Oak Trace

250 Village Drive · Downers Grove, IL · 60516 · 6307696200

104 certified beds Non profit - Corporation Chain: Lifespace Communities Part of a CCRC

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

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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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 66
Serious harm & abuse 20% 88
Staffing 20% 88
Federal penalties 15% 74
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.313.48 min · 4.1 strong
RN hours / resident-day1.580.55–0.75
Weekend hours / resident-day3.84≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)1 · $13,780

Inspection citations (17 in the current record)

  • Potential for harm · E March 20, 2026

    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 March 25, 2026 · Pharmacy Service

  • Actual harm · G January 17, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 3, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 3, 2025 · Resident Rights

  • Potential for harm · D January 17, 2025

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected February 3, 2025 · Resident Rights

  • Potential for harm · E January 17, 2025

    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 February 3, 2025 · Resident Rights

  • Potential for harm · D January 17, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 3, 2025 · Quality of Life and Care

  • Potential for harm · E January 17, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 3, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 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 February 3, 2025 · Quality of Life and Care

  • Potential for harm · D January 17, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 3, 2025 · Pharmacy Service

  • Potential for harm · F January 17, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 3, 2025 · Nutrition and Dietary

  • Actual harm · G May 20, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 4, 2024 · Quality of Life and Care

  • Potential for harm · D February 16, 2024

    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 March 8, 2024 · Quality of Life and Care

  • Potential for harm · D February 16, 2024

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected March 8, 2024 · Quality of Life and Care

  • Potential for harm · D February 16, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 8, 2024 · Quality of Life and Care

  • Potential for harm · E February 16, 2024

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected March 8, 2024 · Nutrition and Dietary

  • Potential for harm · E February 16, 2024

    Provide and implement an infection prevention and control program.

    Corrected March 8, 2024 · Infection Control

  • Potential for harm · D June 28, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected July 10, 2023 · Freedom from Abuse, Neglect, and Exploitation

Federal penalties

DateTypeAmount / length
January 17, 2025Fine$13,780

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145804 · certified since September 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.