Nexus at Berwyn
3601 SOUTH HARLEM AVENUE, BERWYN, IL 60402 · CCN 145070
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 145
- Avg residents/day
- 129.7
- Phone
- 7087494160
Inspection history vs Illinois & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Illinois avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-28 | 24 | 12.2 | 9.5 | +11.8 worse |
| 2 | 2024-04-25 | 21 | 12.7 | 9.8 | +8.3 worse |
| 3 | 2022-12-02 | 10 | 13.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 12 |
| Resident rights | 6 |
| Pharmacy service | 2 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.20 | 67.5% |
| RN staffing (reported) | 0.41 | 83.9% |
| Total nurse staffing (adjusted) | 2.55 | — |
Fines & penalties
- Total fines
- $231,957
- Number of fines
- 4
- Number of penalties
- 5
- Payment denials
- 1
Chain
- Chain
- LEGACY HEALTHCARE
- Facilities in chain
- 90
- Chain avg overall
- 3.00 / 5
Inspection citations (55)1 immediate jeopardy8 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2026-01-30 · Health · corrected 2026-01-31
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2026-01-30 · Health · corrected 2026-01-31
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2026-01-30 · Health · corrected 2026-01-31
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2026-01-30 · Health · corrected 2026-01-31
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-30 · Health · corrected 2026-01-31
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-30 · Health · corrected 2025-12-31
Immediate jeopardy
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-12-22 · Health · corrected 2025-12-23
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-12-12 · Health · corrected 2025-12-13
Potential for more than minimal harm
- GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-12 · Health · corrected 2025-12-13
Actual harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-30 · Health · corrected 2025-10-03
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-11 · Health · corrected 2025-09-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-01 · Health · corrected 2025-07-02
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-07-01 · Health · corrected 2025-07-02
Actual harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-06-09 · Health · corrected 2025-06-10
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-06-09 · Health · corrected 2025-06-10
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-17 · Health · corrected 2025-04-18
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-22 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-02-28 · Health · corrected 2025-03-03
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-28 · Health · corrected 2025-03-03
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-28 · Health · corrected 2025-03-03
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-02-28 · Health · corrected 2025-03-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-28 · Health · corrected 2025-03-03
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-02-28 · Health · corrected 2025-03-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-02-28 · Health · corrected 2025-03-03
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-22 · Health · corrected 2025-01-23
Actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-12-23 · Health · corrected 2024-12-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-13 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-13 · Health · corrected 2024-09-20
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-16 · Health · corrected 2024-07-22
Actual harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-07-08 · Health · corrected 2024-07-22
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-08 · Health · corrected 2024-07-22
Potential for more than minimal harm
- GF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-07-08 · Health · corrected 2024-07-22
Actual harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-04-25 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-25 · Health · corrected 2024-05-07
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-25 · Health · corrected 2024-05-07
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-25 · Health · corrected 2024-05-07
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-04-25 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-04-25 · Health · corrected 2024-05-07
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-04-25 · Health · corrected 2024-05-07
Potential for more than minimal harm
- FF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-04-25 · Health · corrected 2024-05-07
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-04-25 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-12 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-12 · Health · corrected 2024-04-19
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-12 · Health · corrected 2024-04-19
Actual harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-30 · Health · corrected 2023-06-14
Actual harm
- DF0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.2023-05-30 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2023-05-30 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-30 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2022-12-02 · Health · corrected 2022-12-14
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-02 · Health · corrected 2022-12-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-02 · Health · corrected 2022-12-14
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-12-02 · Health · corrected 2022-12-14
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-02 · Health · corrected 2022-12-14
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-12-02 · Health · corrected 2022-12-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2019-02-01 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2018-02-01 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-01 |
| RAJCHENBACH, CHAIM | Individual | CORPORATE OFFICER | — | 2019-02-01 |
| SHABAT, MENACHEM | Individual | CORPORATE OFFICER | — | 2019-02-01 |
| SEIFER, GIANNI | Individual | W-2 MANAGING EMPLOYEE | — | 2022-03-21 |
Other facilities in BERWYN
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.