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

ELEVATE CARE PALOS HEIGHTS

PALOS HEIGHTS, IL · 111 certified beds · Last Life Safety survey January 24, 2025

CMS Certification Number 145779 · first certified August 1993

Ownership

Operated by ELEVATE CARE · For profit - Limited Liability company

  • Ownership changed February 1, 2023 (change of ownership)from PARK VILLA NURSING AND REHABILITATION CENTER LLC
30
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
10
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within IL

30 citations — more than 82% 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 7 citations; the earlier surveys in the window averaged 11.5. 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

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 30 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)

6 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 30 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-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility30IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility30
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
102023-03132023-1272025-01
Citations at each Life Safety survey
Survey dateCitations
March 9, 202310
December 14, 202313
January 24, 20257

Most-cited tags

Most-cited tags at this facility
K-01333K-03213K-02712E-00222K-02912K-03532K-09232K-09182
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0133Install a two-hour-resistant firewall separation.32025-01-24
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32025-01-24
K-0271Have exits that are accessible at all times.22023-12-14
E-0022Establish policies and procedures for sheltering.22023-12-14
K-0291Install emergency lighting that can last at least 1 1/2 hours.22025-01-24
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-01-24
K-0923Have proper medical gas storage and administration areas.22023-12-14
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-01-24

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Egress Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Emergency Preparedness Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Egress Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies7
Emergency Preparedness Deficiencies3
Construction Deficiencies3

Every citation on file

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

January 24, 2025 — 7 citations

Citations issued on January 24, 2025
TagWhat the surveyor checksStatus
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (February 7, 2025)
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 7, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 7, 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 (February 7, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 7, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 7, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 7, 2025)

December 14, 2023 — 13 citations

Citations issued on December 14, 2023
TagWhat the surveyor checksStatus
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (January 11, 2024)
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (January 11, 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 (January 11, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (January 11, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (January 11, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (January 11, 2024)
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 (January 11, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Waiver has been granted (February 21, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (January 11, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 11, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 11, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 11, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 11, 2024)

March 9, 2023 — 10 citations

Citations issued on March 9, 2023
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (March 17, 2023)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (March 17, 2023)
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (March 17, 2023)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (March 18, 2023)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (March 18, 2023)
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 (March 18, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (June 28, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 17, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 18, 2023)
K-0930Ensure proper storage of liquid oxygen.Deficient, Provider has date of correction (March 17, 2023)

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