Abuse citation flag

Overview

Address
4815 SOUTH WESTERN AVE, CHICAGO, IL 60609
Phone
7739274200
Certified beds
218
Avg daily residents
203 (93% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2001-02-06
Setting
Urban
1 /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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 2/5

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
2.93 5.35 2.11 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.40 0.94 0.29 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.85 1.19 0.61
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.68 3.22 1.21
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.24
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.03

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)
2.54
hrs / resident / day
RN (weekend)
0.35
hrs / resident / day
Total nurse (adjusted, weekend)
1.84
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
52.8%
annual
RN turnover
70.0%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.89
higher acuity than avg
Case-Mix Index Ratio
1.37
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) 2024-05-02 17 13 5 148 1 148
Cycle 2/3 (prior) 2023-07-14 57 15 44 416 1 416
Total weighted health score
215.0
lower is better

Deficiencies (85)

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).

1 A/B/C No actual harm — minor
77 D/E/F Actual harm — potential for minor
7 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-06-20 2025-06-25
0776 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. D 2025-05-29 2025-06-02
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-05-05 2025-05-09
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-03-27 2025-04-18
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2025-02-26 2025-02-27
0687 Provide appropriate foot care. D 2025-02-03 2025-02-04
0583 Keep residents' personal and medical records private and confidential. E 2025-01-27 2025-01-28
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2025-01-14 2025-01-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-01-14 2025-01-17
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E 2024-10-25 2024-10-26
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-06-14 2024-06-17
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-06-14 2024-06-17
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2024-06-14 2024-06-17
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-06-14 2024-06-17
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-05-02 2024-05-03
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. F 2024-05-02 2024-05-03
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2024-05-02 2024-05-03
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2024-05-02 2024-05-03
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. D 2024-05-02 2024-05-03
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2024-05-02 2024-05-03
0732 Post nurse staffing information every day. C 2024-05-02 2024-05-03
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. F 2024-05-02 2024-05-03
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-05-02 2024-05-03
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. D 2024-05-02 2024-05-03
0814 Dispose of garbage and refuse properly. E 2024-05-02 2024-05-03
0880 Provide and implement an infection prevention and control program. E 2024-05-02 2024-05-03
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F 2024-05-02 2024-05-03
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-04-17 2024-04-18
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-04-17 2024-04-18
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-04-17 2024-04-18
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-03-22 2024-03-25
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. G 2024-02-23 2024-03-11
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-12-21 2024-01-11
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. D 2023-12-21 2024-01-11
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-12-21 2024-01-11
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2023-12-21 2024-01-11
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2023-12-21 2024-01-11
0583 Keep residents' personal and medical records private and confidential. D 2023-09-08 2023-09-28
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. D 2023-09-08 2023-09-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-09-08 2023-09-28
0692 Provide enough food/fluids to maintain a resident's health. D 2023-09-08 2023-09-28
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. D 2023-09-08 2023-09-28
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2023-09-08 2023-09-28
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-07-14 2023-08-04
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2023-07-14 2023-08-04
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. D 2023-07-14 2023-08-04
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-07-14 2023-08-04
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. D 2023-07-14 2023-08-04
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2023-07-14 2023-08-04
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F 2023-07-14 2023-08-04

Showing 50 most recent of 85. See the All Data CSV for the full list.

Penalties (5)

Fines issued
4
last 3 years
Total fines
$98,851
Payment denials
1
Date Type Fine amount
2025-02-26 Fine $12,948
2025-05-05 Fine $19,135
2024-04-17 Fine $28,958
2024-02-23 Fine $37,810
2024-02-23 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 7.7% Medicaid 22.9% Other 69.4%

Operating performance

Operating Margin
-3.1%
Total Margin
1.0%
Occupancy Rate
92.0%
Cost per Resident Day
$28

Revenue & costs

Net Patient Revenue
$21.4M
Total Costs
$2.1M
Net Income
$226K

Balance sheet

Total Assets
$14.3M
Total Liabilities
$4.6M
Fund Balance
$9.8M
Current Ratio
1.73

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: APERION CARE

Chain ID
38
Facilities in chain
33
Legal business name
INTERNATIONAL NURSING & REHAB CENTER, LLC
Chain-average star ratings (for peer context)
Overall
2.0
Health
2.2
Staffing
1.7
QM
3.3

Owner / manager organizations (4)

Organization Role Association
ATIED ASSOCIATES LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/01/2021
DAVID A. BERKOWITZ REVOCABLE TRUST 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2013
DECLARATION OF TRUST OF YOSEF MEYSTEL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2013
APERION CARE INC OPERATIONAL/MANAGERIAL CONTROL since 01/01/2013

Owner / manager individuals (9)

Name Role Association
EDWARDS, DELORES OPERATIONAL/MANAGERIAL CONTROL since 01/01/2013
GUPTA, VIVEK OPERATIONAL/MANAGERIAL CONTROL since 01/01/2013
KRAMER, YISROEL OPERATIONAL/MANAGERIAL CONTROL since 01/01/2013
SPECTOR, JENNIFER OPERATIONAL/MANAGERIAL CONTROL since 01/01/2013
TUROFSKY, STEVEN OPERATIONAL/MANAGERIAL CONTROL since 01/01/2013
ULBERT, LISA OPERATIONAL/MANAGERIAL CONTROL since 01/01/2013
WILHELM, NAFTALI OPERATIONAL/MANAGERIAL CONTROL since 01/01/2013
SPECTOR, JENNIFER CORPORATE OFFICER since 01/01/2013
ULBERT, LISA CORPORATE OFFICER since 01/01/2013

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
Yes — last 2 cycles
Methodology & sources

Full methodology →

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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $28 metrics.cost_per_resident_day
Cost Report Current Ratio 1.73 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 22.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.7% metrics.medicare_day_share
Cost Report Net Income ($) $226,203 metrics.net_income
Cost Report Net Patient Revenue ($) $21,395,068 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 92.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -3.1% metrics.operating_margin
Cost Report Total Assets ($) $14,334,226 metrics.total_assets
Cost Report Total Costs ($) $2,051,641 metrics.total_costs
Cost Report Total Fund Balances ($) $9,774,305 metrics.fund_balance
Cost Report Total Liabilities ($) $4,559,921 metrics.total_liabilities
Cost Report Total Margin (%) 1.0% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.61149 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.21412 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.28712 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.11273 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 1.83770 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 202.6 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 1.18658 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 3.22485 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.93528 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 5.34671 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 4.71256 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.2 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.7 Chain Average Staffing Rating
Provider Information Chain ID 38 Chain ID
Provider Information Chain Name APERION CARE Chain Name
Provider Information City/Town CHICAGO City/Town
Provider Information CMS Certification Number (CCN) 146001 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 2001-02-06 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 41.8065 Latitude
Provider Information Legal Business Name INTERNATIONAL NURSING & REHAB CENTER, LLC Legal Business Name
Provider Information Location 4815 SOUTH WESTERN AVE,CHICAGO,IL,60609 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -87.684 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 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 218 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 33 Number of Facilities in Chain
Provider Information Number of Fines 4 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.89410 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.37488 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company 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 4815 SOUTH WESTERN AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name APERION CARE INTERNATIONAL 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 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 148 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 5 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 13 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-05-02 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 148 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 17 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 15 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-07-14 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 416 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 44 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 416 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 57 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.34797 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 70.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.24442 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.84681 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.68135 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02991 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.39761 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 2.92577 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 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 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State IL State
Provider Information Telephone Number 7739274200 Telephone Number
Provider Information Total Amount of Fines in Dollars 98851.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.54489 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 5 Total Number of Penalties
Provider Information Total nursing staff turnover 52.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 215.000 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 60609 ZIP Code