See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Nexus at Berwyn

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

3601 South Harlem Avenue, Berwyn, IL 60402145 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 149 Google reviews

5
4
3
2
1
Nexus at Berwyn Nursing Home in Berwyn, IL — Street View
Street View

Watch Nexus at Berwyn

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

8/ 10
critical Risk

Quality Concerns Identified

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

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (24 vs median 11.0)
  • High staff turnover (68%)
  • High RN turnover (84%)

Bottom 25% in IL · Below recommended RN staffing · Worst in LEGACY HEALTHCARE chain · $231,957 in fines · Abuse citation

Source: Medicare data

What this means for your family

While the facility has a strong reputation for its rehabilitation therapy team, the recent trend of reviews indicates severe operational issues, particularly regarding front-desk communication and basic resident care. If you are considering this facility, we strongly recommend visiting in person to observe staffing levels and asking for a direct contact number for nursing management, as many families report being unable to reach their loved ones.

Google Reviews

Google Reviews

149 reviews on Google
Nexus at Berwyn (formerly The Grove of Berwyn, now Zahav of Berwyn) receives highly polarized feedback, with many families praising the rehab therapy team and specific staff members for their kindness. However, a significant number of reviewers report severe issues, including chronic understaffing, poor communication, unresponsiveness to phone calls, and concerns regarding basic hygiene and patient safety.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean4.0Activities5.0Meds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Effective rehabilitation therapy programs
  • Many individual staff members described as caring and professional
  • Helpful social services department
  • Clean and welcoming environment (noted by some)

Concerns

  • Chronic understaffing leading to neglect (mentioned by 12 reviewers)
  • Unresponsive to phone calls and communication (mentioned by 11 reviewers)
  • Unsanitary conditions and odors (mentioned by 6 reviewers)
  • Inadequate medication management (mentioned by 4 reviewers)
  • Rude or unprofessional front desk/administrative staff (mentioned by 7 reviewers)

Rating Trends

Tap a year to see what changed

234'17(5)'19(12)'21(15)'23(36)'25(14)'26(2)

Distribution · 131 analyzed

5
72
4
10
3
2
2
0
1
47
11 reviews posted between Jul 31, 2023Aug 3, 2023 · 9 were 5-star

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that Nexus at Berwyn is very active in responding to online feedback; how does that commitment to communication translate into how you keep families updated on their loved one's daily status?
  • 2Given the current staffing levels, what specific protocols are in place to ensure that residents receive timely assistance with personal care and hygiene throughout the day and night?
  • 3I understand that medication management is a high priority; could you walk me through your process for ensuring medications are administered accurately and on time?
  • 4How do you maintain the cleanliness and air quality of the facility, especially in common areas and resident rooms, to ensure a comfortable environment for everyone?
  • 5What does a typical day look like for a resident here, and how do you encourage participation in activities to ensure they stay engaged and social?
  • 6In the event of a medical concern or emergency, what is your protocol for notifying family members, and how quickly can we expect a response from your administrative team?

Personalized based on this facility's data


Key Review Excerpts

The Nurses were so caring and friendly, Rehab employees and Aides helped with everything, and even the

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

I’m updating it because what has happened since my dad’s stroke and death. I called multiple times to try to speak to my dad’s social worker in order to set up a time to gather my dad’s belongings.

Memory care family member · 2024☆☆☆☆

The staff is so friendly. I like it here. I haven’t had any issues and when I do, they are taken care of immediately. The staff makes me feel heard.

Long-term resident · 2023☆☆☆☆
Source: 149 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
66%
Registered nurses for medical care
Total Nursing
3.12hrs
76%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
78%
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
4/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility99.3%
Worse than Avg
Here
99.3%
US
12.1%
IL
52.5%
Cook
73.2%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
19.5%
IL
18.3%
Cook
10.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
19.4%
IL
21.1%
Cook
17.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility84.3%
Worse than Avg
Here
84.3%
US
95.5%
IL
91.8%
Cook
88.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.0%
Worse than Avg
Here
20.0%
US
15.3%
IL
15.9%
Cook
8.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.0%
Mixed vs Avgs
Here
16.0%
US
15.4%
IL
21.8%
Cook
24.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility48.2%
Worse than Avg
Here
48.2%
US
81.8%
IL
69.0%
Cook
56.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility49.3%
Worse than Avg
Here
49.3%
US
79.7%
IL
63.1%
Cook
55.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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

22deficiencies
5penalties
Well above state avg (12.0)
39 complaint-triggered
$231,957 in fines

Multiple families have filed complaints about this facility, which faces recurring problems with accident prevention, medication management, and maintaining safe environments. The facility has persistent issues ensuring resident areas remain free from hazards, with this problem appearing repeatedly across multiple surveys and complaint investigations. While all deficiencies show correction dates, the pattern of repeated violations in core safety areas suggests ongoing challenges in maintaining consistent standards of care and environmental safety.

Mar 13, 2026Complaint
1
0678Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Jan 30, 2026Complaint
5
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.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Dec 30, 2025Complaint
1
0689Immediate jeopardy · 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.

Dec 22, 2025Complaint
1
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Dec 12, 2025Complaint
2
0690Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

Sep 30, 2025Complaint
1
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.

Federal Penalties

Fine

Jul 1, 2025

$11,349

Fine

Jan 16, 2025

$12,425

Fine

Apr 12, 2024

$140,530

Payment Denial

Apr 12, 2024

74-day denial

Fine

May 30, 2023

$61,542

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nexus at Berwyn

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Chain avg rating: 3.0/5 · Rank 77 of 89 (Worst)

Ownership & Management

Owners

Doros Generation Trust U/a/d 1/3/12

Owner · Organization

50%

Gpn Fam Tr Ua 04282008

Owner · Organization

50%

Key personnel

Seifer, GianniW-2 Managing EmployeeRajchenbach, ChaimOfficer / DirectorShabat, MenachemOfficer / DirectorLegacy Healthcare Financial Services LLCManager
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.

Call