Smith Crossing is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2007-01-10. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (708) 326-2300 or your local Medicaid office to verify current eligibility.

Smith Crossing holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (5★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 69.0/100, placing it #8743 of 14703 facilities nationally and #198 of 668 in Illinois. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Smith Crossing receives a reported average of 5 hours 37 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 25 minutes; Licensed Practical Nurse (LPN) — 56 minutes; Nurse Aide — 3 hours 16 minutes. On weekends, total nurse staffing is 4 hours 58 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 43.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $142,443. 12 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $142,443, and 1 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 109.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Smith Crossing ranks 8743rd out of 14,703 facilities (composite score: 69.0/100), placing it in the below average nationwide. Within IL, it ranks 198th out of 668 nursing homes. In Orland Park, it ranks 1st out of 3 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #566 nationally and RN hours rank #674 nationally (#51 in IL). Our composite quality score of 69.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Orland Park, visit: https://nursinghomesnearme.org/illinois/orland-park/