Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
BERKELEY NURSING & REHAB CENTER
OAK PARK, IL · 72 certified beds · Last Life Safety survey April 4, 2025
CMS Certification Number 146013 · first certified February 2002
Ownership
Independently operated (no chain recorded by CMS) · For profit - Individual
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within IL
67 citations — more than 99% 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 18 citations; the earlier surveys in the window averaged 24.5. 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 (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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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
39 of the 67 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)
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 67 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
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 | 67 |
| Median facility in IL | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| May 26, 2023 | 33 |
| June 28, 2024 | 16 |
| April 4, 2025 | 18 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | 3 | 2025-04-04 |
| K-0324 | Provide properly protected cooking facilities. | 3 | 2025-04-04 |
| E-0037 | Establish staff and initial training requirements. | 3 | 2025-04-04 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 3 | 2025-04-04 |
| K-0541 | Install properly constructed and protected linen or trash chutes. | 2 | 2025-04-04 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 2 | 2025-04-04 |
| E-0032 | Provide primary/alternate means for communication. | 2 | 2024-06-28 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2025-04-04 |
What the citations cover
- Emergency Preparedness Deficiencies 39
- Smoke Deficiencies 11
- Gas, Vacuum, and Electrical Systems Deficiencies 8
- Egress Deficiencies 5
- Other 4
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 39 |
| Smoke Deficiencies | 11 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 8 |
| Egress Deficiencies | 5 |
| Services Deficiencies | 4 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 4, 2025 — 18 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (May 8, 2025) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (May 8, 2025) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (May 8, 2025) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (May 8, 2025) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (May 8, 2025) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (May 8, 2025) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (May 8, 2025) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (May 8, 2025) |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (May 8, 2025) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (May 8, 2025) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (May 8, 2025) |
| K-0321 | Ensure 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 (May 8, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (May 19, 2025) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (May 8, 2025) |
| K-0541 | Install properly constructed and protected linen or trash chutes. | Deficient, Provider has date of correction (May 8, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (May 8, 2025) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (May 8, 2025) |
| K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Deficient, Provider has date of correction (May 8, 2025) |
June 28, 2024 — 16 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (August 12, 2024) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (August 12, 2024) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (August 12, 2024) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (August 12, 2024) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (August 12, 2024) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (August 12, 2024) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (August 12, 2024) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (August 12, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (August 12, 2024) |
| K-0321 | Ensure 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 (August 12, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (September 4, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (August 12, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (August 12, 2024) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (August 12, 2024) |
| K-0915 | Have proper power supply for life support equipment. | Deficient, Provider has date of correction (August 12, 2024) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (July 5, 2024) |
May 26, 2023 — 33 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0001 | Establish an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (July 19, 2023) |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (July 19, 2023) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (July 19, 2023) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (July 19, 2023) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (May 26, 2023) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (July 21, 2023) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (July 19, 2023) |
| K-0351 | Install an approved automatic sprinkler system. | Waiver has been granted (August 30, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Waiver has been granted (August 30, 2023) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Waiver has been granted (September 12, 2023) |
| K-0541 | Install properly constructed and protected linen or trash chutes. | Deficient, Provider has date of correction (July 19, 2023) |
| K-0915 | Have proper power supply for life support equipment. | Deficient, Provider has date of correction (August 11, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (July 19, 2023) |
| K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Deficient, Provider has date of correction (July 19, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.