TRI-STATE VILLAGE NRSG & RHB
2500 EAST 175TH STREET, LANSING, IL 60438 · CCN 145879
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 84
- Avg residents/day
- 77.7
- Phone
- 7084747330
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 | 2025-04-30 | 19 | 12.2 | 9.5 | +6.8 worse |
| 2 | 2024-04-26 | 12 | 12.7 | 9.8 | -0.7 better |
| 3 | 2023-01-19 | 25 | 13.1 | 9.3 | +11.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 9 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 2 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.25 | 39.7% |
| RN staffing (reported) | 0.62 | 40.0% |
| Total nurse staffing (adjusted) | 2.07 | — |
Fines & penalties
- Total fines
- $208,847
- Number of fines
- 4
- Number of penalties
- 7
- Payment denials
- 3
Chain
- Chain
- ATIED ASSOCIATES
- Facilities in chain
- 13
- Chain avg overall
- 2.50 / 5
Inspection citations (56)1 immediate jeopardy10 actual harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-17 · Health · corrected 2025-12-05
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-27 · Health · corrected 2025-09-05
Potential for more than minimal harm
- FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-08-27 · Health · corrected 2025-09-05
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-04-30 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-30 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-30 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-30 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-30 · Health · corrected 2025-05-23
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2025-04-30 · Health · corrected 2025-05-23
Actual harm
- CF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-30 · Health · corrected 2025-05-23
Potential for minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-04-30 · Health · corrected 2025-05-23
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-30 · Health · corrected 2025-05-23
Potential for more than minimal harm
- EF0761Ensure 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.2025-04-30 · Health · corrected 2025-05-23
Potential for more than minimal harm
- CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-04-30 · Health · corrected 2025-05-23
Potential for minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-04-30 · Health · corrected 2025-05-23
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.2025-04-30 · Health · corrected 2025-05-23
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-04-30 · Health · corrected 2025-05-23
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-23 · Health · corrected 2025-04-23
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-13 · Health · corrected 2025-03-28
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.2024-11-07 · Health · corrected 2024-11-30
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-11-07 · Health · corrected 2024-11-30
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-11 · Health · corrected 2024-08-29
Actual harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-28 · Health · corrected 2024-07-25
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-28 · Health · corrected 2024-07-25
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-28 · Health · corrected 2024-07-25
Actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-26 · Health · corrected 2024-05-20
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-26 · Health · corrected 2024-05-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-26 · Health · corrected 2024-05-20
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.2024-04-26 · Health · corrected 2024-05-20
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.2024-04-26 · Health · corrected 2024-05-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-04-26 · Health · corrected 2024-05-20
Potential for more than minimal harm
- CF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-02-09 · Health · corrected 2024-03-08
Potential for minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-09 · Health · corrected 2024-03-08
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-09 · Health · corrected 2024-03-08
Actual harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-09 · Health · corrected 2024-03-08
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-09 · Health · corrected 2024-03-08
Actual harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-09 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-09 · Health · corrected 2024-03-08
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.2023-12-06 · Health · corrected 2023-12-30
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-06 · Health · corrected 2023-12-30
Potential for more than minimal harm
- GF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-12-06 · Health · corrected 2023-12-30
Actual harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-12 · Health · corrected 2023-11-06
Actual harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-27 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-13 · Health · corrected 2023-08-06
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-07-13 · Health · corrected 2023-08-06
Actual harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-12 · Health · corrected 2023-06-30
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.2023-06-12 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-01-19 · Health · corrected 2023-01-25
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.2023-01-19 · Health · corrected 2023-01-25
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-19 · Health · corrected 2023-01-25
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-19 · Health · corrected 2023-01-25
Actual harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-01-19 · Health · corrected 2023-01-25
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2023-01-19 · Health · corrected 2023-01-25
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-01-19 · Health · corrected 2023-02-06
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-19 · Health · corrected 2023-02-06
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2023-01-19 · Health · corrected 2023-02-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ATIED ASSOCIATES LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2018-12-01 |
| LIPSHITZ, RITA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2018-12-01 |
| MASHIACH, RHONDA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2018-12-01 |
| MASHIACH, YAACOV | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2018-12-01 |
| MASHIACH, YECHIEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2018-12-01 |
| ASADULLAH, KHAJA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| MASHIACH, YAACOV | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| MASHIACH, YECHIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| MASHIACH, YEHOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| GEMINO HEALTHCARE FINANCE LLC | Organization | 5% OR GREATER SECURITY INTEREST | — | 2023-03-31 |
Other facilities in LANSING
| 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.