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Clayberg, the

625 East Monroe Street, Cuba, IL 61427 · Fulton County · (309) 785-5012

49 certified beds, about 43 residents a day · Government - County · Medicare and Medicaid since 2011

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 146151 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 4, 2025, inspectors cited 3 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 12 health citations since March 2023, 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 3.87 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.

50.0% of nursing staff left within the year CMS measured (Illinois average 44.5%).

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.

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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
8D
2E
0F
Potential for minimal harm
0A
0B
1C
April 4, 2025Standard inspection · 3 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to follow standard precautions and perform hand hygiene before or after administration of oral medications for eight residents (R2, R4, R6, R15, R21, R25, R29, and R33) and failed to not touch medications with bare hands (R21) out of nine residents reviewed for medication administration in a sample of 29.
  2. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their plan of care for potential skin impairment for one (R40) of three residents reviewed for pressure ulcers/skin breakdown in a sample of 29.
  3. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · deficient, provider has April 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to post the required staffing information to include the census and actual hours worked per shift for nursing staff. This has the potential to affect all 45 residents who reside in the facility.
May 31, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to train staff on how to properly use equipment to prevent a fall for one resident (R1) of three residents reviewed for falls in a sample of three.
May 15, 2024Standard inspection · 5 citations
  1. E
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents receiving antipsychotic medications had relevant clinical indication and diagnosis for the use of antipsychotic medication for five residents (R21, R28, R30, R42, and R43), and failed to include targeted behaviors for one (R42) of five residents reviewed for unnecessary medications in the sample of 23.
  2. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide notice of transfer for two (R39 and R43) of two residents reviewed for hospitalization in the sample of 23.
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility to prevent cross contamination during a pressure ulcer treatment for one (R31) of one resident reviewed for pressure ulcers in the sample of 23.
  4. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an opened multi-dose diabetic insulin pen and an opened multi-dose insulin vial was labeled with the date opened for two of two residents (R11 and R27) reviewed for storage and labeling of medications in a sample of 23.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to perform hand hygiene during incontinence care for one of five residents (R3) reviewed for infection control in the sample of 23.
March 2, 2023Standard inspection · 3 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 14, 2023
    Inspectors wroteFacility failures resulted in two deficient practices. A. Based on interview, observation, and record review, the facility failed to ensure fall prevention interventions were in place and new fall prevention interventions were implemented following a fall for one of one resident (R31) reviewed for falls in the sample of 26. As a result, on 09/13/22, R31 was witnessed ambulating barefoot, and subsequently slipping and falling. R31 was transported to a local hospital for evaluation where she was diagnosed with sustaining a left clavicle fracture and a fracture of the left distal radius during the fall. B. Based on interview, observation and record review, the facility failed to prevent a resident identified as an elopement risk from eloping the building unsupervised. [...]
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2023
    Inspectors wroteBased on interview and record review, the facility failed to revise a fall prevention care plan following a resident fall for one of 16 residents reviewed for care plan accuracy in the sample of 26.
  3. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2023
    Inspectors wroteBased on interview, observation, and record review, the facility failed to attempt a gradual dose reduction of a psychotropic medication as ordered by the physician for one of three residents (R31) reviewed for psychotropic medications in the sample of 26.

Fire safety inspections

11 fire safety citations on file: 3 on April 4, 2025, 3 on May 15, 2024, 5 on March 2, 2023.

Every fire safety citation11 citations
  1. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · April 4, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 4, 2025 · Corrected (the home has a date of correction)
  3. E
    Have properly located and lighted "Exit" signs.
    K 293 · April 4, 2025 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 15, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 15, 2024 · Corrected (the home has a date of correction)
  6. E
    Ensure proper storage of liquid oxygen.
    K 930 · May 15, 2024 · Corrected (the home has a date of correction)
  7. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · March 2, 2023 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 2, 2023 · Corrected (the home has a date of correction)
  9. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · March 2, 2023 · Corrected (the home has a date of correction)
  10. E
    Install an approved automatic sprinkler system.
    K 351 · March 2, 2023 · Corrected (the home has a date of correction)
  11. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 2, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIllinoisUnited States
All nursing staff (RN, LPN and aides)3.873.453.86
Registered nurses0.810.720.69
All nursing staff on weekends3.193.073.42
Nurse aides2.49
Licensed practical nurses0.57
Nursing staff turnover (share who left in a year)50.0%44.5%45.8%
Registered nurse turnover54.5%41.8%42.9%
Administrators who left0

CMS expects 3.38 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 4.15 on weekdays and 3.19 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.87 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.870.814.153.19 3.7%0 of 9043
Oct to Dec 20253.550.693.782.96 3.0%0 of 9245
Jul to Sep 20253.460.833.702.84 6.3%0 of 9246
Apr to Jun 20253.460.723.712.83 6.2%0 of 9147
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Illinois, Jan to Mar 20263.260.653.402.925.4%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.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIllinoisUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
18.913.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.51.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.33.13.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.014.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.54.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.021.715.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.92.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.12.21.8

Owners and operators

Legal business name: COUNTY OF FULTON.

NameRoleTypeShareSince
County of Fulton5% or greater direct ownership interestOrganization100%07/06/1969
County of FultonIndirect ownership interestOrganization07/06/1969
Denning, TammieOperational/managerial controlIndividual01/06/2020
County of FultonTrustee of the SNFOrganization07/06/1969
Denning, TammieAdp of the SNFIndividual01/06/2020

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on April 4, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 15, 2024: "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."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 4, 2025: "Provide and implement an infection prevention and control program."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on April 4, 2025: "Post nurse staffing information every day."

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.

Common questions

What is Clayberg, the's Medicare star rating?
CMS rates Clayberg, the 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Clayberg, the get at its last inspection?
3 health deficiencies at the standard inspection on April 4, 2025. The Illinois average is 12.6.
Has Clayberg, the been fined?
CMS lists no fines in the last three years.
Does Clayberg, the 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 Clayberg, the?
CMS lists 5 owners and managers. Legal business name: COUNTY OF FULTON.

Sources

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