ELMHURST EXTENDED CARE CENTER
200 EAST LAKE STREET
ELMHURST, IL, 60126
6305165000
CCN: 145111
1
Overall1
Health4
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| CYRIAC, ANISH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% |
| DAVE, DIPTI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| DAVE, MADHUSUDAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% |
| MATHEW, SOJI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| MATTHEW, SANJU | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% |
| SIMON, THOMAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| THOMAS, JOSE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| THOMAS, MATHEW | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| DAVE, LOVE | CORPORATE DIRECTOR | NOT APPLICABLE |
| THADATHIL CHACKO, MIBIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| ALEX, SHIJY | CORPORATE DIRECTOR | NOT APPLICABLE |
| MATTHEW, SANJU | CORPORATE OFFICER | NOT APPLICABLE |
| DAVE, DIPTI | CORPORATE OFFICER | NOT APPLICABLE |
| DAVE, MADHUSUDAN | CORPORATE OFFICER | NOT APPLICABLE |
| SIDDIQUE, MOHAMMAD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ELEVATE THERAPY CONSULTING GROUP, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CLINICAL NUTRITION CONSULTING SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CDH CPA PLLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ADVANCE INPATIENT MEDICINE LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| INSPIRE CONSULTING SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DAVE, LOVE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (5)
| Date | Type | Amount |
|---|---|---|
| 2026-01-08 | Payment Denial | 7 days |
| 2024-07-15 | Fine | $69K |
| 2024-07-15 | Payment Denial | 98 days |
| 2024-06-05 | Fine | $64K |
| 2023-11-29 | Payment Denial | 76 days |
Health Deficiencies (35)
2026-01-08 · Health
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-05-09 · Health
E
F627 · Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
2025-02-26 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-10-10 · Health
F
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F758 · Pharmacy Service Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
G
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-09-18 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
2024-08-30 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-07-15 · Health
D
F626 · Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
2024-06-05 · Health
E
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
J
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-11-29 · Health
F
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F727 · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2022-11-17 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.11
RN Hrs/Resident/Day0.54
1.46
LPN Hrs/Resident/Day0.81
0.50
CNA Hrs/Resident/Day2.33
2.15
PT Hrs/Resident/Day0.12
0.14
Data as of 2026-03-01