TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
NPI 1861963217
Skilled Nursing Facility in Lansing, IL

Active since December 11, 2018
1/5
Overall Rating
2500 175TH ST, LANSING, IL 60438(708) 474-7330 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri-state Village Nursing And Rehabilitation Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC (NPI 1861963217) is a healthcare organization registered as a skilled nursing facility in Lansing, Illinois and active in the NPI registry since December 2018. The organization lists David Mashiach, Manager, as its authorized official.

NPPES Registry Identity

NPI1861963217
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC
Location Address2500 175TH STLansing, IL 60438-1801
Mailing Address2500 175th StLansing, IL 60438-1801 · (708) 474-7330
Organization SubpartNo
Authorized OfficialDavid MashiachManager · (708) 474-7391
Enumeration DateDecember 11, 2018
NPI 1861963217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2500 175TH ST, Lansing, IL 60438

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Tri-State Village Nrsg & Rhb (CMS certification number 145879), from CMS Care Compare.

Tri-State Village Nrsg & Rhb

Nursing home · Lansing, IL
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number145879
Certified Beds84 beds65 residents per day on average
Medicare & Medicaid Participant SinceMay 1, 1996
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
162.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.76 · LPN 1.14 · RN 0.43
3.32 hrs per resident per day
Weekend Nurse Staffing
2.82 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
45.9%
Registered Nurse Turnover
50%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
7
Substantiated Complaints
40
Fines
7 totaling $482,643.45
Medicare Payment Denials
3
Total Penalties
10
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
2500 175TH ST
LANSING, IL 60438
Technician, Other
2500 175TH ST
LANSING, IL 60438
Nurse Practitioner (Family)
2500 175TH ST
LANSING, IL 60438
Occupational Therapy Assistant
2500 175TH ST
LANSING, IL 60438
Physical Therapist
2500 175TH ST
LANSING, IL 60438
Speech-Language Pathologist
2500 175TH ST
LANSING, IL 60438
Physical Therapy Assistant
2500 175TH ST
LANSING, IL 60438
Physical Therapy Assistant
2500 175TH ST
LANSING, IL 60438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-State Village Nursing And Rehabilitation Center LLC's NPI number?

The NPI number for Tri-State Village Nursing And Rehabilitation Center LLC is 1861963217. It was assigned to this organization in the NPPES registry on December 11, 2018.

Where is Tri-State Village Nursing And Rehabilitation Center LLC located?

Tri-State Village Nursing And Rehabilitation Center LLC is located at 2500 175th St, Lansing, IL 60438. The listed phone number is (708) 474-7330.

What is Tri-State Village Nursing And Rehabilitation Center LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Tri-State Village Nursing And Rehabilitation Center LLC a Medicare-certified nursing home?

Yes. Tri-State Village Nrsg & Rhb is a Medicare-certified nursing home with 84 certified beds.

What quality rating does Tri-State Village Nursing And Rehabilitation Center LLC have?

CMS rates Tri-State Village Nrsg & Rhb 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Tri-State Village Nursing And Rehabilitation Center LLC was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.