Avantara Evergreen Park
10124 South Kedzie · Evergreen Park, IL · 60805 · 7089077000
242 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: $159,708 in fines in the last 24 months.
- 12 citations involved actual harm to residents.
- 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
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$159,708 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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 | 3.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.83 | 0.55–0.75 |
| Weekend hours / resident-day | 3.28 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 7 · $220,154 |
Inspection citations (64 in the current record)
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Potential for harm · D March 19, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 31, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2026 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected March 2, 2026 · Quality of Life and Care
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Potential for harm · D January 4, 2026 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 12, 2026 · Environmental
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Actual harm · G September 7, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 22, 2025 · Quality of Life and Care
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Potential for harm · E June 24, 2025 · found via complaint
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 9, 2025 · Resident Rights
-
Potential for harm · E June 24, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 9, 2025 · Environmental
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Actual harm · G May 23, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 10, 2025 · Quality of Life and Care
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Actual harm · G May 23, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · D May 23, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · D May 23, 2025
Ensure each resident receives an accurate assessment.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · E May 23, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · E May 23, 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 June 10, 2025 · Pharmacy Service
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Potential for harm · E May 23, 2025
Provide and implement an infection prevention and control program.
Corrected June 10, 2025 · Infection Control
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Potential for harm · D May 23, 2025
Implement a program that monitors antibiotic use.
Corrected June 10, 2025 · Infection Control
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Potential for harm · D May 23, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected June 10, 2025 · Environmental
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Potential for harm · D May 23, 2025 · 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 June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D March 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · D December 6, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 25, 2024 · Quality of Life and Care
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Actual harm · G October 16, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 25, 2024 · Quality of Life and Care
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Potential for harm · D October 16, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 4, 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 |
|---|---|---|
| September 7, 2025 | Fine | $37,570 |
| May 23, 2025 | Fine | $32,078 |
| September 27, 2024 | Fine | $90,060 |
| May 17, 2024 | Fine | $30,056 |
| September 28, 2023 | Fine | $13,258 |
| September 5, 2023 | Fine | $4,545 |
| August 14, 2023 | Fine | $12,587 |
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 145734 · certified since July 15, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.