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

Elevate Care Regency

NILES, IL · 254 certified beds · Last Life Safety survey April 11, 2025

CMS Certification Number 145237 · first certified February 1972

Ownership

Operated by ELEVATE CARE · For profit - Limited Liability company

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

27
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within IL

27 citations — more than 78% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 9. 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 May 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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Which alerts

2 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 27 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)

4 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 27 Life Safety citations above. The Physical Environment Index

  • 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.

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 facility27IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility27
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
62022-10122024-0592025-04
Citations at each Life Safety survey
Survey dateCitations
October 12, 20226
May 24, 202412
April 11, 20259

Most-cited tags

Most-cited tags at this facility
K-03453K-03113K-02112E-00372K-03242E-00361E-00131E-00391
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.32025-04-11
K-0311Have an enclosure around a vertical opening shaft.32025-04-11
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22025-04-11
E-0037Establish staff and initial training requirements.22025-04-11
K-0324Provide properly protected cooking facilities.22024-05-24
E-0036Establish emergency prep training and testing.12024-05-24
E-0013Develop Emergency Preparedness policies and procedures.12024-05-24
E-0039Conduct testing and exercise requirements.12024-05-24

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 13
  • Emergency Preparedness Deficiencies 7
  • Egress Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies13
Emergency Preparedness Deficiencies7
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies1

Every citation on file

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

April 11, 2025 — 9 citations

Citations issued on April 11, 2025
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (April 15, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 15, 2025)
K-0311Have an enclosure around a vertical opening shaft.Fire Safety Evaluation Survey (May 19, 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 (April 15, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 5, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 30, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 15, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (April 15, 2025)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (April 15, 2025)

May 24, 2024 — 12 citations

Citations issued on May 24, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (June 11, 2024)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (June 11, 2024)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (June 11, 2024)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (June 11, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (June 11, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 11, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 11, 2024)
K-0311Have an enclosure around a vertical opening shaft.Fire Safety Evaluation Survey
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 11, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 11, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 11, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 11, 2024)

October 12, 2022 — 6 citations

Citations issued on October 12, 2022
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (November 7, 2022)
K-0311Have an enclosure around a vertical opening shaft.Fire Safety Evaluation Survey
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 7, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 7, 2022)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (November 7, 2022)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (November 7, 2022)

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