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

IRVING PARK LIVING & REHAB CTR

CHICAGO, IL · 117 certified beds · Last Life Safety survey January 17, 2025

CMS Certification Number 145415 · first certified January 1981

Ownership

Operated by LINEAGE HEALTHCARE · For profit - Individual

Ownership changed April 1, 2023 (change of ownership)to IRVING PARK LIVING AND REHAB CENTER from ELEVATE CARE IRVING PARK LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IL

32 citations — more than 85% 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

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

The latest survey found 13 citations; the earlier surveys in the window averaged 9.5. 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 (December 2025 to February 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was January 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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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

2 of the 32 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)

12 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 32 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-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0880 Provide and implement an infection prevention and control program.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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.

Citations on file over three years, compared
Measure	Citations
This facility	32
Median facility in IL	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
December 9, 2022	6
November 30, 2023	13
January 17, 2025	13

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0222	Add 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.	3	2025-01-17
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-01-17
K-0531	Have elevators that firefighters can control in the event of a fire.	2	2023-11-30
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	2	2025-01-17
K-0511	Have properly installed electrical wiring and gas equipment.	2	2025-01-17
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	2	2025-01-17
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	2	2025-01-17
K-0712	Have simulated fire drills held at unexpected times.	2	2023-11-30

What the citations cover

Citations by CMS category

Egress Deficiencies 11
Smoke Deficiencies 8
Services Deficiencies 5
Miscellaneous Deficiencies 4
Other 4

Citations by CMS category
Category	Citations
Egress Deficiencies	11
Smoke Deficiencies	8
Services Deficiencies	5
Miscellaneous Deficiencies	4
Gas, Vacuum, and Electrical Systems Deficiencies	2
Emergency Preparedness Deficiencies	2

Every citation on file

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

January 17, 2025 — 13 citations

Citations issued on January 17, 2025
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (February 7, 2025)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (February 7, 2025)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (February 7, 2025)
K-0222	Add 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 (February 7, 2025)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (February 7, 2025)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (February 7, 2025)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (February 7, 2025)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (February 7, 2025)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (February 7, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 7, 2025)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 7, 2025)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (February 7, 2025)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (February 7, 2025)

November 30, 2023 — 13 citations

Citations issued on November 30, 2023
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (February 14, 2024)
K-0222	Add 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 (February 14, 2024)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (February 14, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (February 14, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 14, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Waiver has been granted (June 7, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 14, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 14, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 14, 2024)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (February 14, 2024)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (February 14, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 14, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 14, 2024)

December 9, 2022 — 6 citations

Citations issued on December 9, 2022
Tag	What the surveyor checks	Status
K-0222	Add 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 21, 2022)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (December 15, 2022)
K-0352	Properly install and monitor supervisory attachments on automatic sprinkler systems.	Deficient, Provider has date of correction (December 20, 2022)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (December 20, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 14, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (December 14, 2022)

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