Aviston Countryside Manor
450 West 1st Street, Aviston, IL 62216 · Clinton County · (618) 228-7615
97 certified beds, about 72 residents a day · For profit - Corporation · Medicare and Medicaid since 1988
CMS abuse icon: cited for abuse in a recent inspection Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145601 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2024, inspectors cited 1 health deficiency (the Illinois average is 12.6, the national average 9.2).
Of 15 health citations since July 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.87 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
52.9% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Palladian Healthcare, an affiliated group of 6 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
407/22
508/23
106/24
112/25
301/26
102/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
3E
2F
Potential for minimal harm
0A
0B
0C
February 11, 2026Complaint inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were administered as ordered for 1 (R5) of 3 residents reviewed for medication administration in the sample of 5. Findings Include:R5's face sheet documents that R5 was admitted to the facility on [DATE]. The diagnoses listed on the face sheet include unspecified fracture of left pubis, urinary tract infection, heart failure, unspecified atrial fibrillation, essential hypertension, chronic kidney disease, and hyperkalemia. R5's admission MDS (Minimum Data Set) dated 10/13/2025 documented a BIMS (Brief Interview of Mental Status) of 15, indicating R5 is cognitively intact. R5's progress note dated 11/11/2025, timed 12:25 A.M., authored by V12 (Licensed Practical Nurse) documented R5 received Keppra 750mg and Metoprolol 100 mg in error. [...]
January 16, 2026Complaint inspection · 3 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review the facility failed to ensure residents were free from verbal and mental abuse from staff for 3 of 5 residents (R2, R4, and R5) review for abuse and neglect in the sample of 10. This failure resulted in harm to R2 and R4 who were observed crying and emotionally distressed at the time of the said incidents, along with R5 who was scared, feeling of being unsecure and wanting to move.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility staff failed to identify a situation of staff to resident verbal abuse and report to the Administrator immediately, for 3 of 5 residents (R2, R4, and R5) reviewed for abuse and neglect in the sample of 10.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteComplaint investigation: 25812914/2705654 and 25412177/26911261 Based on interview and record review, the facility failed to provide an environment free of accident hazards for 2 (R1, R3) of 3 residents reviewed for accidents in the sample of 10.
December 13, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review the Facility failed to perform safe turning and repositioning during care for 1 of 3 residents (R1) reviewed for falls in the sample of 3.
June 26, 2024Standard inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide proper supervision to prevent falls for 1 of 7 residents (R45) reviewed for supervision to prevent accidents in the sample of 28.
August 18, 2023Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store food in a manner that prevents foodborne illness. This has the potential to affect all 63 residents living in the Facility.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interview and record review, the facility failed to answer call lights and address resident's needs in a timely manner for 4 of 4 residents (R9, R29, R30, and R52) reviewed for dignity in the sample of 37.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview and record review, the facility failed to provide sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of 4 of 4 residents (R9, R29, R30, and R52) reviewed for staffing in the sample of 37.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and record review, the facility failed to establish an infection prevention and control program that reduces the risk of adverse events, including the development of antibiotic-resistant organisms, from unnecessary or inappropriate antibiotic use in 5 of 5 residents (R5, R16, R35, R50, and R217) reviewed for antibiotic stewardship in the sample of 37.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide distilled water and cleaning for Continuous Positive Airway Pressure (CPAP) machines for 2 of 2 residents (R2, R25) reviewed for respiratory therapy in the sample of 37.
July 15, 2022Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review the facility failed to store and label food in a manner that keeps it free from contaminants. This has the potential to affect all 57 residents living in the facility.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review, the facility failed to identify and assess pressure ulcers for one of five residents (R44) reviewed for pressure ulcers in the sample of 33. Findings Include: R44's Skin Integrity Care Plan date initiated is 12/25/20 documents I will have no skin issues/break down through next review period. The Care Plan also documents Do a weekly skin check and notify my family and Physician of any new areas. Peri care after each incontinence episode. R44's Physician Order Sheets (POS) dated 6/26/22 with an open-ended date, documents cleanse right buttocks with normal saline and apply Santyl and Calcium Alginate. Cover it with a dry dressing. R44's June POS dated 6/29/22 to 7/7/22 documents cleanse scrotal area with normal saline and apply collagen powder, cover with dry dressing daily until healed. [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide supervision and implement effective interventions to prevent accidents/falls for 2 of 2 residents (R21, R257) reviewed for supervision to prevent accidents/falls in the sample of 33.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on interview, record review, and observation the facility failed to provide catheter care without breaches in infection control, and or reassess catheter after self-removal for two of three residents (R44, R30) reviewed for catheter care in the sample of 33. Findings Include: 1. R44's Minimum Data Set (MDS) dated [DATE] documents R44 has a catheter and is always incontinent of bowel. R44's Catheter Care Plan initiated on 9/24/2020 documents R44 has a suprapubic catheter and will show no signs and symptoms of a urinary tract infection. The Catheter Care Plan also documents cleanse the suprapubic catheter every day, and apply triad paste. Cover the catheter with a dry dressing. On 7/14/22 at 11:00 AM, V7 (Certified Nursing Assistant/CNA) removed the old dressing off of R44's left buttock, because he was incontinent of bowel. but she did not wash her hands or change her gloves. [...]
Fire safety inspections
22 fire safety citations on file: 5 on June 26, 2024, 6 on August 18, 2023, 11 on July 15, 2022.
Every fire safety citation22 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have proper power supply for life support equipment.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly protected cooking facilities.
- F Establish roles under a Waiver declared by secretary.
- F Conduct testing and exercise requirements.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Have properly installed electrical wiring and gas equipment.
- F Address patient/client population and determine types of services needed.
- F Address subsistence needs for staff and patients.
- F Establish policies and procedures for sheltering.
- F Provide a means of sharing information on occupancy/needs.
- F Implement emergency and standby power systems.
- F Have properly located and lighted "Exit" signs.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 8, 2025 | Payment Denial | 10 days from December 8, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.87 | 3.45 | 3.86 |
| Registered nurses | 0.51 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.67 | 3.07 | 3.42 |
| Nurse aides | 1.81 | ||
| Licensed practical nurses | 0.55 | ||
| Nursing staff turnover (share who left in a year) | 52.9% | 44.5% | 45.8% |
| Registered nurse turnover | 37.5% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.85 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.95 on weekdays and 2.67 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 1.37 in April to June 2025 to 2.87 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.87 | 0.51 | 2.95 | 2.67 | 0.0% | 0 of 90 | 72 |
| Oct to Dec 2025 | 2.76 | 0.44 | 2.87 | 2.46 | 0.0% | 1 of 92 | 74 |
| Jul to Sep 2025 | 2.63 | 0.53 | 2.78 | 2.25 | 0.0% | 0 of 92 | 71 |
| Apr to Jun 2025 | 1.37 | 0.34 | 1.49 | 1.05 | 0.0% | 0 of 91 | 68 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Illinois
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.4 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.7 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.4 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.8 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.3 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.0 | 2.2 | 1.8 |
Owners and operators
Legal business name: PALLADIAN AVISTON SNF, LLC. CMS links this home to Palladian Healthcare, a group of 6 nursing homes averaging 1.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Miller, Stephen | 5% or greater direct ownership interest | Individual | 100% | 09/19/2019 |
| Miller, Stephen | Contracted managing employee | Individual | 09/19/2019 | |
| Mills, Michael | W-2 managing employee | Individual | 09/19/2019 | |
| Miller, Stephen | Corporate officer | Individual | 09/19/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on January 16, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 16, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 18, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on February 11, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.67 hours per resident per day, below the Illinois average of 3.07.
Other nursing homes nearby
- Evercare of Breese Breese, 4.4 mi · 1 of 5 stars · 17 citations
- Clinton Manor Living Center New Baden, 7.3 mi · 5 of 5 stars · 7 citations
- Highland Health Care Center Highland, 9.1 mi · 1 of 5 stars · 27 citations
- Cedar Ridge Health & Rehab Ctr Lebanon, 11.4 mi · 3 of 5 stars · 19 citations
- Evercare of Lebanon Lebanon, 11.6 mi · 1 of 5 stars · 33 citations
- Carlyle Healthcare & Sr Living Carlyle, 12.8 mi · 1 of 5 stars · 22 citations
- Nexus at Mascoutah Mascoutah, 13.7 mi · 1 of 5 stars · 39 citations
- La Bella of Mascoutah Mascoutah, 14 mi · 1 of 5 stars · 36 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Aviston Countryside Manor's Medicare star rating?
- CMS rates Aviston Countryside Manor 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Aviston Countryside Manor get at its last inspection?
- 1 health deficiency at the standard inspection on June 26, 2024. The Illinois average is 12.6.
- Has Aviston Countryside Manor been fined?
- CMS lists no fines in the last three years.
- Does Aviston Countryside Manor accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Aviston Countryside Manor?
- CMS lists 4 owners and managers, and links the home to Palladian Healthcare. Legal business name: PALLADIAN AVISTON SNF, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.