The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
SMITH CROSSING
ORLAND PARK, IL · Medicare-certified · 92 beds
Needs attention
Non-profit
Data as of September 1, 2026
4 of 5 overall
SMITH CROSSING in ORLAND PARK, IL has a 4 out of 5 star overall rating. It scores 5 stars for staffing, with 5.43 nursing hours per resident per day above the federal benchmark of 4.1, but has lower scores for health inspections (3 stars) and quality measures (2 stars), and it had $30,713 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
5.4339 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $30,713recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.4339.
Staffing detail
- Registered nurses
- 1.29
- Licensed practical nurses
- 0.91
- Nurse aides
- 3.24
- Weekend nursing
- 5.07
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 47%
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
47.6%28.6%Improving
Residents with a fall causing major injury
2.6%2.4%No change
Residents with pressure ulcers (bedsores)
4%4.5%Worsening
Residents with a urinary tract infection
5.6%0%Improving
Residents who lost too much weight
10.3%10%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.6%3.7%Improving
Residents whose ability to walk got worse
—30.5%—
Long-stay residents on antianxiety or sleep medication
19.4%16.1%Improving
Short-stay residents newly given an antipsychotic
1.2%1.7%Worsening
Residents with a long-term catheter
0%1.5%Worsening
Residents with new or worsening incontinence
35.1%32.3%Improving
Residents with depressive symptoms
0%0%No change
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
100%97.6%Worsening
Short-stay residents given the seasonal flu vaccine
—96.8%—
Short-stay residents given the pneumonia vaccine
96%95.8%No change
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — 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
- PENALTY
A federal fine of $30,713 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $47,250 was recorded.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $30,713 in total fines · 1 payment denial.
- 4 days
Medicare/Medicaid payment denial
Jun 18, 2025
- $30,713
Federal fine
Jun 18, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 81.4 residents on an average day (88% of 92 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 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.