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

GOTTLIEB MEMORIAL HOSPITAL

MELROSE PARK, IL · 32 certified beds · Last Life Safety survey March 12, 2026

CMS Certification Number 145526 · first certified June 1985

Ownership

Operated by TRINITY HEALTH · Non profit - Corporation

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

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within IL

7 citations — more than 27% 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 1 citation; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was March 2026. 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

Physical environment (health survey)

1 physical-environment citation 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 7 Life Safety citations above. The Physical Environment Index

  • 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 facility7IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0442024-0312026-03
Citations at each Life Safety survey
Survey dateCitations
April 14, 20232
March 7, 20244
March 12, 20261

Most-cited tags

Most-cited tags at this facility
K-03541K-03411K-02911K-03531K-02251K-09071K-07111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12023-04-14
K-0341Install a fire alarm system that can be heard throughout the facility.12023-04-14
K-0291Install emergency lighting that can last at least 1 1/2 hours.12024-03-07
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-03-12
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12024-03-07
K-0907Ensure medical gas and vacuum systems have documented maintenance programs.12024-03-07
K-0711Provide a written emergency evacuation plan.12024-03-07

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Egress Deficiencies2
Miscellaneous Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

March 12, 2026 — 1 citation

Citations issued on March 12, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 20, 2026)

March 7, 2024 — 4 citations

Citations issued on March 7, 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 14, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (March 13, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (March 19, 2024)
K-0907Ensure medical gas and vacuum systems have documented maintenance programs.Deficient, Provider has date of correction (March 11, 2024)

April 14, 2023 — 2 citations

Citations issued on April 14, 2023
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (April 18, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (April 18, 2023)

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