SNF
HARMONY HEALTHCARE & REHAB CTR
CCN: 145775 · CHICAGO, IL 60625 · Cook County
Overview
- Address
- 3919 WEST FOSTER AVENUE, CHICAGO, IL 60625
- Phone
- 7735889500
- Certified beds
- 180
- Avg daily residents
- 169 (94% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1994-02-15
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.02 | 4.75 | 2.46 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.84 | 0.83 | 0.68 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.38 | 1.05 | 0.31 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.80 | 2.86 | 1.47 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.22 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.95
hrs / resident / day
RN (weekend)
0.88
hrs / resident / day
Total nurse (adjusted, weekend)
2.40
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
40.3%
annual
RN turnover
20.0%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.68
higher acuity than avg
Case-Mix Index Ratio
1.22
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-09-06 | 9 | 9 | 0 | 48 | 1 | 48 |
| Cycle 2/3 (prior) | 2023-08-31 | 14 | 5 | 9 | 72 | 1 | 72 |
Total weighted health score
54.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (34)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
34 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-02-23 | 2025-02-24 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-09-06 | 2024-09-09 |
| 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | 2024-09-06 | 2024-09-09 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-09-06 | 2024-09-09 |
| 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. | D | 2024-09-06 | 2024-09-09 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-09-06 | 2024-09-09 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-09-06 | 2024-09-09 |
| 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. | E | 2024-09-06 | 2024-09-09 |
| 0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-09-06 | 2024-09-09 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-09-06 | 2024-09-09 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-25 | 2024-04-03 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2024-02-18 | 2024-02-19 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-10-02 | 2023-10-04 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-10-02 | 2023-10-04 |
| 0625 | Notify 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 | 2023-10-02 | 2023-10-04 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-31 | 2023-09-01 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2023-08-31 | 2023-09-01 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-08-31 | 2023-09-01 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-08-31 | 2023-09-01 |
| 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. | E | 2023-08-31 | 2023-09-01 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-07 | 2023-07-10 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-06-01 | 2023-06-02 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-06-01 | 2023-06-02 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2022-11-04 | 2022-11-05 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2022-11-04 | 2022-11-05 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-11-04 | 2022-11-05 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-11-04 | 2022-11-05 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2022-11-04 | 2022-11-05 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2022-11-04 | 2022-11-05 |
| 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. | E | 2022-11-04 | 2022-11-05 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2022-11-04 | 2022-11-05 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-11-04 | 2022-11-05 |
| 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2022-11-04 | 2022-11-05 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2022-11-04 | 2022-11-05 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$5,244
| Date | Type | Fine amount |
|---|---|---|
| 2023-10-02 | Fine | $5,244 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 8.1% Medicaid 18.9% Other 73.0%
Operating performance
Operating Margin
-0.6%
Total Margin
2.9%
Occupancy Rate
95.3%
Cost per Resident Day
$32
Revenue & costs
Net Patient Revenue
$19.5M
Total Costs
$2.0M
Net Income
$593K
Balance sheet
Total Assets
$10.9M
Total Liabilities
$11.0M
Fund Balance
-$104K
Current Ratio
1.46
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LEGACY HEALTHCARE
- Chain ID
306- Facilities in chain
- 90
- Legal business name
- HARMONY SKILLED NURSING FACILITY LLC
Chain-average star ratings (for peer context)
Overall
3.0
Health
3.0
Staffing
2.6
QM
3.2
Owner / manager organizations (8)
| Organization | Role | Association |
|---|---|---|
| CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/14/2023 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/14/2023 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/14/2023 |
| RAJCHENBACH 2015 FAMILY TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/14/2023 |
| FORBRIGHT BANK | OPERATIONAL/MANAGERIAL CONTROL | since 12/14/2023 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 12/14/2023 |
| FORBRIGHT BANK | 5% OR GREATER SECURITY INTEREST | since 12/14/2023 |
| KEIRO BUILDING, L.L.C. | 5% OR GREATER SECURITY INTEREST | since 12/14/2023 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| MANDAL, RONNIE | OPERATIONAL/MANAGERIAL CONTROL | since 12/14/2023 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | since 12/14/2023 |
| VICERE, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | since 12/14/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $32 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.46 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 18.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 8.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $593,047 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $19,464,179 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 95.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -0.6% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $10,923,625 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,989,049 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-103,802 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $11,027,427 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 2.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.30847 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.46660 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.68271 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 2.45778 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.39819 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 169.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.05337 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.86283 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.83029 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.74649 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.18353 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.2 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.6 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 306 | Chain ID |
| Provider Information | Chain Name | LEGACY HEALTHCARE | Chain Name |
| Provider Information | City/Town | CHICAGO | City/Town |
| Provider Information | CMS Certification Number (CCN) | 145775 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Cook | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1994-02-15 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.9756 | Latitude |
| Provider Information | Legal Business Name | HARMONY SKILLED NURSING FACILITY LLC | Legal Business Name |
| Provider Information | Location | 3919 WEST FOSTER AVENUE,CHICAGO,IL,60625 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -87.726 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 180 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 90 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.68147 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.22054 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 3919 WEST FOSTER AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HARMONY HEALTHCARE & REHAB CTR | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 141 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 48 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 9 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-09-06 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 48 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 9 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-08-31 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 72 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 9 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 72 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 14 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.87734 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 20.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.21853 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.37923 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.80298 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03531 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.83930 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.02151 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | IL | State |
| Provider Information | Telephone Number | 7735889500 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 5244.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.94824 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 40.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 54.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 60625 | ZIP Code |