SNF
VICTORIAN VILLAGE HLTH & WELL
CCN: 146178 · HOMER GLEN, IL 60491 · Will County
Overview
- Address
- 12525 W RENAISSANCE CIRCLE, HOMER GLEN, IL 60491
- Phone
- 7085905050
- Certified beds
- 50
- Avg daily residents
- 52 (103% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare
- Medicare/Medicaid since
- 2015-05-01
- 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 | 5.19 | 4.26 | 4.71 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.92 | 0.75 | 1.74 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.17 | 0.95 | 0.15 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.10 | 2.57 | 2.81 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.09 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.12 | — | — | — |
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)
4.63
hrs / resident / day
RN (weekend)
1.51
hrs / resident / day
Total nurse (adjusted, weekend)
4.19
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
27.5%
annual
RN turnover
18.2%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.51
higher acuity than avg
Case-Mix Index Ratio
1.10
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) | 2025-07-03 | 5 | 3 | 2 | 28 | 1 | 28 |
| Cycle 2/3 (prior) | 2024-09-13 | 7 | 7 | 0 | 52 | 1 | 52 |
Total weighted health score
34.0
lower is better
Deficiencies (21)
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).
21 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-03 | 2025-07-04 |
| 0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2025-07-03 | 2025-07-04 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-07-03 | 2025-07-04 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2025-06-05 | 2025-06-06 |
| 0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-06-05 | 2025-06-06 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-09-13 | 2024-09-14 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-09-13 | 2024-09-14 |
| 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. | D | 2024-09-13 | 2024-09-14 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2024-09-13 | 2024-09-14 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-13 | 2024-09-14 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-09-13 | 2024-09-14 |
| 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. | F | 2024-09-13 | 2024-09-14 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-08-31 | 2023-09-01 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2023-08-31 | 2023-09-01 |
| 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 | 2023-08-31 | 2023-09-01 |
| 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. | D | 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 |
| 0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2023-08-31 | 2023-09-01 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-08-31 | 2023-09-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-08-31 | 2023-09-01 |
| 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2023-08-31 | 2023-09-01 |
Financial Health (FY 2023)
Operating performance
Operating Margin
-3.7%
Total Margin
-3.7%
Occupancy Rate
96.0%
Cost per Resident Day
$119
Revenue & costs
Net Patient Revenue
$9.8M
Total Costs
$2.1M
Net Income
-$363K
Balance sheet
Total Assets
$10.1M
Total Liabilities
$937K
Fund Balance
$9.1M
Current Ratio
1.90
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/26/2015 |
Owner / manager individuals (19)
| Name | Role | Association |
|---|---|---|
| KRIEPS, JAMIE | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2024 |
| MULKI, M GHAITH | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2024 |
| VANDERGENUGTEN, BARRY | OPERATIONAL/MANAGERIAL CONTROL | since 05/31/2001 |
| ZANDSTRA, JOHANNA | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2024 |
| BREEMS, TIM | CORPORATE DIRECTOR | since 04/01/2024 |
| BUIKEMA, PAUL | CORPORATE DIRECTOR | since 04/02/2022 |
| DAMSTRA, EDWARD | CORPORATE DIRECTOR | since 04/02/2022 |
| DEGRAFF, DAVE | CORPORATE DIRECTOR | since 04/01/2024 |
| FEENSTRA, THEODORE | CORPORATE DIRECTOR | since 04/02/2022 |
| HOVING, KENNETH | CORPORATE DIRECTOR | since 04/02/2022 |
| HUIZENGA, KAREN | CORPORATE DIRECTOR | since 04/02/2022 |
| JABAAY, PATRICIA | CORPORATE DIRECTOR | since 04/02/2022 |
| KOLDENHOVEN, ARNOLD | CORPORATE DIRECTOR | since 04/01/2024 |
| LEO, GARY | CORPORATE DIRECTOR | since 04/01/2024 |
| PETROELJE, ROB | CORPORATE DIRECTOR | since 04/01/2024 |
| VAN ESSEN, DARREN | CORPORATE DIRECTOR | since 04/02/2022 |
| VOSS, DAVID | CORPORATE DIRECTOR | since 04/02/2022 |
| WOO, ERIC | CORPORATE DIRECTOR | since 04/01/2024 |
| YONKER, KYLE | CORPORATE DIRECTOR | since 04/02/2022 |
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 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 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $119 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.90 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 50.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-363,043 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,768,255 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 96.0% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -3.7% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $10,061,918 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,083,120 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $9,124,837 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $937,081 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -3.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.15464 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.80984 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.74264 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.70712 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.19315 | 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 | 51.7 | 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 | 0.94532 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.56916 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.74512 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.25960 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.75439 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | HOMER GLEN | City/Town |
| Provider Information | CMS Certification Number (CCN) | 146178 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Will | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2015-05-01 | 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 | 41.6287 | Latitude |
| Provider Information | Legal Business Name | REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME | Legal Business Name |
| Provider Information | Location | 12525 W RENAISSANCE CIRCLE,HOMER GLEN,IL,60491 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -87.924 | 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 | 50 | 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 | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.50898 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.09533 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non 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 | 12525 W RENAISSANCE CIRCLE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | VICTORIAN VILLAGE HLTH & WELL | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 989 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare | 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 | 28 | 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 | 2 | 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 | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-03 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 28 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 5 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-09-13 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 52 | 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 | 0 | 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 | 52 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 7 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.51163 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 18.2 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.09319 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.17061 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.09998 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.11944 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.92258 | 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 | 5.19317 | 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 | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | IL | State |
| Provider Information | Telephone Number | 7085905050 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.62613 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 27.5 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 34.000 | 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 | 60491 | ZIP Code |