Smith Crossing
10501 Emilie Lane, Orland Park, IL 60467 · Cook County · 92 certified beds · avg 81 residents/day · certified since Jan 10, 2007
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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 18, 2025 · 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 5, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 30, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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 16, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 30, 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: May 16, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Aug 10, 2023 · 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 (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Aug 25, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (32)
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 12, 2026 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Jun 18, 2025 | ▲ 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. |
| Jun 18, 2025 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Jun 18, 2025 | 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. |
| Jun 18, 2025 | 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. |
| Jun 18, 2025 | 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. |
| Jun 18, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 18, 2025 | 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. |
| Jun 18, 2025 | 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 18, 2025 | 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. |
| Jun 18, 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. |
| May 29, 2025 | 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. · from a complaint |
| Apr 30, 2025 | ▲ G · Actual 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 |
| Apr 30, 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 |
| Apr 30, 2025 | 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. · from a complaint |
| Jun 28, 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. |
| Jun 28, 2024 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Jun 28, 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. |
| Jun 28, 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. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jun 28, 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. |
| Jun 28, 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. |
| Jun 28, 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. |
| Aug 17, 2023 | 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 17, 2023 | 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 17, 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. |
| Aug 17, 2023 | 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 17, 2023 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Aug 17, 2023 | 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. |
| Aug 17, 2023 | 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. |
| Aug 10, 2023 | ▲ H · Actual harm, repeated | 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 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 1 | H ▲ |
| 2024 | 9 | 0 | F |
| 2025 | 14 | 3 | G ▲ |
| 2026 | 1 | 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)
1 fine totaling $30,713, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jun 18, 2025 | Fine | $30,713 |
| Jun 18, 2025 | Payment Denial | 4 days from Jul 11, 2025 |
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) | 5.39 | 2.99 | 3.95 | top 4% in Illinois; top 8% in the U.S. |
| Registered Nurse hours | 1.28 | 0.63 | 0.69 | top 8% in Illinois; top 8% in the U.S. |
| Weekend total nurse staffing | 5.03 | 2.67 | 3.50 | top 3% in Illinois; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.93 | 0.56 | 0.48 | top 13% in Illinois; top 7% in the U.S. |
| Total nursing staff turnover (%) | 54.1 | 44.5 | 45.8 | bottom 24% in Illinois; bottom 27% in the U.S. |
| RN turnover (%) | 46.9 | 41.8 | 42.9 | bottom 40% in Illinois; bottom 40% 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 5.43, RN 1.29, weekend 5.07. Staffing rating: 5/5.
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: 1/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Anello, Andrew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/1999 |
| Anello, Andrew | Individual | Trustee of the SNF | NOT APPLICABLE | 09/01/1999 |
| Anello, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/1999 |
| Araiza, Ema | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2013 |
| Araiza, Ema | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2013 |
| Barrett, Thomas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2020 |
| Barrett, Thomas | Individual | Trustee of the SNF | NOT APPLICABLE | 09/01/2020 |
| Barrett, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2020 |
| Haskins, Ann | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2014 |
| Haskins, Ann | Individual | Trustee of the SNF | NOT APPLICABLE | 02/01/2014 |
| Haskins, Ann | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2014 |
| Huguelet, Michael | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/08/2022 |
| Huguelet, Michael | Individual | Trustee of the SNF | NOT APPLICABLE | 09/08/2022 |
| Huguelet, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 09/08/2022 |
| Lane, Kevin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2018 |
| Lane, Kevin | Individual | Trustee of the SNF | NOT APPLICABLE | 11/01/2018 |
| Lane, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2018 |
| Marneris, Raymond | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2012 |
| Marneris, Raymond | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| McGee, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2012 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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 |
|---|---|---|---|---|---|
| Alden Estates of Orland Park | 2.7 mi | Orland Park, IL | ★★☆☆☆ | 2/5 | |
| Frankfort Terrace | 4.8 mi | Frankfort, IL | ★★★☆☆ | 2/5 | |
| Warren Barr Orland Park | 4.9 mi | Orland Park, IL | ★★★☆☆ | 3/5 | |
| Victorian Village HLTH & Well | 5.6 mi | Homer Glen, IL | ★★★★★ | 4/5 | |
| Elevate Care Country Club Hill | 7.2 mi | Country Club Hills, IL | ★★☆☆☆ | 2/5 | |
| Aliya of Palos Park | 7.9 mi | Palos Park, IL | ★☆☆☆☆ | 2/5 | |
| Crestwood Terrace | 8.1 mi | Crestwood, IL | ★★★☆☆ | 2/5 | abuse |
| Generations at Applewood | 8.5 mi | Matteson, IL | ★☆☆☆☆ | 1/5 | |
| Avantara Palos Heights | 8.7 mi | Palos Heights, IL | ★★☆☆☆ | 2/5 | |
| Harmony Palos | 8.7 mi | Palos Heights, IL | ★★☆☆☆ | 3/5 | |
| Aliya of Crestwood | 8.8 mi | Crestwood, IL | ★☆☆☆☆ | 2/5 | |
| Elevate Care Palos Heights | 8.9 mi | Palos Heights, IL | ★★☆☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 146110.