Duquoin Nursing & Rehab

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

33.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 55 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 17.6% 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 34 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 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 72 beds and averages 47.2 residents a day — about 66% occupied, or roughly 25 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 3.39 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.28 hrs/resident/day on weekends vs 3.43 on weekdays — 5% thinner on weekends. RN hours go from 0.39 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as 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.

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.

18 citations, most serious first. The 12 most serious are shown; the remaining 6 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-05-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide supervision of a cognitively impaired ambulatory resident in 1 of 3 residents (R4) reviewed for elopement risk in the sample of 3 residents. The failure resulted in R4 exiting the facility at approximately 6:30 AM on 5/6/25 and was followed by V3 (Licensed Practical Nurse) to a local business. While in the parking lot of the business, R4 left V3's line of sight which resulted in R4 going unsupervised from approximately 6:50 AM until 9:10 AM when R4 was located in the garage of a local residence by the police. The Immediate Jeopardy began on 5/6/25 at approximately 6:50 am when V3 lost sight of R4 after R4 had exited the facility. R4 was not located until 9:10 am when R4 was found in a garage by the police. V1 (Administrator), V2 (Director of Nursing/DON), V18 (Chief Officer of Operations/COO) were notified of the Immediate Jeopardy on 5/13/25 at 9:14 AM. The surveyor confirmed by observation, interview and record review that 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-05-22 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 a resident was free from unnecessary psychotropic medications for 1 of 3 residents (R4) reviewed for medications in a sample of 3. This failure resulted in R4 sustaining a fall due to a loss of balance, resulting in a hip fracture requiring surgical intervention. Findings include: R4's admission Record documents an admission date of 3/28/2025 and includes diagnoses of unspecified dementia, unspecified severity without behavioral disturbances, psychotic disturbances, mood disturbance, anxiety disorder, major depressive disorder, single episode, unspecified and glaucoma. R4's MDS (Minimum Data Set) dated 4/4/2025 documents a BIMS (Brief Interview for Mental Status) score of 7 indicating that R4 has severe cognitive impairment. Section GG documents R4 requires supervision or touching assistance with mobility. R4 requires supervision or touching assistance with ability to walk 10feet, 50 feet with 2 turns, and 150 feet once standing. R4 is independent to roll left to right. R4 requires supervision or…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to implement interventions to prevent future falls for 1 of 4 (R1) residents reviewed for falls in a sample of 30.R1's admission Record documents an initial admission date of 6/30/2023 with diagnoses including in part dementia, muscle weakness, other abnormalities of gait and mobility, unsteadiness on feet, altered mental status, and lack of coordination.R1's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview of Mental Status (BIMS) score is unable to be performed because R1 is rarely/never understood. The same MDS for R1 documents the number of falls since admission as two or more, and R1 is dependent for sit to stand: the ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed. Dependent is defined in the same MDS as Dependent-Helper does all the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to…

  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 · Dcited before2025-07-25 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 a resident was free from unnecessary psychotropic medications for 1 of 3 residents (R3) reviewed for medications in a sample of 3. The findings include:R3's admission Record documents an admission date of 6/30/2023 and includes but not limited to diagnoses of Chronic Eosinophilic Pneumonia, Pneumonitis due to Inhalation of Food and Vomit, Unsteadiness on Feet, Unspecified Dementia, Hypomagnesium, Generalized Epilepsy, Anxiety, and Parkinson's disease. MDS (Minimum Data Set) dated 6/6/2025 includes documents R3 is rarely understood and is severely impaired. Section GG documents R3 is dependent on staff for transfers and showers and requires substantial/maximum assistance for lower body dressing and putting on and taking off footwear. Section E-Behaviors documents R3 has no hallucinations or delusions, and that R3 has physical behavioral symptoms directed towards others with behaviors of this type 4 to 6 days, but less than daily. R3 has no behaviors exhibited for rejection of care or wandering.R3's care plan documents…

  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 · D2025-07-25 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to process and transcribe physician orders timely and accurately for 1 of 3 (R3) residents reviewed for medications in a sample of 3. R3's admission Record documents an admission date of 6/30/2023 and includes but not limited to diagnoses of Chronic Eosinophilic Pneumonia, Pneumonitis due to Inhalation of Food and Vomit, Unsteadiness on Feet, Unspecified Dementia, Hypomagnesium, Generalized Epilepsy, Anxiety, and Parkinson's disease. R3's MDS (Minimum Data Set) dated 6/6/2025 documents R3 is rarely understood and is severely impaired. Section GG documents R3 is dependent on staff for transfers and showers and requires substantial/maximum assistance for lower body dressing and putting on and taking off footwear. Section E-Behaviors documents R3 has no hallucinations or delusions, and that R3 has physical behavioral symptoms directed towards others with behaviors of this type 4 to 6 days, but less than daily. R3 has no behaviors exhibited for…

  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 · D2025-07-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents were free from physical and verbal abuse for 1 (R1) of 3 residents reviewed for abuse in the sample of 7. Findings include: R1's admission Record documents an initial admission date of 6/25/2025. This same document listed the following diagnoses of cellulitis of right and left lower limb, chronic kidney disease and venous insufficiency. R1's Minimum Data Set (MDS) assessment dated [DATE], documented a Brief Interview for Mental Status Score of 11, indicating R1 had moderate cognitively impairment. R2's admission Record documents an initial admission date of 6/26/2025. This same document listed the following diagnoses of dementia in other diseases classified elsewhere, mild, with other behavioral disturbances, insomnia, and type 2 diabetes mellitus without complications. R2's Minimum Data Set (MDS) assessment dated [DATE], documented a Brief Interview for Mental Status Score of 0, indicating R2 had severe cognitively impairment. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-24 · 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 record review and interview the facility failed to notify a residents responsible party of a change in condition and transport to the emergency room for 1 of 7 residents (R2) reviewed for notification of changes in the sample of 10. The findings include: R2's admission Record documents an admission date of 04/24/24, with diagnoses including: Chronic Obstructive Pulmonary Disease, type 2 diabetes, history of falling, unspecified atrial fibrillation, peripheral vascular disease, major depressive disorder, and suicidal ideations. R2's Minimum Data Set (MDS) dated [DATE], documents a Brief Interview for Mental Status (BIMS) score of 9, indicating that R2 is moderately cognitively impaired. On 03/19/25 at 9:16am, V18 (family member) stated on February 26th the facility sent R2 to the hospital around 12:30pm, and she was not notified until 10pm. On 03/19/25 at 2:27pm, V10 (Licensed Practical Nurse/LPN) stated when a resident has to be sent to the hospital, the first thing they do is contact the doctor, then…

  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 · Dcited before2025-03-24 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 to ensure that a resident's wound dressing was changed in accordance with physician's orders for 1 of 3 residents (R3) reviewed for wounds in the sample of 10. This past noncompliance occurred from 2/21/25 to 3/06/25. The findings include: R3's admission record documents an admission date of 06/07/2020, with diagnoses including: malignant neoplasm of unspecified site left female breast, infection following a procedure, superficial incisional site, subsequent encounter, and developmental disorder of speech and language, unspecified. R3's Minimum Data Set (MDS) dated [DATE], documents a Brief Interview for Mental Status (BIMS) score of 9, indicating R3 is moderately cognitively impaired. R3's electronic medical record documents the following physician's order from an outside specialty physician with an upload date of 02/24/25. This document has a printed fax date and time of 02/21/25 at 02:53pm; Please start one layer of Xeroform to open area on the left…

  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 · Past Non-Compliance
• Potential for harm · F2024-08-30 · 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 ensure proper levels of sanitizer were maintained inside the dish machine and bulk stored foods were kept free from potential contamination. This has the potential to affect all 53 residents residing in the facility. The Findings Include: During the initial tour of the kitchen on 8/27/24 at 8:00 AM a scoop with handle was found in the bulk food bins containing thickener and flour. At this time V13 (Dietary Manager) stated that there are containers right next to these bins that are supposed to be for the scoops. V13 removed the scoops at this time and was going to educate the staff on the proper procedure of not leaving the scoops in the food with the handle touching the food substance. During this same initial tour on 8/27/24 at 8:25 AM, V13 used a sanitizer strip to check the chlorine concentration in the dish machine. No sanitizer was registering in the machine. V13 stated that she would have the maintenance man come and check the machine to determine the issue. At this time V13 stated that there is no log of…

  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 · Dcited before2024-08-30 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review the facility failed to provide assistance with ADL's (Activities of Daily Living) to 1 of 3 residents (R157) reviewed for ADL care in the sample of 26. The findings include: R157's admission record notes he was admitted to the facility on [DATE] from a local out of state hospital. The same document lists some of R157's diagnoses as Unspecified open wound, left ankle, Type 1 Diabetes Mellitus with Diabetic Chronic Kidney Disease, Peripheral Vascular Disease, Acquired absence of Right Leg Below Knee. R1's care plan notes a focus area of ADL self care performance deficit. Some of the listed interventions are bathing: I require (1) staff participation with bathing. Personal Hygiene/oral care: I require (1) staff participation with personal hygiene and oral care. Due to R1 being admitted on [DATE], V3 (Regional Nurse) said that R1's MDS (Minimum Data Set) had not been completed. On 8/27/24 at 9:40 am, R157 was observed lying in bed and had 1-2 inches of facial hair.…

  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 · Dcited before2024-08-30 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 initiate physician's orders for wound care for 1 of 5 residents (R157) reviewed for skin conditions in the sample of 26. The findings include: R157's admission record notes he was admitted to the facility on [DATE] from a local out of state hospital. The same document lists some of R157's diagnoses as Unspecified open wound, left ankle, Type 1 Diabetes Mellitus with Diabetic Chronic Kidney Disease, Peripheral Vascular Disease, Acquired absence of Right Leg Below Knee. Facility Document dated 8/21/24 labeled Admit/Readmit Screener documents R157 has a wound to right front knee measuring 5.2 cm (centimeters) x 4 cm peri wound and a surgical incision to front right knee measuring 0.1 cm x 16 cm x 0.1 cm and an abrasion to left great toe. There was no mention of a wound on the left lateral ankle on the document. R157's discharge documents from a local out of state hospital dated 8/21/24 documents the following orders: Left great toe: Cleanse wound gently…

  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 · D2024-08-30 · 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 ensure residents were free from unnecessary medications for 1 of 1 residents (R26) reviewed for unnecessary medications in the sample of 26. The Findings Include: R26's face sheet documents an admission date of 6/12/2024. The diagnosis on this face sheet includes the following: senile degeneration of brain as of 6/13/24, anxiety disorder as of 6/13/24, Diabetes Mellitus as of 6/13/24, and Tourette's disorder as of 8/27/2024. R26's physician order summary report as of 8/30/24 documents the following medications: Haloperidol 5 milligram (mg) give one tablet by mouth two times a day related to senile degeneration of brain, anxiety disorder unspecified, Lexapro 10mg once a day for signs and symptoms of depression, Lorazepam 0.5mg every four hours as needed for anxiety, Morphine Sulfate 100mg/100 milliters (ml) by mouth every four hours as needed and Trazadone 25mg at bedtime for insomnia. R26's care plan has a focus area for 'risk of insomnia'…

  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

“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

$17,069 in federal fines across 2 penalties.

• $8,281 — penalty dated 2025-05-22
• $8,788 — penalty dated 2025-05-22

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to WLC MANAGEMENT FIRM — 18 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $283K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

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