Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
AHVA CARE OF STICKNEY
STICKNEY, IL · 51 certified beds · Last Life Safety survey May 23, 2024
CMS Certification Number 146078 · first certified April 2005
Ownership
Independently operated (no chain recorded by CMS) · For profit - Corporation
- Ownership changed June 24, 2021 (change of ownership)to AHVA CARE OF STICKNEY LLC from PERSHING GARDENS HEALTHCARE CENTER LLC
Position within IL
10 citations — more than 34% 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 4 citations; the earlier surveys in the window averaged 3. 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 2025 to July 2025), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was May 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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Emergency preparedness
10 of the 10 citations on file are Emergency Preparedness E-tags — every citation here is about the program, not the building. 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)
4 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 10 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-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.
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 | 10 |
| Median facility in IL | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 4, 2022 | 2 |
| March 16, 2023 | 4 |
| May 23, 2024 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | 2 | 2024-05-23 |
| E-0041 | Implement emergency and standby power systems. | 2 | 2023-03-16 |
| E-0039 | Conduct testing and exercise requirements. | 2 | 2024-05-23 |
| E-0037 | Establish staff and initial training requirements. | 2 | 2023-03-16 |
| E-0024 | Establish policies and procedures for volunteers. | 1 | 2024-05-23 |
| E-0023 | Establish policies and procedures for medical documentation. | 1 | 2024-05-23 |
What the citations cover
- Emergency Preparedness Deficiencies 10
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 10 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 23, 2024 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (June 17, 2024) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (June 17, 2024) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (June 17, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (June 17, 2024) |
March 16, 2023 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (April 11, 2023) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (April 8, 2023) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (April 8, 2023) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (April 8, 2023) |
February 4, 2022 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (February 28, 2022) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (February 28, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.