Nexus at Berwyn

BERWYN, IL • CMS Certification: 145070

  • Date Updated: May 01, 2026
  • Overall Rating: 1 Stars
  • Address: 3601 SOUTH HARLEM AVENUE, BERWYN IL 60402
  • Phone: 7087494160

About Nexus at Berwyn

Nexus At Berwyn, located in BERWYN, IL, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Nexus at Berwyn

Key Performance Indicators

  • CMS Overall Rating 1 Stars
  • Nursing Hours 3.12 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the LEGACY HEALTHCARE network. This chain operates 89 facilities.

Chain Performance Overview

Inspection
2.9
Staffing
2.6
Quality
3.4

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Below Average Staffing

Nexus at Berwyn provides less care hours than the state average and less than the national average.

Registered Nurses (RN)

0.49 hrs/day
State: 0.72 US: 0.68
Case Mix Adj: 0.85
Quality Adj: 0.39

Licensed Practical Nurses

1.47 hrs/day
State: 1.36 US: 1.54
Case Mix Adj: 1.08
Quality Adj: 0.78

Certified Assistants

1.64 hrs/day
State: 2.12 US: 2.33
Case Mix Adj: 2.92
Quality Adj: 1.30

CMS Quality Ratings

Category Rating Stars
Overall Rating 1
Health Inspection 1
Quality Measures 4
Staffing 1

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 207 Feb 28, 2025
Weighted Average 214 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 29.9%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 6.6%
Number of hospitalizations per 1000 long-stay resident days (QM551) 1.9%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) 0.3%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 10.1%
Percentage of long-stay residents who lose too much weight (QM404) 3.9%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 0.5%
Percentage of long-stay residents with a urinary tract infection (QM407) 0.4%
Percentage of long-stay residents who have depressive symptoms (QM408) 99.3%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 1.7%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 85.3%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 48.2%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 0.0%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 20.0%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 7.8%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 84.3%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 49.3%
Percentage of long-stay residents with pressure ulcers (QM479) 5.6%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 28.6%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 16.0%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 4 complaints
  • 2024: 13 complaints
  • 2025: 16 complaints
  • 2026: 6 complaints
  • Total: 39 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Mar 14, 2026 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 31, 2026 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jan 31, 2026 Ensure that residents are fully informed and understand their health status, care and treatments.
Jan 31, 2026 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jan 31, 2026 Keep residents' personal and medical records private and confidential.
Jan 31, 2026 Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 31, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 23, 2025 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Dec 13, 2025 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Dec 13, 2025 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.
Oct 03, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 12, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jul 02, 2025 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jul 02, 2025 Provide safe, appropriate pain management for a resident who requires such services.
Jun 10, 2025 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.
Jun 10, 2025 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Apr 18, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 24, 2025 Provide safe and appropriate respiratory care for a resident when needed.
Mar 03, 2025 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Mar 03, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 23, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 17, 2025 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Dec 24, 2024 Ensure residents have reasonable access to and privacy in their use of communication methods.
Sep 20, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Sep 20, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 22, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jul 22, 2024 Plan the resident's discharge to meet the resident's goals and needs.
Jul 22, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jul 22, 2024 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.
May 07, 2024 Ensure medication error rates are not 5 percent or greater.
May 07, 2024 Provide care and assistance to perform activities of daily living for any resident who is unable.
May 07, 2024 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Apr 19, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 19, 2024 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 19, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jun 14, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 14, 2023 Prepare residents for a safe transfer or discharge from the nursing home.
Jun 14, 2023 Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Jun 14, 2023 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Owner & Operator Information

Business Entity

BERWYN SKILLED NURSING FACILITY LLC

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Related Analysis

Best Nursing Homes in BERWYN, IL

Compare Nexus at Berwyn to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Nexus at Berwyn has a 1-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 3.12 hours per resident daily, compared to the national average of 3.87 hours.

Nexus at Berwyn is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 145 certified beds.

Nexus at Berwyn accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Nexus at Berwyn directly at 7087494160. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Nexus at Berwyn, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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