident experiencing significant adverse effects.
Failure to Assess, Document, and Treat Pressure Injuries
Penalty
Summary
The facility failed to thoroughly assess, identify, treat, monitor, and implement adequate interventions to prevent the development and/or worsening of pressure ulcers for one resident who was admitted with diagnoses including heart disease, peripheral vascular disease, congestive heart failure, and cerebral infarction. The resident’s admission MDS indicated moderate cognitive impairment and no skin impairments on admission. However, the outside hospital history and physical documented that the resident was admitted with a stage II sacral pressure injury treated with Medi honey and foam, and a left heel unstageable injury treated with foam, with a wound consult recommended at that time. During observation, the left heel wound was seen without a dressing in place, appearing red/pink with yellow exudate covering about 70% of the wound. The wound was not measured at that time, and the sock and shoe were placed back on without a dressing being applied. The DON stated that cream and gauze are normally placed on the wound but sometimes it is left open, and the RN stated the dressing is changed twice a week and as needed during night shift. The resident was also observed during incontinent care with an open sacral skin impairment measuring 2 cm by 1.5 cm that was red with pink surrounding tissue and non-blanchable, along with a reddened area to the right upper inner thigh measuring 1.5 cm by 1 cm with the top layer of skin no longer intact. The RN stated they were unaware of the skin injury and confirmed barrier cream was not present or applied during the brief change. Record review showed that the resident’s skin assessments and bath/shower sheets did not document the sacral impairment, and only later sheets referenced the left heel bandage and old skin impairment. Nursing notes documented earlier skin concerns including groin redness, buttocks blanchable redness, and the left heel deep tissue injury identified on 01/19/2026 and treated with cleansing, Betadine, bordered dressing, and heel booties. The wound care note documented the heel DTI measurements, but the care plan initiated on admission was not updated to include the DTI when it was identified. Interviews with the wound care nurse, MDS coordinator, medical director, and nursing staff showed that staff expected skin checks, wound reporting, and care plan updates when changes occurred, but the resident’s admission paperwork was not fully incorporated into the initial MDS and care plan, and the sacral redness noted in nursing documentation was not addressed in the wound care note reviewed.
Improper Locking of Controlled Substances Drawer
Penalty
Summary
The facility failed to maintain a properly functioning lock for the drawer containing the residents' emergency supply of controlled substances, which has the potential to affect all residents. During a medication room inspection, it was observed that the drawer could be opened without a key, indicating that the lock was not functioning as intended. A registered nurse admitted to not having checked or accessed the drawer in a long time. The drawer contained Schedule II narcotic pain medications such as fentanyl patches, morphine, and oxycontin. The Director of Nursing acknowledged that controlled substances must be double locked due to their higher risk of diversion. However, the controlled substance boxes within the drawer, although having a keyed lock, were not affixed to the cabinet. The facility's policy on controlled substances did not specify that they must be separately locked from non-controlled medications in a permanently affixed container.
Failure to Administer Insulin According to Manufacturer's Instructions
Penalty
Summary
The facility failed to administer insulin according to the manufacturer's instructions for a resident with a diagnosis of Diabetes Type II. The resident had an order for 7 units of rapid-acting insulin to be given at mealtime if the resident ate his meal, using a prefilled insulin pen. During the administration process, the registered nurse (RN) did not follow the proper priming procedure as outlined by the insulin manufacturer's instructions. The RN did not ensure a drop of insulin was visible at the needle tip before administering the dose, which is a critical step to ensure there are no air bubbles and the resident receives the full dose of insulin. Additionally, the RN did not hold the dose button for the recommended slow 6 count after the insulin dial read zero, which is necessary to ensure the full dose is delivered. The Director of Nursing confirmed that nursing staff should follow the manufacturer's instructions to ensure the resident receives their full dose of insulin. This oversight in the administration process could potentially result in the resident not receiving the correct dosage of insulin, impacting their blood sugar management.
Failure to Ensure Safe Transfer for High Fall Risk Resident
Penalty
Summary
The facility failed to ensure a resident with a history of multiple falls was safely transferred. The resident, an elderly female with diagnoses including repeated falls, dementia, Alzheimer's, and hypertension, was observed being transferred by two CNAs using a gait belt, despite her inability to stand upright and bear weight. A mechanical lift sling was available but not used during the transfer. Interviews with staff confirmed the resident's high fall risk and increased weakness, indicating that she sometimes requires a mechanical stand lift for transfers. The resident's fall risk evaluation and incident reports showed she had seven falls in the last four months, highlighting the need for reassessment of her transfer status and adherence to the facility's safe lifting policy. The facility's policy on safe lifting and movement of residents emphasizes the use of appropriate techniques and devices to ensure safety. However, the staff did not follow this policy, as evidenced by the improper transfer method used for the resident. The Director of Nursing and MDS Nurse acknowledged the resident's high fall risk and need for substantial assistance with transfers. The failure to use the mechanical lift when necessary and the lack of proper reassessment contributed to the deficiency in providing a safe environment for the resident.
Failure to Transcribe Medication Orders Correctly
Penalty
Summary
The facility failed to transcribe a resident's admission medication orders correctly, leading to a significant medication error. The resident, who had a history of congestive heart failure (CHF), dilated cardiomyopathy, and hypertension, was supposed to receive Metolazone (a diuretic medication) on an as-needed basis for weight gain greater than 5 pounds. However, the medication was incorrectly transcribed as a daily dose. This error resulted in the resident receiving eight doses of Metolazone over several days, causing hypotension and dizziness. The resident's blood pressure dropped significantly, and she experienced episodes of feeling faint and pale, which were alarming to her family members present at the time. The incident report and interviews revealed that the facility had a double-check process in place for transcribing new admission medication orders, but this process was not followed. The admitting nurse incorrectly transcribed the order, and the oncoming night nurse failed to double-check the orders. The error was discovered only after the resident exhibited symptoms of hypotension and dizziness. The facility's Director of Nursing and Administrator were unaware of the resident's episode of hypotension and dizziness until the survey. The pharmacist and the resident's physician confirmed that the incorrect administration of Metolazone could lead to dehydration, low blood pressure, and fainting, especially given the resident's concurrent use of another diuretic, Lasix.
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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 Barrington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alden Estates Of Barrington | 1.8 mi | ★★★★★ | 8 | 0 |
| Little Sisters Of The Poor Of Palatine | 4.7 mi | ★★★★★ | 0 | 0 |
| Avantara Lake Zurich | 4.9 mi | ★★★★★ | 1 | 0 |
| Aliya Of Palatine | 5.3 mi | ★★★★★ | 1 | 0 |
| Alden Long Grove Rehab &hc Ctr | 5.4 mi | ★★★★★ | 10 | 2 |
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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.