Nursing home · SNF / NF

Aperion Care Elgin

Federal · CMSActive CMS certificationCCN 145740For profit CMS overall

134 North Mclean Boulevard, Elgin, IL 60121 · Operated by Aperion Care Elgin LLC · Chain Aperion Care

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

101

Avg residents / day

Inspections

Citations

Harm-level

Fines

$57k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 101 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 86.9 CMS, MDS-derived
CMS Certification Number: 145740
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 1993
Ownership type: For profit - Limited Liability company
Operator (legal business name): Aperion Care Elgin LLC
CMS chain: Aperion Care 33 facilities
Phone: (847) 742-8822
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest May 28, 2026

Citations

32 health · 13 fire

Harm or worse

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D25	E12	F6
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$56,661

Payment denials

Latest

May 28, 2026

Date	Domain	Survey types	Citations	Most severe	Open
May 28, 2026	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
May 28, 2026	Health	Health Standard	5	Potential harm	—	Open →
Nov 30, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Sep 17, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Apr 24, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 24, 2025	Health	Health Standard	5	Potential harm	—	Open →
Apr 2, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Mar 5, 2025	Health	Health Complaint	5	Potential harm	—	Open →
Feb 15, 2025	Health	Health Complaint	1	Actual harm	—	Open →
May 3, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
May 3, 2024	Health	Health Standard	10	Potential harm	—	Open →
Apr 22, 2024	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Nov 7, 2023	Health	Health Complaint	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
May 28, 2026	Civil money penalty (fine)	$29,280	—	145740\|Fine\|140308
Feb 15, 2025	Civil money penalty (fine)	$12,948	—	145740\|Fine\|70526
Apr 22, 2024	Civil money penalty (fine)	$14,433	—	145740\|Fine\|70039

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D25	E12	F6
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 28, 2026	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 5, 2026
May 28, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 5, 2026
May 28, 2026	K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 5, 2026
May 28, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 5, 2026
May 28, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 5, 2026
May 28, 2026	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 5, 2026
May 28, 2026	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 19, 2026
May 28, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 1, 2026
May 28, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 1, 2026
May 28, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 1, 2026
May 28, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 1, 2026
May 28, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jun 1, 2026
Nov 30, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 1, 2025	Complaint
Sep 17, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 18, 2025	Complaint
Apr 24, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 12, 2025
Apr 24, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 25, 2025
Apr 24, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 25, 2025
Apr 24, 2025	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 25, 2025
Apr 24, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 25, 2025
Apr 24, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Apr 25, 2025
Apr 2, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 3, 2025	Complaint
Apr 2, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 3, 2025	Complaint
Mar 5, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 6, 2025	Complaint
Mar 5, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 6, 2025	Complaint
Mar 5, 2025	F-0685	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 6, 2025	Complaint
Mar 5, 2025	F-0776	Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Mar 6, 2025	Complaint
Mar 5, 2025	F-0778	Help the resident make transportation arrangements to and from radiology services. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Mar 6, 2025	Complaint
Feb 15, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Feb 16, 2025	Complaint
May 3, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 23, 2024
May 3, 2024	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 23, 2024
May 3, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 23, 2024
May 3, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 23, 2024
May 3, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 23, 2024
May 3, 2024	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 4, 2024
May 3, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 14, 2024
May 3, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 4, 2024
May 3, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 4, 2024
May 3, 2024	F-0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 14, 2024
May 3, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 4, 2024
May 3, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 4, 2024
May 3, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 4, 2024
May 3, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 4, 2024
May 3, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 14, 2024
Apr 22, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Apr 23, 2024	Complaint
Nov 7, 2023	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 8, 2023	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Aperion Care Elgin LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Aperion Care

33 facilities in 2 states. CMS chain ID 38.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.1

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Elisheva Meystel Irrevocable Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	22%	Jan 1, 2021
Frederick S Frankel Trust	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2021
Michelle Koder	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2015
Steven Turofsky	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2015

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Elisheva Meystel Irrevocable Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	22%	Jan 1, 2021
Frederick S Frankel Trust	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2021
Michelle Koder	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2015
Steven Turofsky	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Nov 1, 2015
David Berkowitz	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Mar 18, 2025
Frederick Frankel	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 16, 2025
Yosef Meystel	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Mar 18, 2025
Steven Turofsky	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 31, 2025
Joshua Behr	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2015
Jodie Jude	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2015
Lorna Martin	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2015
Lisa Ulbert	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2015
Aperion Care Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2015
Joshua Behr	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2015
Lorna Martin	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2015
Pranav Kumar Shroff	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2023
Jennifer Spector	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2015
Steven Turofsky	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2015
Lisa Ulbert	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2015
Naftali Wilhelm	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2015
Jodie Jude	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2015
Jennifer Spector	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2015
134 N. Mclean Blvd., LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 18, 2025
Aperion Care Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 18, 2025
Aperion Consulting, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2015
Curis Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2015
David a Berkowitz Delta Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
David a Berkowitz Revoc Tr David Berkowitz Ttee	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
Yosef Meystel Declaration of Tr of Yosef Meystel Ttee	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
Yosef Meystel Delta Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
Joshua Behr	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2015
Jodie Jude	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2015
Lorna Martin	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2015
Pranav Kumar Shroff	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2023
Jennifer Spector	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2015
Steven Turofsky	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 14, 2023
Lisa Ulbert	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2015
Naftali Wilhelm	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2015

Same chain in Illinois

All 32 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Aperion Care Chicago Heights 490 West 16th Place, Chicago Heights, IL 60411 CCN 145180Abuse icon	200	Jul 29, 2026	34	—
Aperion Care Oak Lawn 9401 South Ridgeland Avenue, Oak Lawn, IL 60453 CCN 145197Abuse icon	134	Aug 27, 2026	11910 harm8 open	$53k
Aperion Care Lakeshore 7200 North Sheridan Road, Chicago, IL 60626 CCN 145244	313	Aug 2, 2026	1361 IJ7 harm1 open	$209k
Arcadia Care Morton 190 East Queenwood Road, Morton, IL 61550 CCN 145248	106	Aug 12, 2026	822 IJ3 harm	$233k
Aperion Care Dekalb 1212 South Second Street, Dekalb, IL 60115 CCN 145261	119	Jul 7, 2026	684 harm	$44k
Aperion Care Wilmington 555 West Kahler, Wilmington, IL 60481 CCN 145316Abuse icon	171	Aug 27, 2026	552 IJ4 harm2 open	$319k
Aperion Care Fox River 355 Raymond Street, Elgin, IL 60120 CCN 145447	94	Jun 25, 2026	54	—
Alta Rehab at Oak Brook 2013 Midwest Road, Oak Brook, IL 60521 CCN 145458	156	Jan 14, 2026	485 harm1 open	$77k

Coordinates as published by CMS.

Address: 134 North Mclean Boulevard, Elgin, IL 60121
ZIP: 60121
County: Kane County FIPS 17089
State: Illinois
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
River View Rehab Center 50 North Jane, Elgin, IL 60123 CCN 145308Abuse icon	0.6 km	203	Apr 24, 2026	674 IJ2 harm	$448k
The Pearl of Fox River Valley 1950 Larkin Avenue, Elgin, IL 60123 CCN 145699	1.3 km	112	Sep 4, 2025	451 IJ2 harm	$142k
The Pearl of Elgin 2355 Royal Boulevard, Elgin, IL 60123 CCN 145821	2.4 km	139	Aug 29, 2026	552 harm	$19k
Crescent Care of Elgin 180 South State Street, Elgin, IL 60123 CCN 145004	2.4 km	88	Dec 4, 2025	261 IJ1 harm	$42k
Highland Oaks 2750 West Highland Avenue, Elgin, IL 60123 CCN 14A383	3.2 km	24	Dec 11, 2025	22	—
Aperion Care Fox River 355 Raymond Street, Elgin, IL 60120 CCN 145447	3.3 km	94	Jun 25, 2026	54	—
Tower Hill Healthcare Center 759 Kane Street, South Elgin, IL 60177 CCN 145795Abuse icon	4.6 km	206	May 11, 2026	563 IJ3 harm	$57k
South Elgin Living & Rehab Center 746 West Spring Street, South Elgin, IL 60177 CCN 145825	4.9 km	90	Aug 14, 2025	781 IJ3 harm	$232k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	145740	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	145740	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 145740

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Aperion Care Elgin

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Same chain in Illinois

Nearby nursing homes

Aperion Care Elgin

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Same chain in Illinois

Nearby nursing homes