Avondale Estates of Elgin — nursing home in Elgin, IL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 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: 74.1 CMS, MDS-derived
CMS Certification Number: 146181
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 5, 2017
Ownership type: For profit - Individual
Operator (legal business name): Avondale Estates of Elgin, LLC
CMS chain: Not part of a CMS-reported chain
Phone: (847) 531-6004
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jun 27, 2025

Citations

25

11 health · 14 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D5	E17	F2
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

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 146181
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jan 5, 2017
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Illinois.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 27, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Jun 27, 2025	Health	Health Standard	5	Potential harm	—	Open →
May 23, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
May 23, 2024	Health	Health Standard	2	Potential harm	—	Open →
Jul 3, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jul 3, 2023	Health	Health Standard	4	Immediate jeopardy	—	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.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D5	E17	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jun 27, 2025	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 Jul 14, 2025
Jun 27, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 14, 2025
Jun 27, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 14, 2025
Jun 27, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 14, 2025
Jun 27, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 14, 2025
Jun 27, 2025	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 Jul 7, 2025
Jun 27, 2025	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 7, 2025
Jun 27, 2025	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 Jul 7, 2025
Jun 27, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 7, 2025
Jun 27, 2025	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 7, 2025
May 23, 2024	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 28, 2024
May 23, 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	E · Potential harm Pattern	Corrected May 28, 2024
May 23, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 28, 2024
May 23, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 28, 2024
May 23, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 28, 2024
May 23, 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 24, 2024
May 23, 2024	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 May 24, 2024
Jul 3, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	K · Immediate jeopardy Pattern	Corrected Jul 17, 2023
Jul 3, 2023	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 28, 2023
Jul 3, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 28, 2023
Jul 3, 2023	K-0754	Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 28, 2023
Jul 3, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 28, 2023
Jul 3, 2023	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 Jul 17, 2023
Jul 3, 2023	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 Jul 17, 2023
Jul 3, 2023	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 17, 2023

“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.

Five-Star ratings

Federal · CMS

Overallstate 2.6

Health inspectionsstate 2.7

Staffingstate 2.2

Quality measuresstate 3.1

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.13

State avg 3.47US avg 3.90

Registered nurse (RN)1.57

State avg 0.71US avg 0.69

Licensed practical nurse0.79

State avg 0.64US avg 0.86

Nurse aide2.76

State avg 2.12US avg 2.35

Weekend total nurse4.69

State avg 3.08US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.07 (case-mix index 1.76).

Staff turnover

Total nursing staff turnover26.6%

State avg 43.7%US avg 45.3%

Registered nurse turnover4.5%

State avg 41.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 27, 2025
Cycle 1 health score: 32
Total weighted score: 26

Operating entity

Avondale Estates of Elgin, LLC

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

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

4

Organizations

2

Individuals

2

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Beem March Trust U/a/D 4/09/19	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Sep 27, 2019
Skz Holdings Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Feb 1, 2021

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
Beem March Trust U/a/D 4/09/19	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Sep 27, 2019
Skz Holdings Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Feb 1, 2021
Barak Baver	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 16, 2021
Allison Bertachhi	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Feb 12, 2019

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1754-1760 Capital Street, Elgin, IL 60124
ZIP: 60124
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
The Pearl of Elgin 2355 Royal Boulevard, Elgin, IL 60123 CCN 145821	3.1 km	139	Aug 29, 2026	552 harm	$19k
Highland Oaks 2750 West Highland Avenue, Elgin, IL 60123 CCN 14A383	3.2 km	24	Dec 11, 2025	22	—
Aperion Care Elgin 134 North Mclean Boulevard, Elgin, IL 60121 CCN 145740	5 km	101	May 28, 2026	451 IJ1 harm	$57k
River View Rehab Center 50 North Jane, Elgin, IL 60123 CCN 145308Abuse icon	5.2 km	203	Apr 24, 2026	674 IJ2 harm	$448k
The Pearl of Fox River Valley 1950 Larkin Avenue, Elgin, IL 60123 CCN 145699	5.3 km	112	Sep 4, 2025	451 IJ2 harm	$142k
Crescent Care of Elgin 180 South State Street, Elgin, IL 60123 CCN 145004	7 km	88	Dec 4, 2025	261 IJ1 harm	$42k
Aperion Care Fox River 355 Raymond Street, Elgin, IL 60120 CCN 145447	7.7 km	94	Jun 25, 2026	54	—
Tower Hill Healthcare Center 759 Kane Street, South Elgin, IL 60177 CCN 145795Abuse icon	9.5 km	206	May 11, 2026	563 IJ3 harm	$57k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	146181	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	146181	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 146181

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