Hearth Record

Holy Family Medical Center

A long-term care hospital in Des Plaines, Illinois 60016

100 North River Road, Des Plaines, Illinois 60016. (847) 813-3176.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Apr 2024. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean2
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 Apr 24, 2024: a complaint inspection.

1 deficiency cited in the last three years.

Source:

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 Apr 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Apr 24, 2024: complaint inspection1 deficiency

  • Rn Supervision Of Nursing Care

    The inspectors’ words, 870 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: 39802 A. Based on document review and interview, it was determined that for 1 of 4 (Pt. #1) records reviewed for turning/repositioning, the Hospital failed to ensure that nursing care was provided to turn patients at least every 2 hours as required to prevent skin breakdown. Findings include: 1. The Hospital’s policy titled, “Routine Care and Pressure Ulcer Prevention” (revised 3/8/2022), was reviewed and required, “...Change position of patient every 2 hours if bed bound...” 2. The clinical record for Pt. #1 was reviewed on 04/22/2024. Pt. #1 was admitted on 1/30/2024 at 7:03 PM, with a diagnoses of acute on chronic hypoxic respiratory failure requiring mechanical ventilation, cachexia (extreme weight loss/muscle wasting), recent sepsis secondary to multifocal pneumonia and catheter related UTI (urinary tract infection), and stage 4 sacral decubiti and right leg wound present on admission. Nursing assessments on admission (1/30/2024) indicated that Pt. #1 was at risk for pressure injuries with a Braden score of 12 (scores less than 18 = at risk). Pt. #1 was noted to be completely dependent for ambulation, transferring, toileting, bathing, dressing, and eating and had difficulty with communication and swallowing. Physician’s orders to turn the patient every 2 hours were placed on 1/31/2024 at 2:36 PM. Nursing flowsheets from 2/1/2024-2/14/2024 were reviewed for repositioning and lacked documentation that Pt. #1 was turned minimally every 2 hours as required between the following times: - 2/1/2024: Pt. #1 documented in supine position from 12:00 AM until 7:47 PM. - 2/2/2024 from 2:00 AM to 8:00 AM (6 hour lapse). - From 2/2/2024 at 8:00 PM to 2/3/2024 at 2:00 AM (6 hour lapse). - From 2/3/2024 at 8:00 PM to 2/4/2024 at 8:00 AM, Pt. #1 documented in supine position. - 2/5/2024 from 2:00 AM to 6:30 AM with no documented repositioning. Nurses note at 6:30 AM included that a new wound was found to the sacral area. - From 2/5/2024 at 8:40 PM to 2/6/2024 at 2:00 AM (5+ hours lapse). - 2/6/2024: Pt. #1 documented in supine position from 6:00 AM to 10:00 AM (~4 hours). - From 2/6/2024 at 7:35 PM to 2/7/2024 at 7:45 AM with no documented repositioning. - From 2/7/2024 8:00 PM to 2/8/2024 at 1:54 AM (~6 hour lapse). - 2/8/2024 from 1:54 AM to 6:00 AM (~4 hour lapse). - From 2/10/2024 at 6:00 PM to 2/11/2024 at 3:06 AM (~9 hour lapse). - 2/11/2024 from 3:06 AM to 7:10 AM (~4 hour lapse). - The record lacked documentation why Pt. #1 was not repositioned during these periods (i.e. if the patient refused). 3. On 4/22/2024 at 11:05 AM, an interview was conducted with the Registered Nurse (E #4). E #4 stated that all patients are turned every 2 hours. E #4 stated that there is a clock in the nursing station with the position patients should be turned to every 2 hours. B. Based on document review and interview, it was determined that for 1 of 4 (Pt. #1) records reviewed for nutrition management, the Hospital failed to ensure that nursing care provided nutritional supplements as ordered for patients at risk for skin breakdown/pressure ulcer development. Findings include: 1. The Hospital’s policy titled, “Routine Care and Pressure Ulcer Prevention” (revised 3/8/2022), was reviewed and required, “...Nutrition: ....Maintain adequate nutrition (balanced nutritional intake and supplements)... Document assessment and interventions...” 2. The Hospital’s Policy titled, “Parenteral/Enteral Products: Responsibilities for Handling” (revised 6/2020), was reviewed and required, “...Type of Product: Supplement... Department: Nursing... Responsibility: Patient administration...” 3. The clinical record for Pt. #1 was reviewed on 04/22/2024. Pt. #1 was admitted on 1/30/2024 at 7:03 PM, with a diagnoses of acute on chronic hypoxic respiratory failure requiring mechanical ventilation, cachexia (extreme weight loss/muscle wasting), recent sepsis secondary to multifocal pneumonia and catheter related UTI (urinary tract infection), and stage 4 sacral decubiti and right leg wound present on admission. Nursing assessments on admission (1/30/2024) indicated that Pt. #1 was at risk for pressure injuries with a Braden score of 12 (scores less than 18 = at risk). Pt. #1 was noted to be completely dependent for ambulation, transferring, toileting, bathing, dressing, and eating and had difficulty with communication and swallowing. Physician’s orders to administer Juven Supplement Packet twice a day were placed on 2/1/2024, at 10:00 AM and continued until discharge on 2/24/2024. Nursing records from 2/1/2024-2/24/2024 were reviewed and lacked documentation that the supplements were administered as ordered on the following dates: - Only 1 packet administered (instead of 2 per day as ordered) on 2/2/2024-2/4/2024, 2/6/2024, 2/8/2024, 2/9/2024, 2/12/2024-2/14/2024, and 2/20/2024-2/21/2024. - No supplement administrations were documented on 2/7/2024 and 2/15/2024. - The record did not include documentation as to why the supplements were not administered on these dates. 4. An interview was conducted with the Charge Nurse of 2 South (E#6) on 4/24/2024, at approximately 9:00 AM. E#6 stated that the nurses are responsible for administering any ordered supplements. E#6 stated that the nurse should document in the record if and when the supplement was administered or document a reason why the supplement was not given.”

    Rule A0395. Standard-level. From a complaint.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Apr 24, 2024Complaint inspection1 deficiency cited

How do patients fare?

  • 10.5% of its patients returned home or to the community: worse than the national rate, as CMS compares it (Oct 1, 2023 to Sep 30, 2025).
  • Compared by CMS: potentially preventable readmissions within 30 days after discharge, no different than the national rate (23.32%); catheter urinary tract infections (CAUTI), better than the national benchmark (standardized infection ratio 0.329); central line bloodstream infections (CLABSI), no different than the national benchmark (standardized infection ratio 1.77); C. diff infections, better than the national benchmark (standardized infection ratio 0.495).
  • As CMS gives them: patients with one or more falls with major injury, 0.13%; patients with new or worsened pressure ulcers or injuries, 4.14%; patients successfully weaned from a ventilator, 65.12%; patients at or above an expected ability to care for themselves and move around at discharge, 27.14%; Medicare spending per patient (1 is the national median), 1.11.
Source:

CMS, Long-Term Care Hospital - Provider Data. Released Sep 23, 2026. Updated quarterly.

Is it certified?

  • Medicare-certified long-term care hospital since Mar 1, 2006.
  • Ownership: non-profit.
  • It is accredited by the Accreditation Commission for Health Care (ACHC), whose surveys stand in for the state’s routine inspections.
  • No deficiency on record in the last three years.
  • Non-profit.
Source:

CMS, Long-Term Care Hospital - General Information. Released Sep 23, 2026. Updated quarterly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Jul 15, 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 these facilities.
  • 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Jul 15, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Who does the caring?

  • CMS doesn’t publish staffing levels for these facilities.
  • 73.23% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Long-Term Care Hospital - Provider Data. Released Sep 23, 2026. Updated quarterly.

Who owns it?

  • Prime Healthcare Services, Inc. owns 100% directly since Mar 20, 2024.
  • 5 owners or officers are people: Steven Aleman (corporate officer); Steven Aleman (corporate director); Steven Aleman (managing employee (on the payroll)); Christopher Doan (corporate officer); Christopher Doan (managing employee (on the payroll)).
  • CMS’s Provider of Services file records 1 change of ownership, the latest on Jan 1, 2016.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Jul 15, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Prime Healthcare Services, Inc.Owns 5% or more directly100%Mar 20, 2024
Prime Healthcare Holdings Inc.Owns 5% or more through other companies100%Mar 20, 2024

How does it compare nearby?

  • Of the 4 long-term care hospitals CMS lists in Cook County, 4 have CMS’s comparison of their discharges to the community with the national rate: 3 no different than the national rate, 1 worse than the national rate.
  • CMS rates this one worse than the national rate for returning patients to the community.
Source:

CMS, Long-Term Care Hospital - Provider Data. Released Sep 23, 2026. Updated quarterly.

3 compared
PlaceDischarged to the community
Kindred Hospital - Chicago14.9
Rml Health Providers Limited Partnership11.7
Rush Specialty Hospital, LLC12.4

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for inpatient rehabilitation facilities or long-term care hospitals, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Many of these facilities 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 these facilities.

Sources

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.

Source:

This copy of the record was made on Oct 27, 2026.

From the facility

The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the facility 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 facility”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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