Avenora Elmhurst
200 East Lake Street, Elmhurst, IL 60126 · Du Page County · 108 certified beds · avg 41 residents/day · certified since Jan 10, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, one-off · Jun 5, 2024 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 6, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 9, 2026 · 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: May 22, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 10, 2024 · 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: Oct 17, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 10, 2024 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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: Oct 17, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 30, 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 10, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (36)
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 |
|---|---|---|
| May 9, 2026 | ▲ 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 |
| Jan 8, 2026 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jan 8, 2026 | 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. · from a complaint |
| May 9, 2025 | E · Potential for harm, repeated | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Feb 26, 2025 | 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 |
| Oct 10, 2024 | ▲ 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. |
| Oct 10, 2024 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 10, 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. |
| Oct 10, 2024 | 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. |
| Oct 10, 2024 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Oct 10, 2024 | E · Potential for harm, repeated | 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. |
| Oct 10, 2024 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Oct 10, 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. |
| Oct 10, 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. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Oct 10, 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. |
| Sep 18, 2024 | 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 |
| Sep 18, 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 |
| Aug 30, 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 30, 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. · from a complaint |
| Aug 30, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jul 15, 2024 | D · Potential for harm, one-off | The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint |
| Jun 5, 2024 | ▲ J · Immediate jeopardy, 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 |
| Jun 5, 2024 | E · Potential for harm, repeated | 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 |
| Nov 29, 2023 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Nov 29, 2023 | 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. |
| Nov 29, 2023 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Nov 29, 2023 | 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. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Nov 29, 2023 | 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. |
| Nov 29, 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. |
| Nov 29, 2023 | D · Potential for harm, one-off | 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. |
| Nov 17, 2022 | E · Potential for harm, repeated | 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. |
| Nov 17, 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. |
| Nov 17, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (8 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | E |
| 2023 | 8 | 0 | F |
| 2024 | 20 | 4 | J ▲ |
| 2025 | 2 | 0 | E |
| 2026 | 3 | 1 | G ▲ |
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)
4 fines totaling $216,044, plus 3 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| May 9, 2026 | Fine | $23,870 |
| Jan 8, 2026 | Fine | $59,040 |
| Jan 8, 2026 | Payment Denial | 7 days from Jan 30, 2026 |
| Jul 15, 2024 | Fine | $68,842 |
| Jul 15, 2024 | Payment Denial | 98 days from Sep 20, 2024 |
| Jun 5, 2024 | Fine | $64,292 |
| Nov 29, 2023 | Payment Denial | 76 days from Jan 24, 2024 |
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) | 1.19 | 2.99 | 3.95 | bottom 1% in Illinois; bottom 1% in the U.S. |
| Registered Nurse hours | 0.31 | 0.63 | 0.69 | bottom 18% in Illinois; bottom 11% in the U.S. |
| Weekend total nurse staffing | 1.13 | 2.67 | 3.50 | bottom 1% in Illinois; bottom 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.56 | 0.48 | bottom 23% in Illinois; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 46.9 | 44.5 | 45.8 | bottom 41% in Illinois; bottom 45% in the U.S. |
| RN turnover (%) | 61.9 | 41.8 | 42.9 | bottom 18% in Illinois; bottom 19% 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 1.44, RN 0.38, weekend 1.37. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cyriac, Anish | Individual | 5% or Greater Direct Ownership Interest | 5% | 11/20/2024 |
| Dave, Dipti | Individual | 5% or Greater Direct Ownership Interest | 6% | 11/20/2024 |
| Dave, Love | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/30/2024 |
| Dave, Madhusudan | Individual | 5% or Greater Direct Ownership Interest | 15% | 11/20/2024 |
| Mathew, Soji | Individual | 5% or Greater Direct Ownership Interest | 10% | 11/20/2024 |
| Matthew, Sanju | Individual | 5% or Greater Direct Ownership Interest | 25% | 11/20/2024 |
| Simon, Thomas | Individual | 5% or Greater Direct Ownership Interest | 10% | 11/20/2024 |
| Thadathil Chacko, Mibin | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/30/2024 |
| Thomas, Jose | Individual | 5% or Greater Direct Ownership Interest | 10% | 11/20/2024 |
| Thomas, Mathew | Individual | 5% or Greater Direct Ownership Interest | 10% | 11/20/2024 |
| Advance Inpatient Medicine LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/20/2024 |
| Advance Inpatient Medicine LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/11/2025 |
| Alex, Shijy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/20/2024 |
| Alex, Shijy | Individual | Corporate Director | NOT APPLICABLE | 11/20/2024 |
| Byrne, Mary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/20/2024 |
| CDH Cpa PLLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| CDH Cpa PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Clinical Nutrition Consulting Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/10/2025 |
| Clinical Nutrition Consulting Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Dave, Dipti | Individual | Corporate Officer | NOT APPLICABLE | 11/04/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "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 monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Grove of Elmhurst, the | 1.2 mi | Elmhurst, IL | ★☆☆☆☆ | 2/5 | |
| Citadel at Casa Scalabrini | 1.7 mi | Northlake, IL | ★★★☆☆ | 3/5 | |
| Bridgeway Senior Living | 2.5 mi | Bensenville, IL | ★☆☆☆☆ | 2/5 | |
| Park Place Christian Community | 3.0 mi | Elmhurst, IL | ★★★★★ | 4/5 | |
| Pearl of Hillside,the | 3.4 mi | Hillside, IL | ★☆☆☆☆ | 2/5 | |
| Bella Terra Elmhurst | 3.4 mi | Elmhurst, IL | ★★★★☆ | 4/5 | |
| Gottlieb Memorial Hospital | 4.5 mi | Melrose Park, IL | ★★★★★ | 5/5 | |
| Alta Rehab at Oak Brook | 4.7 mi | Oak Brook, IL | ★★☆☆☆ | 2/5 | |
| Landmark of Itasca Rehabilitation and Nursing Cent | 5.2 mi | Itasca, IL | ★☆☆☆☆ | 1/5 | abuseSFF |
| Aperion Care Westchester | 5.4 mi | Westchester, IL | ★★★☆☆ | 3/5 | |
| Bria of Elmwood Park | 6.0 mi | Elmwood Park, IL | ★☆☆☆☆ | 1/5 | abuseSFF |
| Bella Terra Lombard | 6.4 mi | Lombard, IL | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145111.