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

Nexus at Palos

PALOS HILLS, IL · 207 certified beds · Last Life Safety survey May 16, 2025

CMS Certification Number 145650 · first certified August 1989

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.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IL

87 citations — more than 100% 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 24 citations; the earlier surveys in the window averaged 31.5. 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 (April 2026 to June 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was May 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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8 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

18 of the 87 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)

19 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 87 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.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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.

Citations on file over three years, compared
Measure	Citations
This facility	87
Median facility in IL	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
November 3, 2022	35
February 16, 2024	28
May 16, 2025	24

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	3	2025-05-16
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	3	2025-05-16
K-0293	Have properly located and lighted "Exit" signs.	3	2025-05-16
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	3	2025-05-16
E-0022	Establish policies and procedures for sheltering.	3	2025-05-16
K-0222	Add 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.	3	2025-05-16
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	3	2025-05-16
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2025-05-16

What the citations cover

Citations by CMS category

Smoke Deficiencies 25
Emergency Preparedness Deficiencies 18
Gas, Vacuum, and Electrical Systems Deficiencies 14
Egress Deficiencies 11
Other 19

Citations by CMS category
Category	Citations
Smoke Deficiencies	25
Emergency Preparedness Deficiencies	18
Gas, Vacuum, and Electrical Systems Deficiencies	14
Egress Deficiencies	11
Miscellaneous Deficiencies	10
Construction Deficiencies	6
Services Deficiencies	2
Electrical Deficiencies	1

Every citation on file

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

May 16, 2025 — 24 citations

Citations issued on May 16, 2025
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (May 16, 2025)
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (May 16, 2025)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (May 16, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (May 16, 2025)
K-0133	Install a two-hour-resistant firewall separation.	Deficient, Provider has date of correction (May 16, 2025)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (May 16, 2025)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (May 16, 2025)
K-0222	Add 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 (May 16, 2025)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (May 16, 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 16, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 16, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (May 16, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Waiver has been granted
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (May 16, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 16, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (May 16, 2025)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (May 16, 2025)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (May 16, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 16, 2025)
K-0754	Provide properly sized and located linen or trash receptacles.	Deficient, Provider has date of correction (May 16, 2025)
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	Deficient, Provider has date of correction (May 16, 2025)
K-0915	Have proper power supply for life support equipment.	Waiver has been granted
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Waiver has been granted (May 16, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 16, 2025)

February 16, 2024 — 28 citations

Citations issued on February 16, 2024
Tag	What the surveyor checks	Status
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (March 15, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 15, 2024)
K-0133	Install a two-hour-resistant firewall separation.	Deficient, Provider has date of correction (March 15, 2024)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (March 15, 2024)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 15, 2024)
K-0222	Add 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 (March 15, 2024)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (March 15, 2024)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (March 15, 2024)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (March 15, 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 (March 15, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 15, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 15, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Waiver has been granted (May 22, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (March 15, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 15, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (March 15, 2024)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (March 15, 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 (March 15, 2024)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (March 15, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 15, 2024)
K-0754	Provide properly sized and located linen or trash receptacles.	Deficient, Provider has date of correction (March 15, 2024)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (March 15, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (March 15, 2024)
K-0915	Have proper power supply for life support equipment.	Waiver has been granted (August 30, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 15, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 15, 2024)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (March 15, 2024)
K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed.	Deficient, Provider has date of correction (March 15, 2024)

November 3, 2022 — 35 citations

Citations issued on November 3, 2022
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (December 14, 2022)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (December 13, 2022)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (December 7, 2022)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (December 7, 2022)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (December 7, 2022)
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (December 7, 2022)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (December 13, 2022)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (December 13, 2022)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (December 13, 2022)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (December 13, 2022)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (December 14, 2022)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (December 14, 2022)
K-0133	Install a two-hour-resistant firewall separation.	Deficient, Provider has date of correction (December 13, 2022)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (December 13, 2022)
K-0222	Add 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 (December 7, 2022)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (December 7, 2022)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (December 12, 2022)
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 (December 7, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (December 7, 2022)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (December 7, 2022)
K-0344	Have an alternate power supply for its alarm system.	Deficient, Provider has date of correction (December 2, 2022)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Waiver has been granted (September 26, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Waiver has been granted (July 15, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (December 7, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (December 14, 2022)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Waiver has been granted (March 17, 2023)
K-0531	Have elevators that firefighters can control in the event of a fire.	Waiver has been granted (September 7, 2023)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (December 7, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 7, 2022)
K-0754	Provide properly sized and located linen or trash receptacles.	Deficient, Provider has date of correction (December 9, 2022)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Waiver has been granted (July 8, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 12, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (December 7, 2022)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (December 7, 2022)
K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed.	Deficient, Provider has date of correction (December 7, 2022)

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