Skilled nursing
Nexus at Berwyn
0.00 reviews · 0 verifiedBERWYN, ILLic. 145070
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
FINECMS fine: $128,550Source: CMS Penalties
FINECMS fine: $135,690Source: CMS Penalties
VBP-SLow SNF VBP readmission measure score (0.8)Source: CMS SNF VBP (PDC)
VBPLower SNF VBP program ranking (#13,667)Source: CMS SNF VBP (PDC)
VBP-THigh nursing staff turnover in VBP period (69%)Source: CMS SNF VBP (PDC)
Provided by facility
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.08 total HPRDRN 0.49 · weekend 87%Oct 2025 – Dec 2025
Survey history
24 inspections100 deficiencies on record
Federal IDs
CCN 145070
Overall: 1/5 · Health: 1/5 · Staffing: 1/5 · QM: 4/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspectionsShowing 12 of 24 inspections.
Health surveyMar 2026 · CMS1 deficiencies
- F-678SS J — Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Health surveyJan 2026 · CMS5 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-552SS D — Ensure that residents are fully informed and understand their health status, care and treatments.
- F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F-583SS D — Keep residents' personal and medical records private and confidential.
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
Health surveyDec 2025 · CMS1 deficiencies
- F-689SS J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyDec 2025 · CMS1 deficiencies
- F-921SS E — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Health surveyDec 2025 · CMS2 deficiencies
- F-585SS D — Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- F-690SS G — Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Health surveySep 2025 · CMS1 deficiencies
- F-689SS E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveySep 2025 · CMS1 deficiencies
- F-600SS D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Health surveyJul 2025 · CMS2 deficiencies
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-697SS G — Provide safe, appropriate pain management for a resident who requires such services.
Health surveyJun 2025 · CMS2 deficiencies
- F-761SS D — 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-921SS E — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Health surveyApr 2025 · CMS1 deficiencies
- F-689SS G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyMar 2025 · CMS1 deficiencies
- F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
Fire safetyFeb 2025 · STATE FIRE MARSHAL16 deficiencies
- E-24SS F — Establish policies and procedures for volunteers.
- K-211SS E — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-232SS E — Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- K-311SS E — Have an enclosure around a vertical opening shaft.
- K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-324SS E — Provide properly protected cooking facilities.
- K-325SS E — Have properly installed hallway dispensers for alcohol-based hand rub.
- K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
- K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
- K-362SS E — Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- K-363SS E — Install corridor and hallway doors that block smoke.
- K-754SS E — Provide properly sized and located linen or trash receptacles.
- K-761SS E — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- K-781SS E — Have restrictions on the use of portable space heaters.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
- K-920SS E — Ensure proper usage of power strips and extension cords.
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Write a reviewOperated by LEGACY HEALTHCARE (privately held) since 1967.
- Feb 2019
operator transition — GPN FAMILY TRUST U/A/D 4/28/08
5% OR GREATER DIRECT OWNERSHIP INTEREST (50%) — GPN FAMILY TRUST U/A/D 4/28/08 - Feb 2018
operator transition — DOROS GENERATION TRUST U/A/D 1/3/12
5% OR GREATER DIRECT OWNERSHIP INTEREST (50%) — DOROS GENERATION TRUST U/A/D 1/3/12