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HIGHLAND OAKS

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HIGHLAND OAKS is a non profit - church related facility in ELGIN, IL with 24 certified beds and a 5-star overall CMS rating. The facility has 6 deficiency records on file.

2750 WEST HIGHLAND AVENUE, ELGIN, IL 60123

Phone: 8477414543

Overall Rating

5/5

Health Inspection

5/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
14A383
Ownership
Non profit - Church related
Provider Type
Medicaid
Beds
24
Residents
23
In Hospital
No
County
Kane
Last Inspection
Aug 29, 2024

Staffing Data

RN Hours
0.98 (nat'l avg: 0.68)
LPN Hours
0.57
CNA Hours
3.47
Total Nursing Hours
5.02 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
31.4%
RN Turnover
40.0%

What the CMS Record Reveals About HIGHLAND OAKS

HIGHLAND OAKS operates 24 certified beds in ELGIN, IL with approximately 23 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 (5★), 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 6 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of 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 5.02 total nursing hours per resident day (national average 3.89), with RN coverage at 0.98 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Church related" ownership and operating as a "Medicaid" provider, HIGHLAND OAKS 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 31.4%, 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 (6 most recent)

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 12, 2024

F — Widespread - Minimal harm Aug 29, 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: Sep 12, 2024

D — Isolated - Minimal harm Aug 14, 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: Aug 23, 2024

D — Isolated - Minimal harm Aug 14, 2024 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: Aug 23, 2024

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Aug 8, 2023

D — Isolated - Minimal harm Jul 27, 2023 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: Aug 8, 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 8.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.7% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.4% 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 6.7% 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 N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 33.3% 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 N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 4.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 32.5% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for HIGHLAND OAKS?
HIGHLAND OAKS has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at HIGHLAND OAKS?
HIGHLAND OAKS reports 5.02 total nursing hours per resident day (national average: 3.89). RN hours are 0.98 per resident day (national average: 0.68). Nursing staff turnover is 31.4%.
How many beds does HIGHLAND OAKS have?
HIGHLAND OAKS has 24 certified beds with approximately 23 residents. The facility is located at 2750 WEST HIGHLAND AVENUE, ELGIN, IL 60123.
Does HIGHLAND OAKS have any deficiencies on record?
Yes, HIGHLAND OAKS has 6 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has HIGHLAND OAKS received any fines or penalties?
No, HIGHLAND OAKS has no fines or penalties on record.
Who owns HIGHLAND OAKS?
HIGHLAND OAKS is classified as "Non profit - Church related" ownership. The facility type is "Medicaid".
When was HIGHLAND OAKS last inspected?
The most recent health inspection for HIGHLAND OAKS was on Aug 29, 2024. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for HIGHLAND OAKS?
HIGHLAND OAKS 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