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

ASBURY GARDENS NSG & REHAB

NORTH AURORA, IL · 75 certified beds · Last Life Safety survey November 14, 2024

CMS Certification Number 146170 · first certified September 2014

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

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

18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within IL

18 citations — more than 58% 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 4 citations; the earlier surveys in the window averaged 7. 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 (October 2025 to December 2025), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was November 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

4 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

3 of the 18 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)

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 18 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-0908 Keep all essential equipment working safely.
  • 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 facility18IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
102023-0242024-0142024-11
Citations at each Life Safety survey
Survey dateCitations
February 2, 202310
January 26, 20244
November 14, 20244

Most-cited tags

Most-cited tags at this facility
K-09182K-07122K-09232K-03632K-03451E-00041K-01611K-09201
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-11-14
K-0712Have simulated fire drills held at unexpected times.22024-11-14
K-0923Have proper medical gas storage and administration areas.22024-11-14
K-0363Install corridor and hallway doors that block smoke.22024-11-14
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-02-02
E-0004Develop and maintain an Emergency Preparedness Program (EP).12023-02-02
K-0161Use approved construction type or materials.12023-02-02
K-0920Ensure proper usage of power strips and extension cords.12023-02-02

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Smoke Deficiencies 4
  • Egress Deficiencies 3
  • Emergency Preparedness Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies5
Smoke Deficiencies4
Egress Deficiencies3
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies2
Construction Deficiencies1

Every citation on file

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

November 14, 2024 — 4 citations

Citations issued on November 14, 2024
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 29, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 29, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 29, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 29, 2024)

January 26, 2024 — 4 citations

Citations issued on January 26, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 15, 2024)
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 (February 15, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 15, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 15, 2024)

February 2, 2023 — 10 citations

Citations issued on February 2, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 24, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (March 28, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (March 28, 2023)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 28, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (March 28, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 28, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 28, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 28, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 28, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 28, 2023)

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