Admiral at the Lake, the
933 West Foster Avenue, Chicago, IL 60640 · Cook County · 36 certified beds · avg 28 residents/day · certified since Oct 1, 2013
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 6, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 26, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 5, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 5, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 5, 2026 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jun 6, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 6, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jan 24, 2025 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 24, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 24, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 9, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 9, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Feb 9, 2024 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Feb 9, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 10 | 0 | F |
| 2025 | 9 | 1 | G ▲ |
| 2026 | 6 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.94 | 2.99 | 3.95 | top 8% in Illinois; top 14% in the U.S. |
| Registered Nurse hours | 1.15 | 0.63 | 0.69 | top 9% in Illinois; top 11% in the U.S. |
| Weekend total nurse staffing | 4.42 | 2.67 | 3.50 | top 8% in Illinois; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.56 | 0.48 | top 25% in Illinois; top 17% in the U.S. |
| Total nursing staff turnover (%) | 15.2 | 44.5 | 45.8 | top 1% in Illinois; top 1% in the U.S. |
| RN turnover (%) | 42.9 | 41.8 | 42.9 | bottom 47% in Illinois; bottom 49% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.45, RN 1.04, weekend 3.98. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bensen, Kate | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Bhandari, Justin | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Boike, Kim | Individual | Corporate Director | NOT APPLICABLE | 04/01/2022 |
| Braier, Chris | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Campbell, Toya | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Daw, Shari | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Dittmer, Helen | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Dittmer, Helen | Individual | ADP of the SNF | NOT APPLICABLE | 03/06/2026 |
| Farmer, Nicholas | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| Geigler, Nadia | Individual | Corporate Officer | NOT APPLICABLE | 01/27/2017 |
| Geigler, Nadia | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/27/2017 |
| Howe, Jonathan | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Keegan, Erika | Individual | Corporate Officer | NOT APPLICABLE | 10/16/2023 |
| McKee, Laura | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Mizuno, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Mizuno, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Shields, Jordan | Individual | Corporate Director | NOT APPLICABLE | 08/01/2018 |
| Smith, Toni | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Taylor, Jackie | Individual | Corporate Director | NOT APPLICABLE | 04/01/2024 |
| Wackerle, Fred | Individual | Corporate Director | NOT APPLICABLE | 04/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Selfhelp Home of Chicago | 0.2 mi | Chicago, IL | ★★★★★ | 4/5 | |
| Complete Care at Margate Park | 0.3 mi | Chicago, IL | ★☆☆☆☆ | 1/5 | abuse |
| All American Vlge Nrsg & RHB | 0.4 mi | Chicago, IL | ★☆☆☆☆ | 2/5 | abuse |
| Alden Lakeland Rehab & HCC | 0.5 mi | Chicago, IL | ★☆☆☆☆ | 1/5 | abuse |
| Aperion Care Wesley | 0.6 mi | Chicago, IL | ★☆☆☆☆ | 1/5 | |
| Mado Healthcare - Uptown | 0.8 mi | Chicago, IL | ★☆☆☆☆ | 3/5 | |
| Sheridan Village Nrsg & RHB | 0.8 mi | Chicago, IL | ★★☆☆☆ | 3/5 | |
| Complete Care at Sheriden Commons | 1.0 mi | Chicago, IL | ★★★☆☆ | 3/5 | |
| Carlton at the Lake, the | 1.1 mi | Chicago, IL | ★★☆☆☆ | 2/5 | |
| Park View Rehab Center | 1.2 mi | Chicago, IL | ★★☆☆☆ | 2/5 | abuse |
| Balmoral Home | 1.4 mi | Chicago, IL | ★★☆☆☆ | 3/5 | |
| Continental Nursing & Rehab Center | 1.8 mi | Chicago, IL | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 146165.