01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-25 | 4 | 2025-04-25 | 4 |
| Cycle 2 | 2024-05-02 | 2 | 2024-05-02 | 4 |
| Cycle 3 | 2023-06-08 | 2 | 2023-06-08 | 7 |
CMS CCN 1461552026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Park Place Christian Community
1150 Euclid Avenue · Elmhurst, IL 60126 · Du Page County
Certified beds37CMS provider file
Recent citation rows23current 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
23 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-04-25 · HEALTHF0550Severity D · isolated; 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 · 2025-04-262025-04-25 · HEALTHF0761Severity E · pattern; 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 · 2025-04-262025-04-25 · 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 · 2025-04-262025-04-25 · 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 · 2025-04-262025-04-25 · 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 · 2025-05-082025-04-25 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-05-082025-04-25 · FIREK0541Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Correction field: Deficient, Provider has date of correction · 2025-05-082025-04-25 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-05-082024-09-22 · 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 · 2024-09-23 · complaint2024-05-02 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2024-05-162024-05-02 · 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 · 2024-05-032024-05-02 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-05-102024-05-02 · 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 · 2024-05-292024-05-02 · 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 · 2024-05-102023-09-28 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-09-29 · complaint2023-06-08 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2023-06-232023-06-08 · 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 · 2023-06-092023-06-08 · FIREK0133Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Correction field: Deficient, Provider has date of correction · 2023-06-272023-06-08 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2023-06-282023-06-08 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2023-06-222023-06-08 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2023-06-222023-06-08 · FIREK0923Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2023-06-222023-06-08 · FIREK0929Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Correction field: Deficient, Provider has date of correction · 2023-06-2203 / 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
- REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOMEOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 05/05/2004
- BREEMS, TIMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2025
- BUIKEMA, PAULIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- DAMSTRA, EDWARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/02/2022
- DEGRAFF, DAVEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2025
- FEENSTRA, THEODOREIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/02/2022
- JABAAY, PATRICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/02/2022
- KATS, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/11/2025
- KOLDENHOVEN, ARNOLDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- LEO, GARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- PETROELJE, ROBIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2025
- VAN ESSEN, DARRENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/02/2022
- VAN SOLKEMA, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/11/2025
- VOSS, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/02/2022
- WOO, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- YONKER, KYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- ZANDSTRA, JOHANNAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/21/2012
- DE YOUNG, WILLIAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
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 hours4.67per resident day
RN hours2.02per resident day
Weekend nurse hours4.10per resident day
Staff turnover20.0%CMS reported field