Advocate Condell Medical Center
An acute care hospital in Libertyville, Illinois 60048
801 S Milwaukee Ave, Libertyville, Illinois 60048. (847) 362-2900.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 284 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 May 21, 2026: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Feb 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.
Feb 16, 2024: complaint inspection1 deficiency
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Rn Supervision Of Nursing Care
The inspectors’ words, 589 words
“RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 40079 Based on observation, document review, and interview, it was determined that for 3 of 16 (Pt. #2, Pt. #3, and Pt. #4) reviewed for high fall-risk, the hospital failed to ensure that fall precautions were maintained. Findings include: 1. On 02/15/2024 between 11:15 AM and 12:45 PM, an observational tour of West-2 (medical-surgical/observation unit) was conducted. - West-3 has a capacity of twenty-nine (29) beds with current census of twenty-five (25) patients. Staffing included, six (6) registered nurses, a charge nurse, four (4) patient care technicians, and one (1) unit secretary, staffing was adequate per staffing matrix. All patients on the census were assessed for fall precautions on admission and every shift. There was a total of eight (8) patients with a medium fall risk score and sixteen (16) patients with a high fall risk score. All the rooms had a fall sign posted on the doors, all patients had a yellow wrist band and yellow non-slip socks. During the tour three patients (Pt. #2, Pt. #3, and Pt. #4) with high risk fall score did not have the bed alarm set at Zone 2, all three patients had their call light within reach. 2. On 02/15/2024, the hospital’s policy titled, “Adult Patients Falls-Prevention and Intervention” (revised 11/01/2023) was reviewed and required, “ ... At Risk for Falls or Falls Related Injury: any patient that is asssesed to have a Morse Fall Score (MFS) greater than 45 ... Risk for Falls Interventions ... Fall risk signage ... bed/chair exit alarms ... Teammates will complete the environmental safety measures maintained and patient specific safety measures in use on patient care flowsheet in EPIC (patient care documentation system). 3. On 02/15/2024, the hospital provided manufacturer’s instructions for the “Chaperone Bed Exit Alarm” (undated). The instructions included, “ ... For patients who are a fall risk, Zone 2 (the middle zone of the bed; for patients who should not significantly change their position but will move arms and legs) should be used.” 4. On 02/15/2024, the clinical record for Pt. #2 was reviewed. Pt. #2 was admitted on 02/06/2024, with a diagnosis of Obstructive Chronic Bronchitis. The Morse Fall Score (MFS) for 02/15/2024 was 70 (45 or greater-high). 5. On 02/15/2024, the clinical record for Pt. #3 was reviewed. Pt. #3 was admitted on 02/14/2024, with a diagnosis of Acute Kidney Injury. The MFS for 02/15/20024 was 110 (high). 6. On 02/15/2024, the clinical record for Pt. #4 was reviewed. Pt. #5 was admitted on 02/13/2024, with a diagnosis of Chest Pain. The MFS for 02/15/20024 was 75 (high). 7. On 02/15/2024, at approximately 11:45 AM, an interview was conducted with the Unit Manager (E #4). E#4 stated that patients that are a fall risk should have their bed alarm set to Zone 2. Zone 2 is the setting in which an audible alarm will be activated when the patient’s torso is off the bed. E #4 confirmed that the beds for (Pt. #2, Pt. #3, and Pt. #4) were not set at Zone 2. 8. On 02/15/2024 at 2:35 PM, an interview was conducted with the Charge Nurse (West-2/E #3). E #3 stated that all patients on fall precautions have to have the bed alarm set at Zone 2. The nurses should look at the setting at start of their shift to make sure the alarm is set at the appropriate setting.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 21, 2026 | Complaint inspection | No deficiencies cited |
| Dec 11, 2025 | Complaint inspection | No deficiencies cited |
| May 1, 2025 | Complaint inspection | No deficiencies cited |
| Feb 16, 2024 | Complaint inspection | 1 deficiency 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, 2 better and 0 worse of 8; safety of care, 1 better and 0 worse of 7; readmission, 1 better and 1 worse of 9.
- Patients rate it 3 of 5 in CMS’s patient survey (926 surveys completed, Oct 1, 2024 to Sep 30, 2025): 66% rated it 9 or 10 out of 10, and 66% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, 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.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 10.7%, heart failure 8.6%, pneumonia 14.5%, COPD 6.6%, stroke 9.5%, heart bypass surgery 2.1%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 13.7%, heart failure 20.4%, pneumonia 19%, COPD 21.1%, heart bypass surgery 10.6%, hip or knee replacement 6.2%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 214 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 2% left before being seen.
- 70% 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 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 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is not accredited by a private organisation, so the state carries out its routine inspections for Medicare.
- 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.
- Voluntary non-profit - Private.
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.
- 1 deficiency cited in the last three years came from an inspection 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 3 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?
- Advocate Health and Hospitals Corporation owns 100% directly since Dec 1, 2008.
- Advocate Aurora Health, Inc. and Advocate Health Inc. run it.
- 18 owners or officers are people: Dia Nichols (corporate officer); Dia Nichols (corporate director); Gail D Hasbrouck (corporate director, 0%); Clarence Nixon (corporate officer); Clarence Nixon (corporate director); Tori Munnik (corporate officer); Rachelle Hart (corporate officer); Kara Richardson (corporate officer); David B Anderson (corporate director); Iliana Mora (managing employee (on the payroll), 0%); Lindsay Durgin (corporate officer); Rachel Halverson (corporate officer, 0%); Desiree Millet (corporate officer); Nathaniel L Edmond (corporate officer); Nathaniel L Edmond (corporate director); Harold James Jr Slinkman (corporate officer, 0%); Mark M Harris (corporate director); Kathie S Bender Schwich (corporate director).
- CMS’s Provider of Services file records 1 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 |
|---|---|---|---|
| Advocate Health Care Network | Owns 5% or more through other companies | 100% | Dec 1, 2008 |
| Advocate Health and Hospitals Corporation | Owns 5% or more directly | 100% | Dec 1, 2008 |
| Advocate Aurora Health, Inc. | Owns 5% or more through other companies | 100% | Apr 1, 2018 |
| Advocate Aurora Health, Inc. | Runs it (operational or managerial control) | 100% | Apr 1, 2018 |
| Advocate Health Inc. | Runs it (operational or managerial control) | Dec 2, 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 |
| Midwestern Region Med Center, Inc. | 4 |
| Northwestern Lake Forest Hospital | 5 |
| 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.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
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.