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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Fostering a bright and friendly environment, Oak Trace settling in the quiet grounds of Village Drive, Downers, Grove, IL, is a trusted continuing care retirement community that offers assisted living, independent living, and memory care. Keep your peace of mind with a kind and compassionate team helping you with your daily activities and needs. Live in comfort and convenience with various care options available in Oak Trace.
Stay active and well-connected with a jam-packed calendar of carefully curated fun activities that focus on residents’ interests and strengths. Oak Trace strives to provide a safe place for seniors to feel a sense of belonging within its premises. Amenities include an art studio, a library, a fitness center, and serene walking paths.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 38th out of 167 homes in Illinois for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 30m per day | ▲ 105% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 8m per day | ▼ 79% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 33m per day | ▲ 20% State avg: 2h 8m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 40m per day | ▲ 19% State avg: 3h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 133% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 16m per day | ▲ 124% State avg: 34m per day · National avg: 28m per day |
Lower than the Illinois average: 69.3%Oak Trace is legally operated by Lifespace Communities, Inc..
In Illinois, the Department of Public Health, Office of Health Care Regulation conducts annual unannounced surveys to assess compliance with state and federal healthcare facility standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Illinois state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IL Average | vs. IL Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 28 | 7 | This facility has 300% more total deficiencies than a typical Illinois nursing home (28 vs. IL avg 7).↑ 300% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 9.3 | 2.3 | This facility has 304% more deficiencies per year than a typical Illinois nursing home (9.3 vs. IL avg 2.3).↑ 304% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.8 | 0.9 | This facility has 211% more deficiencies per inspection than a typical Illinois nursing home (2.8 vs. IL avg 0.9).↑ 211% worse |
Inspections
| This Facility | IL Average | vs. IL Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 8 | This facility has 25% more total inspections than a typical Illinois nursing home (10 vs. IL avg 8).↑ 25% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Illinois average 10.4
Last Health inspection on Jan 2025
Illinois average 36.8
Illinois average 3.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 17 citations resulted from standard inspections; and 2 of 17 resulted from complaint investigations.
100% better than Illinois averageIllinois average: 0.7
44% better than Illinois averageIllinois average: 3.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Illinois average
12% better than Illinois average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 44 RN Staff are full-time employees. No contractors work on this role.
44
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
All 5 LPN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursHelps with daily care and mobility.
All 83 CNA Staff are full-time employees. No contractors work on this role.
83
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,506 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 83 | 0 | 83 | 23,699 | 92 | 100% | 9 |
| Registered Nurse | 44 | 0 | 44 | 11,622 | 92 | 100% | 9.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,476 | 64 | 70% | 8 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,463 | 91 | 99% | 7.2 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,349 | 76 | 83% | 10.1 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 1,159 | 90 | 98% | 7.2 |
| Dental Services Staff | 2 | 0 | 2 | 968 | 65 | 71% | 7.9 |
| Qualified Social Worker | 0 | 4 | 4 | 889 | 70 | 76% | 6.8 |
| Physical Therapy Aide | 0 | 4 | 4 | 886 | 77 | 84% | 7.2 |
| Physical Therapy Assistant | 0 | 7 | 7 | 741 | 72 | 78% | 6.9 |
| Occupational Therapy Aide | 0 | 2 | 2 | 704 | 63 | 68% | 8 |
| Speech Language Pathologist | 0 | 5 | 5 | 664 | 77 | 84% | 6.2 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 1 | 1 | 2 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Feeding Assistant | 0 | 1 | 1 | 160 | 29 | 32% | 5.5 |
| Medical Director | 0 | 1 | 1 | 36 | 12 | 13% | 3 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 28 | 45 | 49% | 0.6 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
90% lower than Illinois averageIllinois average: $143K
66% fewer fines than Illinois averageIllinois average: 3.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Illinois averageIllinois average: 1.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 17, 2025 · $14K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 17, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
46% worse than Illinois averageIllinois average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.0
13% worse than Illinois averageIllinois average: 18.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.1%
9% better than Illinois averageIllinois average: 15.5%
Percent of long-stay residents whose ability to move independently worsened
32.2%
75% worse than Illinois averageIllinois average: 18.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.6%
23% better than Illinois averageIllinois average: 21.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
60% worse than Illinois averageIllinois average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
10.2%
93% worse than Illinois averageIllinois average: 5.3%
Percent of long-stay residents with a urinary tract infection
0.4%
78% better than Illinois averageIllinois average: 1.8%
Percent of long-stay residents who lose too much weight
9.0%
38% worse than Illinois averageIllinois average: 6.5%
Percent of long-stay residents who have depressive symptoms
1.2%
97% better than Illinois averageIllinois average: 48.1%
Percent of long-stay residents who received an antipsychotic medication
8.5%
58% better than Illinois averageIllinois average: 20.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
In line with Illinois averageIllinois average: 89.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
9% better than Illinois averageIllinois average: 91.6%
Number of hospitalizations per 1,000 long-stay resident days.
1.86
9% better than Illinois averageIllinois average: 2.04
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
66% better than Illinois averageIllinois average: 2.25
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.8%
29% better than Illinois averageIllinois average: 68.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
62% better than Illinois averageIllinois average: 2.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.9%
43% better than Illinois averageIllinois average: 63.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.2%
11% better than Illinois averageIllinois average: 26.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.3%
26% better than Illinois averageIllinois average: 14.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
64% better than Illinois averageIllinois average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
83.5%
56% better than Illinois averageIllinois average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.6%
28% better than Illinois averageIllinois average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
52% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
99Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Oak Trace based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 166Payroll — State benchmarkedThis home is ranked 2nd out of 166 homes in Illinois for payroll. Shows total annual staff payroll benchmarked to the Illinois average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Building Type: Mid-rise
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
3.9 miles from city center
Estimated distance in miles from Downers Grove's city center to Oak Trace's address, calculated via Google Maps.
Add your location
Oak Trace is located in Downers Grove, Illinois.
Here are the financial assistance programs available to residents in Illinois.
Oak Trace is in the Oak Trace neighborhood of Downers Grove.
The legal owner and operator of Oak Trace is Lifespace Communities, Inc..
Oak Trace has a walk score of 35. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IL state health department records, Oak Trace's license number is 5106734.
According to IL state health department records, Oak Trace's license expires on March 10, 2026.
Oak Trace's occupancy is 29%.
The team at Oak Trace can be reached at [email protected].
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