Manor Court of Peru
3230 Becker Drive, Peru, IL 61354 · La Salle County · (815) 220-1400
130 certified beds, about 109 residents a day · Non profit - Corporation · Medicare and Medicaid since 2005
CMS Care Compare ratings, data as of September 1, 2026 · CCN 146091 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2025, inspectors cited 2 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 9 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $21,645 in the last three years; the largest was $21,645, and the latest is dated March 9, 2026.
Nurses and nurse aides worked 3.53 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.
34.3% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Residential Alternatives of Illinois, an affiliated group of 7 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.
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 9 health citations on file.
March 9, 2026Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, the facility failed to supervise a cognitively impaired resident resulting in R1 opening her bedroom window, removing the screen, climbing through the window, walking approximately 350 yards to the roadway where a bystander saw her, picked her up, and notified the police on [DATE]. This applies to 1 of 4 residents (R1) reviewed for safety and supervision in the sample of 5. The Immediate Jeopardy began on [DATE] when R1 eloped from the facility through the window. V1 (Administrator) and V2 (Director of Nursing) were notified of the Immediate Jeopardy on [DATE] at 4:25PM. The surveyor confirmed by interview and record review that the Immediate Jeopardy was removed on [DATE], but noncompliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the window alarms and the in-service training.
August 28, 2025Standard inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record the review, the facility failed to notify the resident physician and the resident representative of an accident for one of three residents (R64), reviewed for notification of change in a sample of 33.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview and record review, the facility failed to offer a therapeutic diet for one of three residents (R107) reviewed for nutrition in a sample of 33FINDINGS INCLUDE: The facility policy dated 04/22 Supplementation directs staff To provide residents additional calories and/or protein to the Regular Diet in the form of supplements in order to improve caloric intake, promote weight gain or weight maintenance or improve wound healing. a) follow resident's prescribed diet. 1. R107's physicians order dated 1/25/24 documents High Calorie/High Protein Supplement with every meal. 2. R107's dietary ticket documents regular diet with regular texture, and thin liquids. Notes: Offer super cereal. Offer finger foods when available. 3. R107's most recent care plan Care plan dated 4/10/25. Problem Start Date: 03/20/2025 Category: [...]
October 31, 2024Standard inspection · 5 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a call light was within reach for two of 32 residents (R8 and R20) reviewed for call lights in a sample of 46.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident with a new diagnosis of mental illness was referred to the state agency for a level II PASARR (Preadmission Screening and Resident Review) evaluation for one of one resident (R3) reviewed for PASARR screening in the sample of 46.
- 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 implement new fall prevention interventions after repeated falls for one of four residents (R60) reviewed for falls in the sample of 46.
- 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 observation, interview, and record review the facility failed to ensure a urinary collection bag was in a privacy cover and kept off the floor for one of three residents (R22) reviewed for catheters in a sample of 46.
- 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to document a diagnosis and identify target behaviors to warrant the use of Seroquel (antipsychotic medication) and document a care plan to address behaviors and antipsychotic use for two of three residents (R6, R79) reviewed for antipsychotic medications in the sample of 46.
April 13, 2024Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review the Facility failed to provide supervision for one of three Physical Disability/Intellectual Disability Residents (R1) reviewed for assistance to Doctor's appointments.
October 19, 2023Standard inspection · 0 citations
Fire safety inspections
11 fire safety citations on file: 4 on August 28, 2025, 4 on October 31, 2024, 3 on October 19, 2023.
Every fire safety citation11 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install a two-hour-resistant firewall separation.
- E Install an approved automatic sprinkler system.
- E Have proper medical gas storage and administration areas.
- F Install a fire alarm system that can be heard throughout the facility.
- E Install an approved automatic sprinkler system.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have proper medical gas storage and administration areas.
- E Have exits that are accessible at all times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 9, 2026 | Fine | $21,645 |
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) | 3.53 | 3.45 | 3.86 |
| Registered nurses | 0.75 | 0.72 | 0.69 |
| All nursing staff on weekends | 3.23 | 3.07 | 3.42 |
| Nurse aides | 2.37 | ||
| Licensed practical nurses | 0.41 | ||
| Nursing staff turnover (share who left in a year) | 34.3% | 44.5% | 45.8% |
| Registered nurse turnover | 22.2% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.64 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 3.65 on weekdays and 3.23 on weekends, 12% 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 3.58 in April to June 2025 to 3.53 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 | 3.53 | 0.75 | 3.65 | 3.23 | 0.0% | 0 of 90 | 109 |
| Oct to Dec 2025 | 3.54 | 0.77 | 3.68 | 3.17 | 0.0% | 0 of 92 | 110 |
| Jul to Sep 2025 | 3.45 | 0.73 | 3.59 | 3.11 | 0.0% | 0 of 92 | 109 |
| Apr to Jun 2025 | 3.58 | 0.73 | 3.71 | 3.25 | 0.0% | 0 of 91 | 106 |
| 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 | 27.2 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.9 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 30.4 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.5 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.8 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 2.2 | 1.8 |
Owners and operators
Legal business name: RESIDENTIAL ALTERNATIVES OF ILLINOIS INC. CMS links this home to Residential Alternatives of Illinois, a group of 7 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Residential Alternatives of Illinois Inc | 5% or greater direct ownership interest | Organization | 100% | 03/10/2022 |
| Lieske, Lorrie | W-2 managing employee | Individual | 08/06/2018 | |
| Kempiners, William | Corporate director | Individual | 08/01/2013 | |
| Kniery, John | Corporate director | Individual | 08/01/2013 | |
| Shaw, Jeffrey | Corporate director | Individual | 08/01/2013 | |
| Shaw, Jeffrey | Corporate officer | Individual | 08/01/2013 | |
| Wilson, Ronald | Corporate officer | Individual | 08/13/2018 |
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 5 problems in this area, most recently on March 9, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 28, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on October 31, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on October 31, 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."
Other nursing homes nearby
- Allure of Peru Peru, 0.6 mi · 3 of 5 stars · 30 citations
- Goldwater Care Spring Valley Spring Valley, 4.1 mi · 4 of 5 stars · 22 citations
- La Salle County Nursing Home Ottawa, 11.8 mi · 4 of 5 stars · 24 citations
- Allure of Mendota Mendota, 14.1 mi · 4 of 5 stars · 24 citations
- Pleasant View Luther Home Ottawa, 14.4 mi · 4 of 5 stars · 36 citations
- Pavilion of Ottawa Ottawa, 15.1 mi · 4 of 5 stars · 16 citations
- Goldwater Care Princeton Princeton, 17.1 mi · 1 of 5 stars · 32 citations
- Manor Court of Princeton Princeton, 17.2 mi · 4 of 5 stars · 25 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 Manor Court of Peru's Medicare star rating?
- CMS rates Manor Court of Peru 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Manor Court of Peru get at its last inspection?
- 2 health deficiencies at the standard inspection on August 28, 2025. The Illinois average is 12.6.
- Has Manor Court of Peru been fined?
- Yes. CMS lists 1 fine totaling $21,645 in the last three years.
- Does Manor Court of Peru 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 Manor Court of Peru?
- CMS lists 7 owners and managers, and links the home to Residential Alternatives of Illinois. Legal business name: RESIDENTIAL ALTERNATIVES OF ILLINOIS INC.
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.