The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — limited pattern, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: H
Nursing home report
SMITH CROSSING
ORLAND PARK, IL · Medicare-certified · 92 beds
Needs attention
Non-profit
4 of 5 overall
4 of 5 stars overall. SMITH CROSSING has strong staffing at 5 of 5 stars and 5.42 nurse hours per resident per day, above the 4.1 federal benchmark, but it has a 2 of 5 quality rating, 3 of 5 health inspection rating, and $47,250 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
5.4168 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $47,250recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.4168.
Staffing detail
- Registered nurses
- 1.46
- Licensed practical nurses
- 0.80
- Nurse aides
- 3.16
- Weekend nursing
- 4.80
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
47.6%32%Improving
Residents with a fall causing major injury
2.8%0%Improving
Residents with pressure ulcers (bedsores)
1.6%5.8%Worsening
Residents with a urinary tract infection
13.9%2.7%Improving
Residents who lost too much weight
14.8%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
28%30.8%Worsening
Long-stay residents on antianxiety or sleep medication
22.2%22.6%No change
Short-stay residents newly given an antipsychotic
0.4%3%Worsening
Residents with a long-term catheter
6.2%0%Improving
Residents with new or worsening incontinence
32.8%31.5%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%97.5%Worsening
Short-stay residents given the seasonal flu vaccine
—96.8%—
Short-stay residents given the pneumonia vaccine
96.7%95.5%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 June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
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 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 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: 2 fines · $142,443 in total fines · 1 payment denial.
- 4 days
Medicare/Medicaid payment denial
Jun 18, 2025
- $47,250
Federal fine
Jun 18, 2025
- $95,193
Federal fine
Aug 10, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 77.3 residents on an average day (84% 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.