Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Tabor Hills Health Care Fac during CMS and state inspections, most recent first.
The facility failed to ensure the dish machine reached the required 160 degrees Fahrenheit rinse temperature and observed a Dietary Aide handling soiled and clean dishes without changing gloves. Additionally, expired canned food products were found in the dry storage room, and the Food Service Supervisor could not explain the stock rotation system.
The facility failed to administer the pneumococcal vaccine to four residents according to CDC recommendations. Despite having consent, the residents did not receive the PPSV23 vaccine as required. The facility's policy mandates reviewing medical records and recording vaccination dates, but this was not followed, leading to the identified deficiencies.
A resident with multiple diagnoses, including osteoarthritis and osteoporosis, did not receive scheduled restorative therapies as per her care plan. The facility's documentation showed inconsistencies, and the Restorative Nurse was not informed of the resident's non-compliance, leading to a deficiency in care.
A facility failed to apply palm protectors to a resident's contracted hands as per her care plan, instead using gauze in one hand and nothing in the other. Staff interviews confirmed the inconsistency, and the Restorative Nurse emphasized the importance of using proper palm protectors and performing range of motion exercises.
A resident with multiple diagnoses, including dementia, fell out of a shower chair due to improper positioning by a CNA. The resident attempted to stand up during the shower, and while being maneuvered over an uneven ledge, the resident fell out of the chair.
Deficiencies in Kitchen Sanitation and Food Storage
Penalty
Summary
The facility failed to ensure the hot water dish machine reached the required 160 degrees Fahrenheit rinse temperature, as observed during a survey. The Maintenance Director and Dining Room Supervisor validated the dish machine temperature, which showed readings of 153 F and 157.6 F, both below the required temperature. Additionally, a Dietary Aide was observed handling soiled and clean dishes without changing gloves or performing hand hygiene, further compromising sanitary conditions in the kitchen. In the dry storage room, expired canned food products were found, including five cans of pineapple tidbits and two cans of pineapple chunks. The Food Service Supervisor was unable to explain the system for rotating stock and admitted to not tracking food delivery dates, which led to the expired products remaining on the shelves. These deficiencies affect all 63 residents who receive oral diets from the kitchen.
Failure to Administer Pneumococcal Vaccines According to CDC Guidelines
Penalty
Summary
The facility failed to administer the pneumococcal vaccine to residents according to CDC recommendations. Specifically, four residents (R8, R13, R17, and R56) did not receive the PPSV23 vaccine as required. R8, a resident with multiple diagnoses including hypertension and pneumonia, received the PCV13 vaccine but did not receive the PPSV23 vaccine despite consent from the resident's POA. Similarly, R13, who had diagnoses including atrial fibrillation and hypertension, was not offered the pneumococcal vaccine until April 2024, despite being eligible earlier. R17, with diagnoses such as type 2 diabetes and dementia, received the PCV13 vaccine but did not receive the PPSV23 vaccine upon admission, even though consent was provided. R56, diagnosed with chronic obstructive pulmonary disease and hyperlipidemia, also did not receive the PPSV23 vaccine after receiving the PCV13 vaccine, despite consent from the resident's representative. The facility's policy, dated April 2024, states that all residents should be provided the opportunity to receive pneumococcal vaccinations, following CDC recommendations. The policy requires the admitting nurse to review the medical record to determine if any pneumococcal vaccination has been given and to record the estimated date of the vaccine in the resident's EHR. However, the facility failed to adhere to this policy, resulting in the identified deficiencies. Interviews with the Infection Control Nurse confirmed that the residents should have received the PPSV23 vaccine according to the CDC's pneumococcal vaccine timing guidelines, but the facility lacked documentation to show that the vaccines were administered.
Failure to Provide Scheduled Restorative Therapies
Penalty
Summary
The facility failed to provide restorative therapies to a resident (R41) as scheduled per her plan of care. R41's medical record indicated multiple diagnoses, including artificial hip, osteoarthritis in both shoulders, cerebral infarction, and osteoporosis. The care plan initiated on March 12, 2024, required R41 to be placed in a Range of Motion program. However, the facility's documentation showed that R41 received restorative therapy exercises only twice and refused twice in a 22-day period, with staff marking 'Not Applicable' 30 times. Additionally, R41 received sit-to-stand exercises on only 7 out of 28 days, with several days marked as 'Not Applicable' or '0'. R41 herself was unsure if she was receiving rehabilitation services as per her care plan. The Restorative Nurse (V7) was unaware that R41 was not performing her restorative exercises because staff did not notify her, contrary to the facility's policy and procedure for restorative services, which aims to coordinate rehabilitative services with the patient's plan of care and maintain a continuous restorative care program. The Director of Nursing (V2) and the Restorative Nurse (V7) acknowledged the issue during an interview on May 7, 2024. V7 stated that it was her expectation for staff to inform her if a resident was not performing restorative exercises so she could reassess the resident. The facility's failure to ensure that R41 received the prescribed restorative therapies as per her care plan led to the deficiency. The facility's policy and procedure for restorative services were not followed, resulting in a lack of coordination and continuous restorative care for R41.
Failure to Apply Palm Protectors as Per Care Plan
Penalty
Summary
The facility failed to apply palm protectors to a resident's contracted hands as per her care plan. The resident, who was at risk for contractures due to decreased strength, impaired coordination, poor endurance, balance, and poor memory, was observed without the required palm protectors. Instead, gauze was used in one hand, and nothing was placed in the other hand. The care plan and physician's order specified that palm protectors should be applied every morning and removed at bedtime, with staff checking for redness in the surrounding areas. However, observations on the morning of May 6, 2024, revealed that the resident did not have palm protectors in place on either hand. Interviews with staff, including a Registered Nurse and a Certified Nursing Assistant, confirmed that the resident was not consistently provided with palm protectors. The staff admitted to using gauze instead of the prescribed palm protectors and acknowledged that the resident sometimes refused to have anything placed between her contracted fingers and palms. The Restorative Nurse clarified that gauze is not considered a palm protector and emphasized the importance of performing range of motion exercises before applying the palm protectors to reduce the risk of injury. The facility did not have a physician's order to use gauze as a substitute for the palm protectors, indicating a failure to adhere to the resident's care plan and physician's orders.
Failure to Properly Position Resident in Shower Chair
Penalty
Summary
The facility failed to ensure a resident was properly positioned in a shower chair during a shower, leading to a fall. The resident, who was admitted with multiple diagnoses including encephalopathy, fall, weakness, and dementia, required maximal assistance for transferring to and from the tub/shower. During an interview, the resident reported that the shower chair tipped over when the CNA was done washing her. The CNA confirmed that the resident attempted to stand up to wash herself and was not evenly seated in the chair. While maneuvering the shower chair over an uneven ledge from the shower stall to the bathroom, the resident fell out of the chair due to improper positioning. The facility's fall report indicated that the resident was likely not positioned all the way to the back of the shower chair, resulting in the resident sliding off the chair. The Director of Nursing confirmed that staff are expected to ensure residents are properly positioned in the shower chair before moving it. Observations showed that the shower in the resident's bathroom had an approximately one-inch raised ledge, which contributed to the incident.
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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 Naperville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Patrick's Residence | 1 mi | ★★★★★ | 4 | 1 |
| Meadowbrook Manor - Naperville | 1.1 mi | ★★★★★ | 8 | 0 |
| Springs At Monarch Landing, The | 1.2 mi | ★★★★★ | 0 | 0 |
| Arista Healthcare | 2 mi | ★★★★★ | 0 | 0 |
| Thrive Of Fox Valley | 2.9 mi | ★★★★★ | 5 | 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.