All states › Illinois › Orland Park › Smith Crossing
10501 Emilie Lane Orland Park, IL 60467 · Cook County
All 3 nursing homes in Orland Park, IL (3 take Medicaid)
CMS certification number 146110 · See this home on Medicare Care Compare
Is Smith Crossing a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Smith Crossing as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Illinois average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.49 hours per resident per day at Smith Crossing, above the Illinois median of 3.33 (US median: 3.72). About 1.36 of those hours are from registered nurses. On weekends it falls to 5.10 hours, 7% below its all-week average. 55.8% of nursing staff left within a year (Illinois median 43.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Smith Crossing: Medicare and Medicaid
Smith Crossing is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Illinois's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 18, 2025 and found 10 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 32 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 32 citations at Smith Crossing across 7 inspection dates, 6 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on June 18, 2025. The most common areas cited were quality of life and care (16) and resident rights (7). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, June 18, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
August 17, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 12, 2026 · 1 citation · includes complaint inspection
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
June 18, 2025 · 10 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DHonor 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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
DEnsure medication error rates are not 5 percent or greater.
May 29, 2025 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
April 30, 2025 · 3 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
June 28, 2024 · 9 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EKeep residents' personal and medical records private and confidential.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DAllow residents to self-administer drugs if determined clinically appropriate.
DNotify 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.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
August 17, 2023 · 7 citations
EEnsure 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.
EProvide and implement an infection prevention and control program.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure 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.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Questions to ask on a tour of Smith Crossing
- Inspectors cited the home at the actual-harm level on June 18, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 30, 2025. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 55.8% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $30,713 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 18, 2025 | Fine | $30,713 |
| Jun 18, 2025 | Payment Denial | 4 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 5/5 | 3/5 |
| August 2026 | 4/5 | 3/5 | 5/5 | 2/5 |
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Location
Hospitals near Smith Crossing
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 6.0 mi
-
8.3 mi
Palos Community Hospital Palos HeightsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 4h 12m for patients treated and sent home
-
8.7 mi
Franciscan Health Olympia & Chicago Heights Olympia FieldsEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 48m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Smith Crossing › All nursing homes in Orland Park ›
Compare Smith Crossing with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Frankfort Terrace · Frankfort · 5 stars · 4.8 mi
- Victorian Village Health & Well · Homer Glen · 5 stars · 5.6 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.