Nexus at Berwyn
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-03-13 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2025-12-30 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-12-12 — ACTUAL HARM (tag F0690, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2025-07-01 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2025-04-17 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-01-22 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-07-16 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-07-08 — ACTUAL HARM (tag F0758, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Staffing, from payroll records
Nursing hours / resident / day
3.20
state median 3.09
Weekend staffing gap
−20%
fewer nursing hours on weekends · state median −8%
RN hours / resident / day
0.44
registered nurses only
Contract (agency) staff
3%
share of all nursing hours
Nursing staff turnover
57%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
7 enforcement action(s), totaling $428,544 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-13 | Fine | $128,550 |
| 2025-12-12 | Fine | $135,690 |
| 2025-12-12 | Payment Denial | payment denial |
| 2025-07-01 | Fine | $11,349 |
| 2025-01-16 | Fine | $12,425 |
| 2024-04-12 | Fine | $140,530 |
| 2024-04-12 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Corporation. Part of the LEGACY HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- GROVE OF FOX VALLEY,THE (AURORA, IL) —
- BELLA TERRA MORTON GROVE (MORTON GROVE, IL) —
- LAKEFRONT NURSING & REHAB CTR (CHICAGO, IL) —
- GLENVIEW TERRACE (GLENVIEW, IL) —
- GROVE OF LAGRANGE PARK, THE (LA GRANGE PARK, IL) —
- WARREN BARR GOLD COAST (CHICAGO, IL) —
- GROVE OF ELMHURST, THE (ELMHURST, IL) —
- WARREN BARR OAK LAWN (OAK LAWN, IL) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-13 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-01-30 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-30 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-30 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-30 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-30 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-30 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-12-22 | F0921 | Environmental Deficiencies | E | not recorded |
| 2025-12-12 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-12 | F0690 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-09-30 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-09-11 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-07-01 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-01 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-06-09 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-09 | F0921 | Environmental Deficiencies | E | not recorded |
| 2025-04-17 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-03-22 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-28 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-28 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-28 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-28 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-28 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-28 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-28 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-01-22 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-01-16 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-23 | F0576 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-13 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-13 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-16 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-08 | F0660 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-08 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-08 | F0758 | Pharmacy Service Deficiencies | G | not recorded |
| 2024-04-25 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-25 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-25 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-04-25 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-04-25 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-04-25 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-25 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-04-25 | F0761 | Pharmacy Service Deficiencies | F | not recorded |
| 2024-04-25 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-04-12 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-12 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-12 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2022-12-02 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2022-12-02 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-12-02 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-12-02 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-12-02 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-12-02 | F0761 | Pharmacy Service Deficiencies | D | not recorded |