Midwestern Region Med Center, Inc.
An acute care hospital in Zion, Illinois 60099
2520 Elisha Avenue, Zion, Illinois 60099. (847) 872-4561.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 5of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 95 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Aug 1, 2024: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Aug 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Aug 1, 2024: complaint inspection2 deficiencies
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Informed Consent
The inspectors’ words, 590 words
“INFORMED CONSENT CFR(s): 482.51(b)(2) A properly executed informed consent form for the operation must be in the patient’s chart before surgery, except in emergencies. This Standard is not met as evidenced by: 36774 Based on document review and interview, it was determined that for 1 of 4 (Pt. #1) clinical records reviewed for patients with ileostomy (part of small intestine connected to the abdominal wall), the hospital failed to document that the patient was fully informed regarding the nature and plan for the proposed procedure. Findings include: 1. On 7/30/2024, the clinical record for Pt. #1 was reviewed. On 5/08/2024, Pt. #1 came to the hospital for an outpatient colonoscopy (examination of the colon) procedure. Pt. #1 diagnosis was adenocarcinoma (a type of cancer) of the sigmoid colon (portion of the large intestine). Pt. #1 presents with a diverting loop ileostomy (part of small intestine connected to the abdominal wall). The clinical record included: - At 7:38 AM, MD #1 (Gastroenterologist) examined Pt. #1. MD #1’s notes indicated, “ ... (Pt. #1) ... here for GI (gastrointestinal) evaluation ... Past Medical History ... Physical Exam ... Recommendations: GI Evaluation/colonoscopy. Risk and benefits of procedure including perforation, bleeding and missed lesions was (discussed with Pt. #1)...” - At 9:16 AM, Pt. #1 signed the Consent for Surgery/Procedure that indicated, “ ... 7. Your provider is (MD #1) who has recommended the following surgery or procedure to be beneficial in the diagnosis and/or treatment of your condition ... Description of Surgery or Procedure ... Colonoscopy with possible biopsy, snare polypectomy (polyp removal) and ablation (cautery) of lesion with thermal therapy and possible stent (hollow tube) placement and possible tattooing ...” The consent was also signed by MD #1 and witnessed by E #2 (Pre-op Nurse). - MD #1’s operative report indicated, “Procedure: Colonoscopy ...After obtaining informed consent, the scope was passed under direct vision... The colonoscope was introduced through the ileostomy and advanced to the terminal ileum. The colonoscopy was performed without difficulty. The patient tolerated the procedure well. The quality of the bowel preparation was good ...” - The consent did not indicate that the colonoscopy will be done through the ileostomy. The clinical record also did not indicate that MD #1 explained to Pt. #1 that another procedure will be performed at a later time because a full examination of the colon could not be performed because Pt. #1 did not receive appropriate bowel preparation. 2. On 7/30/2024, the hospital’s policy titled, “Informed Consent” (11/2021) was reviewed and included, “... Process... The informed consent discussion and the documentation of information discussed, is the responsibility of the provider... The informed consent process includes discussion of the following elements... Nature of patient’s condition... and reasons for the proposed... procedure (s)... “ 3. On 7/31/2024 at approximately 10:50 AM, an interview was conducted with MD #1 (Gastroenterologist). MD #1 agreed that the colonoscopy consent should have indicated that the colonoscopy will be done through the ileostomy. MD #1 also agreed that there was no documentation that Pt. #1 was made aware of the plan that another procedure (sigmoidoscopy) will be done at another date because Pt. #1 did not receive appropriate bowel preparation. 4. On 7/31/2024 at approximately 2:35 PM, an interview was conducted with MD #2 (Gastroenterologist/Medical Director). MD #2 stated that the consent should have indicated that the procedure will be done through the ileostomy. MD #2 agreed that there should have been a documentation in the clinical record regarding the planned procedures to indicate that the patient was fully informed.”
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Operative Report
The inspectors’ words, 448 words
“OPERATIVE REPORT CFR(s): 482.51(b)(6) An operative report describing techniques, findings, and tissues removed or altered must be written or dictated immediately following surgery and signed by the surgeon. This Standard is not met as evidenced by: 36774 Based on document review and interview, it was determined that for 4 of 12 (Pt. #1, Pt. #6, Pt. #8, and Pt. #10) patients’ clinical records reviewed who underwent procedures, the hospital failed to ensure that the operative reports included post-operative diagnosis. Findings include: 1. On 7/30/2024, the hospital’s policy titled, “Documentation for Patients with Procedures” (3/2024) was reviewed and included, “... Postoperative Documentation... The Operative Report will contain... Postoperative diagnosis...” 2. On 7/30/2024, the clinical record for Pt. #1 was reviewed. On 5/08/2024, Pt. #1 came to the hospital for an outpatient colonoscopy (examination of the colon) procedure. Pt. #1 has a diagnosis of adenocarcinoma (a type of cancer) of the sigmoid colon (portion of the large intestine). MD #1’s (gastroenterologist) Operative Report indicated, “Procedure: Colonoscopy... The colonoscope was introduced through the ileostomy and advanced to the terminal ileum. The colonoscopy was performed without difficulty...” The operative report did not include a postoperative diagnosis. 3. On 7/31/2024, the clinical record for Pt. #6 was reviewed. On 7/19/2024, Pt. #6 came to the hospital for an outpatient colonscopy procedure. Pt. #6 had a pre-operative diagnosis of ‘screening for colorectal malignant neoplasm (type of cancer)’. MD #1’s Operative Report included, “...Procedure: ...the colonoscopy was performed without difficulty ...”. The operative report did not include a postoperative diagnosis. 4. On 7/31/2024, the clinical record for Pt. #8 was reviewed. On 7/12/2024, Pt. #8 came to the hospital for an outpatient colonscopy procedure. Pt. #8 had a pre-operative diagnosis of ‘abnormal CT (computed tomography/imaging technique to view internal images of the body) of GI (Gastrointestinal) tract’. MD #1’s Operative Report included, “...Procedure: ...the colonoscopy was performed without difficulty ...Findings: the entire examined colon appeared normal on direct and retroflexion views ...”. The operative report did not include a postoperative diagnosis. 5. On 7/31/2024, the clinical record for Pt. #10 was reviewed. On 6/28/2024, Pt. #10 came to the hospital for an outpatient colonscopy procedure. Pt. #10 had a pre-operative diagnosis of ‘screening for colorectal malignant neoplasm (type of cancer)”. MD #1’s Operative Report included, “...Procedure: ...the colonoscopy was performed without difficulty ...Findings: ...the entire examined colon appeared normal on direct and retroflexion views ...”. The operative report did not include a postoperative diagnosis. 6. On 8/1/2024 at approximately 12:00 PM, findings were discussed with E #11 (Chief Operating Officer) and E #12 (Vice President for Patient care Services). E #11 and E #12 agreed that there were no postoperative diagnosis on the clinical records.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 1, 2024 | Complaint inspection | 2 deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 4 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 1; safety of care, 0 better and 0 worse of 3; readmission, 0 better and 1 worse of 5.
- Patients rate it 5 of 5 in CMS’s patient survey (124 surveys completed, Oct 1, 2024 to Sep 30, 2025): 88% rated it 9 or 10 out of 10, and 89% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): surgical site infections after colon surgery, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 175 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 0% left before being seen.
- 80% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.04 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 5 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: proprietary.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Proprietary.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 5 of 5.
- 89% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Coh Holdco Inc. owns 100% directly since Feb 1, 2022.
- Cancer Treatment Centers of America Global Inc. and Coh Holdco Inc. run it.
- 4 owners or officers are people: Anthony Govorchin (corporate officer); Richard Lee Piekarz (corporate officer); Richard Lee Piekarz (managing employee (on the payroll)); Yvette Tremonti (corporate officer).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Cancer Treatment Centers of America Global Inc. | Runs it (operational or managerial control) | 100% | Jul 1, 2014 |
| Coh Holdco Inc. | Owns 5% or more directly | 100% | Feb 1, 2022 |
| Coh Holdco Inc. | Runs it (operational or managerial control) | 100% | Feb 1, 2022 |
How does it compare nearby?
- Of the 7 hospitals CMS lists in Lake County, 6 have an overall star rating from CMS: 2 rated 5 of 5, 3 rated 4 of 5, 1 rated 2 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Vista Medical Center East | 2 |
| Northwestern Lake Forest Hospital | 5 |
| Advocate Condell Medical Center | 4 |
| Advocate Good Shepherd Hospital | 5 |
| North Chicago VA Medical Center | 4 |
| Lake Behavioral Hospital | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.