The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Asbury Gardens
Registered name: ASBURY GARDENS NSG & REHAB
NORTH AURORA, IL · Medicare-certified · 75 beds
In good standing
For-profit
Data as of July 1, 2026
4 of 5 overall
Asbury Gardens in North Aurora, IL has a 4 out of 5 star overall rating, with solid health inspection results but weaker staffing and quality scores. It reported 3.64 nurse staffing hours per resident per day versus the 4.1 federal benchmark, no fines in the last 24 months, and recent inspection citations related to accident hazards, food safety, and infection prevention leadership.
Facility ratings
Health inspections
Staffing
3.6422 hrs/resident/day
Quality measures
Last inspection: January 16, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6422.
Staffing detail
- Registered nurses
- 0.96
- Licensed practical nurses
- 0.38
- Nurse aides
- 2.30
- Weekend nursing
- 3.03
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 38%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16%21.4%Worsening
Residents with a fall causing major injury
4.4%4.9%No change
Residents with pressure ulcers (bedsores)
4.7%0%Improving
Residents with a urinary tract infection
2.2%5%Worsening
Residents who lost too much weight
0%14.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.1%26.9%Worsening
Residents whose ability to walk got worse
—35.2%—
Long-stay residents on antianxiety or sleep medication
18.2%7.1%Improving
Short-stay residents newly given an antipsychotic
2.1%7.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
32.7%30.9%Improving
Residents with depressive symptoms
14.3%25.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%97.6%Worsening
Short-stay residents given the seasonal flu vaccine
—93.6%—
Short-stay residents given the pneumonia vaccine
83.3%86.1%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The nursing home failed to keep essential equipment working safely. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $6,350 in total fines.
- $2,117
Federal fine
Aug 21, 2023
- $4,233
Federal fine
Jul 31, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 59.8 residents on an average day (80% of 75 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 11 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.