Dupage Care Center
400 N County Farm Rd, Wheaton, IL 60187 · Du Page County · 366 certified beds · avg 209 residents/day · certified since Jan 1, 1967
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 · Jun 20, 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: Jun 24, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 |
|---|---|---|
| Sep 11, 2025 | 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. |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 11, 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. |
| Sep 11, 2025 | 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. |
| Sep 11, 2025 | 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. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Aug 23, 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. |
| Aug 23, 2024 | 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. |
| Aug 23, 2024 | 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. |
| Aug 23, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Aug 23, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Aug 23, 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. |
| Aug 23, 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 23, 2024 | 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. |
| Aug 23, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Aug 23, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jun 20, 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 |
| Oct 26, 2023 | 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 26, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Oct 26, 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. |
| Oct 26, 2023 | 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. |
| Oct 19, 2023 | 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 11 | 1 | G ▲ |
| 2025 | 7 | 0 | E |
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) | 3.86 | 2.99 | 3.95 | top 18% in Illinois; top 46% in the U.S. |
| Registered Nurse hours | 1.10 | 0.63 | 0.69 | top 11% in Illinois; top 12% in the U.S. |
| Weekend total nurse staffing | 3.32 | 2.67 | 3.50 | top 20% in Illinois; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.86 | 0.56 | 0.48 | top 15% in Illinois; top 9% in the U.S. |
| Total nursing staff turnover (%) | 16.9 | 44.5 | 45.8 | top 2% in Illinois; top 2% in the U.S. |
| RN turnover (%) | 17.0 | 41.8 | 42.9 | top 13% in Illinois; top 11% 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 4.11, RN 1.17, weekend 3.53. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Dupage County | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/28/1966 |
| Baker Tilly Us LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Baker Tilly Us LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Berman, Shauna | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/19/2013 |
| Berman, Shauna | Individual | ADP of the SNF | NOT APPLICABLE | 10/19/2013 |
| Bohan, Heidi | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/28/2021 |
| Bohan, Heidi | Individual | ADP of the SNF | NOT APPLICABLE | 04/28/2021 |
| Borske, Diane | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/04/2023 |
| Borske, Diane | Individual | ADP of the SNF | NOT APPLICABLE | 02/04/2023 |
| Butler, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/10/2022 |
| Butler, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 12/10/2022 |
| Cerny, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/21/2014 |
| Cerny, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 04/21/2014 |
| Chadwick, Janelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2017 |
| Chadwick, Janelle | Individual | ADP of the SNF | NOT APPLICABLE | 07/24/2017 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 03/20/2025 |
| Coblentz, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | NO DATE PROVIDED |
| Coblentz, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 05/20/2002 |
| Dupage County | Organization | ADP of the SNF | NOT APPLICABLE | 08/08/1966 |
| Galleta, Arleen | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/06/2023 |
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?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Wynscape Health & Rehab | 0.2 mi | Wheaton, IL | ★★★★★ | 5/5 | |
| Ahva Care of Winfield | 0.7 mi | Winfield, IL | ★★★★☆ | 4/5 | |
| Wheaton Village Nrsg & RHB Ctr | 1.0 mi | Wheaton, IL | ★★★☆☆ | 3/5 | |
| Covenant Living - Windsor Park | 3.0 mi | Carol Stream, IL | ★★★★★ | 4/5 | |
| West Chicago Living and Rehab Center | 3.3 mi | West Chicago, IL | ★☆☆☆☆ | 2/5 | abuse |
| Aperion Care West Chicago | 4.3 mi | West Chicago, IL | ★★☆☆☆ | 2/5 | abuse |
| Springs at Monarch Landing, the | 4.6 mi | Naperville, IL | ★★★★★ | 4/5 | |
| Thrive of Lisle | 4.8 mi | Lisle, IL | ★★★★☆ | 4/5 | |
| Arista Healthcare | 5.1 mi | Naperville, IL | ★★★★★ | 5/5 | |
| Tabor Hills Health Care Fac | 5.1 mi | Naperville, IL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145050.