Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
WHITEHALL OF DEERFIELD
DEERFIELD, IL · 190 certified beds · Last Life Safety survey April 23, 2025
CMS Certification Number 145706 · first certified December 1991
Ownership
Operated by LEGACY HEALTHCARE · For profit - Corporation
- Ownership changed August 22, 2022 (change of ownership)from WHITEHALL NORTH, L.L.C.
Position within IL
11 citations — more than 38% 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
The latest survey found 3 citations; the earlier surveys in the window averaged 4. 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 (March 2026 to June 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was April 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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Emergency preparedness
11 of the 11 citations on file are Emergency Preparedness E-tags — every citation here is about the program, not the building. 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)
6 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 11 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 11 |
| Median facility in IL | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| June 7, 2023 | 1 |
| May 30, 2024 | 7 |
| April 23, 2025 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0035 | Provide family notifications of emergency plan. | 2 | 2025-04-23 |
| E-0026 | Establish roles under a Waiver declared by secretary. | 2 | 2025-04-23 |
| E-0024 | Establish policies and procedures for volunteers. | 1 | 2024-05-30 |
| E-0041 | Implement emergency and standby power systems. | 1 | 2023-06-07 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2024-05-30 |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | 1 | 2024-05-30 |
| E-0032 | Provide primary/alternate means for communication. | 1 | 2025-04-23 |
| E-0022 | Establish policies and procedures for sheltering. | 1 | 2024-05-30 |
What the citations cover
- Emergency Preparedness Deficiencies 11
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 11 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 23, 2025 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (May 21, 2025) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (May 21, 2025) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (May 21, 2025) |
May 30, 2024 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (July 23, 2024) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (July 23, 2024) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (July 23, 2024) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (July 23, 2024) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (July 23, 2024) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (July 23, 2024) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (July 23, 2024) |
June 7, 2023 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (June 28, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.