Marengo Nursing Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

45.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 40 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.07 therapist hours per resident per day in 2026Q1 — more than 3% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 4 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · D2022-01-06 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review and review of facility policies titled Nebulizer Therapy and SELF-ADMINISTRATION OF MEDICATIONS, the facility failed to ensure the licensed nurses remained with Resident Identifier (RI) #39, a resident not assessed to self-administer his/her nebulizer breathing treatment, when RI #39 received nebulizer treatments on 01/03/2022 and on 01/05/2022. This deficient practice affected RI #39; one of one sampled resident observed receiving a nebulizer breathing treatment. Findings Include: RI #39 was admitted to the facility on [DATE], and has diagnosis to include Shortness of Breath. Review of a facility policy titled Nebulizer Therapy, with an implemented date of 05/2020, revealed the following: Policy: It is the policy of this facility for nebulizer treatments, once ordered, to be administered by nursing staff as directed . Policy Explanation and Compliance Guidelines: Care of the Resident . 14. Observe resident during the procedure . Review of a second undated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2019-05-08 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, the 2017 Food Code, review of the facility policies titled, MACHINE WAREWASHING, WASTE DISPOSAL and Cleaning of Ice Machine, the facility failed to ensure: (1) dust like particles were not present on the ice maker vents on two of four days of the survey, (2) staff did not move a meal tray in an up and down motion over the dishes/meal trays after rinsing in order to dry them; and (3) the area on the inside of the recycle bin was free of garbage and debris. This had the potential to affect 69 of the 73 residents who received the lunch meal from the kitchen on 05/07/19. Findings Include: (1) A review of the facility policy titled, Cleaning of Ice Machine with a revised date of 3/18, revealed: Purpose: To distribute clean ice to residents .by keeping the ice free of potential harmful microorganisms . Procedure: . Maintenance will check the air filters monthly and clean as needed . A review of the 2017 U.S. (United States) Public Health Service Food Code revealed: .4-6 CLEANING OF EQUIPMENT AND UTENSILS .4-601.11 . NonFOOD-CONTACT SURFACES of EQUIPMENT…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2019-05-08 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review and review of a facility policy titled, Resident Assessment Using the MDS (Minimum Data Set), the facility failed to ensure: (1) Resident Identifier (RI) #16 was coded as having a Urinary Tract Infection (UTI) on his/her 04/18/19, Significant Change (SC) MDS assessment, (2) RI #34 was coded as being admitted with pressures ulcers on one area of his/her 11/21/18, admission MDS assessment; and (3) RI #42's Quarterly MDS assessment, dated 12/12/18, coded the resident as having a restraint. These deficient practices affected RI #'s 16, 34 and 42, three of 22 sampled residents whose MDS assessments were reviewed. Findings Include: (1) An undated facility policy titled, Resident Assessment Using the MDS revealed the following: Policy Every resident will be assessed using the Minimum Data Set (MDS) according to guidelines set forth in the Resident Assessment Instrument (RAI) manual . Completing the MDS . 2. During this assessment period, various persons will gather…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2019-05-08 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review and review of a facility policy titled,THE CARE PLANNING TEAM, the facility failed to ensure: 1) Resident Identifier (RI) #34 had a Quarterly Minimum Data Set (MDS) assessment completed when the assessment was due; and 2) a Quarterly care plan meeting was scheduled for RI #34 when the meeting was due. These deficient practices affected RI #34, one of 22 sampled residents whose care plan meetings and MDS assessments were reviewed. Findings Include: A review of an undated facility policy titled THE CARE PLANNING TEAM revealed the following: . Residents will be evaluated by the team at ninety (90) day intervals and a quarterly MDS done to provide basis for care plan changes . Cognitive residents are invited to quarterly care plan meetings and informed of their medical condition . If a resident is not cognitive, sponsors are informed of any changes and also invited (through mailing bills) to the care plan (meeting). All sponsors are invited to the care plan (meeting) and are…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2019-05-08 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, record review and a review of a facility policy titled, Destruction Of Medication, the facility failed to ensure all of the non-controlled medication drug sheets for the month of June 2018, had the required signatures. This deficient practice affected one of the 12 months of non-controlled drug sheets reviewed. Findings Include: An undated facility policy titled, Destruction Of Medication revealed the following: .(B) All permanently discontinued medications except control drugs, will be listed on a disposition form with the following information: . Signature of Director of Nursing or Assistant Director of Nursing and Pharmacist . The facility provided drug destruction binders containing non-controlled and controlled drug sheets for the surveyor to review from May 2018 until April 2019. The surveyor found not all the non-controlled drug sheets for June 2018, had the required signatures. On 05/08/19 at 2:23 p.m., the surveyor conducted an interview with Employee Identifier (EI) #1, Director of Nursing (DON). The surveyor asked EI #1 who was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• No harm found · C2019-05-08 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interview and review of a facility policy titled, Nurse Staffing Posting Information, the facility failed to ensure the DAILY STAFFING AND RESIDENT CENSUS form contained the name of the facility on four of four days of the survey. This deficient practice had the potential to affect all 73 residents residing in the facility. Findings Include: 05/05/19 at 5:21 p.m., the surveyor observed the DAILY STAFFING AND RESIDENT CENSUS form without the facility name on it. On 05/06/19 at 9:03 a.m., the DAILY STAFFING AND RESIDENT CENSUS form did not have the facility name on it. On 05/07/19 at 8:56 a.m., the DAILY STAFFING AND RESIDENT CENSUS form did not have the facility name on it. On 05/08/19 at 7:52 a.m., the DAILY STAFFING AND RESIDENT CENSUS form remained without the name of the facility on it. On 05/08/19 at 1:28 p.m., the surveyor conducted an interview with Employee Identifier (EI) #1, the Director of Nursing (DON). The surveyor asked EI #1 who was responsible for ensuring the nurse staff posting was posted daily. EI #2 said he did it mostly through the week.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 5 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AL