01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-10-10 | 15 | 2024-10-10 | 4 |
| Cycle 2 | 2023-11-29 | 15 | 2023-11-29 | 12 |
| Cycle 3 | 2022-11-17 | 6 | 2022-11-17 | 18 |
CMS CCN 1451112026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avenora Elmhurst
200 East Lake Street · Elmhurst, IL 60126 · Du Page County
Certified beds108CMS provider file
Recent citation rows70current CMS citation release
Penalty rows7current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
70 rows in the current release
5 rows carry G–L scope/severity codes; 1 carry J–L. 14 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-09 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-05-22 · complaint2026-01-08 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2026-01-08 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2025-05-09 · HEALTHF0627Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2025-05-30 · complaint2025-02-26 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-03-07 · complaint2024-10-10 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-12-272024-10-10 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-10-10 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-12-272024-10-10 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-10-10 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-10-182024-10-10 · HEALTHF0692Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-10-10 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-10-10 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-10-10 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-10-10 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-10-10 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-12-272024-10-10 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-10-10 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-10-10 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-10-10 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-10-10 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-09-18 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-01 · complaint2024-09-18 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-10-01 · complaint2024-08-30 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-09-10 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-05-09 | Fine | $23,870 | 0 |
| 2026-01-08 | Fine | $59,040 | 0 |
| 2026-01-08 | Payment Denial | $0 | 7 |
| 2024-07-15 | Fine | $68,842 | 0 |
| 2024-07-15 | Payment Denial | $0 | 98 |
| 2024-06-05 | Fine | $64,292 | 0 |
| 2023-11-29 | Payment Denial | $0 | 76 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CYRIAC, ANISHIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST5% · since 11/20/2024
- DAVE, DIPTIIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST6% · since 11/20/2024
- DAVE, MADHUSUDANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST15% · since 11/20/2024
- MATHEW, SOJIIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 11/20/2024
- MATTHEW, SANJUIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST25% · since 11/20/2024
- SIMON, THOMASIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 11/20/2024
- THOMAS, JOSEIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 11/20/2024
- THOMAS, MATHEWIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 11/20/2024
- DAVE, LOVEIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/30/2024
- THADATHIL CHACKO, MIBINIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/30/2024
- ALEX, SHIJYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/20/2024
- BYRNE, MARYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/20/2024
- DAVE, LOVEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/04/2014
- LACH, KRYSTINEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/20/2024
- LASKO, JACKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/20/2024
- MAIORANA, GERALDINEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/20/2024
- MANAHAN, STEPHENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/20/2024
- MORALES, MELISSAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/20/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours1.44per resident day
RN hours0.38per resident day
Weekend nurse hours1.37per resident day
Staff turnover46.9%CMS reported field