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 Elmhurst Care Center, Inc, during CMS and state inspections, most recent first.
The facility failed to maintain a safe and clean environment, with surveyors noting deficiencies such as stained furniture, holes in ceilings and walls, wobbly tables, and dirty equipment across three resident units. Interviews revealed that while housekeeping and maintenance systems were in place, these issues were not adequately addressed.
The facility failed to maintain adequate staffing levels, particularly on weekends and night shifts, leading to insufficient care for residents. A resident with complex medical needs reported delays in care, and staff interviews confirmed that callouts and no-shows left only one CNA to manage a 40-bed unit. Despite efforts to address staffing shortages, the facility struggled to meet its staffing goals, impacting resident well-being.
The facility did not post nurse staffing information in a prominent area accessible to residents and visitors, as required by policy. The staffing information was instead placed on a staff bulletin board in a Subcellar hallway, not visible to residents or visitors. The Director of Nursing cited construction and privacy concerns as reasons for the relocation.
A resident with good cognitive status was repeatedly observed wearing oversized sweatpants, compromising their dignity and safety. Despite facility policies and staff awareness, the issue was not addressed, leading to a deficiency in maintaining the resident's quality of life. Staff interviews revealed a lack of action in reporting and resolving the clothing concern.
A resident receiving Erythromycin eye ointment for an eye condition did not have a comprehensive care plan in place, as required by facility policy. Despite the medication being administered, interviews with staff revealed that the care plan was not initiated, highlighting a deficiency in the care planning process.
The facility did not ensure survey results were accessible to residents, placing them on a high shelf in the lobby without signage. This made it difficult for residents, especially those in wheelchairs, to access the information. Despite the facility's policy stating residents' rights to view survey results, observations showed a lack of accessibility and awareness among residents.
Environmental Deficiencies in Resident Units
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for its residents, as observed during a recertification survey. The surveyors noted several deficiencies across three resident units, including stained, soiled, and faded seating furniture in resident rooms and common areas, holes in the ceiling and walls of the staff bathroom and clean linen closet, and wobbly dining room tables. Additionally, dining room walls and ceilings were found with dried food particles and stains, and there were missing window panels and blinds. Mechanical lifts and scales were layered with dust and dirt, and wheelchairs had torn armrests and backsides. Interviews with staff revealed that routine housekeeping chores were performed for safety and cleanliness, and issues requiring repair were communicated to supervisors and logged in a maintenance book on each unit. The Director of Maintenance, covering for the Director of Operations, stated that they were responsible for ensuring the physical environment was safe and functional. Despite having a system in place for reporting and addressing maintenance issues, the deficiencies observed indicated a lapse in maintaining the facility's environment.
Staffing Deficiencies Impact Resident Care
Penalty
Summary
The facility failed to ensure sufficient nursing staff to meet the needs of residents, particularly on weekends and night shifts. The report highlights that the facility was short-staffed on weekends, as confirmed by the Daily Staffing and Payroll Based Journal (PBJ) Staffing Data Report. Multiple nursing staff members reported insufficient staffing, with instances of only one Certified Nurse Assistant (CNA) being available for a 40-bed unit due to callouts or no-shows. This staffing shortage was corroborated by a hotline call from a CNA who reported that residents were not being changed for many hours during the night shift. Resident #176, who has a diagnosis of Bipolar disorder, Schizophrenia, and Chronic kidney disease, reported that on weekends, their incontinent brief was changed only once during the overnight shift, indicating a delay in care due to staffing issues. The resident requires extensive to total assistance with Activities of Daily Living (ADL), and the lack of sufficient staff directly impacted their care. Interviews with CNAs and a Licensed Practical Nurse (LPN) revealed that when callouts occurred, the remaining staff struggled to manage the workload, often resulting in inadequate care for residents. The facility's staffing policy aimed to have 5 CNAs on the day shift, 4 on the evening shift, and 3 on the night shift. However, the facility often fell short of these goals, particularly on the night shift, where only 2 CNAs were typically available. The Director of Nursing and the Administrator acknowledged the challenges posed by frequent callouts and no-shows, which were exacerbated by the lack of backup staff. Despite efforts to use incentives, agencies, and job sites to fill staffing gaps, the facility continued to experience significant staffing deficiencies, impacting the quality of care provided to residents.
Inaccessible Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing information was posted in a prominent area readily accessible to residents and visitors, as required by their policy. During the Recertification Survey conducted from June 26, 2024, to July 3, 2024, the State Surveyor observed that the daily nurse staffing information was not posted in a visible location. The facility's policy, reviewed in March 2024, stated that staffing patterns should be posted daily and updated by shifts in front of the nursing supervisor's office. However, the surveyor was unable to locate the postings on multiple days, and there was no signage directing residents or visitors to the location of the staffing information. On July 2, 2024, the Staffing Coordinator revealed that the staffing information was posted on a staff bulletin board in the Subcellar level hallway, which was not accessible to residents or visitors. The Coordinator explained that the postings were previously in a common area in the lobby, but due to construction, they were moved. The Director of Nursing confirmed that the staffing information was not posted in the temporary entrance area due to concerns about the Health Insurance Portability and Accountability Act. The Director also mentioned plans to review the regulations on staff postings.
Resident Dignity Compromised by Inappropriate Clothing
Penalty
Summary
The facility failed to ensure that a resident was treated with dignity and cared for in a manner that promotes the maintenance or enhancement of their quality of life. This deficiency was observed during a re-certification survey where a physical therapist assistant was seen holding up a resident's oversized red sweatpants during floor ambulation. The resident, who had a good cognitive status and required supervision for activities of daily living, was observed multiple times wearing the same oversized pants, which were noted to be too big and falling down. The facility's policy on dignity and quality of life emphasizes encouraging residents to dress in appropriately fitting clothes, which was not adhered to in this case. Interviews with staff revealed that the issue of the resident wearing oversized clothing was known but not appropriately addressed. The physical therapist assistant acknowledged the potential dignity issue and risk of tripping, while a certified nurse aide admitted awareness of the oversized clothing and the need to report it to the nurse. The registered nurse and the director of nursing both stated that staff are educated to report clothing concerns, and there are procedures in place to provide residents with appropriate clothing, including notifying families and using donated clothing. However, these procedures were not effectively implemented for this resident, leading to the observed deficiency.
Failure to Implement Care Plan for Antibiotic Therapy
Penalty
Summary
The facility failed to ensure a comprehensive person-centered care plan was developed and implemented for a resident receiving antibiotic therapy. Specifically, the resident, who was admitted with diagnoses including Respiratory Failure and Hypertension, was prescribed Erythromycin eye ointment for a condition affecting the left upper eyelid. Despite the administration of the medication being documented, there was no corresponding care plan initiated or implemented for the antibiotic therapy, as required by the facility's policy. Interviews with facility staff, including a registered nurse and the Director of Nursing, confirmed the absence of a care plan for the antibiotic use. The registered nurse acknowledged that typically a care plan is created when an antibiotic order is placed, but in this instance, it was not done. The Director of Nursing also confirmed the lack of a care plan and stated that it should have been initiated when the order was picked up. This oversight was identified during the Recertification Survey, highlighting a deficiency in the facility's care planning process.
Inaccessible Survey Results for Residents
Penalty
Summary
The facility failed to ensure that the survey results were posted in a location that was readily accessible to residents, family members, or legal representatives. During the Recertification Survey conducted from June 26, 2024, to July 3, 2024, it was observed that the survey results were placed on a high shelf in the lobby without any signage, making it difficult for residents, especially those in wheelchairs, to access them. The facility's policy on Residents' Rights, revised in March 2024, states that residents have the right to examine the results of the most recent survey and any plan of correction. However, during multiple observations, the survey results or information about their location could not be found in prominent areas or resident units. Additionally, during a Resident Council meeting, none of the attendees were aware of where to find the survey results. The Administrator claimed that the survey result book was always available to the public, but this was contradicted by the observations.
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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 East Elmhurst
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Long Island Care Center Inc | 0.3 mi | ★★★★★ | 2 | 0 |
| Sapphire Center For Rehab & Nursing | 0.5 mi | ★★★★★ | 0 | 0 |
| Waterview Nursing Care Center | 0.5 mi | ★★★★★ | 2 | 0 |
| Woodcrest Rehab & Residential H C Center, L L C | 0.5 mi | ★★★★★ | 0 | 0 |
| Cliffside Rehab & Residential Health Care Center | 0.5 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.