ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes
B

76/100

Above average

Smith Crossing

10501 Emilie Lane, Orland Park, IL 60467

CMS 4/5 stars #43 of 202 in Cook County (708) 326-2300
Certified beds
92
Occupancy
88%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $30,713 in federal fines

    CMS has fined this facility across 1 penalty action(s).

Our read on Smith Crossing

Smith Crossing has real nursing hours behind it, 5.43 per resident day, roughly 41% above the national average, and that's the strongest thing in its file. It's a nonprofit home in Orland Park with a 5-star federal staffing rating, though weekend coverage dips about 7% below its own weekday level, and turnover sits at 54.1% against a national 45.8%, so the faces change often. The inspection record is where the picture darkens. Thirty-two deficiencies on the current record, four of them at harm or jeopardy level, one abuse-related, and two fines totaling $125,906. The last inspection was June 2025. Strong staffing, a 3-star inspection rating, and a 2-star quality measure score don't point the same direction, and families should ask which one reflects the days their relative will actually live there.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing29/30Stability9/15Outcomes5/15Enforcement3/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →5.39 total nurse hours per resident per day (national median 3.77)
  • →1.29 RN hours per resident per day
  • →Weekend staffing drops 7% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →54% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →2 of 5 stars on the CMS quality-measure rating

Enforcement history

3/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$30,713 in federal fines across 1 action(s)
  • →-2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day5.43 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours1.29 hrs
National average 0.69 hrsBetter than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours5.07 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover54.10%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: June 18, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

Write a review

No family reviews yet for Smith Crossing. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.

Common questions about Smith Crossing

What is the ElderGrade for Smith Crossing? +

Smith Crossing holds an ElderGrade of B (76 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Smith Crossing? +

Residents receive an average of 5.43 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Smith Crossing been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Smith Crossing accept Medicaid? +

Yes, Smith Crossing is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.