Graham Hospital
210 West Walnut Street, Canton, IL 61520 · Fulton County · (309) 647-5240
35 certified beds, about 21 residents a day · Non profit - Other · Medicare and Medicaid since 1987
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145572 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 1, 2026, inspectors cited 9 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 13 health citations since November 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 5.45 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 2.13 of those hours.
81.8% 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.
111/23
011/23
312/24
904/26
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
2E
5F
Potential for minimal harm
0A
0B
0C
April 1, 2026Standard inspection · 9 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review the facility failed to implement physician ordered pressure relieving interventions to prevent the development of pressure ulcers and failed to initiate a pressure ulcer care plan as soon as a pressure ulcers were identified for one of one resident (R1) reviewed for pressure ulcers in the sample of 21. These failures resulted in R1 developing a stage two facility acquired pressure ulcer to the right gluteus and a stage four pressure ulcer to the right base of the big toe that required mechanical debridement. The facility's Skin Assessment, Wound Prevention, and Care Policy dated 4/2025 documents, (The facility) shall provide care, treatment, and services to: 1. Identify those at risk for skin breakdown. 2. Promote comfort and mobility. 3. Reduce or relieve pressure and maintain skin integrity. 4. [...]
- F Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review the facility failed to ensure residents' comprehensive care plans were individualized to reflect each resident's specific needs, conditions, and preferences. This failure affects all 21 residents who reside at the facility.
- 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 ensure sanitary conditions were maintained during food preparation and service to prevent cross-contamination and foodborne illness, in accordance with professional standards for food safety. This failure has the potential to affect all 21 residents who reside at the facility.
- F Provide and implement an infection prevention and control program.
Inspectors wroteFacility failures resulted in two deficient practices. A. Based on interview and record review, the facility failed to establish and maintain an effective infection prevention and control program by failing to perform surveillance to track and monitor residents and staff illnesses and differentiating between resident facility-acquired and community acquired infections. This failure has the potential to affect all 21 residents residing in the facility. B. Based on observation, interview, and record review the facility failed to implement Enhanced Barrier Precautions while providing incontinent cares for one of 12 residents reviewed for infection control practices in the sample of 21.
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on interview and record review, the facility failed to ensure the designated Infection Preventionist completed specialized Infection Prevention and Control (IPC) training prior to performing the role. This failure has the potential to affect all 21 residents residing in the facility.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's indwelling urinary catheter bag was covered to maintain the resident's dignity for one of one resident (R19) reviewed for dignity in a sample of 21.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review the facility failed to accurately code the MDS (Minimum Data Set) Assessments for two of two residents (R5 and R8) reviewed for MDS Accuracy in the sample of 21. Findings Include: CMS's (Centers for Medicare and Medicaid Services) RAI (Resident Assessment Instrument) Version 3.0 Manual Section P: Restraints and Alarms dated 10/2025 documents, 'Intent: The intent of this section is to record the frequency that the resident was restrained by any of the listed devices or an alarm was used, at any time day or night, during the seven-day look-back period. Assessors will evaluate whether or not a device meets the definition of a physical restraint or an alarm and code only the devices that meet the definitions in the appropriate categories. 1. [...]
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a restorative range of motion program for one of one resident (R6) reviewed for limitations in range of motion in the sample of 21.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess and identify entrapment risk associated with the use of side rails and document alternatives to side rails with outcomes prior to installing side rails for one of two residents (R5) reviewed for side rail use in a sample of 21.
December 18, 2024Standard inspection · 3 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 use temperature testing strips to ensure dishes reach the required surface temperature during the rinse cycle in the dish machine, failed to ensure hanging light covers over the kitchen's fryer baskets were clean and free of debris and grime, and failed to complete and record cool down temperatures for prepared meats and leftover items that were prepared ahead and stored in the facility's refrigerator and freezer for future use. These failures have the potential to affect all 22 residents residing in the facility.
- E Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement restorative programming for five of six residents (R5, R9, R11, R13, and R15) reviewed for limitations in range of motion in the sample of 21.
- D Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Inspectors wroteBased on interview and record review, the facility failed to refer a resident to the PASRR (Preadmission Screening and Resident Review) State Agency to obtain a Level II PASRR after experiencing a significant change in behavioral and psychiatric symptoms for one of one resident (R2) reviewed for Mental Illness in the sample of 21.
November 30, 2023Standard inspection · 0 citations
November 8, 2023Standard inspection, Infection control · 1 citation
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to perform COVID-19 testing on staff with direct high-risk exposure to a COVID-19 positive resident. The facility also failed to implement their COVID-19 Response Plan to monitor residents at least daily for a fever to prevent the potential spread of COVID-19 virus. These failures had the potential to affect the 15 residents residing on the facility ICF (Intermediate Care Facility East wing).
Fire safety inspections
8 fire safety citations on file: 6 on December 18, 2024, 2 on November 30, 2023.
Every fire safety citation8 citations
- F Address subsistence needs for staff and patients.
- F Provide a means of sharing information on occupancy/needs.
- F Conduct testing and exercise requirements.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have elevators that firefighters can control in the event of a fire.
- E Install a two-hour-resistant firewall separation.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 1, 2026 | Payment Denial | 29 days from April 28, 2026 |
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) | 5.45 | 3.45 | 3.86 |
| Registered nurses | 2.13 | 0.72 | 0.69 |
| All nursing staff on weekends | 5.12 | 3.07 | 3.42 |
| Nurse aides | 3.26 | ||
| Licensed practical nurses | 0.06 | ||
| Nursing staff turnover (share who left in a year) | 81.8% | 44.5% | 45.8% |
| Registered nurse turnover | 83.3% | 41.8% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.41 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 5.58 on weekdays and 5.12 on weekends, 8% 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 5.28 in April to June 2025 to 5.45 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 | 5.45 | 2.13 | 5.58 | 5.12 | 0.0% | 0 of 90 | 21 |
| Oct to Dec 2025 | 5.18 | 1.83 | 5.14 | 5.29 | 0.0% | 0 of 92 | 19 |
| Jul to Sep 2025 | 5.06 | 1.74 | 4.98 | 5.27 | 0.0% | 0 of 92 | 22 |
| Apr to Jun 2025 | 5.28 | 2.11 | 5.33 | 5.17 | 0.0% | 0 of 91 | 22 |
| 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 | 12.5 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.1 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 11.5 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.3 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.1 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.5 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.9 | 13.8 | 12.0 |
Owners and operators
Legal business name: GRAHAM HOSPITAL ASSOCIATION.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| McConkey, Teresa | Corporate director | Individual | 01/01/2013 | |
| Senneff, Robert | Corporate director | Individual | 01/01/2008 | |
| McConkey, Teresa | Corporate officer | Individual | 01/01/2013 | |
| Reeder, Julie | Corporate officer | Individual | 03/06/2017 | |
| McConkey, Teresa | Operational/managerial control | Individual | 01/01/2013 |
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 4 problems in this area, most recently on April 1, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 1, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on April 1, 2026: "Provide and implement an infection prevention and control program."
- 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 April 1, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Sunset Rehabilitation and Health Care Canton, 0.3 mi · 1 of 5 stars · 54 citations
- Renaissance Care Center Canton, 1.8 mi · 4 of 5 stars · 28 citations
- Loft Rehab & Nursing of Canton Canton, 2.7 mi · 2 of 5 stars · 26 citations
- Clayberg, the Cuba, 9.2 mi · 5 of 5 stars · 12 citations
- Farmington Village Nrsg Farmington, 9.6 mi · 2 of 5 stars · 28 citations
- Arcadia Care Havana Havana, 17.1 mi · 1 of 5 stars · 98 citations
- Pekin Manor Pekin, 21.6 mi · 4 of 5 stars · 20 citations
- Timbercreek Rehab and Health Care Center Pekin, 22 mi · 1 of 5 stars · 71 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 Graham Hospital's Medicare star rating?
- CMS rates Graham Hospital 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Graham Hospital get at its last inspection?
- 9 health deficiencies at the standard inspection on April 1, 2026. The Illinois average is 12.6.
- Has Graham Hospital been fined?
- CMS lists no fines in the last three years.
- Does Graham Hospital 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 Graham Hospital?
- CMS lists 5 owners and managers. Legal business name: GRAHAM HOSPITAL ASSOCIATION.
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.