Avantara Palos Heights
7850 West College Drive · Palos Heights, IL · 60463 · 7083616990
184 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $22,645 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.95 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.94 | 0.55–0.75 |
| Weekend hours / resident-day | 3.89 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 2 · $22,645 |
Inspection citations (43 in the current record)
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Potential for harm · D March 15, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 23, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 18, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 10, 2025 · Quality of Life and Care
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Potential for harm · E September 18, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 10, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected October 10, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 10, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected October 10, 2025 · Quality of Life and Care
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Potential for harm · E September 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 10, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 10, 2025 · Pharmacy Service
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Potential for harm · D September 18, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected October 10, 2025 · Pharmacy Service
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Potential for harm · D September 18, 2025
Ensure that residents are free from significant medication errors.
Corrected October 10, 2025 · Pharmacy Service
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Potential for harm · F September 18, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected October 10, 2025 · Pharmacy Service
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Potential for harm · F September 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 10, 2025 · Nutrition and Dietary
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Potential for harm · F September 18, 2025
Dispose of garbage and refuse properly.
Corrected October 10, 2025 · Nutrition and Dietary
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Potential for harm · E September 18, 2025
Provide and implement an infection prevention and control program.
Corrected October 10, 2025 · Infection Control
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Actual harm · G July 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 18, 2025 · Quality of Life and Care
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Potential for harm · D July 3, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 18, 2025 · Quality of Life and Care
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Potential for harm · D November 1, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 19, 2024 · Resident Rights
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Potential for harm · D November 1, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 19, 2024 · Quality of Life and Care
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Potential for harm · D November 1, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 19, 2024 · Quality of Life and Care
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Potential for harm · D November 1, 2024
Provide and implement an infection prevention and control program.
Corrected November 19, 2024 · Infection Control
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Potential for harm · E November 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 19, 2024 · Quality of Life and Care
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No harm found · C November 1, 2024
Post nurse staffing information every day.
Corrected November 19, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 3, 2025 | Fine | $12,438 |
| October 9, 2024 | Fine | $10,207 |
| October 9, 2024 | Payment Denial | 14 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145607 · certified since March 15, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.