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SERENITY ESTATES OF LINCOLNSHIRE Inspection Report, Violations & Safety Grade (LINCOLNSHIRE, Illinois)

150 JAMESTOWN LANE, LINCOLNSHIRE, Illinois 60069

Phone: 2245437100

CMS Overall:1/5

Overview & Bed Count

Certified Beds
144
Avg Residents/Day
123.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Lake
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityIllinois AvgDifference
RN Hours per Resident per Day0.320.71-0.39
Total Nurse Hours per Resident per Day2.763.47-0.72
CMS Staffing Rating1/52.2/5-
Nursing Staff Turnover75.2%43.7%-

Health Citation History

65 health citations on record

DateCategoryDescriptionSeverity
2026-08-12Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.F – Moderate Harm Potential
2026-07-17Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2026-07-17Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2026-06-23Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2026-05-13Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.G – Actual Harm
2026-05-13Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2026-05-13Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-05-13Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-05-13Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.D – Moderate Harm Potential
2026-04-29Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2026-04-29Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2026-03-24Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2026-03-24Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-02-11Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2026-02-11Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2026-02-11Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2026-02-11Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.D – Moderate Harm Potential
2026-02-11Administration DeficienciesProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D – Moderate Harm Potential
2026-01-28Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2026-01-28Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-12-26Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-06-24Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-06-24Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-06-24Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D – Moderate Harm Potential
2025-06-24Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-06-24Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2025-05-27Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.D – Moderate Harm Potential
2025-05-27Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2025-05-20Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D – Moderate Harm Potential
2025-05-20Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-04-24Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-04-24Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-04-24Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-04-24Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2025-04-24Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-04-24Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-04-17Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2025-04-17Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-03-21Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-03-11Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2025-03-11Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-03-11Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-02-11Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.G – Actual Harm
2025-01-22Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-12-16Resident Assessment and Care Planning DeficienciesProvide doctor's orders for the resident's immediate care at the time the resident was admitted.D – Moderate Harm Potential
2024-12-16Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-12-02Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-10-16Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-09-25Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-09-07Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm

Showing 50 of 65 citations.

Fire Safety Citation History

40 fire safety citations on record

DateCategoryDescriptionSeverity
2025-04-24Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2025-04-24Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.F – Moderate Harm Potential
2025-04-24Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2025-04-24Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.F – Moderate Harm Potential
2025-04-24Emergency Preparedness DeficienciesProvide family notifications of emergency plan.F – Moderate Harm Potential
2025-04-24Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2025-04-24Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2025-04-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-04-24Construction DeficienciesInstall a two-hour-resistant firewall separation.E – Moderate Harm Potential
2025-04-24Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2025-04-24Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2025-04-24Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2025-04-24Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2025-04-24Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2025-04-24Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-04-24Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.E – Moderate Harm Potential
2025-04-24Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2025-04-24Gas, Vacuum, and Electrical Systems DeficienciesEnsure that personnel concerned with handling of medical gases and cylinders are trained on the risk.E – Moderate Harm Potential
2025-04-24Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential
2024-01-31Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2024-01-31Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-01-31Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-01-31Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-01-31Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-01-31Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-01-31Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2024-01-31Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2024-01-31Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-01-31Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-01-31Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2024-01-31Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2024-01-31Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2023-10-31Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-10-31Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.F – Moderate Harm Potential
2023-10-31Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential
2023-10-31Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2023-03-22Gas, Vacuum, and Electrical Systems DeficienciesEnsure that personnel concerned with handling of medical gases and cylinders are trained on the risk.F – Moderate Harm Potential
2023-03-22Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2023-03-22Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.E – Moderate Harm Potential
2023-03-22Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential

Total Penalties & Fines

$348,017
Total Fine Amount (CMS)
9
Number of Fines
11
Total Penalties
DateTypeFine AmountPayment Denial
2026-06-23Fine$26,155-
2026-04-29Fine$100,175-
2026-01-28Fine$40,911-
2025-04-17Fine$14,759-
2025-01-22Fine$24,856-
2025-01-22Payment Denial-14 days starting 2025-02-14
2024-12-02Fine$14,255-
2024-09-07Fine$82,675-
2024-09-07Payment Denial-13 days starting 2024-10-04
2024-07-10Fine$21,041-
2024-01-31Fine$23,190-

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