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ADMIRAL AT THE LAKE, THE

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ADMIRAL AT THE LAKE, THE is a non profit - other facility in CHICAGO, IL with 36 certified beds and a 3-star overall CMS rating. The facility has 25 deficiency records on file.

933 WEST FOSTER AVENUE, CHICAGO, IL 60640

Phone: 7736545121

Overall Rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
146165
Ownership
Non profit - Other
Provider Type
Medicare
Beds
36
Residents
29
In Hospital
No
County
Cook
Last Inspection
Jan 24, 2025

Staffing Data

RN Hours
0.75 (nat'l avg: 0.68)
LPN Hours
0.74
CNA Hours
2.70
Total Nursing Hours
4.19 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
32.5%
RN Turnover
60.0%

What the CMS Record Reveals About ADMIRAL AT THE LAKE, THE

ADMIRAL AT THE LAKE, THE operates 36 certified beds in CHICAGO, IL with approximately 29 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 25 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.19 total nursing hours per resident day (national average 3.89), with RN coverage at 0.75 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Other" ownership and operating as a "Medicare" provider, ADMIRAL AT THE LAKE, THE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 32.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

G — Isolated - Actual harm Jun 6, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 6, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 26, 2025

F — Widespread - Minimal harm Jan 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 7, 2025

F — Widespread - Minimal harm Jan 24, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 7, 2025

F — Widespread - Minimal harm Jan 24, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 7, 2025

D — Isolated - Minimal harm Jan 24, 2025 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Feb 7, 2025

E — Pattern - Minimal harm Jan 24, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 7, 2025

D — Isolated - Minimal harm Jan 24, 2025 Tag: 0688

Provide 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.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 7, 2025

D — Isolated - Minimal harm Jan 24, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 7, 2025

E — Pattern - Minimal harm Feb 9, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Mar 1, 2024

E — Pattern - Minimal harm Feb 9, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Mar 1, 2024

D — Isolated - Minimal harm Feb 9, 2024 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 1, 2024

F — Widespread - Minimal harm Feb 9, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 1, 2024

D — Isolated - Minimal harm Feb 9, 2024 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 1, 2024

E — Pattern - Minimal harm Feb 9, 2024 Tag: 0803

Ensure 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.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 1, 2024

D — Isolated - Minimal harm Feb 9, 2024 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 1, 2024

D — Isolated - Minimal harm Feb 9, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 1, 2024

D — Isolated - Minimal harm Feb 9, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 1, 2024

D — Isolated - Minimal harm Feb 9, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 1, 2024

E — Pattern - Minimal harm Mar 2, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 24, 2023

F — Widespread - Minimal harm Mar 2, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 24, 2023

E — Pattern - Minimal harm Mar 2, 2023 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 24, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 24, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 24, 2023

E — Pattern - Minimal harm Mar 2, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Mar 24, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 15.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 9.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 23.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 7.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 90.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 20.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.5% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for ADMIRAL AT THE LAKE, THE?
ADMIRAL AT THE LAKE, THE has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at ADMIRAL AT THE LAKE, THE?
ADMIRAL AT THE LAKE, THE reports 4.19 total nursing hours per resident day (national average: 3.89). RN hours are 0.75 per resident day (national average: 0.68). Nursing staff turnover is 32.5%.
How many beds does ADMIRAL AT THE LAKE, THE have?
ADMIRAL AT THE LAKE, THE has 36 certified beds with approximately 29 residents. The facility is located at 933 WEST FOSTER AVENUE, CHICAGO, IL 60640.
Does ADMIRAL AT THE LAKE, THE have any deficiencies on record?
Yes, ADMIRAL AT THE LAKE, THE has 25 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has ADMIRAL AT THE LAKE, THE received any fines or penalties?
No, ADMIRAL AT THE LAKE, THE has no fines or penalties on record.
Who owns ADMIRAL AT THE LAKE, THE?
ADMIRAL AT THE LAKE, THE is classified as "Non profit - Other" ownership. The facility type is "Medicare".
When was ADMIRAL AT THE LAKE, THE last inspected?
The most recent health inspection for ADMIRAL AT THE LAKE, THE was on Jan 24, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for ADMIRAL AT THE LAKE, THE?
ADMIRAL AT THE LAKE, THE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial