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

SOUTH SHORE REHABILITATION

CHICAGO, IL · 248 certified beds · Last Life Safety survey July 26, 2024

CMS Certification Number 145977 · first certified November 1998

Ownership

Operated by EXTENDED CARE CLINICAL · For profit - Limited Liability company

  • Ownership changed October 6, 2023 (change of ownership)from SYMPHONY SOUTH SHORE LLC
56
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
11
Tags cited more than once
Across separate surveys
18
Inspection & testing records
Of the citations on file

Position within IL

56 citations — more than 99% 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 14 citations; the earlier surveys in the window averaged 21. 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 (June 2025 to September 2025), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was July 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

7 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

14 of the 56 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)

16 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 56 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-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-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-0924 Put firmly secured handrails on each side of hallways.

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 facility56IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility56
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
342022-0582023-06142024-07
Citations at each Life Safety survey
Survey dateCitations
May 25, 202234
June 14, 20238
July 26, 202414

Most-cited tags

Most-cited tags at this facility
K-03213K-03513K-09263K-03632K-03722K-09232K-07612K-07122
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32024-07-26
K-0351Install an approved automatic sprinkler system.32024-07-26
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.32024-07-26
K-0363Install corridor and hallway doors that block smoke.22024-07-26
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22023-06-14
K-0923Have proper medical gas storage and administration areas.22023-06-14
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22024-07-26
K-0712Have simulated fire drills held at unexpected times.22024-07-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 18
  • Emergency Preparedness Deficiencies 14
  • Gas, Vacuum, and Electrical Systems Deficiencies 11
  • Miscellaneous Deficiencies 6
  • Other 7
Citations by CMS category
CategoryCitations
Smoke Deficiencies18
Emergency Preparedness Deficiencies14
Gas, Vacuum, and Electrical Systems Deficiencies11
Miscellaneous Deficiencies6
Egress Deficiencies5
Construction Deficiencies1
Services Deficiencies1

Every citation on file

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

July 26, 2024 — 14 citations

Citations issued on July 26, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 16, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 13, 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 13, 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 13, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 13, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 13, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 13, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 13, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (August 13, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 13, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 13, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (August 13, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 13, 2024)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (August 13, 2024)

June 14, 2023 — 8 citations

Citations issued on June 14, 2023
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (August 3, 2023)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (August 3, 2023)
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 3, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 3, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 3, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 3, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 3, 2023)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (August 3, 2023)

May 25, 2022 — 34 citations

Citations issued on May 25, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (June 20, 2022)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (June 20, 2022)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (June 20, 2022)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (June 20, 2022)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (June 20, 2022)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (June 20, 2022)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (June 20, 2022)
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (June 20, 2022)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (June 20, 2022)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (June 20, 2022)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (June 20, 2022)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (June 20, 2022)
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 (June 20, 2022)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (June 20, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (June 20, 2022)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (June 20, 2022)
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 20, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 20, 2022)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (June 20, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (August 24, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 20, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 20, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 20, 2022)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (June 20, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 20, 2022)
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 (June 20, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 20, 2022)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (June 20, 2022)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (June 20, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 20, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 20, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 20, 2022)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (June 20, 2022)
K-0930Ensure proper storage of liquid oxygen.Deficient, Provider has date of correction (June 20, 2022)

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