Serenity Estates of Lincolnshire
150 Jamestown Lane · Lincolnshire, IL · 60069 · 2245437100
144 certified beds For profit - Limited Liability company Chain: Serenity Estates
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $220,165 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$220,165 in federal fines in the last 24 months
6 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.72 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.72 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.50 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 7 · $242,964 |
Inspection citations (56 in the current record)
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Immediate jeopardy · J April 29, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · E April 29, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 30, 2026 · Nursing and Physician Services
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Potential for harm · D March 24, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 24, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J February 11, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 12, 2026 · Quality of Life and Care
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Potential for harm · D February 11, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 16, 2026 · Pharmacy Service
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Potential for harm · D February 11, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 16, 2026 · Pharmacy Service
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Potential for harm · D February 11, 2026 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected February 16, 2026 · Administration
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Potential for harm · D February 11, 2026 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected February 16, 2026 · Administration
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Actual harm · G January 28, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 29, 2026 · Quality of Life and Care
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Potential for harm · D January 28, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 29, 2026 · Resident Rights
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Potential for harm · D December 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 30, 2025 · Quality of Life and Care
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Potential for harm · D June 24, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · D June 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2025 · Quality of Life and Care
-
Potential for harm · D June 24, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 27, 2025 · Nursing and Physician Services
-
Potential for harm · D June 24, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 27, 2025 · Pharmacy Service
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Potential for harm · D June 24, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected June 27, 2025 · Pharmacy Service
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Potential for harm · D May 27, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 29, 2025 · Quality of Life and Care
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Potential for harm · D May 27, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 29, 2025 · Pharmacy Service
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Potential for harm · D May 20, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected May 22, 2025 · Resident Rights
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Potential for harm · D May 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 30, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 28, 2026 | Fine | $62,940 |
| April 17, 2025 | Fine | $14,759 |
| January 22, 2025 | Fine | $24,856 |
| January 22, 2025 | Payment Denial | 14 days |
| December 2, 2024 | Fine | $14,255 |
| September 7, 2024 | Fine | $82,675 |
| September 7, 2024 | Payment Denial | 13 days |
| July 10, 2024 | Fine | $20,680 |
| January 31, 2024 | Fine | $22,799 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 146028 · certified since May 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.