West Suburban Nursing & Rehab: Medicare Fraud Violations - IL
He had signed papers, he said. Nobody told him it meant a new doctor and a new nurse practitioner. He didn't understand what he'd agreed to. "They lied to us," he said, and then he began crying out loud.
Inspectors visiting West Suburban Nursing & Rehab Center on September 11, 2025 documented that the facility had allowed an outside insurance agent to enroll residents in new Medicare Advantage plans under conditions that inspectors found constituted actual harm. The deficiency was cited at the highest level of harm on the federal scale.
The resident in the hallway, identified in inspection records as R23, has Parkinson's disease, Parkinsonism, Type 2 diabetes, anxiety disorder, depression, repeated falls, and abnormalities of gait and mobility. He told inspectors he is cognitively intact, and his federally required assessment confirmed it. He said that when the facility's social services director, identified as V3, first approached him about an insurance presentation, he listened and then declined. He did not want to change. He had carried the same insurance company his whole life.
That should have been the end of it.
"Then when I said no," R23 told inspectors, "[V3] came back to my room and was asking me why I didn't want the new insurance. I felt like he was pressuring me to change to their preferred insurance, which seemed unethical and makes me not trust [V3] anymore."
His Medicare Advantage Plan Enrollment Form, dated August 19, 2025, shows he was enrolled anyway. His signature on the form is not handwritten. It is typed in a cursive font.
The same typed cursive signature appears on the enrollment form for a second resident, identified as R19. He is a Polish-speaking man whose son holds power of attorney for him. The son, identified in records as V9, told inspectors on September 4 that nobody from the facility had ever called him. He learned about the Medicare Advantage plan change only when inspectors asked him about it.
"I do not trust that my father could make a decision for changing his health plan," V9 said. "English is not his first language, and I would not be confident he understood what he was signing. He speaks Polish."
The facility had no documentation showing it had ever contacted V9. It had no documentation showing R19 even has a power of attorney on file. The enrollment form lists only the outside insurance agent, identified as V15, as the individual who helped R19 complete the form.
When inspectors asked the facility's administrator, identified as V1, about the consent process, the administrator said the facility has no policy for obtaining consents. As documentation of residents' rights, V1 offered an undated brochure from the Illinois Long-Term Care Ombudsman Program that is handed to every resident upon admission. The brochure states that residents have a right to information about their medical condition and treatment in a language they can understand, and that a resident's power of attorney agent may exercise rights on their behalf.
The brochure is not a policy. It does not describe any process the facility follows. It describes rights residents are supposed to have.
R23 told inspectors he understood that reversing the insurance change was possible, but that he would have to wait. He said the change was making him feel sadder and more depressed. He has depression as a diagnosed condition. He was crying in a hallway.
The inspection report does not say whether the Medicare Advantage plan changes have since been reversed for either resident, or whether the outside insurance agent, V15, has continued visiting the facility.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for West Suburban Nursing & Rehab Center from 2025-09-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 29, 2026 · Our methodology
WEST SUBURBAN NURSING & REHAB CENTER in BLOOMINGDALE, IL was cited for violations during a health inspection on September 11, 2025.
Nobody told him it meant a new doctor and a new nurse practitioner.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.