B-
73/100

VILLAGE AT VICTORY LAKES, THE Inspection Report, Violations & Safety Grade (LINDENHURST, Illinois)

1055 EAST GRAND AVENUE, LINDENHURST, Illinois 60046

Phone: 8473565900

CMS Overall:3/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
78.3
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Lake
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health2/5
Staffing5/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityIllinois AvgDifference
RN Hours per Resident per Day1.390.71+0.67
Total Nurse Hours per Resident per Day4.263.47+0.79
CMS Staffing Rating5/52.2/5-
Nursing Staff Turnover36.3%43.7%-

Health Citation History

27 health citations on record

DateCategoryDescriptionSeverity
2026-05-14Quality 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
2026-03-12Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J – Immediate Jeopardy
2026-03-12Pharmacy Service DeficienciesEnsure 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.F – Moderate Harm Potential
2026-03-12Nutrition 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
2026-03-12Quality 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
2026-03-12Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2026-03-12Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2026-03-12Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2026-02-23Quality 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
2025-10-30Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.D – Moderate Harm Potential
2025-10-28Quality 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
2025-01-29Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2025-01-29Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-01-29Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2025-01-29Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2024-02-07Quality 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
2024-02-07Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.E – Moderate Harm Potential
2024-02-07Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E – Moderate Harm Potential
2024-02-07Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-02-07Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2024-02-07Resident Rights DeficienciesHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D – Moderate Harm Potential
2024-02-07Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2024-02-07Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2024-02-07Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-02-07Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2024-02-07Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.D – Moderate Harm Potential
2024-01-03Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm

Fire Safety Citation History

26 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-12Construction DeficienciesInstall a two-hour-resistant firewall separation.F – Moderate Harm Potential
2026-03-12Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.F – Moderate Harm Potential
2026-03-12Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.E – Moderate Harm Potential
2026-03-12Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2026-03-12Smoke 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
2026-03-12Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2026-03-12Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.E – Moderate Harm Potential
2026-03-12Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2025-01-29Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2025-01-29Egress DeficienciesHave exits that are accessible at all times.F – Moderate Harm Potential
2025-01-29Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-01-29Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2025-01-29Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-01-29Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2025-01-29Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential
2025-01-29Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-01-29Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-02-07Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2024-02-07Construction DeficienciesInstall a two-hour-resistant firewall separation.F – Moderate Harm Potential
2024-02-07Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-02-07Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2024-02-07Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2024-02-07Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.F – Moderate Harm Potential
2024-02-07Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2024-02-07Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-02-07Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential

Total Penalties & Fines

$86,809
Total Fine Amount (CMS)
5
Number of Fines
5
Total Penalties
DateTypeFine AmountPayment Denial
2026-05-14Fine$11,480-
2026-03-12Fine$26,685-
2026-02-23Fine$12,438-
2025-01-29Fine$20,253-
2024-02-07Fine$15,953-

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