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

MONTGOMERY PLACE

CHICAGO, IL · 40 certified beds · Last Life Safety survey November 15, 2024

CMS Certification Number 145748 · first certified March 1993

Ownership

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

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

22
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within IL

22 citations — more than 69% 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 11 citations; the earlier surveys in the window averaged 5.5. 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 (October 2025 to December 2025), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was November 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

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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

6 of the 22 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)

4 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 22 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.

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 facility22IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility22
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
72022-0742023-09112024-11
Citations at each Life Safety survey
Survey dateCitations
July 22, 20227
September 21, 20234
November 15, 202411

Most-cited tags

Most-cited tags at this facility
K-03533E-00372K-05212K-01332K-03452K-09261K-02221K-03111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32024-11-15
E-0037Establish staff and initial training requirements.22024-11-15
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22024-11-15
K-0133Install a two-hour-resistant firewall separation.22024-11-15
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-11-15
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.12024-11-15
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.12024-11-15
K-0311Have an enclosure around a vertical opening shaft.12022-07-22

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Emergency Preparedness Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Construction Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Emergency Preparedness Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies3
Construction Deficiencies2
Services Deficiencies2
Egress Deficiencies1

Every citation on file

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

November 15, 2024 — 11 citations

Citations issued on November 15, 2024
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (December 12, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 17, 2025)
K-0133Install a two-hour-resistant firewall separation.Fire Safety Evaluation Survey (March 7, 2025)
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 (January 14, 2025)
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 (December 12, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 12, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (December 12, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 20, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (February 10, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (December 12, 2024)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (December 12, 2024)

September 21, 2023 — 4 citations

Citations issued on September 21, 2023
TagWhat the surveyor checksStatus
K-0133Install a two-hour-resistant firewall separation.Fire Safety Evaluation Survey
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 5, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 5, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 5, 2023)

July 22, 2022 — 7 citations

Citations issued on July 22, 2022
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (September 2, 2022)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (August 15, 2022)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (September 2, 2022)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 12, 2022)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (September 12, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 31, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 16, 2022)

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