Elder Care Record

Illinois › Cook County › Berwyn

Nexus At Berwyn

3601 South Harlem Avenue, Berwyn, IL 60402

CCN 145070 · For-profit, corporation · 145 certified beds · chain Legacy Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 145 beds, Nexus At Berwyn serves Berwyn in Cook County, Illinois and has taken Medicare and Medicaid residents since 1967.

CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 1, staffing 1 and quality measures 4.

Inspectors recorded 53 health deficiencies across the three most recent survey cycles (20, 20, 13 by cycle, most recent first), 9 of them at the actual-harm or immediate-jeopardy level. That is 36.6 per 100 beds, more than the state median of 28.4.

CMS lists 7 penalties in the period covered: fines totalling $327K and 2 payment denials.

Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), close to the Illinois median of 3.3; nursing staff turnover is 57.0%.

53health deficiencies, 3 survey cycles9 at actual harm or worse
$327Kfines listed by CMS7 penalties in period
3.2nurse hours per resident per daystate median 3.3
89%occupancy (residents ÷ beds)129 residents a day

Compared with county, state and nation

MeasureThis facilityCook Co. medianIllinois medianUS average
Overall star rating1223.0
Health citations, 3 cycles53373428.7
Citations per 100 beds36.623.828.426.8
Total nurse hours per resident day3.23.23.33.9
RN hours per resident day0.50.70.60.7
Nursing staff turnover57.0%39.7%43.4%45.8%
Fines listed$326,679$52,199$45,123—

County and state figures are medians across facilities (202 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)20
Cycle 220
Cycle 313

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Feb 2025, 25 Apr 2024.

Severity mix: J ×2 G ×7 D ×33 E ×9 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Jun 2026F0814Dispose of garbage and refuse properly.FComplaint investigation5 Jun 2026
13 Mar 2026F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint investigation14 Mar 2026
30 Jan 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation31 Jan 2026
30 Jan 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation31 Jan 2026
30 Jan 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation31 Jan 2026
30 Jan 2026F0583Keep residents' personal and medical records private and confidential.DComplaint investigation31 Jan 2026
30 Jan 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation31 Jan 2026
30 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation31 Dec 2025
22 Dec 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation23 Dec 2025
12 Dec 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint investigation13 Dec 2025
12 Dec 2025F0585Honor 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.DComplaint investigation13 Dec 2025
30 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation3 Oct 2025
11 Sep 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation12 Sep 2025
1 Jul 2025F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation2 Jul 2025
1 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation2 Jul 2025
9 Jun 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation10 Jun 2025
9 Jun 2025F0761Ensure 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.DComplaint investigation10 Jun 2025
17 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation18 Apr 2025
22 Mar 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation24 Mar 2025
28 Feb 2025F0880Provide and implement an infection prevention and control program.EStandard survey3 Mar 2025
28 Feb 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey3 Mar 2025
28 Feb 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey3 Mar 2025
28 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation3 Mar 2025
28 Feb 2025F0688Provide 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.DStandard survey3 Mar 2025
28 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation3 Mar 2025
28 Feb 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey3 Mar 2025
22 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation23 Jan 2025
16 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Jan 2025
23 Dec 2024F0576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint investigation24 Dec 2024
13 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation20 Sep 2024
13 Sep 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Sep 2024
16 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation22 Jul 2024
8 Jul 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.GComplaint investigation22 Jul 2024
8 Jul 2024F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation22 Jul 2024
8 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation22 Jul 2024
25 Apr 2024F0761Ensure 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.FStandard survey7 May 2024
25 Apr 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey7 May 2024
25 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation7 May 2024
25 Apr 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation7 May 2024
25 Apr 2024F0759Ensure medication error rates are not 5 percent or greater.EComplaint investigation7 May 2024
25 Apr 2024F0880Provide and implement an infection prevention and control program.EStandard survey7 May 2024
25 Apr 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey7 May 2024
25 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 May 2024
25 Apr 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey7 May 2024
12 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation19 Apr 2024
12 Apr 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation19 Apr 2024
12 Apr 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Apr 2024
2 Dec 2022F0583Keep residents' personal and medical records private and confidential.DStandard survey14 Dec 2022
2 Dec 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey14 Dec 2022
2 Dec 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey14 Dec 2022
2 Dec 2022F0693Ensure 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.DStandard survey14 Dec 2022
2 Dec 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey14 Dec 2022
2 Dec 2022F0761Ensure 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.DStandard survey14 Dec 2022

Penalties

DateTypeAmountDetail
13 Mar 2026Fine$26,685
12 Dec 2025Payment denial—16 days
12 Dec 2025Fine$135,690
1 Jul 2025Fine$11,349
16 Jan 2025Fine$12,425
12 Apr 2024Payment denial—74 days
12 Apr 2024Fine$140,530

Staffing

Total nursing3.25 h
Nurse aides1.71 h
LPN1.06 h
RN0.47 h
Weekend total2.71 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 57.0%, RNs 62.5%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityIllinois medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.3%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.7%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.1%12.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.0%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay13.1%17.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Berwyn Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).

OrganisationRole in the CMS recordInterestSince
Legacy Healthcare Financial Services LLCOperational/managerial controlNOT APPLICABLE02/01/2019

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Cook County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Addolorata VillaWheeling865352427.9$181K28 May 2026
Alden Estates of EvanstonEvanston995541212.1—19 Dec 2025
Alden Estates of SkokieSkokie5655435.4—24 Oct 2024
Alden Poplar Creek Rehab & HCCHoffman Estates2175422913.4$8K11 Mar 2026
Aperion Care NilesNiles995422121.2$12K29 May 2026
Ascension Nazarethville PlaceDes Plaines6855457.4—31 Dec 2025
Bella Terra StreamwoodStreamwood214552167.5—20 Dec 2025
Brandel Health and RehabNorthbrook10255532.9—12 Sep 2025

All 202 facilities in Cook County

Questions and answers

How many deficiencies has Nexus At Berwyn been cited for?

53 health deficiencies across the three most recent survey cycles, 9 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has Nexus At Berwyn been fined?

Yes. CMS lists fines totalling $327K in the period covered, plus 2 payment denials.

How does staffing at Nexus At Berwyn compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.

Who operates Nexus At Berwyn?

It is part of the Legacy Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.

When was Nexus At Berwyn last inspected?

The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 28 Feb 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.