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Renaissance Care Center

1675 East Ash Street, Canton, IL 61520 · For profit - Corporation · 120 certified beds · (309) 647-5631 Medicare & Medicaid certified

Call the home — (309) 647-5631 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citations on record (F0600, F0602) — most recent Jul 2025Behavioral-health or dementia-care citation — no harm found (F0758)3 actual-harm citations
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 (5/5)
  • lower-than-typical staff turnover (26% vs 45% nationally) — better care continuity
Worth asking about
  • it has abuse, neglect, or exploitation citations (F0600, F0602) — most recent Jul 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 3 actual-harm citations
  • a high number of inspection citations overall (28) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score

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) 5 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — 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
865 N Main St · (309) 649-1572 · Call to confirm hours
Pharmacy
1773 E Chestnut St · (309) 647-1321 · Call to confirm hours
Grocery
Kroger0.2 mi
1741 E Chestnut St · (309) 647-1598 · Call to confirm hours
Park
N 4TH Ave · (309) 647-0560 · Typically dawn to dusk
Place of worship
1566 E Ash St · (309) 647-9042

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 3 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 3 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 fell from 4 to 3 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 rating3★
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 increased8.0%13.4%15.4%better
Long-stay residents who lose too much weight5.7%6.3%5.4%typical
Long-stay residents with a catheter left in their bladder2.8%0.9%0.9%worse
Long-stay residents with a urinary tract infection0.0%1.5%2.0%better
Long-stay residents with depressive symptoms55.8%54.2%6.5%typical for the 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 injury9.8%3.1%3.3%worse
Long-stay residents whose ability to walk worsened4.1%14.3%16.1%better
Long-stay residents on antianxiety or hypnotic medication28.0%18.3%18.9%worse
Long-stay residents given the seasonal flu vaccine97.9%91.8%95.3%typical
Long-stay residents with pressure ulcers4.4%4.8%4.7%typical
Long-stay residents with worsening bladder/bowel control5.7%20.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table17.4%21.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication1.5%2.2%1.4%typical
Short-stay residents given the seasonal flu vaccine95.6%63.1%79.4%better
Short-stay residents rehospitalized after admission27.7%26.1%22.6%worse
Short-stay residents with an outpatient ER visit29.7%13.9%12.0%worse

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.

53.5% 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 143 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

53.5%U.S. median 51.5%
Got home and stayed home
9.0%U.S. median 10.7%
Went back to hospital
85.2%U.S. median 56.6%
Met the expected recovery
0.42U.S. median 0.31
Therapy hours / resident / day
0.21hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 85.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 61 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.42 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% 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 SNF53.5%CMS range 45.2–60.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.0%CMS range 6.2–11.910.7%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 discharge85.2%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge70.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge82.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified95.5%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 setting80.8%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 discharge85.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%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 hospitalization7.1%CMS range 3.7–11.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.171.02Oct 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

2.11
RN hours/ resident / day
0.88
LPN hours/ resident / day
4.80
Aide hours/ resident / day
7.80
Total nurse hours/ resident / day
1.50
RN hoursweekends
26.1%
Total nursing turnover
24.1%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 55.8 residents a day — about 46% occupied, or roughly 64 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 7.80 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.11 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.80 is at or above 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 7.14 hrs/resident/day on weekends vs 8.06 on weekdays — 11% thinner on weekends. RN hours go from 2.36 to 1.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% is below 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

8
deficiencies at the latest standard inspection (2025-01-09)
6
at the previous standard inspection (2023-11-16)

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.

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.

28 citations, most serious first. The 13 most serious are shown; the remaining 15 are one tap away and print in full.

  • Actual harm · G2026-02-09 · 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 interviews and record reviews, the facility failed to properly maintain the mechanical lift slings for one of three residents (R1) reviewed for falls in a sample of three. This failure resulted in R1 being emergently transferred to the ER (Emergency Room), receiving medical treatment for an acute intertrochanteric right femur fracture. Findings Include:The facility's Hydraulic Lift (Total Body) policy dated 12/10/2025 documents, Purpose: To provide nursing staff with proper guidelines for use of a hydraulic lift. Policy: All nursing staff will be trained on the proper use of the Hydraulic Mechanical Lifts that are used within the facility, to ensure safe transfer for residents. Mechanical Lift will be used as ordered and per nursing judgment. Responsibility: It is the responsibility of the Director of Nurses to ensure that all nursing staff have received proper training on the Mechanical lift prior to using it. It is the responsibility of all nursing staff to ensure that policies and procedures 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2024-06-11 · 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

    Based on interview and record review the facility failed to ensure that one resident (R1) is free from abuse in a sample of three residents reviewed for abuse. This failure caused R1 to be visibly soiled through outer clothes and to have an odor. Findings Include: The Facility's Abuse Reporting policy dated 8/11/2017 documents This facility will not tolerate resident abuse or mistreatment by anyone, including staff members, other residents, consultants, volunteers, and staff of other agencies, resident representative, legal guardians, friends or other individuals. The Abuse Reporting policy documents For the purposes of this policy, and to assist staff members in recognizing abuse, the following definitions shall pertain: Abuse: The willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm or pain or mental anguish or by deprivation by an individual, including a caretaker, of goods or services that are necessary to attain ore maintain physical, mental psychosocial well-being. Willful Abuse: as used in this definition of abuse,…

    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
  • Actual harm · G2022-12-09 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    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 pain management for one of one resident (R41) reviewed for pain management in the sample of 24. This failure resulted in R41, who is a resident on hospice services with the diagnoses of malignant neoplasm of her right lung, cervix, trachea, and adrenal gland, refusing to get out of bed and reposition because of R41's extreme pain with any kind of movement. Findings include: The facility's Management of Pain policy, dated 5/29/18, documents, Our mission is to facilitate independence, promote resident comfort and preserve resident dignity. The purpose of this policy is to accomplish that mission through an effective pain management program, providing our residents the means to receive necessary comfort, exercise greater independence, and enhance dignity and life involvement. We will achieve these goals through: Promptly and accurately assessing and diagnosing pain; Encouraging residents to self-report pain; Increasing comfort 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-07-18 · tag F0602 — failed to protect residents from theft of their belongings — pattern
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to prevent misappropriation of controlled substance medications for five of six residents (R1, R2, R3, R4, and R5) reviewed for misappropriation of resident medications in a sample of six. Findings include:The facility's Abuse Prevention Policy, undated, documents This facility affirms the right of our residents to be free from abuse, neglect, exploitation, misappropriation of property, deprivation of goods and services by staff or mistreatment. This facility therefore prohibits abuse, neglect, exploitation, misappropriation of property, and sensitive and resident secure environment. The purpose of this policy is to assure that the facility is doing all that is within its control to prevent occurrences of abuse, neglect, exploitation, misappropriation of property, deprivation of goods and services by staff and mistreatment of residents. This facility is committed to protecting our residents from abuse, neglect, exploitation, misappropriation of property and mistreatment by anyone including, but not limited to, facility staff,…

    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 · F2025-01-09 · tag F0761 — failed to label and store drugs safely — widespread
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    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 ensure refrigerated vaccination units were stored separate from food and beverages. This failure has the potential to affect all 59 residents residing in the facility. Findings include: The facility's Storage of Medications policy, dated 4/2016, documents All medications will be safe and properly stored at all times. Medications requiring refrigeration shall be kept in a separate, securely fastened locked box within a refrigerator or locked refrigerator, at or near the nurse's station, or in a refrigerator within a locked medication room. On 1/9/25 at 11:40 AM, the facility's 100 hall medication storage fridge contained a sign on the outside of the fridge that documents Medications Only. Inside of the fridge was a plastic of container of food from outside of the facility. This dish did not contain a label and was sitting directly on top of two boxes of influenza vaccine. This same fridge contained an open bottle of (flavored hydration drink). V13 (Registered Nurse) and V19 (Licensed Practical Nurse) both…

    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 · E2025-01-09 · tag F0607 — failed to have anti-abuse policies — pattern
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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 record review and interview the facility failed to complete Criminal History Background Checks within 24-hour of admission, Illinois Sex Offender Registry checks prior to admission, and Illinois Department of Corrections Sex Registry Checks prior to admission as instructed by the facility's Abuse Policy for five of five residents (R107, R108, R109, R110, R157) reviewed for Abuse Prevention in the sample of 38. Findings include: The Abuse Prevention Program Policy dated 8/11/17 documents Policy It is the policy of this facility to prevent resident abuse, neglect, exploitation, mistreatment, and misappropriation of resident property. The following procedures shall be implemented when an employee or agent becomes aware of abuse or neglect of a resident, or of an allegation of suspected abuse or neglect of a resident by a 3rd (third) party. II. Pre-admission Screening of Potential Residents: This facility shall check the criminal history background on any resident seeking admission to the facility in order…

    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 · E2025-01-09 · tag F0700 — pattern
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    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 assess a resident for the risk of entrapment and medical needs, obtain a physician's order prior to use, and obtain a consent prior to the use of side rails/assist rails for seven of seven residents (R2, R20, R28, R31, R48, R49, R107) reviewed for side rail use in the sample of 38. Findings include: The Side Rails Policy dated 10/9/19 documents Purpose: To provide guidelines assessment and use of side rails. Policy: The use of bed rails as restraints is prohibited unless they are necessary to treat a resident's medical symptoms. All residents who utilize rails will have a side rail screening completed. Responsibility: It is the responsibility of the Care Plan Coordinator/Rehab Nurse to assess the need for side rails, and document and care plan accordingly. Procedure: 1. If a resident requests side rails, a Side Rail Assessment Form must be completed and Side Rail Assessment for Risk of Entrapment. A physician order must be obtained when…

    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 · Ecited before2025-01-09 · tag F0880 — failed to prevent and control infections — pattern
    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 follow Enhanced Barrier Precautions (EBP) for five residents (R2, R4, R10, R48, and R49) of six residents reviewed for EBP in the sample of 38. Findings include: The Infection Control Policy dated 7/29/24 documents Purpose: Standard Precautions shall be used when caring for residents at all times regardless of their suspected or confirmed infection status. Transmission-Based Precautions shall be used when caring for residents who are documented or suspected to have communicable disease or infections that can be transmitted to others. The facility shall make every effort to use the least restrictive approach to managing individual with potentially communicable infections. Transmission-Based Precautions shall only be used when transmission cannot be reasonably prevented by less restrictive measures. F. Enhanced Barrier Precautions: In addition to Standard Precaution, implement Enhanced Barrier Precautions for certain residents during…

    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 · E2025-01-09 · tag F0909 — failed to maintain a comfortable temperature — pattern
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    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 perform maintenance inspections of side rails/assist rails for entrapment zones/risks for seven of seven residents (R2, R20, R28, R31, R48, R49, R107) reviewed for side rail use in the sample of 38. Findings include: 1. On 01/07/25 at 9:31 AM R20 was lying in bed with 1/2 side rails in the raised position to both upper sides of R20's bed. R20's Medical Record does not include a maintenance inspection of R20's 1/2 side rails for entrapment zones/risks. 2. On 01/08/25 at 9:00 AM R28 was sitting up in bed with an 1/8 sized assist rail in the raised position to the right upper side of R28's bed. R28's Medical Record does not include a maintenance inspection of R28's 1/8 assist rails for entrapment zones/risks. 3. On 01/08/25 at 9:05 AM R31 was sitting up in bed with an 1/8 sized assist rail in the raised position to the right upper side of R31's bed. R31's Medical Record does not include a maintenance inspection of R31's 1/8 assit rails for entrapment zones/risks. 4. On 01/08/25 at 09:18 AM R107 was lying in bed…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-09 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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 cover a urinary drainage catheter bag with a privacy bag for two of 15 residents (R4, R48) reviewed for dignity in the sample of 38. Findings include: The Resident Privacy and Dignity policy dated 1/20/16 documents Purpose: To provide all residents with a home like environment that promotes dignity and respect to the residents of the facility. Policy: To ensure that all residents are provided with dignity and privacy. Responsibility: It is the responsibility of all staff to ensure that all residents have privacy and dignity. The Resident Rights Booklet dated 11/18, documents Your facility must treat you with dignity and respect and must care for you in a manner that promotes your quality of life. Your facility must be safe, clean, comfortable, and homelike. 1. R4's current computerized medical record, documents R4 was admitted to the facility on [DATE] with diagnoses which included Atrophy of Kidney (Terminal), Peritoneal Abscess, 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-09 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 implement a restorative range of motion program and include the restorative program within the resident's care plan for one of one resident (R20) reviewed for limitations in range of motion in the sample of 38. Findings include: The Restorative Program/Range of Motion policy dated 8/3/13 documents Purpose: To provide resident with limited range of motion and appropriate treatment and services to increase or prevent further decrease in range of motion. Policy: All residents will be assessed on admission and quarterly, or more often as a change of condition warrants, for risk factors for development of contractures. A program will be developed based on the resident's unique risk factors and involving formalized therapy and/or restorative nursing, as applicable. This program will be reflected in the interdisciplinary care plan and will be systematically and consistently followed. The facility protocol for ROM (Range of Motion) is ten…

    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 · D2025-01-09 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview the facility failed to ensure physician ordered daily weights were obtained for a resident with Congestive Heart Failure for one of one resident (R31) reviewed for hydration in the sample of 38. Findings include: The Weights policy dated 9/1/19 documents Purpose: To define the process for obtaining weights on all residents in the facility. It is the responsibility of the C.N.A. (Certified Nursing Assistant)/Designee to obtain weights monthly, and as ordered. The nurse management team is responsible for monitoring to ensure that all weights are obtained in a timely manner. Procedure: 6. D.O.N. (Director of Nursing)/Designee will maintain a log and follow-up to ensure timely completion of weights and proper notification of weight variances. R31's current Physician Order Sheet, dated 1/08/25, document the following order, Daily weight every day due to CHF (Congestive Heart Failure). This order has a start date of 10/24/2024. R31's current Care Plan documents, Focus: I have Congestive Heart Failure. Goal: I will be free of peripheral edema through…

    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 · D2024-06-11 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    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 interview the facility failed to ensure that one resident (R1) was free from physical restraint in a sample of three residents reviewed for abuse. Findings Include: The Facility's Physical Restraint policy dated 9/23/15 does not define situations that could be considered a physical restraint. The policy does document that the use of physical restraints shall be limited to situations necessary to maximize a resident's physical, mental and psychosocial wellbeing. Physical restraints shall be considered only after all alternatives to physical restraint usage has been documented as being ineffective in accomplishing a resident's care goals. The [NAME] Webster Dictionary defines a restraint as a device that restricts movement. R1's current care plan dated 12/26/2022 documents I will push myself out of my wheelchair at times. R1's care plan documents, When (R1) is pushing herself out of her wheelchair staff will assist her to her bed. V5(Certified Nurse Aide)'s written statement dated 5/21/24 documents that…

    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
Show the remaining 15 citations
  • Potential for harm · E2024-05-25 · 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 interview and record review the facility failed to follow procedures when documenting medication for four residents (R1, R2, R3, and R5) of six residents reviewed for medication in the sample of eleven. Findings include: The Administration of Medication policy dated 8/14/19, documents To provide licensed personnel with guidelines for proper administration of medications. Residents shall receive their medications on a timely basis in accordance with state and federal guidelines, and within established facility policies. It is the responsibility of the Charge Nurse to sign off Medication Administration Record to indicate that medication was given as ordered. 1. Drugs and biological's may be administered only by licensed physicians, licensed registered or practical nursing personnel, and must be administered in accordance with the written orders of the attending physician. 2. Medication must be administered by the same person preparing the doses for administration. 4. Medications must be documented 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-25 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 interview and record review the facility failed to prevent significant medication administration errors for 3 residents (R1, R2, and R5) of 6 residents reviewed for medication administration in the sample of 11. Findings include: The Administration of Medication policy dated 8/14/19, documents To provide licensed personnel with guidelines for proper administration of medications. Residents shall receive their medications on a timely basis in accordance with state and federal guidelines, and within established facility policies. It is the responsibility of the Charge Nurse to sign off Medication Administration Record to indicate that medication was given as ordered. 1. Drugs and biologicals may be administered only by licensed physicians, licensed registered or practical nursing personnel, and must be administered in accordance with the written orders of the attending physician. 2. Medication must be administered by the same person preparing the doses for administration. 4. Medications must be documented…

    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 · F2023-11-16 · tag F0882 — widespread
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to ensure the designated Infection Preventionist was certified. This failure has the potential to affect all 52 residents residing in the facility. Findings include: The facility's undated Infection Control Specialist Job Description documents, Under the direct supervision of the Director of Nursing, within scope of practice, the Infection Control Specialist will track, analyze, and look for trends in infection . 10. Will maintain current knowledge of CDC (Centers for Disease Control) guidelines, and appropriate procedures. 11. Will be responsible for completing infection control log on a daily basis, analyzing, and looking for trends on a monthly basis and completion of monthly infection control report. Is responsible for surveillance, identification, prevention, control and reporting of infections. Qualifications include Education/experience in nursing administration, infection control standards, and/or geriatric nursing is desirable. Will have knowledge on current infection control procedures and practices. The facility's…

    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 · E2023-11-16 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    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 humidified oxygen, physician ordered oxygen flow rates and failed to date oxygen humidifier bottles for six residents (R6, R14, R15, R17, R19, R42) of seven residents reviewed for oxygen therapy in the sample of 34. Findings include: On 11/15/23 between 1:30pm and 1:45pm the following residents with current orders for oxygen administration were seen with V4, RN (Registered Nurse): 1) R6 was in bed receiving oxygen via a nasal cannula at flow rate of 4 liters per minute. R6's nasal cannula was attached to the oxygen concentrator that did not have a humidification bottle. R6's Current Physician Order Report Summary indicates Change nasal cannula tubing every Sunday evening and humidification every Sunday night shift for maintenance. Replace all oxygen equipment per facility policy. Report also indicates (R6) may use oxygen at 2-4 liters to maintain SPO2 (oxygen saturation) greater than 93% (order date 11/3/23). 2) R14 was in bed receiving oxygen via a nasal cannula at flow rate of 2.5 liters per minute.…

    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 · D2023-11-16 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 procedures, protocols, and training for the use of a manual feeding tube declogging device and failed to follow physician orders for feeding tube site wound treatment for one resident (R9) of two residents reviewed for feeding tubes in the sample of 34. Findings include: Manufacturer Instructions (insert) for Use of (declogging device) dated 2021 documents: Intended use: The intended use of the declogger is to clear clogs from enteral feeding tubes and thereby reduce the occurrence of feeding tube replacement procedures. Indications for use: The declogger is indicated for use only in clearing occlusions and/or clogs in feeding tubes (G/Gastrostomy, J/Jejunostomy, and/or PEG/Percutaneous Endoscopic Gastrostomy style) in sizes from 14Fr (French) - 22Fr. User instructions indicate there are five different sizes of decloggers and that both the size (diameter) and length of the feeding tube should be known to use the appropriate size declogger. Protocol/Policy for use of the declogger: The declogger should…

    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 · D2023-11-16 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to administer the pneumonia vaccine for two (R2 and R50) of five residents reviewed for immunizations in the sample of 34. Findings include: The facility's Pneumo (pneumococcal) Vaccination policy and procedure, dated 10/16/09, documents According to the National Institutes of Health, everyone [AGE] years of age and older should get the pneumococcal vaccine as well as younger people with certain qualifiers. All facility staff will follow the facility policies on Pneumo Vaccinations. All residents will be offered the Pneumo vaccine every 5 years per Center for Disease Control Guidelines recommendations. It is the responsibility of the DON (Director of Nursing)/Designee to ensure that all residents receive the Pneumo Vaccine and proper documentation is done every 5 years. The facility's undated Pneumonia Shot (pneumococcal vaccine) resident education form documents Who should get the pneumococcal vaccine? People age [AGE] or older; People with a chronic…

    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 before2023-11-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow its policy to notify Responsible Party of change in condition for one (R1) of three residents reviewed for notifications in a sample of three. Findings include: The facility's Responsible Party Notification of Resident Change of Condition Policy, Dated 7/8/17, documents: Purpose: To ensure that residents' responsible parties are notified of changes in conditions that occur. Residents' responsible parties will be notified of changes that occur in residents condition as warranted. It is the responsibility of all licensed personnel to notify the family or responsible parties of a change in residents' condition. 1. Primary family member or responsible party will be notified of change in residents condition. R1's diagnoses include: Dementia, Muscle Weakness, Parkinson's disease. R1's Minimum Data Set (MDS), dated [DATE], documents no score for R1's BIMS (Brief Interview of Mental Status); R1 was not able to be scored. (MDS indicates that on a scale…

    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 · E2022-12-09 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 ensure licensed nursing staff had the necessary skill set to identify and address a resident's change in condition, properly disinfect a blood glucose monitor between uses, and prime the needle tip of an insulin pen before use. These failures affected six of six residents (R27, R8, R5, R18, R39, R12) reviewed for nursing services in a sample of 24. Findings include: A Charge Nurse (LPN/Licensed Practical Nurse) policy/Job Description (undated) states, The duties of this position include, but are not limited to the following: 1. Follows established policies and procedures of the nursing department and contributes to change when necessary. 2. Responsible for unit's assigned personnel to assure quality care is provided, and Is accountable for administration of medications and treatments as prescribed by the attending physician and recording of such in the health record. An Insulin injections policy dated as revised 11/15/14 gives as its purpose, To provide guidelines to Licensed nursing staff for performing…

    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
  • Potential for harm · Ecited before2022-12-09 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    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 disinfect blood glucose meter with a disinfectant agent according to manufacturer's guidelines. This had the potential to affect 10 residents (R5, R8, R9, R20, R25, R30, R31, R40, R41, R43) who receive scheduled blood glucose monitoring. Findings include: The facility's Glucose Meter Cleaning policy, dated 8/1/13, documents, Purpose: To ensure proper cleaning of Glucose meter after each use. Procedure: Obtain glucose reading according to facility guidelines. Clean and disinfect glucose meter appropriately using EPA approved cleaner after each use. Allow glucose meter to thoroughly dry prior to using it on another resident. The facility's Glucose Monitor manual documents, Cleaning & Disinfecting Guidelines: Contact with blood presents a potential infection risk. We suggest cleaning and disinfecting the meter between patient use. Option 1: Cleaning and disinfecting can be completed by using a commercially available EPA-registered disinfectant detergent or germicide wipe. To use a wipe, remove from the container…

    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 before2022-12-09 · 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 observation, interview, and record review the facility failed to notify a physician of an elevated blood glucose level for one of one resident (R27) reviewed for notification of changes in a sample of 24. Findings include: A Change of Condition policy dated as revised 5/9/2019 gives as its purpose, To provide guidelines for facility staff to follow to ensure that there is appropriate physician notification of any change in a resident's condition, and proper decisioning when to contact 911 for emergency discharge to hospital. In addition, this policy states, The resident's attending physician will be notified of changes that occur in the resident's condition by Licensed Personnel as warranted. Physician notification is to include, but is not limited to the following: Glucometer reading> 300 or < 70, and are symptomatic unless specific parameters given by physician. R27's list of current diagnoses includes Type 2 Diabetes Mellitus. R27's physician's orders sheet (POS) dated 8/11/22 documents R27 was ordered NovoLog FlexPen Solution Pen-injector 100UNIT/ML (milliliters) Inject…

    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 · D2022-12-09 · 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

    Based on observation, interview, and record review the facility failed to ensure pressure relief boots were on a resident's feet and a resident's feet were floated in bed as ordered by the physician and documented in the care plan for one of four residents (R34) reviewed for pressure ulcers in a sample of 24. Findings include: R34's physician's orders (POS) dated 10/12/22 documents R34 was ordered to wear pressure relieving boots only while in bed on each shift. R34's Wound Physician's note dated 11/30/22 documents R34 has a stage 4 pressure ulcer to the right heel. This same wound note documents R34 has pressure relieving boots as part of R34's pressure ulcer prevention interventions. R34's care plan intervention dated 7/22/22 documents for staff to float R34's heels while R34 is in bed. In addition, R34's care plan intervention dated 10/13/22 instructs for R34 to wear pressure relief boots to both lower extremities while in bed. On 12/7/22 at 9:53a.m. V2 (Director of Nurses) entered R34's room to assess R34's right heel stage 4 pressure ulcer. R34 was lying in bed with blankets…

    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 · D2022-12-09 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to document diagnoses and behaviors to warrant the use of an antipsychotic and perform gradual dose reductions (GDRs) for two of five residents (R28, R35) reviewed for psychotropics in the sample of 24. Findings include: The facility's Psychotropic Medications Protocol Chemical Restraints policy, dated 8/15/18, documents, Residents shall only be given antipsychotic drugs when clinically indicated according to appropriate diagnosis and physician's order. Residents who receive antipsychotic/psychoactive medications shall have gradual dose reductions attempted in accordance with state and federal regulation and behavior interventions reviewed, unless clinically contraindicated. 1. R28's Physician's order, dated 12/7/22, document that R28 has an order to receive Zyprexa (antipsychotic) 2.5 mg (milligrams) by mouth at bedtime for the diagnosis of refractory depression. R28's Care plan, dated 12/24/21, documents, I use psychotropic medications…

    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 · C2023-11-16 · tag F0623 — widespread
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview the facility failed to notify the Resident or Resident Representative, in writing of Transfers/Discharges to the Hospital. This failure has the potential to affect all 52 Residents residing in the Facility. Findings include: Facility Application for Medicare and Medicaid Report (CMS/Central Management Services Form 671), dated 11/14/23, documents 52 Residents residing in the Facility. Facility Discharge/Transfer Policy, revised 5/29/18, documents: the purpose is to provide the Facility with guideline for appropriate discharge and transfer procedures; it is the responsibility of all staff to ensure that transfer and discharge are appropriate; and it is the responsibility of the Administrator and Director of Nursing to monitor for compliance with transfer and discharge procedures; when the Facility transfers or discharges Resident under any circumstances appropriate documentation shall be made in the Resident's clinical record; and before the Facility transfers a Resident to a hospital, the Facility must provide written information to the…

    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
  • No harm found · C2023-11-16 · tag F0625 — widespread
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview the Facility failed to notify the Resident/Resident Representative, in writing of the Facility Bed Hold Policy. This failure has the potential to affect all 52 Residents residing in the Facility. Findings include: Facility Application for Medicare and Medicaid Report (CMS/Central Management Services Form 671), dated 11/14/23, documents 52 Residents residing in the Facility. Facility Discharge/Transfer Policy, revised 5/29/18, documents: the purpose is to provide the Facility with guideline for appropriate discharge and transfer procedures; it is the responsibility of all staff to ensure that transfer and discharge are appropriate; when the Facility transfers or discharges Resident under any circumstances appropriate documentation shall be made in the Resident's clinical record; and before the Facility transfers a Resident to a hospital, the Facility must provide written information to the Resident/Family Member/Legal Representative that specifies the duration of the Facilities bed to hold policy and the Facilities policies regarding bed hold…

    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
  • No harm found · C2022-12-09 · tag F0847 — widespread
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to state in the arbitration agreement that,the agreement can be rescinded within 30 days of signing it and that it is not required to sign an agreement for binding arbitration as a condition of admission. They also failed to explain the arbitration agreement in a manner that the resident and their representative understands or acknowledge if the resident and their representative understood the agreement. This had the potential to affect all 52 residents residing in the facility. Findings include: The facility's Arbitration Agreement between Facility and Resident documents This arbitration may be revoked by written notice delivered by Resident to this facility within three (3) business days of signature. There is no documentation in the arbitration agreement that it is not required to sign the agreement for binding arbitration as a condition of admission. It also does not define what arbitration is in language that the resident or their representative can understand. R23's Arbitration Agreement between Facility and Resident,…

    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.

    Administration 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 / managerTypeRoleShareSince
BETH ALTER SPOUSAL TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF19%since 03/27/2025
BRADLEY ALTER SPOUSAL TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF19%since 07/01/2020
HOWARD D. GELLER FAMILY TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF47%since 03/27/2025
ASHMAN, GARYIndividualDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 01/01/2005
ALTER, BETHIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 01/01/2020
ALTER, BRADLEYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 01/01/2020
ALTER, RAANANIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/01/1991
GELLER, RITAIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 03/01/2016
JONES, MARTHAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/14/2012
KROCK, KENNETHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/1999

CMS files one row per role, so the 22 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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.

$14.2M
Net patient revenuemost recent cost report
+4.0%
Operating marginrevenue minus expenses
$1.4M
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 84%Medicare 6%Other / private 10%

About 84% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. 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

$300per resident / day
operating cost
$9,134per month
≈ monthly operating cost
$313per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). 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 145793. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-09, 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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