Nursing HomeInspections

Oak Trace

Nursing home in Downers Grove, IL

Medicare-certified5★ overall (CMS)

Call (630) 769-6200Send a messageMap ↗

Public-record details

Address
250 Village Drive, Downers Grove, IL 60516
Phone
(630) 769-6200
Listed under
Nonprofit, 4–5 star overall rating, Part of a retirement community
Medicare CCN
145804
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measures rating
5 of 5
Certified beds
104
Average residents per day
101
Ownership
Nonprofit, corporation
Legal business name
Lifespace Communities INC
Chain
Lifespace Communities (15 facilities)
Certified for
Medicare
First approved by Medicare/Medicaid
Sep 1, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 145804. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 20, 2026. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 16, 2024 to Mar 20, 2026): 1 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 20, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jan 17, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 17, 2025Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 17, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 17, 2025Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 17, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 17, 2025Notify 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Jan 17, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jan 17, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Jan 17, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		G
Actual harm, isolated
May 20, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Feb 16, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 16. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $13,780 in the last three years.

Jan 17, 2025Fine: $13,780

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.30 hours
Registered nurse (RN) time per resident per day
1.57 hours
Nurse aide time per resident per day
2.59 hours
Total nurse staffing on weekends
3.84 hours
Nursing staff turnover (yearly)
39%
RN turnover (yearly)
17%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Downers Grove

The Pearl of Downers Grove3450 Saratoga Avenue · Downers Grove, IL 60515 · (630) 969-2900 · For-profit58 health citations in 3 inspection cycles · last standard inspection Apr 14, 2025 · $30,794 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Downers Grove →