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

CHALET LIVING & REHAB

CHICAGO, IL · 219 certified beds · Last Life Safety survey December 11, 2024

CMS Certification Number 145670 · first certified December 1989

Ownership

Operated by LEGACY HEALTHCARE · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within IL

18 citations — more than 58% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 6.5. 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 (November 2025 to January 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was December 2024. 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

Get an email about CHALET LIVING & REHAB

One email when it happens. No account; stop it any time with one click.

Which alerts

Physical environment (health survey)

11 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 18 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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 facility18IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0572024-0252024-12
Citations at each Life Safety survey
Survey dateCitations
May 12, 20236
February 23, 20247
December 11, 20245

Most-cited tags

Most-cited tags at this facility
K-03113K-02112K-05312K-02222K-02931K-03241K-09181K-07811
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0311Have an enclosure around a vertical opening shaft.32024-12-11
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-02-23
K-0531Have elevators that firefighters can control in the event of a fire.22024-02-23
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.22024-12-11
K-0293Have properly located and lighted "Exit" signs.12024-12-11
K-0324Provide properly protected cooking facilities.12023-05-12
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-02-23
K-0781Have restrictions on the use of portable space heaters.12024-12-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Egress Deficiencies 5
  • Services Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Egress Deficiencies5
Services Deficiencies3
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

December 11, 2024 — 5 citations

Citations issued on December 11, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (December 25, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (December 25, 2024)
K-0311Have an enclosure around a vertical opening shaft.Fire Safety Evaluation Survey (February 26, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (January 3, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (January 3, 2025)

February 23, 2024 — 7 citations

Citations issued on February 23, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 8, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (March 15, 2024)
K-0311Have an enclosure around a vertical opening shaft.Fire Safety Evaluation Survey
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 15, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (March 8, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 8, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 15, 2024)

May 12, 2023 — 6 citations

Citations issued on May 12, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 2, 2023)
K-0311Have an enclosure around a vertical opening shaft.Fire Safety Evaluation Survey
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 (June 1, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 1, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 1, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (June 1, 2023)

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