Ambassador Nursing & Rehab Center
4900 North Bernard · Chicago, IL · 60625 · 7735837130
190 certified beds For profit - Limited Liability company Chain: Infinity Healthcare Consulting
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $134,388 in fines in the last 24 months.
- 5 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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$134,388 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.59 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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 2.38 | ≈ weekday level |
| Nursing turnover / year | 22% | median 45% |
| Fines (3-yr window) | 2 · $134,388 |
Inspection citations (61 in the current record)
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Actual harm · G December 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D December 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 27, 2025 · Quality of Life and Care
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Potential for harm · D August 8, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 25, 2025 · Resident Rights
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Potential for harm · E August 8, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected August 25, 2025 · Resident Rights
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Potential for harm · D August 8, 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 August 25, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 25, 2025 · Quality of Life and Care
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Potential for harm · D August 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 25, 2025 · Quality of Life and Care
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Potential for harm · E August 8, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 25, 2025 · Quality of Life and Care
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Potential for harm · F August 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 25, 2025 · Nutrition and Dietary
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Potential for harm · E August 8, 2025
Provide and implement an infection prevention and control program.
Corrected August 25, 2025 · Infection Control
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Potential for harm · F August 8, 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 August 25, 2025 · Nursing and Physician Services
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Potential for harm · E August 8, 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 August 25, 2025 · Pharmacy Service
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Potential for harm · D August 8, 2025 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected August 25, 2025 · Administration
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Actual harm · G July 21, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G July 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 1, 2025 · Quality of Life and Care
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Potential for harm · D July 21, 2025 · 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 August 1, 2025 · Resident Rights
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Potential for harm · E July 21, 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 August 1, 2025 · Pharmacy Service
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Potential for harm · D July 21, 2025 · found via complaint
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 August 1, 2025 · Pharmacy Service
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Potential for harm · D May 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 17, 2025 · Quality of Life and Care
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Potential for harm · D November 4, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 9, 2025 | Fine | $67,230 |
| July 21, 2025 | Fine | $67,158 |
| July 21, 2025 | Payment Denial | 40 days |
| July 12, 2024 | Payment Denial | 40 days |
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 145343 · certified since May 16, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.