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Nursing homeFAID #3172

The Carlton At the Lake

725 WEST MONTROSE AVENUE, CHICAGO, IL, 60613
(773) 929-1700
244 licensed beds

CMS rates The Carlton At the Lake 2 out of 5 overall. Federal inspectors issued 77 citations across 21 inspections in the last three years, with $56,479 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Photo via Google · Carlton At the Lake

Address

725 West Montrose Avenue
Chicago, IL 60613
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What we can show you for free.
Bed capacity
244
CMS facility ID
145679
Care type
Nursing home
County
Cook
Facility name
The Carlton At the Lake
Street address
725 WEST MONTROSE AVENUE
City / state / ZIP
Chicago, IL 60613
Phone
(773) 929-1700

The Carlton At the Lake is a Medicare/Medicaid-certified skilled nursing facility in Chicago, Illinois. It is licensed for 244 beds — well above the median for skilled nursing facilities in Illinois (112 beds).

It is one of 145 senior care facilities in Chicago and 667 skilled nursing facilities across Illinois. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Legacy Healthcare, a group of 97 facilities on this site.

Federal inspectors have cited The Carlton At the Lake 77 times across 21 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $56,479 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Legacy Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Doros Generation Trust U/a/d 1/3/12
Direct owner · Additional disclosable party — 50% stake — since 2015
Gpn Family Trust U/a/d 4/28/08
Direct owner · Additional disclosable party — 50% stake — since 2015
Carlton Associates Limited Partnership
Security-interest holder · Additional disclosable party — since 2015
Lake Forest Bank & Trust Company, N.a.
Security-interest holder · Operational control — since 2024
Legacy Healthcare Financial Services Llc
Operational control · Additional disclosable party — since 2015
Malik, Khalid
Operational control · Additional disclosable party — since 2015
Rsm Us Llp
Additional disclosable party — since 2024
Shabat, Menachem
Governing body · Operational control · Additional disclosable party — since 2017
Ventrella, Joanne
Operational control · Additional disclosable party — since 2017

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1990-06-13
CMS overall rating
2 of 5 stars
Health deficiencies
18 at the last standard inspection
Federal fines
$56,479 total
Last standard inspection
2026-03-26
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$451 per day (≈ $13,710/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
27% Medicaid · 8% Medicare · 66% private/other
Occupancy
75% (fiscal year 2023)
Vs. state median
32% above the IL median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
244
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-10Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-07-11
2026-05-28Health inspectionComplaint-triggered1 citation
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-05-29
19 earlier / fire-safety inspections (75 citations)
2026-03-26Health inspection8 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-03-27
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-03-27
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-03-27
F-0732
F · No harm found
Post nurse staffing information every day.
Corrected 2026-03-27
F-0761
D · No harm found
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.
Corrected 2026-03-27
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-03-27
F-0813
E · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2026-03-27
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-03-27
2026-03-05Health inspectionComplaint-triggered5 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-03-06
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-03-06
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-06
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-03-06
F-0806
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2026-03-06
2025-11-21Health inspectionComplaint-triggered2 citations
F-0607
F · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-11-22
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-22
2025-11-07Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-08
2025-09-08Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-09
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-09
2025-08-25Health inspectionComplaint-triggered2 citations
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-08-26
F-0925
F · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-08-26
2025-05-02Health inspectionComplaint-triggered2 citations
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-03
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-03
2025-04-11Health inspection9 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-12
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-04-12
F-0688
E · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-04-12
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-12
F-0693
D · No harm found
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.
Corrected 2025-04-12
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-12
F-0700
D · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-04-12
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-04-12
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-12
2024-11-07Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-08
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-08
2024-08-05Health inspectionComplaint-triggered2 citations
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-06
F-0693
D · No harm foundFrom a complaint
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.
Corrected 2024-08-06
2024-04-15Health inspectionComplaint-triggered3 citations
F-0569
D · No harm foundFrom a complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-04-16
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-16
F-0761
E · No harm foundFrom a complaint
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.
Corrected 2024-04-16
2024-03-15Health inspection10 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-16
F-0645
E · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-03-16
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-16
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-16
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-03-16
F-0692
G · Actual harm
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-16
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-16
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-16
F-0761
E · No harm found
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.
Corrected 2024-03-16
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-16
2024-01-19Health inspectionComplaint-triggered2 citations
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-03
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-03
2023-12-08Health inspectionComplaint-triggered1 citation
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-12-20
2023-11-02Health inspectionComplaint-triggered5 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-11-03
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-11-03
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-03
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-03
F-0925
F · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-11-03
2023-10-04Health inspectionComplaint-triggered3 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-17
F-0607
F · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-10-17
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-17
2026-03-26Fire-safety inspection8 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2026-04-13
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2026-04-13
K-0311
F · No harm found
Have an enclosure around a vertical opening shaft.
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-13
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-04-13
K-0531
F · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2026-04-13
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-04-13
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2026-04-13
2025-04-11Fire-safety inspection4 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-04-16
K-0311
F · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2025-05-14
K-0531
F · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-04-16
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-04-16
2024-03-15Fire-safety inspection4 citations
K-0311
F · No harm found
Have an enclosure around a vertical opening shaft.
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-03-14
K-0531
F · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-03-14
K-0712
C · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-03-14

Federal penalties

2025-08-25Fine$12,425
2024-03-15Fine$16,822
2024-01-19Fine$16,052
2023-11-02Fine$11,180
2023-11-02Medicare payment denial — 25 days
Total fines$56,479
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 145679.
How it compares in Illinois.
Inspection citations, 3 years
77
More than 79% of nursing homes in the state
State median: 50
Federal fines, 3 years
$56,479
More than 54% of nursing homes in the state
State median: $45,080
Nurse staffing, hours per resident per day
3.2
Higher than 38% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
35%
Higher than 27% of nursing homes in the state
State median: 44%

Resident outcomes

On 21 federal quality measures, this facility does better than the Illinois average on 8 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased2.8%13.0%13.5%Better than state
Lose too much weight7.8%6.1%5.1%Worse than state
With a catheter inserted and left in their bladder1.4%0.8%0.7%Worse than state
With a urinary tract infection1.0%1.5%1.5%Better than state
Have depressive symptoms99.3%55.9%13.5%Worse than state
Were physically restrained3.5%0.1%0.1%Worse than state
Experiencing one or more falls with major injury2.4%3.0%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine83.5%90.5%93.7%Near state average
Ability to walk independently worsened1.5%12.8%12.7%Better than state
Received an antianxiety or hypnotic medication12.2%18.4%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine91.9%91.7%95.3%Near state average
With pressure ulcers7.3%4.8%4.5%Worse than state
With new or worsened bowel or bladder incontinence3.2%19.8%18.3%Better than state
Received an antipsychotic medication24.2%21.7%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.991.961.81Near state average
Outpatient emergency department visits per 1000 long-stay resident days1.372.101.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine25.0%70.0%82.3%Worse than state
Newly received an antipsychotic medication3.8%2.2%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine48.5%63.2%80.1%Worse than state
Were rehospitalized after a nursing home admission24.5%25.6%23.4%Near state average
Had an outpatient emergency department visit12.0%13.5%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0684 5 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-0689 5 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0558 4 inspections. Reasonably accommodate the needs and preferences of each resident.
  • F-0925 3 inspections. Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.
  • F-0761 3 inspections. 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.

What its owners also hold

  • Gpn Family Trust U/a/d 4/28/08 has an ownership stake on file at 80 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
  • Doros Generation Trust U/a/d 1/3/12 has an ownership stake on file at 76 nursing homes, averaging 3 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Illinois

  • Licensing: Illinois Department of Public Health, Division of Assisted Living
  • File a complaint: 800-252-4343 · Online
  • Long-Term Care Ombudsman: 800-252-8966. A free advocate for residents and families.
  • Adult Protective Services: 866-800-1409. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Louis a Weiss Memorial Hospital, about 0.3 miles. CMS rating 1 of 5.
  • Montrose Behavioral Health Hospital, about 0.5 miles.
  • Thorek Memorial Hospital, about 0.6 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.4109 ratings on Google
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 77 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered