Community First Medical Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

71.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 368 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 37.8% 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 193 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 7.33 therapist hours per resident per day in 2026Q1 — more than 100% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 41% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 66 beds and averages 9.4 residents a day — about 14% occupied, or roughly 57 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 7.62 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 5.39 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 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 6.44 hrs/resident/day on weekends vs 8.09 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 5.85 to 4.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% 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

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

This trend is not current. The most recent of these two inspections was over 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.

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.

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

• Potential for harm · Fcited before2024-08-09 · 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 follow proper sanitation and food storage practices as evidenced by a.) food not properly labeled, and b.) food not properly stored. These deficient practices have the potential to affect all 20 residents receiving food prepared for the nursing skilled facility. Findings include: On 8/6/24 at 10:33 AM, during initial kitchen tour with V8 (Dietary Cook), the following items were found in walk-in freezer [#11]: [1] Open box of blue berry muffins no open or expiration date. [2] Breakfast cart #1 with raw thawed bacon with wax paper covering only the top of the bacon without date open or use by date. A metal container of pureed pancakes and metal container pureed sausage with a label date of 8/1/24. [3] Breakfast cart#2 with raw thawed bacon, and raw thawed breakfast sausage covered only the top with wax paper, without date on food or cart. [4] A metal container on the shelf of pureed noodles dated 8/1/24. Walk -In Cooler [ #13]: [5] Opened roast beef thawed without date. [6] Open 1/2 Ground beef roll 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-09 · 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 a.) maintain infection control standard precautions by removing an IV (intravenous) access timely after discontinuation of the IV antibiotic for 1 (R64) resident, b.) failed to clean and disinfect equipment between 5 (R59, R60, R61, R62, R66) residents use and c.) failed to maintained infection control for 1 (R60) of resident observed during medication administration. Findings Include: R64 has diagnosis not limited to Physical Deconditioning, Fracture of Proximal end of Humerus, Dizziness, Cerebral Vascular Accident, Essential Hypertension, Low Back Pain, Radiculopathy, Spinal Stenosis Lumbar Region, Disc Displacement Lumbar, Lumbar Radiculopathy, Right Hip Pain, Hypoxia, Fall at Home, Chronic Obstructive Pulmonary Disease, Pulmonary Embolism, Shortness of Breath. Report Viewer document in part: Peripheral IV line - Single lumen 07/29/24 0920 cephalic vein (lateral left arm), Left 20 gauge. Placement date/time: 07/29/24 0920. On 08/06/24 at 10:22 AM R64 was observed sitting in a wheelchair at the bedside with…

  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 · D2024-08-09 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids 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 ensure 2 (R63, R64) of 4 residents peripheral intravenous (IV needle inserted within the vein) site was labeled with the date and time that it was inserted. This deficient practice has the potential for R63 and R64 to not receive the necessary care to the IV site. Findings Include: R64 has diagnosis not limited to Physical Deconditioning, Fracture of Proximal end of Humerus, Dizziness, Cerebral Vascular Accident, Essential Hypertension, Low Back Pain, Radiculopathy, Spinal Stenosis Lumbar Region, Disc Displacement Lumbar, Lumbar Radiculopathy, Right Hip Pain, Hypoxia, Fall at Home, Chronic Obstructive Pulmonary Disease, Pulmonary Embolism, Shortness of Breath. Report Viewer document in part: Peripheral IV line - Single lumen 07/29/24 0920 cephalic vein (lateral left arm), Left 20 gauge. Placement date/time: 07/29/24 0920. On 08/06/24 at 10:22 AM R64 was observed sitting in a wheelchair at the bedside with a sling to the right arm. A Hep lock (Heparin IV locking device) was observed to the left wrist area with…

  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 · D2024-08-09 · 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 follow their respiratory infection control practices policy by not storing Continuous positive airway pressure mask in a closable bag for one [163] resident reviewed in a sample of 20. Findings Include: R163's clinical record indicates in part, R163 was admitted with transient cerebral ischemic attack, obstructive sleep apnea, morbid obesity, bradycardia, chronic diastolic heart failure, facial weakness, atrial fibrillation, monoplegia of upper limb affecting left side, hypertensive heart disease, osteoarthritis, mitral insufficiency, and lymphedema. R163's Respiratory Orders: Non-Invasive Ventilation at bedtime [Continuous positive airway pressure-CPAP]. On 08/06/24 10:45 AM, surveyor observed R163's C-PAP mask hanging off the side of the machine. On 8/6/24 at 10:55 AM, V3 [Licensed Practical Nurse] stated, Respiratory therapist take care of the C-PAP device and set up. The C-PAP mask always hang off the side of the device. On 8/6/24 at 11:00 AM V2 [Director of Nursing] stated, I do not know if the C-PAP mask…

  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 · Fcited before2023-09-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to label all insulin vials and eye drops, and failed to Maintain insulin vials used by multiple residents at dedicated clean medication preparation area. These failures can affect all residents in facility. Finding includes: On [DATE] at 1:29 pm, the facility 2 refrigerators were seen with multiple vials of insulins and a bottle of eye drops. With V18 (Registered Nurse), the first refrigerator has the following insulin vials: Novolog insulin vial (use by date [DATE]) and Novolin R insulin vial (use by date [DATE]), and an eye drop (Lantanoprost/Xalatan 0.005%) without any date as to when it was open or when is not good to use. With V11 (Registered Nurse), the second refrigerator has the following insulin vials: Novolin R insulin vial (use by date [DATE]), Insulin Glargine insulin vial (use by date [DATE]), Novolog insulin vial (use by date [DATE]), and Novolin 70/30 insulin vial (use by date [DATE]). All insulin vials in both refrigerators…

  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 · Fcited before2023-09-01 · 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 follow proper sanitation and food storage practices by not labeling and storing food appropriately. These deficient practices have the potential to affect all 14 residents receiving food prepared in the facility kitchen. Facility census, dated 08/29/2023, documents a total of 14 residents admitted to the extended care unit/ECU of the facility. Findings include: On 08/29/2023 at 11:32 am during initial kitchen tour with V1 (Chief Quality Officer), V3 (Nutritional Services Supervisor), and V7 (Chief Operating Officer), the following food items were found in the walk-in freezer: 1. Two open boxes of uncovered pork sausage links without an open date labeled. 2. One open package of pepperoni meat without an open date labeled. 3. One open box of Yuca fries without an open date labeled. 4. Two boxes of cheese stuffed shells without an open date labeled. 5. One box of uncovered pork topping meat without an open date labeled. 6. One box of uncovered puffed pastry sheets without an open date labeled. On 08/29/2023 at…

  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 · Fcited before2023-09-01 · 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

  Deficiencies at this level require 2 Deficient Practice Statements. A. Based on observation, interview, and record review the facility failed to perform apprpriate hand hygiene after touching multiple high-touched areas to prepare and administer medicines for 2 out of 7 residents (R18 and R16) during medication administration. These failures have the potential to place 2 residents (R18 and R16) at risk of infections. B. Based on observation, interview, and record review, the facility failed to conduct an assessment to identify where Legionella (a bacteria that can cause a serious type of pneumonia (lung infection) called Legionnaires' disease) and other opportunistic waterborne pathogens (e.g. Pseudomonas, Acinetobacter) could grow and spread; and failed to consistently perform and monitor control measures. These failures have the potential to affect all the residents in the facility. Findings include: A. On 08/31/2023 at 8:10 am, V18 (Registered Nurse) placed gloves on both hands, then took R18's vital signs, first on R18's right upper arm, then on R18's left upper arm, because 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-09-01 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based observation, interview, and record review, the facility failed to provide person-centered care plans for 4 out of 5 residents (R5, R8, R9, and R158) for a total of 14 residents reviewed for plan of care. Findings include: On 08/29/2023, the plans of care of R5, R8, R9, and R158 were reviewed. R5 was seen earlier at 11:47 am, with foam protector on both heels, with pressure ulcer on left heel and redness on sacrum. R5's care plan does not indicate any pressure ulcer or redness. R5 also takes anti-psychotic medication, and care plan does not address possible adverse effect of medication. R8 has an order for wound care daily on posterior ear, and foam padding to nasal cavity, but does not have care plan specific that addresses the problem. R9 underwent abdominal surgery that was not part of care plan. R158 has wound care order for her heels that was not care planned. On 8/29/2023 at 1:50 pm, V6 (Minimum Data Set Coordinator / Registered Nurse) stated when doing care plan, the format is to click premade options that will populate right away; the choice she makes in that option. It…

  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 · D2023-09-01 · 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 follow their policy on dignity for one (R12) of five residents reviewed in a sample of 14. Findings include: R12 is an [AGE] year-old individual with a medical diagnosis not limited to urinary dysfunction and uses an indwelling urinary catheter. 08/29/23 12:25 PM, R12 was observed in her room, which was an isolation room. R12 said she has been here for a while, and has an indwelling urinary catheter. R12 was observed with urinary bag hooked to the bed rail facing the doorway (left side of the doorway) with no dignity bag, and contents in the urinary bag were visible to people passing by R12's room. Urine in the bag was observed at 200CC, and color was dark yellow. On 08/29/2023 at 1:55pm, V2(Director of Nursing-DON) said indwelling urinary catheter bags should be in a privacy bag, V2 said the dignity bag should have been applied to the bag so that the urinary bag cannot been seen from outside, to protect resident (R12's) privacy, 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 · D2023-09-01 · 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 observation, interview ,and record review, the facility failed to follow their policy to ensure two residents (R11, R15) of five residents reviewed were free of physical restrains in sample of 14 residents. Findings include: 1. R15 is an [AGE] year-old individual with a BIMS (Brief interview of Metal Status) score of 12/15, indicating R15's cognation is moderately impaired. R15's Patient care flow documents: Care interventions: Provide a safe, barrier-free environment that promotes activity. R15's functional status documents R15 needs extensive assistance with bed mobility, transfer, dressing and toilet use, one-person physical assist, and R15 needs limited assistance with walk in room and corridor. R15 uses a walker and is not steady, only able to stabilize with staff assistance. R15 is frequently incontinent of bladder. On 08/29/23 at 11:46 am, R15 was observed sitting in bed with all four side rails up. R15's bed was inclined at about 90 degrees, and R15 said she just finished lunch. R15 said she…

  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

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

What families pay in IL