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

POLO REHABILITATION & HCC

POLO, IL · 81 certified beds · Last Life Safety survey July 31, 2024

CMS Certification Number 145727 · first certified June 1992

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

Ownership changed October 31, 2019 (change of ownership)to POLO REHABILITATION & HEALTH CARE from PETERSEN HEALTH NETWORK, LLC

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

42 citations — more than 94% 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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 18 citations; the earlier surveys in the window averaged 12. 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 (June 2025 to September 2025), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was July 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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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

16 of the 42 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)

3 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 42 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.

Citations on file over three years, compared
Measure	Citations
This facility	42
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
February 9, 2022	7
May 4, 2023	17
July 31, 2024	18

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-0324	Provide properly protected cooking facilities.	3	2024-07-31
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	3	2024-07-31
E-0013	Develop Emergency Preparedness policies and procedures.	2	2023-05-04
E-0029	Develop a communication plan.	2	2024-07-31
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2024-07-31
K-0351	Install an approved automatic sprinkler system.	2	2024-07-31
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-07-31
E-0039	Conduct testing and exercise requirements.	2	2023-05-04

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 16
Smoke Deficiencies 12
Gas, Vacuum, and Electrical Systems Deficiencies 5
Egress Deficiencies 4
Other 5

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	16
Smoke Deficiencies	12
Gas, Vacuum, and Electrical Systems Deficiencies	5
Egress Deficiencies	4
Miscellaneous Deficiencies	3
Services Deficiencies	2

Every citation on file

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

July 31, 2024 — 18 citations

Citations issued on July 31, 2024
Tag	What the surveyor checks	Status
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (September 18, 2024)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (September 20, 2024)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (September 18, 2024)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (September 12, 2024)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (September 10, 2024)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (September 9, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (September 9, 2024)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (September 9, 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 (September 9, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (September 10, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 22, 2024)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (September 10, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (September 11, 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 (September 10, 2024)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (September 19, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (September 12, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 17, 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 (September 11, 2024)

May 4, 2023 — 17 citations

Citations issued on May 4, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (May 26, 2023)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (May 26, 2023)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (May 26, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (May 26, 2023)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (May 26, 2023)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (May 26, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (June 6, 2023)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (May 26, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (June 9, 2023)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (May 26, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 26, 2023)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (May 26, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (May 26, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 26, 2023)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (May 26, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (May 26, 2023)
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 26, 2023)

February 9, 2022 — 7 citations

Citations issued on February 9, 2022
Tag	What the surveyor checks	Status
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (March 4, 2022)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (March 4, 2022)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (March 4, 2022)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 4, 2022)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (March 4, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 4, 2022)
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 4, 2022)

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