Smith Crossing
10501 Emilie Lane · Orland Park, IL · 60467 · 7083262300
92 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Federal penalties on record: $30,713 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
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
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: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.46 | 0.55–0.75 |
| Weekend hours / resident-day | 4.80 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 2 · $125,906 |
Inspection citations (32 in the current record)
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Potential for harm · D March 12, 2026 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected March 24, 2026 · Quality of Life and Care
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Actual harm · G June 18, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 5, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 5, 2025 · Resident Rights
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Potential for harm · D June 18, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 5, 2025 · Resident Rights
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Potential for harm · D June 18, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 5, 2025 · Resident Rights
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Potential for harm · E June 18, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 5, 2025 · Resident Rights
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Potential for harm · D June 18, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 5, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025
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 5, 2025 · Quality of Life and Care
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Potential for harm · D June 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 July 5, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 5, 2025 · Pharmacy Service
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Potential for harm · E June 18, 2025
Provide and implement an infection prevention and control program.
Corrected July 5, 2025 · Infection Control
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Potential for harm · D May 29, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 4, 2025 · Quality of Life and Care
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Actual harm · G April 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 16, 2025 · Quality of Life and Care
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Actual harm · G April 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 28, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · E June 28, 2024
Keep residents' personal and medical records private and confidential.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · D June 28, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · D June 28, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 15, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 15, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 15, 2024 · Quality of Life and Care
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Potential for harm · E June 28, 2024
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 July 15, 2024 · Pharmacy Service
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Potential for harm · F June 28, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 15, 2024 · Nutrition and Dietary
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Potential for harm · E June 28, 2024
Provide and implement an infection prevention and control program.
Corrected July 15, 2024 · Infection Control
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Potential for harm · D August 17, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 1, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 18, 2025 | Fine | $30,713 |
| June 18, 2025 | Payment Denial | 4 days |
| August 10, 2023 | Fine | $95,193 |
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 146110 · certified since January 10, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.