Peterson Park Health Care Ctr

6141 North Pulaski Road · Chicago, IL · 60646 · 7734782000

196 certified beds For profit - Limited Liability company Chain: Legacy Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results have improved across recent cycles.

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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.

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

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.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 58
Staffing 20% 71
Federal penalties 15% 57
Trend 10% 88
Context 5% 100

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-day3.383.48 min · 4.1 strong
RN hours / resident-day0.740.55–0.75
Weekend hours / resident-day3.29≈ weekday level
Nursing turnover / year40%median 45%
Fines (3-yr window)1 · $13,042

Inspection citations (33 in the current record)

  • Actual harm · G January 30, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 31, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 29, 2025

    Ensure each resident receives an accurate assessment.

    Corrected December 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 29, 2025

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

    Corrected December 2, 2025 · Quality of Life and Care

  • Potential for harm · D November 29, 2025

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

    Corrected December 1, 2025 · Nutrition and Dietary

  • Potential for harm · F November 29, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected December 1, 2025 · Environmental

  • Potential for harm · D March 25, 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 April 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 20, 2024

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected September 21, 2024 · Quality of Life and Care

  • Potential for harm · E September 20, 2024

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

    Corrected September 21, 2024 · Quality of Life and Care

  • Potential for harm · E September 20, 2024

    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 September 21, 2024 · Quality of Life and Care

  • Potential for harm · D September 20, 2024

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

    Corrected September 21, 2024 · Quality of Life and Care

  • Potential for harm · E September 20, 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 September 21, 2024 · Pharmacy Service

  • Potential for harm · E September 20, 2024

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected September 21, 2024 · Nutrition and Dietary

  • Potential for harm · F September 20, 2024

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

    Corrected September 21, 2024 · Nutrition and Dietary

  • Potential for harm · D September 20, 2024

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected September 21, 2024 · Nutrition and Dietary

  • Potential for harm · F September 20, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 21, 2024 · Infection Control

  • Potential for harm · D September 20, 2024

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected September 21, 2024 · Environmental

  • Potential for harm · E May 20, 2024 · found via complaint

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Corrected May 22, 2024 · Administration

  • Potential for harm · D March 18, 2024 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected March 20, 2024 · Resident Rights

  • Potential for harm · D March 18, 2024 · found via complaint

    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 March 20, 2024 · Quality of Life and Care

  • Potential for harm · D October 19, 2023

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

    Corrected October 20, 2023 · Resident Rights

  • Potential for harm · D October 19, 2023

    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 October 20, 2023 · Resident Rights

  • Potential for harm · D October 19, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 20, 2023 · Quality of Life and Care

  • Potential for harm · D October 19, 2023

    Provide appropriate foot care.

    Corrected October 20, 2023 · Quality of Life and Care

  • Potential for harm · E October 19, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 20, 2023 · Pharmacy Service

  • Potential for harm · D October 19, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 20, 2023 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 22, 2023Fine$13,042
September 22, 2023Payment Denial6 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145838 · certified since August 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.