01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-12 | 1 | 2026-03-12 | 1 |
| Cycle 2 | 2024-03-07 | 4 | 2024-03-07 | 4 |
| Cycle 3 | 2023-04-14 | 1 | 2023-04-14 | 2 |
CMS CCN 1455262026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Gottlieb Memorial Hospital
701 West North Avenue · Melrose Park, IL 60160 · Cook County
Certified beds32CMS provider file
Recent citation rows13current CMS citation release
Penalty rows0current 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
13 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-12 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2026-03-242026-03-12 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-202024-03-07 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-03-212024-03-07 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-03-212024-03-07 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2024-03-212024-03-07 · HEALTHF0880Severity D · isolated; 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 · 2024-03-212024-03-07 · FIREK0225Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Correction field: Deficient, Provider has date of correction · 2024-03-142024-03-07 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-03-132024-03-07 · FIREK0711Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2024-03-192024-03-07 · FIREK0907Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure medical gas and vacuum systems have documented maintenance programs.
Correction field: Deficient, Provider has date of correction · 2024-03-112023-04-14 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-04-292023-04-14 · FIREK0341Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2023-04-182023-04-14 · FIREK0354Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2023-04-1803 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- LOYOLA UNIVERSITY HEALTH SYSTEMOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 07/01/2008
- EARLY, ELIZABETHIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 12/18/2020
- CUNNINGHAM, JOYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2013
- EARLY, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/18/2020
- GOMEZ, TADIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- HEALEY, LORIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2013
- MONICE, PIERREIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- WOJCIK, EVAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/23/2022
- EARLY, ELIZABETHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/18/2020
- FREEMAN, RICHARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/18/2020
- KOLAWOLE, ADENRELEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/27/2019
- LUKASICK, MELISSAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/28/2019
- PEKAR, MARIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/14/2012
- RAPPIS, JILLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/08/2011
- SCHWARTZ, MARCIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/03/2014
- PRATT, ANTOINETTEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2019
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 hours5.56per resident day
RN hours3.34per resident day
Weekend nurse hours5.41per resident day
Staff turnover38.6%CMS reported field
06 / LOCAL RECORDS
Open the Illinois ledger →Other published facilities nearby
No second facility in the same city met the directory rule.