Manor Court of Rochelle
2203 Flagg Road, Rochelle, IL 61068 · Ogle County · (815) 562-9800
92 certified beds, about 73 residents a day · Non profit - Corporation · Medicare and Medicaid since 2020
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 146193 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 13, 2026, inspectors cited 3 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 31 health citations since February 2024, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $14,407 in the last three years; the largest was $14,407, and the latest is dated July 24, 2025.
Nurses and nurse aides worked 4.73 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 1.10 of those hours.
57.1% 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.
602/24
109/24
109/24
112/24
102/25
803/25
305/25
205/25
207/25
203/26
104/26
305/26
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 31 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
21D
4E
3F
Potential for minimal harm
0A
0B
0C
May 13, 2026Standard inspection · 3 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents incontinence briefs were changed in a timely manner for 1 of 19 residents (R67) reviewed for activities of daily living (ADLs) in the sample of 19.
- 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 ensure appropriate treatment and services were provided to prevent further decrease in range of motion (ROM), mobility, and function for 1 of 3 residents (R9) reviewed for restorative care in the sample of 19.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff changed gloves and completed hand hygiene during incontinence care for 1 of 19 residents (R9) reviewed for infection control in the sample of 19.
April 21, 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 interview and record review the facility failed to ensure a physician ordered medication was administered as prescribed and failed to document medication administration for 1 of 1 resident (R1) reviewed for medication administration in the sample of 5.
March 20, 2026Complaint inspection · 2 citations
- 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 provide timely incontinence care and ensure a resident's urinary drainage bag was not touching the floor for 2 of 6 residents (R2 & R4) reviewed for incontinence care and catheters in the sample of 9.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure enhanced barrier precautions - EBP were in place when handling residents' indwelling urinary catheters for 2 of 3 residents (R4 & R7) reviewed for infection control in the sample of 9.
July 24, 2025Complaint inspection · 2 citations
- G 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 monitor post fall neurological checks, failed to notify the physician of an unwitnessed fall and failed to follow care plan interventions for one resident (R3) of three residents reviewed for falls in the sample of three. This Failure resulted in R3 sustaining a left hip fracture from an unwitnessed fall in the unit dining room at 3am in the morning.
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview and record review the facility failed to monitor post fall pain and failed to notify the physician of complaints of post fall pain for one resident (R3) of three residents reviewed for falls in the sample of three. This failure resulted in a lack of pain management post fall for 5 hours after R3 sustained a left hip fracture. Based on interview and record review the facility failed to monitor post fall pain and failed to notify the physician of complaints of post fall pain for one resident (R3) of three residents reviewed for falls in the sample of three. This failure resulted in a lack of pain management post fall for 5 hours after R3 sustained a left hip fracture.
May 20, 2025Complaint inspection · 2 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, and record review the facility failed to identify a resident with a change in condition resulting in a delay in treatment from 5-11-2025 to 5-12-2025. This applies to 1 of 3 (R1) residents reviewed for quality of care in the sample of 3. This failure resulted in R1 needing to be hospitalized for removal of a denture appliance under anesthesia.
- D Provide routine and 24-hour emergency dental care for each resident.
Inspectors wroteBased on interview and record review the facility failed to address the loss of a resident's denture and formulate a plan for replacement. This applies to 1 of 3 (R1) in the sample of 3 reviewed for denture care.
May 14, 2025Complaint inspection · 3 citations
- F 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 adequate staffing to meet the needs of the residents. This failure has the potential to affect all 76 residents residing in the facility.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review the facility failed to ensure showers were provided for 5 of 8 residents (R1, R2, R3, R10, R11) reviewed for Activities of Daily Living (ADL's) in the sample of 11.
- D 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 provide supervision for a resident who was a fall risk, resulting in subsequent falls. This applies to 1 of 3 (R1) residents in the sample of 11 reviewed for falls.
March 5, 2025Standard inspection · 8 citations
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and record review the facility failed to complete resident comprehensive assessments in a timely manner. This applies to 4 of 4 residents (R1, R21, R26 and R177) reviewed for comprehensive assessments in the sample of 18.
- E Assess the resident when there is a significant change in condition
Inspectors wroteBased on interview and record review the facility failed to complete resident significant change assessments in a timely manner. This applies to 4 of 4 residents (R24, R25, R48 and R49) reviewed for significant change assessments in the sample of 18.
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on interview and record review the facility failed to complete resident quarterly assessments in a timely manner. This applies to 4 of 4 residents (R17, R50, R58 and R224) reviewed for quarterly assessments in the sample of 18.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review the facility failed to provide incontinence care/toileting to a resident that required staff assistance for toileting for 1 of 18 residents (R65) reviewed for activities of daily living (ADLs) in the sample of 18.
- 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 the narcotic reconciliation count was accurate. This applies to 1 of 1 (R274) in the sample of 18 reviewed for narcotics.
- 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.
Inspectors wroteBased on observation, interview and record review the facility failed to label an insulin pen with an opened date. This applies to 1 of 1 (R49) in the sample of 18 reviewed for insulin.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure puree diet textures were smooth. This applies to 3 of 3 residents (R9, R176, R51) for puree diets in the sample of 18.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to implement and follow Enhanced Barrier Precautions (EBP) for 3 of 18 residents (R19, R12, R8) reviewed for infection control in the sample of 18.
February 4, 2025Complaint 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 ensure neurological assessments were performed after an unwitnessed fall for 1 of 3 residents (R1) reviewed for falls in the sample of 3.
December 11, 2024Complaint 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 ensure resident safety by not implementing fall interventions for 1 of 3 residents (R2) reviewed for safety in the sample of 4.
September 30, 2024Complaint 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 interview and record review the facility failed to ensure physician prescribed medication was obtained and administered for 1 of 3 residents (R1) reviewed for pharmacy services in the sample of 5.
September 16, 2024Complaint inspection · 1 citation
- 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 reviewed the facility failed to notify a resident's Power of Attorney (POA) after the resident left the facility. This applies to 1 of 3 (R1) residents reviewed for notification.
February 15, 2024Standard inspection · 6 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 ensure food temperatures on steam tables were 135 degrees Fahrenheit or above prior to serving, failed to ensure the dish machine temperature for the wash cycle reached the appropriate temperature, failed to ensure staff documented the dish machine temperatures on the daily logs, and failed to ensure dietary staff were knowledgeable regarding how to properly test the dish machine to ensure the proper temperatures were obtained for sanitation. This has the potential to affect all the residents in the facility.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to perform testing on day 5 of an outbreak of Covid-19 in the facility and failed to report a covid-19 positive case to the local health department. This has the potential to affect all the residents in the facility.
- 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 wound care as ordered and failed to follow physician orders regarding high blood sugar readings. This applies to 2 of 2 residents (R2 & R31) reviewed for quality of care in the sample of 19.
- D 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 interventions. This applies to two of four residents (R11 and R42) reviewed for pressure injuries in the sample of 19.
- 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 ensure fall interventions were in place (R48) and failed to provide a safe transfer (R49) for 2 of 2 residents reviewed for safety in the sample of 19.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review the facility failed to implement physician ordered weight loss interventions for a resident with weight loss. This applies to 1 of 4 residents (R35) reviewed for weight loss in the sample of 19.
Fire safety inspections
12 fire safety citations on file: 6 on March 5, 2025, 3 on February 15, 2024, 3 on January 19, 2023.
Every fire safety citation12 citations
- F Have properly located and lighted "Exit" signs.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have proper power supply for life support equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 24, 2025 | Fine | $14,407 |
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) | 4.73 | 3.45 | 3.86 |
| Registered nurses | 1.10 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.44 | 3.07 | 3.42 |
| Nurse aides | 3.26 | ||
| Licensed practical nurses | 0.37 | ||
| Nursing staff turnover (share who left in a year) | 57.1% | 44.5% | 45.8% |
| Registered nurse turnover | 76.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.71 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 4.84 on weekdays and 4.44 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 4.25 in April to June 2025 to 4.73 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 | 4.73 | 1.10 | 4.84 | 4.44 | 0.0% | 0 of 90 | 73 |
| Oct to Dec 2025 | 5.00 | 1.17 | 5.22 | 4.45 | 3.6% | 0 of 92 | 72 |
| Jul to Sep 2025 | 4.83 | 1.20 | 5.04 | 4.28 | 7.9% | 0 of 92 | 73 |
| Apr to Jun 2025 | 4.25 | 0.88 | 4.44 | 3.78 | 12.1% | 0 of 91 | 78 |
| 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.
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 | 37.0 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.6 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.8 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.8 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.1 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 31.9 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 5.3 | 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% | 08/17/2020 |
| Holt, Peggy | W-2 managing employee | Individual | 08/17/2020 | |
| Kempiners, William | Corporate director | Individual | 08/17/2020 | |
| Kniery, John | Corporate director | Individual | 08/17/2020 | |
| McMahan, Benjamin | Corporate director | Individual | 08/17/2020 | |
| Shaw, Jeffrey | Corporate director | Individual | 08/17/2020 | |
| Kniery, John | Corporate officer | Individual | 08/17/2020 | |
| McMahan, Benjamin | Corporate officer | Individual | 08/17/2020 | |
| Shaw, Jeffrey | Corporate officer | Individual | 08/17/2020 | |
| Wilson, Ronald | Corporate officer | Individual | 09/18/2020 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 16 problems in this area, most recently on May 13, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on May 13, 2026: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on April 21, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 5, 2025: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
Other nursing homes nearby
- La Bella of Rochelle Rochelle, 6.2 mi · 1 of 5 stars · 93 citations
- Franklin Grove Living and Rehab Franklin Grove, 8.9 mi · 5 of 5 stars · 20 citations
- Oregon Living and Rehabilitation Center Oregon, 9.9 mi · 2 of 5 stars · 39 citations
- Neighbors Health Center Byron, 14.1 mi · 5 of 5 stars · 25 citations
- Allure of Pinecrest Mount Morris, 15.3 mi · 2 of 5 stars · 38 citations
- Dixon Rehab & HCC Dixon, 16.7 mi · 3 of 5 stars · 21 citations
- Heritage Square Dixon, 16.9 mi · 4 of 5 stars · 11 citations
- Prairie Crossing Lvg & Rehab Shabbona, 19.1 mi · 4 of 5 stars · 16 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 Rochelle's Medicare star rating?
- CMS rates Manor Court of Rochelle 3 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Manor Court of Rochelle get at its last inspection?
- 3 health deficiencies at the standard inspection on May 13, 2026. The Illinois average is 12.6.
- Has Manor Court of Rochelle been fined?
- Yes. CMS lists 1 fine totaling $14,407 in the last three years.
- Does Manor Court of Rochelle 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 Rochelle?
- CMS lists 10 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.