The nursing home failed to ensure residents were free from significant medication errors. Cited November 2025 — isolated incident, actual harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
BURGESS SQUARE HEALTHCARE CTR
WESTMONT, IL · Medicare-certified · 203 beds
In good standing
For-profit
5 of 5 overall
BURGESS SQUARE HEALTHCARE CTR has an overall rating of 5 out of 5 stars, with 5-star staffing and 4-star health inspection and quality ratings. It reports 4.75 nursing hours per resident per day, above the federal benchmark of 4.1, and had no fines in the last 24 months, though recent inspection citations included medication errors, pressure ulcer care, and protection of residents' belongings or money.
Facility ratings
Health inspections
Staffing
4.7505 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7505.
Staffing detail
- Registered nurses
- 1.58
- Licensed practical nurses
- 0.61
- Nurse aides
- 2.56
- Weekend nursing
- 4.40
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 31%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
17.3%Worsening
Residents with a fall causing major injury
0.7%Worsening
Residents with pressure ulcers (bedsores)
9%Improving
Residents with a urinary tract infection
6.9%Worsening
Residents who lost too much weight
9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.8%Improving
Residents whose ability to walk got worse
27.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.4%Improving
Short-stay residents newly given an antipsychotic
1.2%Worsening
Residents with a long-term catheter
4.7%Worsening
Residents with new or worsening incontinence
33.9%Improving
Residents with depressive symptoms
1.4%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98%Improving
Short-stay residents given the seasonal flu vaccine
90.2%Steady
Short-stay residents given the pneumonia vaccine
91.7%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 March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to protect residents from the wrongful use of their belongings or money. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 602 — 42 CFR §483.12 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — limited pattern, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
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- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Partnership
- Occupancy
- 125.3 residents on an average day (62% of 203 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 56 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.