Alta Rehab at Wauconda

Name: Alta Rehab at Wauconda
Address: 176 THOMAS COURT, Wauconda, IL, 60084, US
Telephone: 8475265551

176 Thomas Court, Wauconda, IL 60084 · Lake County · 149 certified beds · avg 144 residents/day · certified since Aug 1, 1996

Part of chain: APERION CARE (33 facilities, chain avg rating 1.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 · Sep 11, 2024 · 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: Sep 12, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jul 26, 2023 · F-0686

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.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

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: Jul 27, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (27)

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 19, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
Jan 17, 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. · from a complaint
Dec 30, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 30, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Dec 9, 2024	D · Potential for 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
Nov 4, 2024	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. · from a complaint
Sep 11, 2024	▲ 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
Aug 21, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Aug 21, 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.
Aug 21, 2024	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.
Aug 21, 2024	D · Potential for 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.
Aug 21, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 21, 2024	D · Potential for harm, one-off	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.
Jun 17, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Apr 10, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jan 16, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint
Nov 21, 2023	F · Potential for harm, facility-wide	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Nov 21, 2023	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Aug 7, 2023	D · Potential for 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
Jul 26, 2023	▲ G · Actual 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.
Jul 26, 2023	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.
Jul 26, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jun 16, 2022	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.
Jun 16, 2022	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jun 16, 2022	D · Potential for 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.
Jun 16, 2022	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jun 16, 2022	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2022	5	0	F
2023	6	1	G ▲
2024	14	1	G ▲
2026	2	0	D

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)	2.96	2.99	3.95	top 34% in Illinois; bottom 13% in the U.S.
Registered Nurse hours	0.82	0.63	0.69	top 20% in Illinois; top 26% in the U.S.
Weekend total nurse staffing	2.67	2.67	3.50	top 32% in Illinois; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.79	0.56	0.48	top 18% in Illinois; top 12% in the U.S.
Total nursing staff turnover (%)	28.2	44.5	45.8	top 13% in Illinois; top 11% in the U.S.
RN turnover (%)	12.5	41.8	42.9	top 5% in Illinois; top 6% 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 3.83, RN 1.06, weekend 3.45. Staffing rating: 3/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Aperion Care Exec Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	15%	11/13/2023
Goldfarb, Brian	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/13/2023
Lan 3 Investor Group LLC	Organization	5% or Greater Indirect Ownership Interest	20%	11/13/2023
Lan 3 Op LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	11/13/2023
Ulbert, Lisa	Individual	Indirect Ownership Interest	NOT APPLICABLE	11/13/2023
176 Thomas Court, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/17/2025
Ancona, Cecila	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/01/2024
Ancona, Cecila	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2024
Ancona, Cecila	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2024
Aperion Care Exec Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/13/2023
Aperion Care INC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2024
Aperion Care INC	Organization	ADP of the SNF	NOT APPLICABLE	03/17/2025
Aperion Consulting, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2024
Berkowitz, David	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	03/18/2025
Bernett, Sandra	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Bernett, Sandra	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
Curis Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2024
David a Berkowitz Delta Trust	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2024
Farah, Behzad	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Farah, Behzad	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024

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?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"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
Avantara Lake Zurich	6.1 mi	Lake Zurich, IL	★★★★☆	3/5
Prairieview at the Garlands	6.8 mi	Barrington, IL	★★★★★	5/5
Pearl of Crystal Lake, the	7.0 mi	Crystal Lake, IL	★★★★★	4/5
Thrive of Lake County	8.0 mi	Mundelein, IL	★★★☆☆	3/5
Ignite Medical McHenry	8.4 mi	McHenry, IL	★★★☆☆	3/5
Alden Estates of Barrington	8.4 mi	Barrington, IL	★★★★☆	4/5
Alden Long Grove Rehab &HC Ctr	8.8 mi	Long Grove, IL	★☆☆☆☆	2/5	abuse
Alden Terrace of McHenry Rehab	9.1 mi	McHenry, IL	★☆☆☆☆	2/5	abuse
Hillcrest Retirement Village	9.2 mi	Round Lake Beach, IL	★★★☆☆	3/5
Fair Oaks Health Care Center	9.8 mi	Crystal Lake, IL	★★★☆☆	3/5
Avantara Libertyville	10.2 mi	Libertyville, IL	★★★☆☆	3/5
Avantara Long Grove	10.4 mi	Long Grove, IL	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Wauconda →

Facility data as of CMS processing date 2026-08-01. CCN 145887.

The Care File

Visit checklist — Alta Rehab at Wauconda

176 Thomas Court, Wauconda, IL 60084 · 8475265551

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Sep 11, 2024 (F-0689, 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.
▲ Jul 26, 2023 (F-0686, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 145887 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)