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Nursing HomeMedicaid Investigative

Generations at Regency

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

6631 Milwaukee Avenue, Niles, IL 60714254 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 141 Google reviews

5
4
3
2
1
Generations at Regency Nursing Home in Niles, IL — Street View
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1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)

Above average in IL · Below recommended RN staffing · Below chain average · $51,194 in fines

Source: Medicare data

What this means for your family

While the facility is praised for its cleanliness and rehabilitation therapy, there is a concerning pattern of neglect and poor communication reported by families. We strongly advise you to visit during off-hours and weekends to observe actual staffing levels and response times, rather than relying on the high volume of positive reviews from student clinical programs.

Google Reviews

Google Reviews

141 reviews on Google
Generations at Regency presents a polarized experience, with a high volume of positive reviews from CNA students praising the facility as a clean and educational environment. However, family members and residents report serious concerns regarding neglect, poor communication, medication errors, and slow response times to basic needs. Prospective families should look past the student-focused feedback and investigate the actual quality of daily patient care.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean8.0ActivitiesN/AMeds1.0MemoryN/AComms2.0Value2.0

Strengths

  • Clean and well-maintained facility
  • Supportive environment for nursing students
  • Strong rehabilitation and therapy programs
  • Welcoming atmosphere for short-term stays

Concerns

  • Neglect and slow response times to patient needs (mentioned by 6 reviewers)
  • Medication management errors (mentioned by 2 reviewers)
  • Poor communication with family members (mentioned by 3 reviewers)
  • Rude or unprofessional staff behavior (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'19(11)'21(50)'23(11)'25(4)'26(6)

Distribution · 145 analyzed

5
80
4
24
3
9
2
6
1
26
13 reviews posted between Jan 10, 2021Jan 16, 2021 · average 4.2

How They Respond to Reviews

13%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that staffing levels are a priority for us, could you walk us through the current nurse-to-resident ratios and how you ensure timely responses to call lights throughout the day and night?
  • 2We understand that medication management is a critical part of care; what specific protocols and double-check systems do you have in place to ensure medications are administered accurately?
  • 3How does your leadership team facilitate consistent and proactive communication with family members regarding changes in a resident's health or care plan?
  • 4With your facility's strong focus on rehabilitation and therapy, how do you integrate these services into the daily routine for residents who are here for long-term care?
  • 5Could you share how you foster a positive and professional culture among your staff to ensure that every resident feels treated with kindness and respect?
  • 6What steps are you taking to improve the dining experience and ensure that residents are satisfied with the quality and variety of their daily meals?

Personalized based on this facility's data


Key Review Excerpts

My grandmother was neglected at this facility, and she ultimately lost her life after what happened there. She fell and was left on the floor for hours, screaming for help. No one responded.

Memory care family member · 2026☆☆☆☆

My mom went from her own room to a room with 3 other women! In a corner with no window or light! No more therapy or restorative care. She died a few weeks later and got a bill over 10,000!

Long-term resident's family · 2024☆☆☆☆

My brother has lived here since before Covid. He is healthier than he has been in 10 years. He says the staff are wonderful to him and even though he is an hour away from family, he won’t move closer.

Long-term resident's family · 2023★★★★★
Source: 141 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.67hrs
89%
Registered nurses for medical care
Total Nursing
3.60hrs
88%
All nurses + aides combined
Staff Turnover
25%
Lower is better (< 30% = good)
RN Turnover
21%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.3%
Mixed vs Avgs
Here
14.3%
US
12.1%
IL
52.5%
Cook
74.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IL
90.0%
Cook
85.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
15.4%
IL
21.8%
Cook
24.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IL
91.8%
Cook
87.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
19.4%
IL
21.1%
Cook
17.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.3%
Mixed vs Avgs
Here
11.3%
US
19.5%
IL
18.3%
Cook
10.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
81.8%
IL
69.0%
Cook
55.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
79.7%
IL
63.1%
Cook
55.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
US
1.6%
IL
2.4%
Cook
2.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
3penalties
Near state avg (12.0)
8 complaint-triggered
$51,194 in fines

Families have filed complaints that led to serious deficiencies including one harm-level violation for inappropriate treatment and care, plus repeated concerns about resident safety and protection from abuse. The facility shows persistent problems across accident prevention (cited multiple times), care planning, and fire safety systems, though all violations have been reportedly corrected. Given the pattern of complaint-triggered investigations and recurring safety issues, families should visit carefully and ask specific questions about current safety protocols and care oversight.

Feb 5, 2026Complaint
1
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Dec 18, 2025Complaint
1
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Apr 11, 2025Routine
16
0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0311Potential for harm · Widespread

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0776Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 9, 2025Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Oct 13, 2024Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 24, 2024Routine
21
0311Potential for harm · Widespread

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure 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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure 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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Federal Penalties

Fine

Dec 18, 2025

$276,125

Fine

Apr 11, 2025

$25,625

Fine

Oct 26, 2023

$26,010

Ownership & Operations

Who Operates This Facility

Owner / Operator

Generations at Regency

Organization Type

for profit

Chain Affiliation

Chain Name

Generations Healthcare Network

Chain Size

7 facilities nationwide

Chain avg rating: 3.8/5 · Rank 22 of 33

Ownership & Management

Owners

Barrish Group Limited Partnership

Owner · Organization

12%

Ralph Gesualdo Childrens Trust

Owner · Organization

12%

Barrish, Bryan

Owner

12%

Gesualdo, Ralph

Owner

12%

Giannini, Michael

Owner

10%

Key personnel

Salgado, SuddyW-2 Managing EmployeeBergthold, LouiseOfficer / DirectorWinter, ThomasOfficer / DirectorAtied Associates LLCManagerBarrish Group Limited PartnershipManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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