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Luther Oaks

601 Lutz Road, Bloomington, IL 61704 · Non profit - Corporation · 19 certified beds · (309) 664-5940 Medicare & Medicaid certified

Call the home — (309) 664-5940 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Aug 2024Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Aug 2024
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • nursing-staff turnover (62%) runs well above the national median (45%)
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
207 Hamilton Road
Pharmacy
909 S Main St · (309) 829-1540 · Call to confirm hours
Grocery
1416 S Main St · (309) 827-8904 · Call to confirm hours
Park
2502 Fox Creek Rd · (973) 366-8448 · Typically dawn to dusk
Place of worship
2006 Fox Creek Rd · (309) 750-1688

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

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.1%13.4%15.4%better
Long-stay residents who lose too much weight3.0%6.3%5.4%better
Long-stay residents with a catheter left in their bladder1.7%0.9%0.9%worse
Long-stay residents with a urinary tract infection0.0%1.5%2.0%better
Long-stay residents with depressive symptoms10.4%54.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury12.7%3.1%3.3%worse
Long-stay residents whose ability to walk worsened4.6%14.3%16.1%better
Long-stay residents on antianxiety or hypnotic medication18.2%18.3%18.9%typical
Long-stay residents with pressure ulcers1.5%4.8%4.7%better
Long-stay residents with worsening bladder/bowel control15.1%20.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table18.5%21.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%2.2%1.4%better
Short-stay residents given the seasonal flu vaccine95.8%63.1%79.4%better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

59.2% 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 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.2%U.S. median 51.5%
Got home and stayed home
9.2%U.S. median 10.7%
Went back to hospital
0.36U.S. median 0.31
Therapy hours / resident / day
0.32hours / resident / day
Physical therapy
0.03hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 61% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF59.2%CMS range 46.0–69.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.2%CMS range 5.8–15.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay4.8%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.971.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

1.24
RN hours/ resident / day
0.42
LPN hours/ resident / day
2.26
Aide hours/ resident / day
3.91
Total nurse hours/ resident / day
0.92
RN hoursweekends
61.5%
Total nursing turnover
57.1%
RN turnover

How full it usually is: this home is certified for 19 beds and averages 17.4 residents a day — about 92% occupied, or roughly 2 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.91 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.24 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.26 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.64 hrs/resident/day on weekends vs 4.02 on weekdays — 9% thinner on weekends. RN hours go from 1.36 to 0.92 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

12
deficiencies at the latest standard inspection (2024-08-01)
1
at the previous standard inspection (2023-08-02)

Deficiencies are more than at the previous inspection — worsening. 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 2 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.

ABCDEFGHIJKL

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.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

  • Actual harm · Gcited before2024-01-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    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 observation, interview, and record review, the facility failed to provide appropriate supervision for a dependent resident to prevent a fall, thoroughly investigate a fall, implement post fall interventions, and report a fall timely to the physician and resident representative for three of four residents (R1, R2, R3) reviewed for falls on the sample list of 18. This failure resulted in R1 falling in the bathroom after being left unattended and sustaining a head laceration requiring two staples. Findings include: 1.R1's Minimum Data Set (MDS), dated [DATE], documents R1 is cognitively intact. This same MDS documents R1 is independent with cares and uses both a walker and wheelchair. R1's MDS in progress dated 1/24/24 indicates R1 requires maximum assistance of one person for toileting, upper and lower body dressing and moderate assistance for chair/bed to chair transfer. R1's undated Face Sheet documents diagnoses of Other Frontotemporal Neurocognitive Disorder, Need for Assistance with Personal Care,…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-11-05 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    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 observation, interview, and record review, the facility repeatedly failed to maintain complete and accurate medical records for two of three (R1and R3) residents reviewed for falls on the sample list of three.Findings include: 1.) On 11/04/25 at 1:43 PM, V2 (Director of Nursing (DON)) provided an incident report dated 11/03/25 documenting that R3 had an unwitnessed fall on 11/03/25. In reviewing R3's Electronic Medical Record (EMR) there were no nurses' notes documenting R3's fall on 11/03/25. On 11/05/25 at 2:00 PM, V2 confirmed there were no nurses' notes in R3's EMR documenting R3's fall on 11/03/25. V2 stated documentation for R3 could be found in the daily skilled nursing notes under assessments. R3's skilled daily nursing notes dated 11/03/25 (Day and Night Shift) do not document R3's fall. On 11/05/25 at 9:50 am V16 (Physical Therapy Assistant (PTA)) stated, R3 fell transferring himself from his wheelchair to his recliner and R3 told V16 PTA that he had just slid off the front of the recliner.…

    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 · Dcited before2025-11-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    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 observation, interview, and record review the facility failed to provide a safe transfer for one of three residents (R2) reviewed for falls on the sample list of three. Findings include: R2's Minimum Data Set (MDS) dated [DATE] documents R2 has a Progressive Neurological Condition, Parkinson's disease with Dyskinesia, muscle weakness, abnormalities of gait/mobility, need for assistance with personal care and severe cognitive impairment. This MDS also documents that R2 requires partial to moderate assistance with getting to a standing position from sitting in a chair, wheelchair, or on the side of the bed. R2's Care Plan dated 5/22/25 with a revision on 9/03/25 documents R2 is at risk for falls related to generalized weakness and gait instability secondary to Parkinson's Disease. R2's Morse Fall Scale dated 8/20/25 documents R2 is at High Risk for Falling. On 11/04/25 at 1:43 PM, V2 (Director of Nursing (DON)) provided an incident report dated 10/29/25 documenting that R2 had a witnessed fall on…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-08-01 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview, and record review the facility failed to employ a clinically qualified Director of Food and Nutrition. This failure has the potential to affect all 16 residents residing in the facility. Findings include: The Long-Term Care Facility Application for Medicare and Medicaid dated 7/30/24 documents 16 residents reside in the facility. Throughout the survey from 7/30/24-8/1/24, the facility failed to keep the kitchen clean and free of debris in preparation and storage areas, failed to sanitize food preparation areas according to facility's sanitation policy, and failed to cover and contain ice cream canisters in the freezer. Kitchen staff also failed to contain hair while in the kitchen and food preparation areas. On 7/30/24 at 11:00 AM, V11 (Dietary Manager in Training) stated she enrolled in Certified Dietary Manager courses in April 2024, but has not had time to start the modules yet. On 7/30/24 at 11:30 AM V1 (Administrator) confirmed that V11 has not started Certified Dietary Manager training.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-08-01 · 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, interview and record review the facility failed to store dishes in a sanitary manner, clean food preparation areas with appropriate chemicals, ensure staff's hair was secure to prevent food contamination, and ensure ice cream lids were in place to prevent cross contamination. These failures have the potential to affect all 16 residents who reside in the facility. Findings include: The Long Term Care Facility application for Medicare and Medicaid dated 7/30/24 documents 16 long term care residents reside in the facility. The facility policy Manual Cleaning and Sanitizing date revised 6/1/2021 documents Equipment, utensils, and tableware will be washed and sanitized in a method which complies with the Federal Food Code and any state or local ordinances. Sanitize the equipment surface. Make sure the sanitizer comes in contact with each surface. The concentration of the sanitizer must meet the requirements. Scrape or remove food from the equipment surfaces. Wash the equipment surfaces. Use a cleaning solution prepared with an approved cleaner. Wash the 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 · F2024-08-01 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    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 observation, interview and record review the facility failed to have an infection control surveillance program in place and failed to prevent cross contamination when administering medications. These failures have the potential to affect all 16 residents who reside in the facility. Findings include: The Long Term Care Facility Application for Medicare and Medicaid dated 7/30/24 documents sixteen long term care residents reside in the facility. The facility provided Infection Prevention and Control Program dated 7/20/23 documents that the goal of the infection control program is to ensure a structured and coordinated approach for the surveillance, investigation, prevention and control of healthcare infections and other infectious diseases. 1.) On 7/30/24 at 12:30PM V5 IP (Infection Preventionist) provided an incomplete infection control log for July 2024 and said that it was the only resident log of infections that she had for surveillance at this time. On 7/31/24 at 8:49AM, V5 Infection Preventionist…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-01 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 observation, interview and record review the facility failed to protect the resident's right to be free from physical and verbal abuse by another resident. This failure affects three residents (R4, R16, R271) of three residents reviewed for abuse in a sample list of 24 residents. Findings include: The facility policy titled 'Abuse and Neglect of a Resident' revised 6/16/2023 documents the resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's symptoms. Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment resulting in physical harm, pain or mental anguish. Physical abuse is the use of physical force that may result in bodily injury, physical pain, or impairment such as: pushing, slapping, hitting, shoving, shaking, striking with or without…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-01 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review the facility failed to complete a level two Pre-admission Screening and Resident Review (PASARR) after a mental health diagnosis was added to R6's electronic medical record. This failure effects one (R6) of five residents reviewed for PASARR in a sample list of 24 residents. Findings include: On 7/31/24 at 9:40 AM, V2 (Director of Nursing) stated the facility does not have a policy for PASARRs, they just follow the regulation as a guideline. R6's Level 1 PASARR completed on 7/24/19 documents that a level two is not recommended. R6's Electronic Medical Diagnosis report dated 7/30/2024 documents a diagnosis of Schizophrenia added May 20, 2023. On 8/1/24 at 10:15 AM, V2 said that no other PASARRs have been completed since 7/24/19 when R6 was admitted . V2 then said that a PASARR should be completed any time there is change in psychiatric diagnosis and that a PASARR should have been completed when the Schizophrenia Effective Disorder was added in May 2023 as a new diagnosis.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-01 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to assess and track behaviors before giving a diagnosis of Schizophrenia for the administration of antipsychotic medications for one (R6) of five residents reviewed for diagnosis without assessment in sample list of 24 residents. Findings include: The Facility Policy Psychotropic Medication Management System dated 10/26/2022 documents Behavior Management focuses on person-centered, non-pharmacological approaches to care to meet the individual needs of each resident. While there may be isolated situations where pharmacological intervention is required first, these situations do not negate the obligation of the community to develop and implement non-pharmacological approaches. Behavior monitoring is initiated on all residents who exhibited behaviors in the past and all residents who are taking any psychotropic medications of any classification whether scheduled or as needed basis. Behavior monitoring involves identifying behaviors, the number of behavior episodes, success of interventions (whether pharmacological…

    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 · D2024-08-01 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to provide an individual discharge plan for R18 who was discharged on 7/26/24 to Independent Living . R18 is one of one resident reviewed for discharge planning in sample of 24. Findings include: The Physician Orders Sheet dated July 2024 documents R18 has the following diagnoses: Urinary tract infection and Infection and inflammatory reaction due to Indwelling Urethral Catheter, Subsequent Encounter. R18's Minimum Data Set (MDS) assessment documents his Brief Interview for Mental Status (BIMS) dated 6/12/24 as being cognitively impaired. R18 requires assistance with his activities of daily living. R18 will try to do things for his care and is not able to complete and will required assistance. R18's care plan dated 6/5/24 does not have any information for discharge planning. V19 Social Service Designee stated in interview 7/31/24 at 3:30 PM I was gone on vacation and did not know they were planning on discharging (R18). No, I did not do any discharge planning for him in the care plan. Facility policy Discharge Planning and…

    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 · D2024-08-01 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to provide shaving care for two residents (R12, R13) dependent on staff assistance of 16 residents reviewed for shaving care from a total sample list of 24 residents. Findings include: The facility provided General Nursing and Personal Care Policy dated 10/26/16 documents that each resident shall have proper daily personal attention including skin, nails, hair and oral hygiene. A resident who is unable to perform Activities of Daily Living will receive the support needed to maintain nutrition, grooming and personal hygiene. 1. R12's care plan dated 4/17/24 documents that R12 requires extensive assistance with activities of daily living due to confusion, disease processes, and impaired balance. On 7/30/24 at 10:34 AM, R12 was not shaved and had beard hair growing approximately one half inch in length. 2. R13's care plan dated 9/20/23 documents that R13 requires assistance with activities of daily living due to dementia. On 7/30/24 at 10:32AM, R13 was not shaved and had beard growth approximately one half inch in…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2024-08-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to provide hygienic oxygen masks and tubing and failed to label and contain the oxygen masks and tubing for two (R13, R7) of two residents reviewed for respiratory care from a total sample list of 24. Findings include: 1.) R13's physician orders dated 5/4/23 document Albuterol Sulfate (bronchodilator) 2.5 milligram per 3 milliliters to be inhaled orally via nebulizer every six hours as needed for wheezing, shortness of breath and coughing. On 7/30/24 at 10:56AM, R13's nebulizer mask was laying on the bedside table, unbagged, without a date or time when to be changed and the mask appeared wet. On 7/31/24 at 10:37AM, R13's nebulizer mask remained on the table, unbagged, without a date or time when to be changed and dust was on it. On 7/31/24 at 11:22AM. V2 Director of Nursing said that the facility did not have a policy regarding the maintenance and care of respiratory equipment; however nebulizer masks and oxygen tubing should be rinsed, labeled and bagged to ensure cleanliness. 2.) R7's Physician Order Sheet (POS)…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-01 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to identify behaviors and implement non-pharmacological interventions prior to the use of psychotropic medications for one (R6) of five residents reviewed for psychotropic medications on the sample list of 24 residents. Findings include: Facility Policy Psychotropic Medication Management System dated 10/26/2022 documents Behavior Management focuses on person-centered, non-pharmacological approaches to care to meet the individual needs of each resident. While there may be isolated situations where pharmacological intervention is required first, these situations do not negate the obligation of the community to develop and implement non-pharmacological approaches. Behavior monitoring is initiated on all residents who exhibited behaviors in the past and all residents who are taking any psychotropic medications of any classification whether scheduled or as needed basis. Behavior monitoring involves identifying behaviors, the number of behavior episodes, success of interventions (whether pharmacologic or…

    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
  • Potential for harm · D2024-08-01 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    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 observation, interview and record review the facility failed to honor resident food preferences for one of one residents (R5) reviewed for food preferences in a sample list of 24 residents. Findings include: R5's undated Face Sheet documents medical diagnoses of Alzheimer's Disease, Failure to Thrive and Gastroesophageal Reflux Disease (GERD). R5's Minimum Data Set (MDS) dated [DATE] documents R5 as severely cognitively impaired. This same MDS documents R5 requires supervision with eating. R5's Physician Order Sheet (POS) dated July 2024 documents a physician order starting 5/10/24 with no end date for a Mechanical soft textured diet. NO green beans, broccoli or cauliflower. R5's Nurse Progress Note dated 7/30/24 at 2:22 PM documents (R5) had choking episode at lunchtime. (V13) Hospice Certified Nurse Aide (CNA) present with her at the time and had been assisting with meal supervision. (R5) able to cough and clear her throat. The facility dietary inservice form dated 7/10/24, 7/11/24, 7/23/24 and…

    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 · D2024-08-01 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to have an antibiotic stewardship program in place for two (R9, R12) of six residents reviewed for antibiotic stewardship on the total sample of 24 residents. Findings include: The facility provided Antimicrobial Stewardship Policy retrieval date 7/31/24 documents that antibiotic stewardship is the effort to measure and improve how antibiotics are prescribed by clinicians and used by residents. Improving antibiotic prescribing and use is critical to effectively treat infections, protect residents from harms caused by unnecessary antibiotic use and combat antibiotic resistance. Facility Communities recognize McGreer's evidence-based assessment as the standard for infection definition and as a protocol for antibiotic usage. The Medical Director oversees the adherence to antibiotic prescription. The Infection Preventionist monitors antibiotic use and adherence use protocol and works with the medical director and /or infectious disease doctor to review antibiotic resistance patterns in the community, if present. 1.) R9's physician…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-02-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to provide a safe transfer for one (R1) of three residents reviewed for falls on the sample list of five. Findings include: R1's care plan dated 9/12/22 documents R1 has a self-care deficit related to Dementia, Confusion, and limited range of motion. This care plan documents R1 requires two assist with a full mechanical lift for transfers. R1's Fall Note dated 2/12/2024 at 6:45 AM documents V11 Certified Nurse's Assistant called V3 Registered Nurse to R1's room. This note states V11 stated V11 had to lower R1 to the floor during transfer. This note documents upon V3's arrival noted R1 was laying on her back next to the bed with her head on a pillow. On 2/17/24 at 12:15 AM, V11 stated upon coming to work on 2/12/24 she was asked to get R1 up out of bed. V11 stated it was her first time on the hall and assumed that R1 was a one assist because she did not see a mechanical lift sling. V11 stated V11 assisted R1 by herself and did not utilize a gait belt. V11 stated after R1 stood up and pivoted R1 to sit in the wheelchair, R1…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-29 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to notify physician and resident representative of a change in medical condition for one of four residents (R4) reviewed for notification of changes in condition on the sample list of four. Findings Include: R4's Treatment Encounter Notes by V12 PTA (Physical Therapy Assistant)/Therapy Director documents: 12/27/23 - R4 refused PT (Physical Therapy) this morning due to not feeling up to it but agreed to do it in the afternoon/evening. R4 reports feeling weak. R4 also reports moderate left leg pain during gait (knee to ankle on anterior aspect). R4 was observed to pick left foot up from ground and shake it out during gait. Increased assistance required for transfers. Nurse reports R4 was very weak and did not feel well yesterday. 12/29/23 - R4 requires frequent sitting rest breaks on this date due to complaints of pain in left lower leg. 1/1/24 - R4 is having some difficulty tolerating weight bearing on left lower extremity. R4 reports pain in the left ankle and mid gastric areas. R4 has no reports of pain while sitting. R4 is…

    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 · E2023-08-02 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to administer Pneumococcal Conjugate Vaccine (PCV) 13, PCV 15, PCV 20 and/or Pneumococcal Polysaccharide Vaccine (PPSV) 23 to four (R1, R3, R4, R8) residents out of five residents reviewed for vaccinations in a sample list of 16 residents. Findings include: 1.) R1's undated Face Sheet documents R1's admission date of 6/25/2020. R1's Electronic Medical Record (EMR) documents R1's medical diagnoses of Vascular Dementia, Diabetes Mellitus, Severe Protein-Calorie Malnutrition and Peripheral Vascular Disease (PVD). This same EMR does not document R1's refusal nor administration of Pneumococcal Conjugate Vaccine (PCV) 13, PCV 15, PCV 20 and/or Pneumococcal Polysaccharide Vaccine (PPSV) 23. 2.) R3's undated Face Sheet documents R3's admission date of 11/25/17. R3's Electronic Medical Record (EMR) documents medical diagnoses of Alzheimer's Disease, Stage 3 Chronic Kidney Disease, Protein Calorie Malnutrition and Asthma. This same EMR documents R1 had received PPSV 23 on 7/8/2014. This same EMR does not document any further…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-06-22 · 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 — the official record, unedited, may be distressing

    Based on observation, interview, and record review the facility failed to store and label premade salads and gelatin in a manner to prevent contamination. This failure had the potential to affect all 18 residents residing in the facility. Findings include: On 6/21/22 at 9:35 AM, bowls of individual premade salads which contained lettuce and cheese and two pans of setting gelatin where stored in the coolers in the kitchen. These salads and pans of gelatin where not covered or dated. V6 Dietary Manager who was present stated the salads and gelatin should be covered and dated. V6 stated both the salad and gelatin would be served at the lunch meal. The facility's census and condition report dated 6/21/22 signed by V2 Director of Nursing documents there are 18 residents residing in the facility.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-22 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to transmit Discharge Minimum Data Set (MDS) assessments within 14 days of the completion date for two of two residents (R14, R19 ) reviewed for Discharge MDS assessments on the sample list of 20. Findings include: 1. R14's Discharge MDS assessment documents R14 discharged from the facility on 1/26/22 due to death in the facility. The facility's assessment lookup form documents R14's 1/26/22 Discharge MDS was completed on 1/26/22 but was not transmitted until 2/24/22. On 6/22/22 at 9:55 AM, V2 Director of Nursing stated R14's 1/26/22 Discharge MDS assessment was rejected by the system and V2 didn't realize it. V2 stated R14's 1/26/22 Discharge MDS was not transmitted within 14 days of the completion date. 2. R19's Discharge MDS assessment documents R19 discharged from the facility on 2/03/22 due to death in the facility. The facility's assessment lookup form documents R19's 2/03/22 Discharge MDS was completed on 2/03/22 but was not transmitted until 2/24/22. On 6/22/22 at 9:55 AM, V2 Director of Nursing stated R19's 2/03/22…

    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 · D2022-06-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 observation, interview, and record review the facility failed to prevent the formation of a Stage II Pressure Ulcer caused by equipment, failed to assess a facility acquired Pressure Area and failed to prevent cross contamination during Pressure Ulcer dressing change for two (R16, R4) out of three residents reviewed for pressure ulcers in a sample list of 20 residents. Findings include: The facility policy titled 'Non Sterile Dressing Change' revised 8/16/18, documents the following: The wound is cleaned and protected with a dressing without contaminating the wound area, without causing trauma to the wound, and without causing the patient to experience pain or discomfort. 1. R16's undated Face Sheet documents an admission date of 5/17/22 and medical diagnoses of Chronic Kidney Disease Stage 3, Abnormal Finding of Lung Fields, Pneumonia, Open Wound of Right Lower Leg, Open Wound of Left Lower leg and Open Wound of Unspecified Buttock. R16's Minimum Data Set (MDS) dated [DATE], documents a Brief Interview…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
BLACK, TERRIIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 05/01/2023
BENTLEY, MEREDITHIndividualCORPORATE OFFICER; ADP OF THE SNFsince 09/14/2020
LACROIX, AMYIndividualCORPORATE OFFICER; ADP OF THE SNFsince 10/03/2022
RENETZKY, MICHAELIndividualCORPORATE OFFICER; ADP OF THE SNFsince 10/01/2003
SELECT REHABILITATION, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2023
THOMAS MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2022
LAU, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2022
WIEDMAN, PETERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/18/2024
LUTHERAN LIFE COMMUNITIESOrganizationADP OF THE SNFsince 12/01/2012
LUTHERAN LIFE MINISTRIESOrganizationADP OF THE SNFsince 12/01/2012
OLD NATIONAL BANKOrganizationADP OF THE SNFsince 12/17/1992
RICHTER AND ASSOCIATESOrganizationADP OF THE SNFsince 11/01/2022

CMS files one row per role, so the 20 rows in the source record cover these 12 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.

6 organizational owners 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.

$12.6M
Net patient revenuemost recent cost report
-4.3%
Operating marginrevenue minus expenses
$149K
Related-party expense1% of expenses
Who pays — share of resident-days
Medicaid 7%Medicare 11%Other / private 81%

This home reported $149K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$2,022per resident / day
operating cost
$61,462per month
≈ monthly operating cost
$1,938per day
avg. revenue, all payers

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 IL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Illinois Medicaid page.

Typical monthly cost in Illinois
$8,304/mo
Nursing home (semi-private)
$9,216/mo
Nursing home (private)
$6,219/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 146184. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-08-01, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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