Medina Nursing Center

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.

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 12% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 89 beds and averages 46.6 residents a day — about 52% occupied, or roughly 42 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 4.27 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.82 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.95 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 3.75 hrs/resident/day on weekends vs 4.48 on weekdays — 16% thinner on weekends. RN hours go from 0.88 to 0.65 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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 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.

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.

38 citations, most serious first. The 15 most serious are shown; the remaining 23 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-09-19 · 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 ensure the safety of a dependent resident who was left outside in the sun for two hours without water or a way to call for help. This applies to 1 of 3 residents (R1) reviewed for safety and supervision in the sample of 6. This failure resulted in R1 being transferred to an acute care hospital for treatment of heat exhaustion, sun burn, hypoxia, and altered mental status. The Immediate Jeopardy began on 9/14/25 when R1 was assisted outside in her reclining wheelchair and placed directly in the sun without staff supervision and monitoring in place for two hours. V2 (Assistant Administrator) was notified of the Immediate Jeopardy on 9/19/25 at 11:25 AM. The surveyor confirmed by observation, interview, and review that the Immediate Jeopardy was removed on 9/19/25, but noncompliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-service training. The findings include:R1's face…

  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 before2026-05-26 · 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

  Based on interview and record review the facility failed to identify a resident's new, non-pressure wounds. The facility failed to perform weekly wound assessments on a resident's wounds. These failures resulted in R2 being hospitalized for cellulitis (bacterial skin infection) of his left foot after maggots were found in R2's left foot wounds. These failures apply to 1 of 3 residents (R2) reviewed for wounds in the sample of 6.The findings include:R2's admission records dated 1/2/26 showed R2 was admitted to the facility with diagnoses including cellulitis of his bilateral lower legs, peripheral vascular disease, lymphedema, obesity, and congestive heart failure. R2's infection notes, and Treatment Administration Records (TAR) dated 4/15/26-5/13/26 showed R2 received daily dressing changes to his bilateral lower legs due to his diagnosis of cellulitis. The notes showed R2 had redness, swelling, open areas, and drainage to the wounds on his lower legs. These notes showed no wound measurements of the wounds on his lower legs. These notes showed no documentation of any wounds to R2'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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-12-06 · 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 ensure the safety of a dependent resident by not preventing a burn for 1 of 3 residents (R1) reviewed for safety in the sample of 3. This failure resulted in R1 sustaining a 2nd degree burn to his left knee. The findings include:R1's face sheet showed he was admitted to the facility 8/15/25 with diagnoses to include dementia, metabolic encephalopathy, atherosclerotic heart disease, ischemic cardiomyopathy, chronic congestive heart failure, chronic obstructive pulmonary disease, benign prostatic hyperplasia with urinary tract symptoms. R1's facility assessment dated [DATE] showed he has severe cognitive impairment and is dependent on staff for all cares.R1's care plan initiated 9/15/25 showed, [R1] is at moderate risk for skin breakdown.R1's 12/5/25 Skin/Wound/Bruise Note entered at 11:10 AM showed, . burn. 6.0 cm x 2.5 cm. Drainage: serosanguinous light. when resident was lying in bed, knee was hovering over heater next to the 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-03-14 · 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 interview and record review, the facility failed to perform a safe mechanical lift transfer for 1 of 3 residents (R12) reviewed for safety/supervison in the sample of 15 . This failure resulted in R12 experiencing a fall from the mechanical lift and sustaining a hematoma. The findings include: R12's electronic face sheet printed on 3/13/24 showed R12 has diagnoses including but not limited to Alzheimer's disease, dementia with behaviors, congestive heart failure, acute respiratory failure with hypoxia, acute pulmonary edema, major depressive disorder, and repeated falls. R12's facility assessment dated [DATE] showed R12 has severe cognitive impairment and is dependent on staff for all transfers. On 3/12/24 at 9:58AM, R12 was laying in her bed with a yellow, purple, black hematoma to her right forehead and eye. R12's progress notes dated 3/7/24 showed, Witnessed fall at 1400. Resident found on right side, legs over (mechanical lift) sling, (mechanical lift) sling with one strap not correctly fastened…

  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 before2024-01-16 · 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 interview and record review the facility failed to ensure a resident was supervised and assisted as needed by staff while ambulating which contributed to R1 falling in the facility and sustaining a right hip fracture. This failure applies to 1 of 3 residents (R1) reviewed for safety and supervision in the sample of 6. The findings include: The facility's Fall-Initial Documentation note dated 1/7/24 showed R1 fell while walking, by herself, in the dining room of the facility. The note showed R1's fall was witnessed by V7 Dietary Aide and V8 Nurse Manager. The note showed R1 was walking with a walker when she was trying to move her legs but legs would not move. Resident then lost her balance and fell on her right side. Upon examination, R1's right leg appeared shortened and rotated. R1 complained of pain to her right hip. 911 was called. R1 was sent emergently by ambulance to a local hospital. R1's hospital records dated 1/7/24-1/11/24 were reviewed. The records showed R1 was admitted to the hospital, on…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-29 · 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 protect residents from verbal abuse from staff. This applies to 2 of 4 residents (R1, R2) reviewed for abuse in the sample of 4. The findings include: R1's Physician's Order Sheet dated June 2026 shows that R1 has diagnoses including Alzheimer's Disease and Vascular Dementia. R2's Physician's Order Sheet dated June 2026 shows that R2 has diagnoses including Dementia and Encephalopathy. On 6/29/26 at 9:55AM R4 stated, (V4- CNA- Certified Nursing Assistant) was trying to provide care of some kind (to R2), I don't remember what and (R2) wouldn't listen. I heard (V4) say, You better roll over or I'm going to get the nurse to give you a shot and it is going to hurt. I thought that is not going to make her listen to you. (V4) was here a lot- she went on vacation for a week and then she was back so yes, she was regular staff here. She was not a very nice CNA. Not friendly at all. When she said that to (R2) I couldn't believe she was threatening her like that and I lost a lot of respect for her. I just thought she should be doing…

  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 · F2026-06-25 · tag F0577 — widespread
  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
  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 the Illinois Department of Public Health survey results were accessible to residents. This failure affects all residents residing in the facility. The findings include:The facility's census report dated 6/23/26 showed 47 residents currently residing in the facility. On 6/24/26 at 10:00AM, R4, R7, and R16 attended the resident council meeting. All 3 residents stated that the survey results are in someone's office, but they are unsure of who's office they are in. Surveyor toured the facility following the resident council meeting and was unable to find the survey results nor was there a sign indicating where survey results were available. On 6/25/26 at 7:55 AM, V1 (Administrator) stated, We do have the survey results binder, but it is in my office so it's locked when I am not here. we do not have a sign or anything anywhere telling residents or visitors where it is at. They would have to ask for it and if I'm not here there aren't any floor staff that would be able to get it for them. The facility was…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-06-25 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure the nurse daily staffing was posted on a daily basis. this applies to all residents in the facility. The findings include: On 6/25/2026 at 7:30 AM, the facility census and staffing information was not posted in the building. At 7:38 AM, V1 Administrator was asked if the daily staffing and census was posted and she stated to ask V2 Director of Nursing - DON because she was the one to do that. At 7:45 AM, V2 showed what she posts at the back nurses desk and on a clipboard it showed the nurses and certified nurses assignments for the day. V2 was asked where the census was and breakdown of nursing hours etc. she stated she did not know what that meant and that it was not being done. On 7:53 AM, the requirements for posting were gone over with V1 and V2 and it was confirmed that it was not being done. On 6/25/2026 at 11:15 AM, V2 stated she was pretty sure that since they were not posting the staffing that they did not have a policy. The Long term Care Facility Application for Medicare and Medicaid Form -…

  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 · E2026-06-25 · tag F0628 — pattern
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 provide a bed hold policy and written notice of transfer to 4 of 4 residents (R1,R15,R35,R41) reviewed for hospitalizations in the sample of 23. The findings include:1) R1's facility assessment dated [DATE] showed R1 has no cognitive impairment. R1's nursing progress notes dated 2/12/26 showed R1 was sent to the local hospital for blood in his urine. On 6/25/26 at 10:07 AM, R1 stated, If you go to the hospital, they give you a folder with paperwork in it, but I don't know what is in it. That all goes to the hospital staff. R1's nursing progress notes showed no documentation that R1 was provide the facility bed hold policy or written notice of transfer. 2) R15's facility assessment dated [DATE] showed R15 has no cognitive impairment. R15's nursing progress notes showed R15 was sent to the local hospital on 4/12/26 and 5/14/26. No documentation was present in R15's progress notes showing that R15 was provided a bed hold policy or written notice 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-25 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each 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 observation, interview, and record review, the facility failed to provide a wheelchair to enable a resident to self-propel for 1 resident (R19), failed to provide foot pedals for a resident's (R19) wheelchair. These failures apply to 1 of 1 residents reviewed for accomodation of needs in the sample of 23. The findings include:R19's electronic face sheet dated 6/25/26 showed R19 has diagnoses including but not limited to epilepsy, hypertension, cerebral palsy, and dementia without behaviors. R19's facility assessment dated [DATE] showed R19 has severe cognitive impairment, utilizes a manual wheelchair, and requires partial/moderate assistance to wheel 50 feet with 2 turns. On 6/23/26 at 11:53 AM, R19 was sitting up in her wheelchair at the lunch table with her feet dangling from the wheelchair. R19 was unable to touch the floor with her feet while seated in the wheelchair. At 12:42 PM, staff wheeled R19 upstairs in the wheelchair with no foot pedals on the wheelchair and R19's feet still dangling from…

  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 before2026-06-25 · 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 attempt a reduction of a resident's restraint and release the restraint when supervised for 1 of 1 residents (R3) reviewed for restraints in the sample of 23. The findings include:On 6/23/2026 at 10:02 AM, V9 (R3's power of attorney) stated she did not think R3 needed the seat belt any longer; she did not feel it was necessary. V9 stated it would suit her fine if they got rid of the seatbelt. V9 stated R3 used to scoot in her padded wheelchair but she doesn't see her do that anymore. On 6/24/2026 at 11:19 AM, R3 was up in her padded wheelchair at the dining room table for lunch. R3 had her seatbelt in place and her protective helmet on. At 11:21 AM, R3's food was served. V13 Certified Nursing Assistant - CNA removed R3's protective helmet, put a clothing protector on her, and sat down to assist R3 with lunch. V13 stated they remove the helmet at lunch. The seatbelt remained in place during lunch. V13 stated she thinks R3's new padded…

  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 before2026-06-25 · 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 observation, interview and record review, the facility failed to obtain weekly weights as ordered by the physician for 1 of 1 resident (R43) reviewed for quality of care in the sample of 23.The findings include:The findings include:R43s admission records show he was admitted to the facility on [DATE] with multiple diagnoses including but not limited to chronic diastolic (congestive heart failure). R43s June medication review report shows an order for weekly weights on Monday, for fluid retention to begin on 5/25/26.The Weights and Vital summary dated 6/25/26 shows on 5/10/26 at 156 pounds, and the next weight was completed on 6/7/26 was 168.7 pounds, and 6/11/26 at 165.3 pounds.The June Medication Administration Record (MAR) and Treatment Administration Record (TAR) were reviewed, and the weekly weight order was not listed.On 6/25/26 at 8:46 AM, V2 Director of Nursing (DON) said when an order for weekly weights is received, the nurse should put the order on the MAR. V2 looked into the computer and said…

  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 · D2026-06-25 · 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 develop a restorative program tailored to a resident's needs for 1 of 2 residents reviewed for restorative therapy in the sample of 23. The findings include:R18's electronic face sheet dated 6/25/26 showed R18 has diagnoses including but not limited to frontotemporal neurocognitive disorder, dysphagia, repeated falls, and depression. R18's facility assessment dated [DATE] showed R18 has severe cognitive impairment and receives restorative therapy R18 had no care plan related to restorative therapy or his need for assistance with transfers/ambulation. R18's restorative task for June 2026 showed, Walk towards the elevator and back towards the room with gait belt, walker, and 2 assist, remind him to keep walker close to him. He does get tired. On 6/23/26 at 9:58 AM, V5 and V8 (Certified Nursing Assistants-CNA's) assisted R18 to the bathroom. Both V5 and V8 stated R18 might take a few steps here and there but nothing more. Both staff stated…

  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 before2026-06-25 · 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 ensure a resident was transferred using a gait belt and failed to ensure a resident was safely transported in a wheelchair for 2 of 6 resident (R43, R9) reviewed for safety in the sample of 23. The findings include: 1. R43s admission record shows he was admitted to the facility on [DATE] with multiple diagnoses including but not limited to congestive heart failure, and mild protein-calorie malnutrition. The 3/17/26 care plan for R43 identifies him as a risk for falls. The interventions show he requires the assistance of one staff using a gait belt for transfers.On 6/23/26 at 2:00 PM, V5 Certified Nursing Assistant (CNA) pushed R43 towards the bathroom. Standing behind the wheelchair she leaned over and assisted R43 to stand up without placing a gait belt around his waist. He stood, turned and sat down on the toilet. When he was finished, V5 then placed a gait belt around his waist to assist him back to the wheelchair. She stated R43…

  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 before2026-06-25 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 cathter bags were covered and not resting on the floor for 2 of 2 residents (R2 & R21) reviewed for catheters in the sample of 23. The findings include:1. On 6/23/2026 at 10:21 AM, R21 was in a low bed to the floor. R21 had a catheter drainage bag on the side of bed with no cover on the bag and the bag was laying on the floor. On 6/23/2026 10:25 AM, V10 certified nursing assistant - CNA went into R21's room and stated the drainage bag should not be on the floor for infection control. V10 stated there should be a dignity bag to keep out of site and off the floor, also for infection control. On 6/25/2026 at 8:30 AM, V2 director of Nursing - DON sated the bag/covers for the catheter bags are used for dignity and to keep the drainage bag off the floor for infection control. V2 stated drainage bags should not be on the floor or touching the floor for infection control. The Face Sheet dated 6/25/26 for R21 showed diagnoses including multiple sclerosis, retention of urine, ventricular tachycardia,…

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

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

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

Fines & penalties

$80,559 in federal fines across 4 penalties.

• $28,350 — penalty dated 2026-05-26
• $20,460 — penalty dated 2025-12-02
• $22,925 — penalty dated 2025-09-10
• $8,824 — penalty dated 2024-03-14

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.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $199K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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