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Nursing Home Top Rated

Oak Trace

Strong Medicare quality ratings; families often praise compassionate and friendly nursing staff. Still worth an in-person visit.

250 Village Drive, Downers Grove, IL 60516104 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 27 Google reviews

5
4
3
2
1
Oak Trace Nursing Home in Downers Grove, IL — Street View
Street View

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What this means for your family

Oak Trace offers an impressive physical environment and high-quality dining that many residents enjoy. However, recent reports of significant delays in staff response times and hygiene neglect are concerning; we strongly recommend touring the specific unit your loved one would occupy and asking about current staffing ratios for that floor.

Google Reviews

Google Reviews

27 reviews on Google
Oak Trace is frequently praised for its beautiful, clean facilities and a staff that many families describe as compassionate and attentive. While many reviewers highlight excellent rehabilitation services and high-quality dining, there are serious reports of inconsistent care, specifically regarding slow response times to call lights and hygiene issues for residents requiring assistance.

Quality Themes

Tap a score for details
Food9.0Staff7.0Clean9.0Activities8.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Compassionate and friendly nursing staff
  • Clean, well-maintained facility environment
  • High-quality dining and food variety
  • Effective rehabilitation therapy programs

Concerns

  • Slow response times to call lights (mentioned by 2 reviewers)
  • Inadequate hygiene assistance for dependent residents (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(3)'22(1)'24(2)'26(2)

Distribution · 30 analyzed

5
23
4
1
3
0
2
0
1
6

How They Respond to Reviews

63%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed that Oak Trace has a high volume of rehabilitation therapy programs; how are these integrated into the daily routine for residents who aren't there strictly for short-term recovery?
  • 2With 104 residents in the facility, what is your current protocol for ensuring that call lights are answered promptly and that residents receive consistent assistance with daily hygiene needs?
  • 3I see that you actively engage with feedback online; how does your leadership team use family input to improve communication and keep us updated on our loved one's care?
  • 4Given the CMS health inspection and staffing ratings, what specific steps is the facility taking to address the recent state violations and ensure consistent, high-quality care?
  • 5What does a typical day look like for residents in terms of social engagement and activities, and how do you encourage those who might be more hesitant to participate?
  • 6In the event of a medical emergency, what is your process for stabilizing a resident and how quickly do you communicate those incidents to family members?

Personalized based on this facility's data


Key Review Excerpts

The entire staff, from walking in and being greeted by Cheryl to all the nurses, PT, OT, wait staff, CNAs, etc, and of course the residents all have smiles on their faces greeting you.

Memory care family member · 2025★★★★★

Everytime she hits her light it's a minimum 15min before anyone comes to the door. She has sat in her own feces for over 30min waiting to be changed

Long-term resident's family · 2025☆☆☆☆

My father-in-law entered Oak Trace last spring for rehabilitation after a stroke. He liked the staff and their concern for his health so much that, after rehab, he decided to stay in the assisted living area.

Long-term resident's family · 2023★★★★★
Source: 27 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.58hrs
OK
Registered nurses for medical care
Total Nursing
4.31hrs
OK
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
17%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
12.1%
IL
52.5%
Du page
55.3%

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 Facility2.3%
Better than Avg
Here
2.3%
US
19.5%
IL
18.3%
Du page
17.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
15.4%
IL
21.8%
Du page
25.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IL
90.0%
Du page
91.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IL
91.8%
Du page
93.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.9%
Worse than Avg
Here
19.9%
US
15.3%
IL
15.9%
Du page
12.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.9%
Better than Avg
Here
95.9%
US
81.8%
IL
69.0%
Du page
74.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.9%
Better than Avg
Here
89.9%
US
79.7%
IL
63.1%
Du page
73.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
IL
2.4%
Du page
2.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Near state avg (12.0)
2 complaint-triggered
$13,780 in fines

Oak Trace has faced recurring issues with fire safety systems, nutrition services, and accident prevention across multiple inspections, though all deficiencies show correction dates. Families filed complaints that triggered investigations into accident hazards and abuse reporting procedures. The most recent January 2025 survey found problems with medication management, wound care, nutrition, and resident rights, indicating ongoing challenges with basic care quality despite previous corrections.

Jan 17, 2025Routine
12
0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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.

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.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

May 20, 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.

Feb 16, 2024Routine
12
0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0916Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0690Potential for 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.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 28, 2023Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Mar 10, 2023Routine
5
0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

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.

Federal Penalties

Fine

Jan 17, 2025

$13,780

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oak Trace

Organization Type

for profit

Chain Affiliation

Chain Name

Lifespace Communities

Chain Size

16 facilities nationwide

Chain avg rating: 4.0/5 · Rank 1 of 16 (Best)

Ownership & Management

Owners

Lifespace Communities INC

Owner · Organization

100%

Key personnel

Karl, CourtneyW-2 Managing EmployeeBlackford, GaryOfficer / DirectorDarkey-Hrinya, JoyceOfficer / DirectorDutra, AnaOfficer / DirectorFields, VenitaOfficer / Director
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.

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