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

MERCY CIRCLE

CHICAGO, IL · 23 certified beds · Last Life Safety survey April 30, 2026

CMS Certification Number 146174 · first certified January 2015

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

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

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within IL

10 citations — more than 34% 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 5 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was April 2026. 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

1 inspection-and-testing tag has 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 10 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 10 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 facility10IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
12024-0142025-0252026-04
Citations at each Life Safety survey
Survey dateCitations
January 26, 20241
February 6, 20254
April 30, 20265

Most-cited tags

Most-cited tags at this facility
K-07122K-03631E-00221K-03721E-00371K-09231K-03531K-03451
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.22025-02-06
K-0363Install corridor and hallway doors that block smoke.12025-02-06
E-0022Establish policies and procedures for sheltering.12026-04-30
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12025-02-06
E-0037Establish staff and initial training requirements.12026-04-30
K-0923Have proper medical gas storage and administration areas.12026-04-30
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-02-06
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12026-04-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Emergency Preparedness Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Emergency Preparedness 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.

April 30, 2026 — 5 citations

Citations issued on April 30, 2026
TagWhat the surveyor checksStatus
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (May 5, 2026)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (May 5, 2026)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (May 1, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 1, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 30, 2026)

February 6, 2025 — 4 citations

Citations issued on February 6, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 26, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 21, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 21, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 21, 2025)

January 26, 2024 — 1 citation

Citations issued on January 26, 2024
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 14, 2024)

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