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

PLYMOUTH PLACE

LA GRANGE PARK, IL · 86 certified beds · Last Life Safety survey January 24, 2025

CMS Certification Number 146128 · first certified October 2008

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.

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within IL

13 citations — more than 44% 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 3 citations; the earlier surveys in the window averaged 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 (December 2025 to March 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was January 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

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.

Physical environment (health survey)

5 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 13 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • 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-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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 facility13IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0342024-0232025-01
Citations at each Life Safety survey
Survey dateCitations
March 30, 20236
February 16, 20244
January 24, 20253

Most-cited tags

Most-cited tags at this facility
K-03633K-09202K-03721K-07121K-09141K-09181K-03551K-02251
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32025-01-24
K-0920Ensure proper usage of power strips and extension cords.22024-02-16
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-03-30
K-0712Have simulated fire drills held at unexpected times.12025-01-24
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-03-30
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-03-30
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-02-16
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12024-02-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 1
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies1
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

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

January 24, 2025 — 3 citations

Citations issued on January 24, 2025
TagWhat the surveyor checksStatus
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 (February 11, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 11, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 11, 2025)

February 16, 2024 — 4 citations

Citations issued on February 16, 2024
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (March 5, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 5, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 5, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 5, 2024)

March 30, 2023 — 6 citations

Citations issued on March 30, 2023
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 27, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 27, 2023)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (April 27, 2023)
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 (April 27, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 27, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 27, 2023)

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