Allure Of Prophetstown

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.

51.2% 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 49 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 28.1% 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 32 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 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 59.2 residents a day — about 85% occupied, or roughly 11 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 3.71 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 2.61 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 3.54 hrs/resident/day on weekends vs 3.78 on weekdays — 6% thinner on weekends. RN hours go from 0.59 to 0.54 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below the national median of 45%. 1 administrator has left in the past year.

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.

32 citations, most serious first. The 13 most serious are shown; the remaining 19 are one tap away and print in full.

• Immediate jeopardy · Kcited before2023-09-01 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to have a system in place to track or trend illnesses, failed to have a process in place to identify contagious residents, and failed to implement transmission-based precautions for resident exhibiting infectious illness. These failures resulted in 9 residents (R1,R8,R16,R22,R35,R45,R47,R54,R61) experiencing respiratory illness, 17 residents (R4,R10,R11,R13,R17,R18,R19,R21,R29,R33,R46,R50,R51,R53,R58,R59,R62) testing positive for COVID-19, and 3 residents (R4,R50,R58) being hospitalized for COVID-19. The Immediate Jeopardy began on 8/26/23 when R22 and R45 began having symptoms of body pains, increased cough, and elevated temperatures. V1 (Administrator) and V3 (Regional Nurse) were notified of the Immediate Jeopardy on 8/31/23 at 1:47PM. The surveyor confirmed through observation, interview, and record review that the Immediate Jeopardy was removed on 9/1/23, but noncompliance remains at a Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-service training.…

  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
• Actual harm · Gcited before2025-11-14 · 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 provide a safe transfer for R1. This failure resulted in a laceration to R1's leg on 10/31/25 that required 9 stitches at the local emergency room for 1 of 3 residents (R1) reviewed for safe transfers in the sample of four. This past noncompliance occurred from 10/31/25 to 11/3/25. The findings include: R1's Face Sheet, dated 11/13/25, showed diagnoses including metabolic encephalopathy, gastrointestinal hemorrhage, asthma, atrial fibrillation, pneumonia, bacteremia, bullous pemphigoid, gastroesophageal reflux disease, hypertension, and tinea unguium.R1's Minimum Data Set (MDS), dated [DATE], showed no cognitive impairment; chair/bed transfer - dependent; toilet transfer - dependent.R1's Care plan, dated 10/19/25, showed R1 has an activity of daily living self-care performance deficit, activity intolerance, and limited mobility. Transfer: The resident requires assistance of 2 staff members for a pivot transfer using a FWW (front wheeled walker) 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 before2023-09-01 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 prevent severe, unplanned weight loss (R59) and failed to implement a nutritional supplement (R1) for 2 of 2 residents reviewed for nutrition in the sample of 17. These failures resulted in R59 sustaining a 21.36 % weight loss over 5 months. The findings include: 1. R59's face sheet printed on 8/30/23 showed diagnoses including right sided hemiplegia (paralysis), expressive language disorder, metabolic encephalopathy, anxiety, dysphagia (difficulty swallowing), and unsteadiness on feet. R59's facility assessment dated [DATE] showed severe cognitive impairment and extensive to total staff assistance needed for bed mobility, transfers, locomotion, dressing, eating, toilet use, and hygiene. The same assessment showed no or unknown regarding any loss of weight over 5% or more the last month or loss of 10% or more in the last 6 months. R59's August 2023 physician order report showed an order dated 6/22/23 for a low concentrated sweets diet,…

  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 before2025-12-21 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 free from missing narcotic medication for 1 of 3 residents (R1) reviewed for misappropriation of resident medication in the sample of 3. The past non-compliance occurred from 10/18/25- 10/20/25. The findings include:R1s October Summary Sheet shows she was admitted to the facility on [DATE] and was placed on hospice 10/13/25. The same sheet shows a 10/13/25 physician order for Morphine Sulfate 20 mg/5 ml- give 0.25ml every hour as needed for pain or shortness of breath. The individual controlled substance record shows on 10/14/25 the facility received a 5ml bottle of Morphine Sulfate for R1.The October Medication Administration Record (MAR) shows R1 did not receive any doses of Morphine and had no complaints of pain.On 12/21/25 at 8:53AM, V5, Licensed Practical Nurse (LPN), said R1 had passed away on hospice. She said when R1 was admitted to hospice, they sent a bottle of morphine for her. The bottle stood out to her as weird 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2025-12-21 · 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 interview and record review, the facility failed to ensure controlled narcotic medications were counted by the nursing staff for 1 of 3 residents (R1) reviewed for narcotic medications in the sample of 3. The past non-compliance occurred from 10/18/25 to 10/20/25.The findings include: R1s October Summary Sheet shows she was admitted to the facility on [DATE] and was placed on hospice 10/13/25. The same sheet shows a 10/13/25 physician order for Morphine Sulfate 20 mg/5 ml- give 0.25ml every hour as needed for pain or shortness of breath. R1's individual controlled substance record shows on 10/14/25 the facility received a 5ml bottle of Morphine Sulfate.On 12/21/25 at 8:53AM, V5, Licensed Practical Nurse (LPN), said R1 had passed away on hospice. She said when R1 was admitted to hospice, they sent a bottle of morphine for her. The bottle stood out to her as weird and the liquid in the bottle was a thick gel and pink in color. When she returned to work a few days later and saw the bottle was missing 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.

  Pharmacy Service Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2025-11-14 · 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 Certified Nursing Assistant/CNA failed to notify the nurse when she saw a laceration to a resident's leg, which was a change in condition for 1 of 3 residents (R1) reviewed for change in condition in the sample of four. This past noncompliance occurred from 10/31/25 to 11/3/25. The findings include:R1's Face Sheet, dated 11/13/25, showed diagnoses including metabolic encephalopathy, gastrointestinal hemorrhage, asthma, atrial fibrillation, pneumonia, bacteremia, bullous pemphigoid, gastroesophageal reflux disease, hypertension, and tinea unguium.R1's Minimum Data Set (MDS), dated [DATE], showed no cognitive impairment; chair/bed transfer - dependent; toilet transfer - dependent.R1's Nurses Note, dated 11/1/25 at 2:41 AM, showed, Resident sitting in recliner and tells this nurse she has a cut on her leg. This nurse sees a washcloth taped over affected area, when washcloth removed there is a large, deep laceration below knee on upper part of lower leg. No active bleeding…

  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 · E2025-09-25 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  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 bedtime snacks were offered every evening for five residents (R22, R29, R31, R42, R59) of five residents in attendance in a group meeting in the sample of 41. Findings include:On 9/24/25 at 10am, five residents (R22, R29, R31, R42/Resident Council President, R59) attended a group meeting in the activity room.All five residents reported not consistently getting offered or getting snacks in the evening. R22 stated, They bring in a big bowl with different snacks we can pick from, but they're not always offered. On 9/24/25 at 2:45pm, V9, Evening Cook, stated Dietary staff pass out evening snacks every night around 6:30pm to the 200 and 300 units. V9 stated the Dietary staff document on a snack log if the resident actually takes the snack. V9 stated they don't document if the resident refused, Only document if the resident actually takes the snack.V9 stated the snack logs are kept in the kitchen, not in the resident record. On 9/24/25 at 3:10pm, V2, DON (Director of Nursing) stated CNA's (Certified Nursing Assistants)…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-25 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to prevent cross contamination by not ensuring staff wore the appropriate personal protective equipment (PPE) when entering the room of a covid positive resident (R34) and failed to perform hand hygiene after exiting R34's room or prior to entering other resident rooms on the unit. This failure affects 18 of 18 residents (R3, R4, R6, R12, R14, R16, R18, R23, R25, R34, R35, R37, R38, R46, R54, R57, R60, R61) reviewed for infection control in the sample of 41.The findings include:Facility provided Centers for Medicare and Medicaid Services-802 form dated 09/23/2025 that showed R3, R4, R6, R12, R14, R16, R18, R23, R25, R34, R35, R37, R38, R46, R54, R57, R60, R61 all reside on the 100 locked unit. Form also indicated under the section for infections, covid for R34.On 09/23/2025 at 09:45 AM, a contact precaution and a droplet precaution sign was posted on R34's room door, with a three-drawer clear plastic bin next to R34's room door that contained multiple yellow isolation gowns, a box of disposable (K95) respirator…

  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 · Dcited before2025-09-25 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 adequately monitor daily meal and/or supplemental intakes for a resident (R3) with a significant weight loss. This failure affects 1 of 2 residents (R3) reviewed for nutrition in the sample of 41.The findings include:R3's face sheet documented an admission date of 12/02/2022, with a past medical history that included Parkinson's Disease, dementia, and mild-calorie protein malnutrition. Review of R3's documented weights for the last six months showed a weight of 98.6 lbs. on 03/10/2025 and a weight of 92.0 pounds (lbs.) on 09/10/2025 which is a -6.69% loss.R3's care plan last completed on 09/15/2025 reads: impaired nutrition risk related to impaired cognition and behavioral symptoms. R3 does what the voices tell her to do; she states that they allow her to eat or not.Appetite is poor to fair; risk for malnutrition.R3's care plan interventions included but not limited to assist with meals (feed/set-up) as needed; offer ensure provided by family when meals refused; consult occupational therapy for adaptive…

  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 · D2025-09-25 · tag F0757 — failed to avoid unnecessary drugs — isolated
  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

  Based on observation, interview, and record review, the facility failed to provide an adequate justification for the use of an antipsychotic medication in one resident (R2) with a diagnosis of Dementia of five residents reviewed for unnecessary medications in the sample of 41. Findings include:On 9/23/25 at 9:20am, R2 was sitting in a wheelchair next to her bed waiting for her medications. R2 appeared irritable and somnolent. On 9/23/25 at 12:20pm, R2 was in the hallway in her wheelchair, well-dressed with makeup on and initiated conversation. Mood appeared brighter with appropriate conversation. On 9/24/25 at 1:05pm, R2 was again sitting in the hallway, well-dressed, facial makeup, pleasant and easily engaged. Current Physician Order Summary Report indicates R2 has diagnoses that include Dementia with Psychotic Disturbance, General Anxiety Disorder and Major Depressive Disorder.Summary Report indicates R2 receives Quetiapine (antipsychotic) 50mg (milligrams) twice daily related to Dementia with Psychotic Disturbance. Psychotropic Informed Consent, dated 5/10/22, indicates consent…

  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 · F2024-08-07 · tag F0761 — failed to label and store drugs safely — widespread
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure multidose medication vials were marked with expiration dates after opening which applies to 58 residents in the facility. The findings include: The CMS-671 form dated 8/5/24 showed the facility's census to be 58 residents. On 8/7/24 at 10:35 AM, V9 (Licensed Practical Nurse) opened the medication room and medication storage refrigerator. The 2 opened vials of Tuberculin testing solution were stored in the refrigerator. The first vial was almost empty, and the second vial was approximately half empty. Both vials had no written opened date or expiration date on them. On 8/7/24 at 10:40 AM, V9 stated when the vials are opened the nurse should write the date on them. The opened date will determine the expiration date. V9 stated Tuberculin is good for about a month after opened. On 8/7/24 at 12:00 PM, V2 (Director of Nursing) stated multidose vials need to have the date it was opened written on them. The facilities Medication Expired Dates and Storage Sheet (initialed 8/7/24) showed…

  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 · Ecited before2024-08-07 · 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 ensure water temperatures in resident bathrooms were maintained at a safe level and failed to ensure fall precautions were implemented for residents with a history of falling. These failures apply to 4 of 17 residents (R36, R31, R9, and R53) reviewed for safety and supervision in the sample of 17. The findings include: 1. On 8/5/24 at 10:57 AM, surveyor, using a calibrated thermometer, checked the water temperatures in R53's bathroom sink which was 123.8 degrees Fahrenheit (F). On 8/5/24 at 11:02 AM, R31's bathroom sink water temperature was 134.4 degrees F and on 8/5/24 at 2:05 PM, R9's bathroom water temperature was 125.1 degrees F. On 8/5/24 at 10:59 AM, V3 (Certified Nursing Assistant/CNA) said some resident bathroom water temperatures get so hot you can't even touch them. V3 said R31's bathroom was such a room. V3 said he has informed maintenance about the concern with no response. On 8/5/24 at 12:19 PM, V4 (Maintenance Director) 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 · E2024-08-07 · 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 pureed menu for 6 of 6 residents (R4, R6, R11, R23, R43 and R51) reviewed for dietary services in the sample of 17. The findings include: A facility provided list indicated R4, R6, R11, R23, R43, and R51 were on a pureed diet on 8/5/24. The menu for 8/5/24 showed pureed enchiladas were to be served and a number 6 scoop providing a 5.33 ounce (oz.) serving size was to be used to plate the enchiladas. On 8/5/24 11:26 AM, V7 (Cook) said there were 6 residents on a pureed diet. V7 started plating the pureed food. V7 used a spoodle with a green handle to plate the pureed enchilada. Written on the handle of the spoodle was 4 oz. V7 placed one 4 oz. scoop of the pureed enchiladas on the plates (1.33 oz. less than what the menue called for). On 8/5/24 at 12:08 PM, V7 said she was done plating the pureed food and used the 4 oz. spoodle to plate the pureed enchiladas. On 8/5/24 at 12:08 PM, after serving the pureed meals, there was pureed enchiladas in the serving container covering the bottom of the…

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

  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

$45,133 in federal fines across 1 penalty.

• $45,133 — penalty dated 2023-09-01

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

Part of a chain

This home belongs to ALLURE HEALTHCARE SERVICES — 15 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 10 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners 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 $675K paid to related parties — landlords or management companies under common ownership — equal to about 11% 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.

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