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

South Elgin Living & Rehab Center

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

746 West Spring Street, South Elgin, IL 6017790 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 22 Google reviews

5
4
3
2
1
South Elgin Living & Rehab Center Nursing Home in South Elgin, IL — Street View
Street View

Watch South Elgin Living & Rehab Center

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.

7/ 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 (2/5 stars)
  • Above-median deficiencies (17 vs median 11.0)
  • High RN turnover (62%)

Bottom 25% in IL · Meets national RN staffing standard · $274,601 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is currently undergoing a transition under new ownership, and experiences remain highly inconsistent. Before choosing this center, families should conduct an unannounced visit and specifically inquire about weekend staffing ratios and medication administration protocols, as these have been cited as significant safety concerns.

Google Reviews

Google Reviews

22 reviews on Google
South Elgin Living & Rehab Center receives highly polarized feedback, with recent reviews highlighting significant concerns regarding neglect, poor hygiene, and inadequate staffing. While some families praise specific staff members and the activities department, multiple reports describe a facility struggling with basic care, medication errors, and the loss of resident personal belongings.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean3.0Activities8.0Meds1.0MemoryN/AComms2.0Value1.0

Strengths

  • Dedicated activities director
  • Some individual staff members described as caring
  • Cleanliness noted in select positive reviews

Concerns

  • Neglect and slow response times for resident needs (mentioned by 4 reviewers)
  • Loss or theft of personal belongings (mentioned by 3 reviewers)
  • Poor food quality and lack of dietary accommodation (mentioned by 3 reviewers)
  • Inadequate or inconsistent medical/rehab care (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2342.0'17(1)1.51.0'21(2)5.03.5'23(8)2.03.2'25(5)1.0'26(1)

Distribution · 24 analyzed

5
10
4
1
3
1
2
2
1
10

How They Respond to Reviews

27%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your activities director; could you tell us more about the types of social events and daily programs available for residents?
  • 2How does the nursing team ensure that residents' calls for assistance are answered promptly, especially during the night shifts?
  • 3What specific steps are in place to ensure that medications are administered accurately and that any changes in a resident's health are communicated to the family immediately?
  • 4Could you describe the current dining program and how you manage specific dietary needs or nutritional preferences for each resident?
  • 5How does the facility manage the security of residents' personal belongings to prevent items from being misplaced?
  • 6What recent improvements have been made to the facility's cleaning protocols and overall maintenance of the resident rooms?

Personalized based on this facility's data


Key Review Excerpts

I was especially impressed by how dedicated she is to making sure residents are informed and supported when it comes to their voting rights—something that shows how deeply she values their voices and independence.

Visitor · 2025★★★★

On weekends they have agency nurses who often give you medications you no longer take.....dangerous!

Rehab patient · 2023☆☆☆☆

The facility is always very clean, and my aunt appears well cared for. She says all the staff are friendly and helpful, including nursing, caregivers, dietary and housekeeping.

Memory care family member · 2023★★★★★
Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.06hrs
OK
Registered nurses for medical care
Total Nursing
3.03hrs
74%
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
2/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility94.0%
Worse than Avg
Here
94.0%
US
12.1%
IL
52.5%
Kane
59.6%

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 Facility75.0%
Worse than Avg
Here
75.0%
US
93.4%
IL
90.0%
Kane
89.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.7%
Worse than Avg
Here
31.7%
US
15.3%
IL
15.9%
Kane
14.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.5%
Worse than Avg
Here
27.5%
US
19.5%
IL
18.3%
Kane
17.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.2%
Worse than Avg
Here
23.2%
US
15.4%
IL
21.8%
Kane
21.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.8%
Worse than Avg
Here
18.8%
US
14.4%
IL
14.2%
Kane
12.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility54.3%
Worse than Avg
Here
54.3%
US
81.8%
IL
69.0%
Kane
67.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
4penalties
Above state avg (12.0)
23 complaint-triggered
$274,601 in fines

This facility has a concerning pattern of complaint-triggered deficiencies, with families filing 19 reports that led to citations for serious issues including resident abuse protection, nursing staffing shortages, and medication management problems. The most recurring problems involve nursing services (repeated staffing violations), infection control, and medication safety, with many of these same issues appearing across multiple surveys from 2022 through 2024, suggesting persistent operational challenges despite corrections being reported.

Jul 8, 2025Complaint
1
0600Actual 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.

Sep 13, 2024Complaint
2
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Aug 14, 2024Complaint
1
0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Jun 13, 2024Complaint
2
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

May 31, 2024Routine
26
0758Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement 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.

0353Potential for harm · Widespread

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0133Potential for harm · WidespreadCorrected

Construction Deficiencies

Install a two-hour-resistant firewall separation.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

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.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0740Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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.

0689Potential for 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.

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.

0761Potential for harm · IsolatedCorrected

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.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Apr 25, 2024Complaint
8
0825Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0825Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Federal Penalties

Fine

Jul 8, 2025

$126,280

Payment Denial

Jul 8, 2025

36-day denial

Fine

Feb 1, 2024

$148,321

Payment Denial

Feb 1, 2024

152-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

South Elgin Living & Rehab Center

Organization Type

for profit

Chain Affiliation

Chain Name

Lineage Healthcare

Chain Size

5 facilities nationwide

Ownership & Management

Key personnel

Parkway Bank and Trust Company5% or Greater Security InterestBraunstein, EphraimManaging Control - Governing BodyDiena, AharonManaging Control - Governing BodyPetlin Holdings LLCManagerBraunstein, EphraimManager
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