Nursing Care Index

Avenora Elmhurst

Elmhurst, Du Page County, Illinois · CCN 145111 · For-profit (Corporation) · not part of a chain

CMS rates Avenora Elmhurst 1 of 5 overall as of August 2026. 108 certified beds, 41 residents a day on average. 36 citations on record from the current inspection cycles, 1 at immediate jeopardy; 4 fines totalling $216,044 and 3 payment denials.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay3 / 2 of 5

Staffing

Total nurse staffing1.43915 hours per resident per day
Registered nurses0.37514 hours per resident per day
Weekend total1.37009 hours per resident per day
Nursing staff turnover46.9% (registered nurses 61.9%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-09
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-05-22
2026-01-08
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-06
2026-01-08
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-06
2025-05-09
complaint survey
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · tag F0627
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-05-30
2025-02-26
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-07
2024-10-10 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-10-17
2024-10-10 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-10-17
2024-10-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-10-17
2024-10-10 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-12-27
2024-10-10 Keep all essential equipment working safely.
Environmental Deficiencies · tag F0908
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-10-17
2024-10-10 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-27
2024-10-10 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-27
2024-10-10 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-17
2024-10-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-18
2024-10-10 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-17
2024-10-10 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-17
2024-10-10 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-17
2024-09-18
complaint survey
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-01
2024-09-18
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-01
2024-08-30
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-09-10
2024-08-30
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-10
2024-08-30
complaint survey
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-10
2024-07-15
complaint survey
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies · tag F0626
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-12-10
2024-06-05
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-06-06
2024-06-05
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-06-06
2023-11-29 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · tag F0727
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-01
2023-11-29 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-12-05
2023-11-29 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · tag F0882
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-04-09
2023-11-29 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-05
2023-11-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-05
2023-11-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-05
2023-11-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-05
2023-11-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-05
2022-11-17 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-01-11
2022-11-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-11
2022-11-17 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-01-11

Fines and payment denials

DatePenaltyAmount
2026-05-09Fine$23,870
2026-01-08Payment denial for 7 days from 2026-01-30
2026-01-08Fine$59,040
2024-07-15Payment denial for 98 days from 2024-09-20
2024-07-15Fine$68,842
2024-06-05Fine$64,292
2023-11-29Payment denial for 76 days from 2024-01-24

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Advance Inpatient Medicine LLC
Organization
adp of the snf2025-02-11
Cdh Cpa PLLC
Organization
adp of the snf2025-02-28
Clinical Nutrition Consulting Services, LLC
Organization
adp of the snf2025-03-10
Elevate Therapy Consulting Group, LLC
Organization
adp of the snf2025-02-11
Inspire Consulting Services, LLC
Organization
adp of the snf2025-02-11
Pharmerica Drug Systems LLC
Organization
adp of the snf2025-08-25
Advance Inpatient Medicine LLC
Organization
operational/managerial control2024-11-20
Cdh Cpa PLLC
Organization
operational/managerial control2025-02-01
Clinical Nutrition Consulting Services, LLC
Organization
operational/managerial control2025-03-10
Elevate Therapy Consulting Group, LLC
Organization
operational/managerial control2024-11-20
Inspire Consulting Services, LLC
Organization
operational/managerial control2024-11-20
Cyriac, Anish
Individual
5% or greater direct ownership interest5%2024-11-20
Dave, Dipti
Individual
5% or greater direct ownership interest6%2024-11-20
Dave, Madhusudan
Individual
5% or greater direct ownership interest15%2024-11-20
Mathew, Soji
Individual
5% or greater direct ownership interest10%2024-11-20
Matthew, Sanju
Individual
5% or greater direct ownership interest25%2024-11-20
Simon, Thomas
Individual
5% or greater direct ownership interest10%2024-11-20
Thomas, Jose
Individual
5% or greater direct ownership interest10%2024-11-20
Thomas, Mathew
Individual
5% or greater direct ownership interest10%2024-11-20
Dave, Love
Individual
adp of the snf2025-06-04
Siddique, Mohammad
Individual
adp of the snf2025-09-30
Alex, Shijy
Individual
corporate director2024-11-20
Dave, Love
Individual
corporate director2024-11-20
Thadathil Chacko, Mibin
Individual
corporate director2024-11-20
Dave, Dipti
Individual
corporate officer2013-11-04
Dave, Madhusudan
Individual
corporate officer2024-11-20
Matthew, Sanju
Individual
corporate officer2024-11-20
Dave, Love
Individual
direct ownership interest2024-12-30
Thadathil Chacko, Mibin
Individual
direct ownership interest2024-12-30
Alex, Shijy
Individual
managing control - governing body2024-11-20
Byrne, Mary
Individual
managing control - governing body2024-11-20
Dave, Love
Individual
managing control - governing body2014-11-04
Lach, Krystine
Individual
managing control - governing body2024-11-20
Lasko, Jack
Individual
managing control - governing body2024-11-20
Maiorana, Geraldine
Individual
managing control - governing body2024-11-20
Manahan, Stephen
Individual
managing control - governing body2024-11-20
Morales, Melissa
Individual
managing control - governing body2024-11-20
Siddique, Mohammad
Individual
managing control - governing body2024-11-20
Dave, Love
Individual
operational/managerial control2024-11-20
Siddique, Mohammad
Individual
operational/managerial control2024-11-20

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Du Page County.