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BURGESS SQUARE HEALTHCARE CTR

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BURGESS SQUARE HEALTHCARE CTR is a for profit - partnership facility in WESTMONT, IL with 203 certified beds and a 5-star overall CMS rating. The facility has 23 deficiency records on file.

5801 SOUTH CASS AVENUE, WESTMONT, IL 60559

Phone: 6309712645

Overall Rating

5/5

Health Inspection

4/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
145219
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
Beds
203
Residents
126
In Hospital
No
County
Du Page
Last Inspection
Sep 27, 2024

Staffing Data

RN Hours
1.46 (nat'l avg: 0.68)
LPN Hours
0.66
CNA Hours
2.58
Total Nursing Hours
4.70 (nat'l avg: 3.89)
PT Hours
0.22
Nursing Turnover
41.3%
RN Turnover
27.3%

What the CMS Record Reveals About BURGESS SQUARE HEALTHCARE CTR

BURGESS SQUARE HEALTHCARE CTR operates 203 certified beds in WESTMONT, IL with approximately 126 residents currently in care, and carries a CMS overall rating of 5 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 (4★), staffing levels (5★), 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 23 deficiency records from recent surveys, of which 2 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 4.70 total nursing hours per resident day (national average 3.89), with RN coverage at 1.46 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, BURGESS SQUARE HEALTHCARE CTR 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 41.3%, 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 (23 most recent)

G — Isolated - Actual harm Nov 20, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 3, 2025

E — Pattern - Minimal harm Feb 11, 2025 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 26, 2025

E — Pattern - Minimal harm Sep 27, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 10, 2024

E — Pattern - Minimal harm Sep 27, 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: Oct 10, 2024

D — Isolated - Minimal harm Sep 27, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Sep 27, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 8, 2024

D — Isolated - Minimal harm Sep 27, 2024 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Sep 27, 2024 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Sep 27, 2024 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

E — Pattern - Minimal harm Sep 27, 2024 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: Oct 10, 2024

D — Isolated - Minimal harm Sep 27, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 9, 2024

G — Isolated - Actual harm Mar 8, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 26, 2024

D — Isolated - Minimal harm Mar 8, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 26, 2024

E — Pattern - Minimal harm Nov 16, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 28, 2023

E — Pattern - Minimal harm Nov 16, 2023 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: Nov 28, 2023

E — Pattern - Minimal harm Nov 16, 2023 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: Nov 28, 2023

D — Isolated - Minimal harm Nov 16, 2023 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 28, 2023

D — Isolated - Minimal harm Nov 16, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 28, 2023

D — Isolated - Minimal harm Nov 16, 2023 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Nov 28, 2023

D — Isolated - Minimal harm Nov 16, 2023 Tag: 0554

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

Category: Resident Rights Deficiencies

Corrected: Nov 28, 2023

D — Isolated - Minimal harm Jul 19, 2023 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2023

D — Isolated - Minimal harm Jan 27, 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: Feb 14, 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 15.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.1% 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 1.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 92.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 23.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.2% 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 90.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 9.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 37.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.3% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for BURGESS SQUARE HEALTHCARE CTR?
BURGESS SQUARE HEALTHCARE CTR has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at BURGESS SQUARE HEALTHCARE CTR?
BURGESS SQUARE HEALTHCARE CTR reports 4.70 total nursing hours per resident day (national average: 3.89). RN hours are 1.46 per resident day (national average: 0.68). Nursing staff turnover is 41.3%.
How many beds does BURGESS SQUARE HEALTHCARE CTR have?
BURGESS SQUARE HEALTHCARE CTR has 203 certified beds with approximately 126 residents. The facility is located at 5801 SOUTH CASS AVENUE, WESTMONT, IL 60559.
Does BURGESS SQUARE HEALTHCARE CTR have any deficiencies on record?
Yes, BURGESS SQUARE HEALTHCARE CTR has 23 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has BURGESS SQUARE HEALTHCARE CTR received any fines or penalties?
No, BURGESS SQUARE HEALTHCARE CTR has no fines or penalties on record.
Who owns BURGESS SQUARE HEALTHCARE CTR?
BURGESS SQUARE HEALTHCARE CTR is classified as "For profit - Partnership" ownership. The facility type is "Medicare and Medicaid".
When was BURGESS SQUARE HEALTHCARE CTR last inspected?
The most recent health inspection for BURGESS SQUARE HEALTHCARE CTR was on Sep 27, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for BURGESS SQUARE HEALTHCARE CTR?
BURGESS SQUARE HEALTHCARE CTR 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