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Nursing home report

Nexus at Berwyn

BERWYN, IL · Medicare-certified · 145 beds

Needs attention
For-profitChain member
1 of 5 overall

Nexus at Berwyn (Berwyn, IL) has a 1-star overall rating, with 1-star health inspection and staffing ratings despite 4 stars for quality measures. It has a recent federal penalty, $23,774 in fines over the last 24 months, and reported nurse staffing of 3.12 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.1176 hrs/resident/day

Quality measures

Last inspection: March 13, 2026Penalties, last 24 months: $23,774recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1176.

Staffing detail

Registered nurses
0.49
Licensed practical nurses
0.98
Nurse aides
1.64
Weekend nursing
2.69

Hours per resident per day.

Total staff turnover: 61%
Registered nurse turnover: 78%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

16%Improving

Residents with a fall causing major injury

1.7%Worsening

Residents with pressure ulcers (bedsores)

5.6%Improving

Residents with a urinary tract infection

0.4%Steady

Residents who lost too much weight

3.9%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

10.1%Improving

Residents whose ability to walk got worse

20%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

7.8%Improving

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0.5%Improving

Residents with new or worsening incontinence

28.6%Worsening

Residents with depressive symptoms

99.3%Steady

Long-stay residents given the seasonal flu vaccine

84.3%Steady

Long-stay residents given the pneumonia vaccine

85.3%Improving

Short-stay residents given the seasonal flu vaccine

49.3%Steady

Short-stay residents given the pneumonia vaccine

48.2%Improving

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited March 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited December 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: G

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited July 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $11,349 was recorded.

  6. PENALTY

    A federal fine of $12,425 was recorded.

Penalties & enforcement

On record with Medicare: 4 fines · $225,846 in total fines · 1 payment denial.

  • Federal fine

    Jul 1, 2025

    $11,349
  • Federal fine

    Jan 16, 2025

    $12,425
  • Medicare/Medicaid payment denial

    Apr 12, 2024

    74 days
  • Federal fine

    Apr 12, 2024

    $140,530
  • Federal fine

    May 30, 2023

    $61,542

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
Occupancy
131.8 residents on an average day (91% of 145 beds)
Resident voice
Resident council
Medicare history
Certified for 59 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.