The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
AVANTARA EVERGREEN PARK
EVERGREEN PARK, IL · Medicare-certified · 242 beds
Needs attention
For-profitChain member
1 of 5 overall
AVANTARA EVERGREEN PARK has an overall rating of 1 out of 5 stars, with low staffing at 1 star and health inspection and quality measures both at 2 stars. It reports 3.52 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, and has had $207,036 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.5203 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $207,036recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5203.
Staffing detail
- Registered nurses
- 0.83
- Licensed practical nurses
- 0.83
- Nurse aides
- 1.85
- Weekend nursing
- 3.28
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8%Worsening
Residents with a fall causing major injury
1.6%Steady
Residents with pressure ulcers (bedsores)
7.2%Improving
Residents with a urinary tract infection
1%Improving
Residents who lost too much weight
12.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.1%Improving
Residents whose ability to walk got worse
37%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
8.2%Improving
Short-stay residents newly given an antipsychotic
2.4%Improving
Residents with a long-term catheter
1.5%Improving
Residents with new or worsening incontinence
32.3%Worsening
Residents with depressive symptoms
97.4%Worsening
Long-stay residents given the seasonal flu vaccine
73.2%Steady
Long-stay residents given the pneumonia vaccine
83%Improving
Short-stay residents given the seasonal flu vaccine
26.6%Steady
Short-stay residents given the pneumonia vaccine
34.9%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
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
- PENALTY
A federal fine of $37,570 was recorded.
- PENALTY
A federal fine of $49,350 was recorded.
- PENALTY
A federal fine of $90,060 was recorded.
- PENALTY
A federal fine of $30,056 was recorded.
Penalties & enforcement
On record with Medicare: 7 fines · $237,426 in total fines.
- $37,570
Federal fine
Sep 7, 2025
- $49,350
Federal fine
May 23, 2025
- $90,060
Federal fine
Sep 27, 2024
- $30,056
Federal fine
May 17, 2024
- $13,258
Federal fine
Sep 28, 2023
- $4,545
Federal fine
Sep 5, 2023
- $12,587
Federal fine
Aug 14, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 175.1 residents on an average day (72% of 242 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.