The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Burgess Square Healthcare & Rehab Center
Registered name: BURGESS SQUARE HEALTHCARE CTR
WESTMONT, IL · Medicare-certified · 203 beds
In good standing
For-profit
Data as of July 1, 2026
4 of 5 overall
Burgess Square Healthcare & Rehab Center has an overall rating of 4 out of 5 stars, with strong staffing at 5 stars and reported nurse staffing above the federal benchmark (4.94 vs. 4.1 hours per resident per day). Health inspection and quality measures are both 3 stars, there were no fines in the last 24 months, and recent cited issues involved pressure ulcer care, medication errors, and food handling standards.
Facility ratings
Health inspections
Staffing
4.9425 hrs/resident/day
Quality measures
Last inspection: May 21, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9425.
Staffing detail
- Registered nurses
- 1.70
- Licensed practical nurses
- 0.53
- Nurse aides
- 2.71
- Weekend nursing
- 4.60
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 28%
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
17.4%12%Improving
Residents with a fall causing major injury
0%7.7%Worsening
Residents with pressure ulcers (bedsores)
9%3.7%Improving
Residents with a urinary tract infection
5.7%0%Improving
Residents who lost too much weight
6.9%13.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16%24.1%Worsening
Residents whose ability to walk got worse
—22.7%—
Long-stay residents on antianxiety or sleep medication
13.8%6.7%Improving
Short-stay residents newly given an antipsychotic
1.1%1.6%No change
Residents with a long-term catheter
3.9%2%Improving
Residents with new or worsening incontinence
32.6%27.3%Improving
Residents with depressive symptoms
2.9%0%Improving
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
97.1%97.4%No change
Short-stay residents given the seasonal flu vaccine
—90.2%—
Short-stay residents given the pneumonia vaccine
92.6%91.7%Worsening
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — 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 8 health deficiencies.
See what inspectors found
- 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.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Partnership
- Occupancy
- 123.1 residents on an average day (61% 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.