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

PAUL HOUSE & HEALTH CR CTR

CHICAGO, IL · 110 certified beds · Last Life Safety survey June 5, 2025

CMS Certification Number 145767 · first certified November 1993

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • Ownership changed December 31, 2019 (change of ownership)to PAUL HOUSE & HEALTH CARE CENTER LLC from ST. PAULS CORPORATION
45
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
12
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within IL

45 citations — more than 96% 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 25 citations; the earlier surveys in the window averaged 10. 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 (May 2026 to July 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was June 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

5 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

7 of the 45 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)

8 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 45 Life Safety citations above. The Physical Environment Index

  • 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-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility45IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility45
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
142023-0862024-07252025-06
Citations at each Life Safety survey
Survey dateCitations
August 11, 202314
July 19, 20246
June 5, 202525

Most-cited tags

Most-cited tags at this facility
K-03743K-03243K-03112K-02932K-03532K-02252K-03512K-03452
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.32025-06-05
K-0324Provide properly protected cooking facilities.32025-06-05
K-0311Have an enclosure around a vertical opening shaft.22025-06-05
K-0293Have properly located and lighted "Exit" signs.22025-06-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-06-05
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.22025-06-05
K-0351Install an approved automatic sprinkler system.22025-06-05
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-06-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 19
  • Egress Deficiencies 8
  • Emergency Preparedness Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies19
Egress Deficiencies8
Emergency Preparedness Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies6
Miscellaneous Deficiencies3
Services Deficiencies1
Construction Deficiencies1

Every citation on file

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

June 5, 2025 — 25 citations

Citations issued on June 5, 2025
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (June 26, 2025)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (June 26, 2025)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (June 26, 2025)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (June 26, 2025)
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (June 26, 2025)
K-0223Provide 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 (June 26, 2025)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (June 26, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 26, 2025)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (June 26, 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 (June 26, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 26, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 1, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (June 26, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 7, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 26, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 26, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (June 26, 2025)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (June 26, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 26, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 26, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (June 26, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 15, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 26, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 26, 2025)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (June 26, 2025)

July 19, 2024 — 6 citations

Citations issued on July 19, 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 (August 6, 2024)
K-0223Provide 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 (August 1, 2024)
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 1, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 1, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 1, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 1, 2024)

August 11, 2023 — 14 citations

Citations issued on August 11, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (September 5, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (September 5, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (September 5, 2023)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (September 5, 2023)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (September 5, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (September 5, 2023)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (September 5, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 5, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Waiver has been granted (April 9, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 19, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 5, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (September 5, 2023)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (September 5, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 30, 2023)

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