Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Hearthwood SNF Senior Living

BARTLETT, IL · 60 certified beds · Last Life Safety survey February 21, 2025

CMS Certification Number 146125 · first certified July 2008

Ownership

Operated by LIFE CARE SERVICES · For profit - Limited Liability company

  • New ownershipOwnership changed December 13, 2024 (change of ownership)from CLARE OAKS
21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within IL

21 citations — more than 66% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2026 to April 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was February 2025. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 21 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 21 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

This facility21IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-0772024-0472025-02
Citations at each Life Safety survey
Survey dateCitations
July 14, 20237
April 25, 20247
February 21, 20257

Most-cited tags

Most-cited tags at this facility
K-03533K-03632K-07122K-01332K-03451E-00261E-00371K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-02-21
K-0363Install corridor and hallway doors that block smoke.22024-04-25
K-0712Have simulated fire drills held at unexpected times.22025-02-21
K-0133Install a two-hour-resistant firewall separation.22024-04-25
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-02-21
E-0026Establish roles under a Waiver declared by secretary.12023-07-14
E-0037Establish staff and initial training requirements.12025-02-21
K-0291Install emergency lighting that can last at least 1 1/2 hours.12024-04-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Emergency Preparedness Deficiencies 3
  • Miscellaneous Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies2
Construction Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 21, 2025 — 7 citations

Citations issued on February 21, 2025
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (March 7, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (March 7, 2025)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (March 7, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 7, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 17, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 7, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (March 21, 2025)

April 25, 2024 — 7 citations

Citations issued on April 25, 2024
TagWhat the surveyor checksStatus
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (May 16, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (May 16, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 5, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 16, 2024)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (June 4, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 21, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 16, 2024)

July 14, 2023 — 7 citations

Citations issued on July 14, 2023
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (August 7, 2023)
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (August 7, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 7, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (August 7, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 7, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 7, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 7, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.