The Haven on the River

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.

Met the expected recovery: 18.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 22 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 0.20 therapist hours per resident per day in 2026Q1 — more than 22% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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 46.4 residents a day — about 70% occupied, or roughly 20 beds typically open. It usually has some room. 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 3.07 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 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 2.85 hrs/resident/day on weekends vs 3.15 on weekdays — 10% thinner on weekends. RN hours go from 0.63 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 66% is well above 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 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.

41 citations, most serious first. The 16 most serious are shown; the remaining 25 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-02-06 · 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 follow physician's orders and failed to assess and monitor a resident's declining condition for 1 of 3 residents (R1) reviewed for quality of care in a sample of 18. This failure resulted in R1's hospital admission for acute kidney injury and hyperkalemia requiring emergent dialysis and subsequent death.This failure resulted in Immediate jeopardy, which was identified to have begun on 12/28/25 when the facility failed to obtain physician ordered labs of CBC (Complete Blood Count), CMP (Comprehensive Metabolic Panel) and TSH (Thyroid-stimulating hormone) for R1. The facility failed to follow up on UA (Urinalysis) and Culture and Sensitivity lab results that was ordered for R1 on 12/28/25. The facility failed to notify the physician of a decline in R1's condition. This failure resulted in R1 not getting timely medical treatment, which resulted in R1 being sent out the hospital on [DATE] by V25 (Family Member) and requiring emergent dialysis and 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2026-06-03 · 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 are free from neglect for 1 of 6 residents (R1) reviewed for neglect in the sample of 12. The failure resulted in R1 not receiving an immediate nursing assessment and treatment for a fall resulting in a hip fracture.Findings include:R1's Face Sheet documented an admission Date of 3/18/26, and listed Diagnoses including Vascular Dementia, Atherosclerotic Heart Disease, and Chronic Obstructive Pulmonary Disease.R1's Minimum Data Set, dated [DATE], documented R1 had moderate deficits in cognition. R1's Care Plan, dated 4/30/26, documented a problem area, The resident is moderate risk for falls related to history of falls, poor safety awareness, impulsivity; resident sometimes crawls out of bed. A 3/18/26 admission Fall Risk Assessment documented that R1 was at high risk for falls.Nursing Progress Notes documented the following:5/19/26 9:36am: During morning med pass resident was resting comfortably in bed, took his meds and had no…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-04-16 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure pain medication was available for 1 of 3 (R1) residents reviewed for pain in the sample 10. This failure resulted in R1's pain not being controlled post knee replacement surgery, causing R1 to become restless and anxious. R1 stated when he doesn't have the pain medication he doesn't move as much because of the pain.Findings Include:R1's admission Record, with a print date of 4/14/26, documents R1 was admitted to the facility on [DATE], with diagnoses that include infection and inflammatory reaction due to internal right knee prosthesis, after care following knee joint prosthesis, fracture of right patella, depression, anxiety, heart failure, and seizures.R1's Minimum Data Set (MDS), dated [DATE], documents a Brief Interview for Mental Status score of 15, indicating R1 is cognitively intact. This same MDS documents R1 had a recent knee replacement surgery and the Pain Assessment Interview documents R1 has frequent pain that…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-12-03 · 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 ensure residents received treatment and care in accordance with professional standards of practice that includes post fall assessment and treatment, monitoring, reporting, and investigating for 1 of 3 residents (R1) reviewed for quality of care in the sample of 6. This failure resulted in R1 falling and sustaining a hip and femur fracture without timely assessment and treatment after the fall. A reasonable person would experience feelings of discomfort and distress due to not receiving timely after fall care. This past non-compliance occurred between 11/14/25 and 11/16/25.Findings include:R1's Transfer/Discharge report, dated 12/2/25, documents an admission date of 12/3/2021 and a discharge date of 11/20/2025.R1's diagnosis report, dated 12/3/25, documents the following diagnoses in part, fracture of superior rim of right pubis, subsequent encounter for fracture with routine healing, muscle weakness (generalized), other abnormalities of gait and…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2025-12-03 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that a resident was properly assessed for injury and pain and to address resident complaints of pain post fall for 1 of 3 (R1) residents reviewed for pain in a sample of 6. R1 fell and sustained a hip and femur fracture without proper assessment of injury/pain. A reasonable person would experience feelings severe pain and discomfort due to not receiving pain relief medication. Findings include:R1's Transfer/Discharge report dated 12/2/25 documents an admission date of 12/3/2021 and a discharge date of 11/20/2025.R1's diagnosis report, dated 12/3/25, documents the following diagnoses fracture of superior rim of right pubis, subsequent encounter for fracture with routine healing, muscle weakness (generalized), other abnormalities of gait and mobility, pain in right hip, unsteadiness on feet.R1's Minimum Data Set (MDS), dated [DATE], documents a Brief Interview for Mental Status (BIMS) of 9, indicating R1 is moderately cognitively impaired. Section…

  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 before2025-10-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to safely transfer a resident for 1 of 3 residents (R1) reviewed for accidents in a sample of 5. This failure resulted in R1 falling from the lifting machine, hitting her head and receiving three staples to repair a 1.2 cm (centimeter) laceration to the back of her scalp.This past non-compliance occurred between 9/14/2025 and 9/15/25.Findings included:R1's admission Record documented R1 was admitted to this facility on 2/25/2025, with diagnoses of type 2 diabetes mellitus, essential hypertension, opioid dependency, chronic pain and spinal stenosis among others.R1's MDS (Minimum Data Set) assessment, dated 8/4/2025, documented R1 with a BIMS (Brief interview for Mental Status) score of 12 out of 15, which indicated R1 is cognitively intact. This same MDS under section GG (Functional Ability) documented R1 has impairment to both lower extremities and is dependent on staff for all transfers and toileting.On 9/29/2025 at 10:00am, R1 said on 9/14/2025 right after lunch, she needed to use the commode and put her call light on. R1…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · F2026-06-03 · tag F0835 — failed to run the facility competently — widespread
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  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 administrative oversight to ensure the facility implemented their policy to facilitate cooperation with regulatory bodies in connection with IDPH (Illinois Department of Public Health) surveys. This failure has the ability to affect all 45 residents living at the facility. Findings include: R1's Face Sheet documented an admission Date of 3/18/26 and listed Diagnoses including Vascular Dementia, Atherosclerotic Heart Disease, and Chronic Obstructive Pulmonary Disease.R1's Minimum Data Set, dated [DATE], documented R1 had moderate deficits in cognition. R1's Care Plan, dated 4/30/26, documented a problem area, The resident is moderate risk for falls related to history of falls, poor safety awareness, impulsivity; resident sometimes crawls out of bed. A 3/18/26 admission Fall Risk Assessment documented that R1 was at high risk for falls.R1's Nursing Progress Notes, authored by V14, Licensed Practical Nurse, documented the following, with both…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 immediately initiate an investigation into a resident fall and failed to ensure a door remained closed to prevent elopements from residents at risk for elopement for 7 or 7 residents (R1, R4, R8, R9, R10, R11, R12) reviewed for accidents and supervision in a sample of 12.Findings include:1. R1's Face Sheet documented an admission Date of 3/18/26, and listed Diagnoses including Vascular Dementia, Atherosclerotic Heart Disease, and Chronic Obstructive Pulmonary Disease.R1's Minimum Data Set, dated [DATE], documented R1 had moderate deficits in cognition. R1's Care Plan, dated 4/30/26, documented a problem area, The resident is moderate risk for falls related to history of falls, poor safety awareness, impulsivity; resident sometimes crawls out of bed. A 3/18/26 admission Fall Risk Assessment documented that R1 was at high risk for falls.Nursing Progress Notes documented the following:5/19/26 9:36am: During morning med pass resident 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-03 · 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 POA (Power of Attorney) and Nurse Practitioner of a fall and a decrease in oxygen saturation for 1 of 3 residents (R1) reviewed for notification in a sample of 12. Findings include:1. R1's Face Sheet documented an admission Date of 3/18/26, and listed Diagnoses including Vascular Dementia, Atherosclerotic Heart Disease, and Chronic Obstructive Pulmonary Disease.R1's Minimum Data Set, dated [DATE], documented R1 had moderate deficits in cognition. R1's Care Plan, dated 4/30/26, documented a problem area, The resident is moderate risk for falls related to history of falls, poor safety awareness, impulsivity; Resident sometimes crawls out of bed. A 3/18/26 admission Fall Risk Assessment documented R1 was at high risk for falls.Nursing Progress Notes documented the following:5/19/26 9:36am: During morning med pass resident was resting comfortably in bed, took his meds and had no complaints. Later in the AM (morning) CNA's (Certified…

  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 before2026-04-16 · 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 ensure pain medication was available for administration as ordered and antibiotics were administered timely for 1 of 3 (R1) residents reviewed for pharmacy services in the sample of 10. Findings Include:1. R1's admission Record, with a print date of 4/14/26, documents R1 was admitted to the facility on [DATE] with diagnoses that include infection and inflammatory reaction due to internal right knee prosthesis, after care following knee joint prosthesis, fracture of right patella, depression, anxiety, heart failure, and seizures.R1's Minimum Data Set (MDS), dated [DATE], documents a Brief Interview for Mental Status score of 15, indicating R1 is cognitively intact. This same MDS documents R1 had a recent knee replacement surgery and the Pain Assessment Interview documents R1 has frequent pain that occasionally effects his sleep, interferes with therapy activities, occasionally limits his day-to-day and the intensity of the pain is rated a…

  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 · Dcited before2026-04-16 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure antibiotics were administered as ordered by the physician for 1 of 3 (R1) residents reviewed for medication administration in the sample of 10.Findings Include:R1's admission Record, with a print date of 4/14/26, documents R1 was admitted to the facility on [DATE] with diagnoses that include infection and inflammatory reaction due to internal right knee prosthesis, after care following knee joint prosthesis, fracture of right patella, depression, anxiety, heart failure, and seizures.R1's Minimum Data Set (MDS), dated [DATE], documents a Brief Interview for Mental Status score of 15, indicating R1 is cognitively intact. This same MDS documents R1 had a recent knee replacement surgery.R1's current Care Plan documents a Focus area of, The resident has infection of the right knee prosthesis. Date Initiated: 03/28/2026. This Focus area includes Intervention of, Administer antibiotic as per MD (physician) orders. Date Initiated: 03/28/2026.R1's Order…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-25 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed respond to a pharmacy review for an as needed psychotropic medication and failed to document the indication of use for the psychotropic medication for 1 of 3 resident (R2) reviewed for chemical restraints in a sample of 17. Findings include:R2's admission record, dated 3/18/26, documents an admission date of 1/19/26. R2's admission record documents diagnoses including but not limited to unspecified dementia, unspecified severity, with agitation; generalized anxiety disorder; Alzheimer's disease; and depression, unspecified.R2's physician order sheet, dated 3/18/26, documents orders for medications including but not limited to trazodone 50 milligram/mg tablet- take 1 tablet by mouth at bedtime with a start date of 3/14/26; pregabalin 25mg capsule - take 1 capsule two times per day for sleep with a start date of 1/27/26; citalopram 20mg tablet - take 1 tablet every day with a start date of 2/3/26.R2's Electronic Health Record (EHR) included an order, dated…

  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 · E2026-03-06 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 hot water for showers and personal care for 8 of 8 residents (R1, R2, R4, R5, R6, R11, R13, R14) reviewed for environment in a sample of 14. Findings Included:On 2/21/26 at 8:30 AM, a digital metal stemmed thermometer used for taking temperatures for this survey was checked for accuracy using the ice-point method and was accurate within +/_ 2 degrees Fahrenheit. 1. On 2/21/26 at 9:30 AM, the North Hall Shower water temperature was taken at the shower head with a metal stemmed thermometer and the hot water measured 72 degrees Fahrenheit. The temperature of the hot water at the sink registered 95.3 degrees Fahrenheit 2. On 2/21/2026 at 9:35 AM, R6's and R13's bathroom sinks hot water temperature was taken with a metal stemmed thermometer and registered 95.5 degrees Fahrenheit. At that time where were both noted asleep in room. On 2/26/2026 at 11:20 AM, R6 was in her room alert and oriented and stated the water in her bathroom sink…

  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 · Fcited before2026-02-06 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 ensure sufficient staff were available to provide needed care in a timely manner. This failure has the potential to affect all 45 residents residing in the facility.The findings include:On 01/22/26 at 10:35AM, R2 who was alert to person, place, and time, stated she had to wait over 30 minutes last night for someone to come answer her call light. R2 said she is glad she really didn't need anything important. R2 had her call light on to see what all staff were working on 01/21/26 for the 6p to 6a shift. R2 stated, They must not have had a lot of staff because it took forever for them to answer my light and when someone did answer my light it was (V1, Administrator) who answered my call light. R2 said she has problems like this all the time, especially in the evening where it will take the staff 30 minutes to an hour to answer her call light, she said usually they might have just 1 certified nurse assistant on her hall and 1 certified nurse…

  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 · E2026-02-06 · tag F0550 — failed to protect resident dignity and rights — pattern
  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 interview, observation, and record review, the facility failed to maintain a resident's right to receive timely care and be treated with dignity for 4 of 18 residents (R2, R5, R6 and R12) reviewed for resident rights in a sample of 18. This failure has the potential to affect 26 residents residing on the North Hall.The findings include:1. R2's admission record, dated 02/02/26, documents an admission date of 11/23/2022 with diagnoses in part of chronic respiratory failure with hypoxia, type 2 diabetes mellitus, morbid obesity, lack of coordination, and hypertensive heart and chronic kidney disease with heart failure.R2's Care Plan documents a focus are with a date initiated of 08/27/25, of R2 is at risk for impaired skin integrity r/t (related to) history of vascular wounds, hx (history) of MASD (Moisture Associated Skin Damage): refusing to be turned and repositioned and prefers to lie in one position: dx (diagnosis) DMII (Diabetes Mellitus Type 2), chronic resp (respiratory) failure with hypoxia, COPD…

  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 · Fcited before2025-08-19 · tag F0755 — failed to provide safe pharmacy services — widespread
  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 interview and record review, the facility failed to administer prescribed medications at the prescribed time. This failure has the potential to affect all 49 residents residing in the facility. Findings include:1. R3's Face Sheet documents an admission date of 11/23/22, with diagnoses including chronic kidney disease, chronic obstructive pulmonary disease, chronic venous hypertension, chronic congestive heart failure, and type 2 diabetes mellitus.R3's Minimum Data Set (MDS), dated [DATE] in section C, documents R3 has a Brief Interview for Mental Status (BIMS) score of 15, indicating R3 is cognitively intact. Section N of same MDS documents R3 is ordered the following classes of medications: diuretic, opioid, antiplatelet, and hypoglycemic (insulin).R3's Care Plan, dated 7/17/25, documents a focus area that R3 is on diuretic therapy related to edema. Interventions for this focus area include administering diuretic medications as ordered by physician with an initiation date of 4/10/23. Another focus area…

  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

$338,630 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $20,650 — penalty dated 2026-06-03
• $17,050 — penalty dated 2026-04-16
• $300,930 — penalty dated 2025-12-03
• Medicare payment denial — starting 2025-12-26 for 71 days

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

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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 $634K paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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