Resthave Home-Whiteside County

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.

57.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 50 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 35.9% 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 39 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 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 70 beds and averages 66.7 residents a day — about 95% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. 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 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.50 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 3.15 hrs/resident/day on weekends vs 3.84 on weekdays — 18% thinner on weekends. RN hours go from 0.61 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are 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.

36 citations, most serious first. The 14 most serious are shown; the remaining 22 are one tap away and print in full.

• Actual harm · Gcited before2026-06-09 · 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 observation, interview, and record review the facility failed to ensure a resident was free from resident-to-resident abuse for 1 of 3 residents (R1) reviewed in the sample of 6. This failure resulted in R1 repeatedly being yelled at, cursed at, and called names by R2.The findings include:R1's face sheet showed he was admitted to the facility [DATE] with diagnoses to include Parkinson's Disease without dyskinesia, hypertensive heart disease with failure, chronic congestive heart failure, peripheral vascular disease, and symptoms and signs involving cognitive functions and awareness. R1's [DATE] facility assessment showed he has moderate cognitive impairment and requires moderate assistance from staff for most of his cares.R1's care plan initiated [DATE] showed, [R1] has a diagnosis of Parkinson's Disease affecting his cognition. R1's care plan initiated [DATE] showed, [R1] has impaired cognitive function. [DATE] - Code Alert added to wheelchair (device to set off an alarm at the doors to alert staff if…

  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 · G2026-06-09 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 abuse allegations were investigated for 1 of 3 residents (R2) reviewed for abuse in the sample of 6. This failure resulted in R2 repeatedly yelling at, cursing at, and calling R1 names. The findings include:On 6/9/26 at 9:30 AM, V1 (Administrator) said, The last abuse investigation was done in August 2025 and was not related to [R1] or [R2].R1's face sheet showed he was admitted to the facility 9/15/23 with diagnoses to include Parkinson's Disease without dyskinesia, hypertensive heart disease with failure, chronic congestive heart failure, peripheral vascular disease, and symptoms and signs involving cognitive functions and awareness. R1's 6/2/26 facility assessment showed he has moderate cognitive impairment and requires moderate assistance from staff for most of his cares.R1's care plan initiated 9/18/23 showed, [R1] has a diagnosis of Parkinson's Disease affecting his cognition. R1's care plan initiated 9/16/23 showed, [R1] has impaired…

  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 · G2026-06-09 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide behavioral health services for 1 of 3 residents (R2) reviewed for behavior services in the sample of 6. This failure resulted in R1 being repeatedly yelled at, cursed at, and called names by R2.The findings include:The facility's policy and procedure revised 5/11/2019 showed, . Behavior Tracking/Management Program. Purpose: To provide a means to collect data regarding individual resident behaviors. This data will be used for the following reason: To collect a baseline to determine the extent of the problem(s); To Monitor the effectiveness of the plan of care developed; To monitor for behavior (including problems individuals have been placed on psychotropic medications for); To monitor for changes in behavior. FORMAT: Behavior monitoring will be individualized to the resident. At a minimum, the monitoring charting includes frequency of the behavior, interventions used, and effectiveness of interventions. METHOD: Behavior tracking…

  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 before2026-04-22 · 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 safely transfer a resident out of the facility van for 1 of 3 residents (R1) reviewed for safety and supervision during transfers. This failure resulted in R1 sustaining a fractured metatarsal (toe).The findings include:R1s admission record showed he was admitted to the facility on [DATE] with multiple diagnoses including cerebral palsy. The 3/31/26 quarterly resident assessment and care screening documents R1 to be cognitive intact. The same assessment showed him to have impairment on both sides of his upper and lower body. He is dependent upon staff for all of his daily activities. He uses a wheelchair and motorized scooter for mobility.The 4/3/26 facility incident report documents the nurse was called to assess R1 after he was observed by his wife falling out of the transport van onto the ground. R1 was alert and oriented to person, place and time, denied pain. He had a small laceration on his left forearm which was bleeding. The report…

  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 · D2026-03-04 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  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 ordered laboratory services. This applies to 1 of 3 residents (R1) reviewed for laboratory services in the sample of 3. The findings include:R1's admission Record (Face Sheet) showed she was admitted to the facility on [DATE] with one of her diagnosis being myeloblastic leukemia (cancer affecting bone [NAME] leading to low hemoglobin and red blood cell counts). R1's 1/12/26 Minimum Data Set showed she was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 13 out of 15. R1's 2/3/26 Health Status Note from 12:34 PM, showed V6 R1's Daughter/Power of Attorney notified the facility R1 should be having weekly Complete Blood Count (CBC laboratory test that measures several blood values to include red blood cell counts and hemoglobin). The note showed R1's provider then ordered this lab to be done weekly. R1's 3/2/26 Health Status Note from 1:49 PM, showed R1 will be going to the local area hospital for her weekly CBC lab draws.…

  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 · Dcited before2026-02-14 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure residents were treated with dignity for 2 of 3 residents (R1, R2) reviewed for dignity in the sample of 13.The findings include:1. R1s admission record shows he was admitted to the facility on [DATE]. His 12/2/25 resident assessment and care screening shows he is cognitively intact. The census report shows he was moved on 11/22/25 from room in (zone 2) to room in (zone 1).On 2/14/26 at 9:12 AM, R1 said he was in another room in the facility and did not like to say anything, but he did complain about the staff. There are 2 members of the staff that other residents complain about too but did not know their names. He reported these staff were mean to him. Their attitudes were not good. They were physically rough with him when he was not doing what they wanted. He said the mistreatment escalated to the point of needing to change rooms. R1 said they do not take care of him anymore, since changing rooms. R1 said he would like them to not…

  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 · E2026-01-29 · tag F0757 — failed to avoid unnecessary drugs — pattern
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure residents were free from the use of unnecessary antibiotics for 4 of 5 residents (R6, R13-R15) reviewed for unnecessary medications in the sample of 17.The findings include: 1.R6's physician order dated 1/2/26 showed R6 was prescribed Macrobid (antibiotic) 100 mg (milligram), take one capsule once a day for treatment of a UTI (urinary tract infection). The order showed no stop date for the administration of the medication. On 1/28/26 at 2:35 PM, V2 Director of Nursing/Infection Preventionist (DON/IP) stated she shared the IP role with V1 Administrator, however V1 was not a nurse. V2 stated she was responsible for monitoring antibiotic surveillance in the facility and reviewing residents' antibiotic orders once a month. V2 stated all antibiotic medication orders should have an associated diagnosis for the medication, and a medication stop date. V2 stated the facility had some residents on antibiotics prophylactically for infections because they…

  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 · E2026-01-29 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  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 implement and follow their Antibiotic Stewardship Program by not monitoring residents for inappropriate and unnecessary antibiotic use for 4 of 5 residents (R6, R13-R15) reviewed for antibiotic usage in the sample of 17. The findings include:The facility's Policy and Procedure for Antibiotic Stewardship policy dated December 2022 showed, Antibiotics will be prescribed and administered to residents under the guidance of the facility's Antibiotic Stewardship Program. The purpose of the Antibiotic Stewardship Program is to monitor the use of antibiotics to our residents. Orientation, training and education of staff will emphasize the importance of antibiotic stewardship and will include how inappropriate use of antibiotics effects individual residents and the overall community. The policy showed all antibiotic orders will include the drug name, dose, frequency of administration, start date, stop date, route of administration, and indications for use.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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-29 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to ensure tube feeding ordered by the physician was accurately measured. This applies to 1 of 2 residents (R4) reviewed for tube feeding in the sample of 17. The findings include:R4's current order summary shows, Resident has feeding tube and is NPO (nothing by mouth). The same report also shows, Jevity 1.5 cal (calorie)/fiber oral liquid (nutritional supplements), give 240 ml via [feeding tube] five times a day for nutrition support. On 1/28/26 at 11:21 AM, V4 Registered Nurse (RN) was giving R4 his scheduled tube feeding. She had an opened bottle of Jevity 1.5 calorie tube feeding formula dated 1/27/26 opened at 4:30 PM. She poured the tube feeding formula into a 30 ml (milliliter) medicine cup. A 30 ml medicine cup is marked at the top of the cup. She filled it up without making sure it was 30 mls. She continued to do that 4 times and poured each one into a 120 ml drinking cup. She stated, she does this 2 times because each time is a total of 120 mls equaling 240 mls total. The drinking cup was not full…

  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 before2026-01-05 · 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 with the mechanical stand lift who has a history of falls. This applies to 1 of 3 residents (R1) reviewed for safety in the sample of 3. The findings include: R1's face sheet shows she has diagnosis including hypertensive heart disease and chronic kidney disease stage 4, atrial fibrillation, type 2 diabetes, repeated falls, reduced mobility, depression, generalized osteoarthritis, and anxiety. On 01/5/26 at 11:42 AM, V8 (Agency Certified Nursing Aide/CNA) said on 12/25/25, she received report R1 had a fall the day before and was a two person assist or mechanical stand lift. She went to find another staff member to assist her with the transfer. The other aide was busy, and she could not find staff to help her. She said she used the stand lift to transfer R1 by herself. V8 said she placed the sling under R1's armpits and secured the belt around her chest. During the transfer, R1's legs gave out, and she started to slip from the sling strap. She fell and hit her lower back on the floor. V8 said this…

  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 before2025-08-26 · 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 protect a resident from abuse. This applies to one of three residents (R1) reviewed for abuse in the sample of six. The findings include:The facility face sheet for R1 shows diagnoses to include Alzheimer's Disease and Down Syndrome. The facility assessment dated [DATE] shows R1 to have moderate cognitive impairment and requires moderate assistance with her activities of daily living. The facility abuse investigation dated 8/14/2025 shows a staff Nurse (V3 Registered Nurse) was observed by staff yelling at R1 and then pulling her backwards down the hall as R1 was crying and yelling. An investigation was completed, and abuse was substantiated by the facility. On 8/26/2025 at 9:37 AM, V3 RN said she was completing the monthly medications change over to the medication cart at the nursing station on 8/14/2025. V3 said R1 was sitting at the nursing station as she often does, but R1 was trying to talk to V3 and this was very distracting to V3. V3 said she…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-09 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 monthly medication reviews were acted on by the physician and failed to ensure the facility had a process in place to ensure the montly medications reviews were addressed in timely manner. This applies to 4 of 5 residents (R40, R28, R48 and R5) reviewed for medication review in the sample of 32. The findings include: 1. R40's Note to Attending Physician/Prescriber document from the monthly medication review dated 10/15/24 showed R40 has a current order for Zoloft 25 mg (milligrams) daily (dx: depression) and has not had a gradual dose reduction (GDR). If a gradual dose reduction attempt is not clinically contraindicated, clinical rationale MUST be documented as to why a GDR is likley to: with options for the provider to check below. This section is left blank and not signed by the provider. R40's Pharmacist's Medication Review Regime (MRR) Recommendations dated 11/19/24 showed 2nd request, MRR dated 12/17/24 3rd request, MRR dated 1/13/25 4th request, with same recommendations that Zoloft 25 mg daily has not had 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 · E2025-04-09 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  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 interview and record review the facility failed to ensure gradual dose reductions requests were implemented for residents on psychotropic medications and failed to ensure there was a stop date on an as needed psychotropic medication. This applies to 5 of 5 residents (R40, R28, R48, R5, R18) reviewed for unnecessary medications in the sample of 32. The findings include: 1. R40's Note to Attending Physician/Prescriber document from the monthly medication review dated 10/15/24 showed R40 has a current order for Zoloft 25 mg (milligrams) daily (dx: depression) and has not had a gradual dose reduction (GDR). If a gradual dose reduction attempt is not clinically contraindicated, clinical rationale MUST be documented as to why a GDR is likely to: with options for the provider to check below. This section is left blank and not signed by the provider. R40's Pharmacist's Medication Review Regime (MRR) Recommendations dated 11/19/24 showed 2nd request, MRR dated 12/17/24 3rd request, MRR dated 1/13/25 4th request…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-09 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to follow the menu to ensure nutritional adequacy for residents on a pureed diet. This applies to 6 of 6 residents (R5, R18, R27, R34, R48, and R267) reviewed for menus in the sample of 32. The findings include: An undated facility provided list showed that R5, R18, R27, R34, R48 and R267 were on a pureed diet. On 4/7/25 at 10:26 AM, V13 (Cook) made six servings of pureed chicken. V13 placed six pieces of chicken breast, chicken broth and 2 pieces of bread into a blender and pureed it. V13 stated, We mix the bread serving into the meat and vegetables. On 4/7/25 11:08 AM , V13 used an ivory scoop (#10-3.25 ounces) to serve the pureed chicken. V13 stated, I am using a 3 ounce scoop because all residents should get 3 ounces of protein with their meals. The Diet Spreadsheet for the noon meal shows that a #8 scoop (4 ounces) should be used for the chicken breast and a #20 scoop (1 5/8 ounces) for the bread. On 4/9/25 at 9:33 AM, V5 (Dietary Manager) said that the diet spreadsheet should be followed and the staff should…

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

  Nutrition and Dietary 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

$264,600 in federal fines across 1 penalty.

• $264,600 — penalty dated 2026-06-09

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 23 rows in the source record cover these 20 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.

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 2024. 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, FY2024). 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