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.
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.
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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.
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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.
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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
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 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $11,349 was recorded.
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.