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Monmouth Rehab and Nursing

117 South I Street, Monmouth, IL 61462 · Warren County · (309) 734-3811

58 certified beds, about 38 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 146057 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 20, 2026, inspectors cited 14 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 48 health citations since November 2023, 7 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 4 fines totaling $233,350 in the last three years; the largest was $110,975, and the latest is dated January 29, 2026.

Nurses and nurse aides worked 3.33 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.

45.5% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Stern Consultants, an affiliated group of 22 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.

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 48 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
1L
Actual harm
4G
0H
0I
Potential for more than minimal harm
31D
3E
7F
Potential for minimal harm
0A
0B
0C
March 20, 2026Standard inspection · 14 citations
  1. F
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview, record review, and observation the facility failed to answer call lights in a timely manner. This has the potential to affect all 37 residents residing at the facility.
  2. F
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview and record review the facility failed to provide the Resident Council with responses, actions, and rationale taken regarding concerns. This has the potential to affect all 37 residents residing at the facility.
  3. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteFacility failures resulted in two deficient practices. A. Based on interview and documents review, the facility failed to conduct an annual Legionella Risk Assessment to assess where Legionella and other opportunistic waterborne pathogens can grow and spread. This has the potential to affect all 37 residents residing at the facility. B. Based on observation, interview and record review, the facility failed to utilize Enhanced Barrier Precautions as ordered per policy for two of four residents (R6, R15) reviewed on Enhanced Barrier Precautions, in a sample of 28.
  4. F
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a reliable operating nurse call light system to alert staff in the event of an emergency or if a resident needs assistance. This has the potential to affect all 37 residents residing at the facility.
  5. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview, observation and record review, the facility failed to ensure residents were monitored, assessed, interventions were implemented, changes in conditions were identified in a timely manner, appropriate notifications were made, and outcomes investigated for 5 of 5 residents (R6, R15, R37, R43, R48) with a change in condition in a sample of 28.
  6. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents had functioning lights in their rooms for three (R12, R15, R29) of three residents reviewed for comfortable home like environment in a total sample of 28.
  7. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview and record review the facility failed to transfer a resident to the hospital with written explanation to the receiving hospital about the resident's condition for one resident (R37) of three residents reviewed for transfer to the hospital in a total sample of 28.
  8. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident maintained the ability to walk for one resident (R20) of twelve residents whose ADL (Activity of Daily Living) were reviewed in a total sample of 28.
  9. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observation and record review the facility failed to perform a urinary catheter flush in a way that prevented cross contamination of clean areas for one (R14) of two residents reviewed for catheter care in a total sample of 28.
  10. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview and record review the facility failed to reweigh a resident with a significant weight loss for one resident (R1) of three residents reviewed for weight loss in a total sample of 28.
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure medical records were accurately documented with resident assessments for one of twelve residents (R48) reviewed for accurate documentation in a sample of 28.
  12. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure hospice communication was coordinated and the required documents were available and accessible to the facility staff for one resident (R6) reviewed for hospice care management in a sample of 28.
  13. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure Influenza and Pneumococcal immunizations were offered to three of five residents (R6, R17, R37) reviewed for immunization compliance in a sample of 28.
  14. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure COVID-19 vaccinations were offered to three of five residents (R6, R17, R37) reviewed for immunization compliance in a sample of 28.
January 29, 2026Complaint inspection · 2 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate supervision and implement interventions for a resident with a known history of elopement and exit-seeking behaviors to prevent elopement and failed to provide adequate supervision for one of one residents (R5) reviewed for elopement risk in the sample of six. These failures resulted in R5 exiting the facility on 1/5/26 without staff knowledge and being found at a local coffee shop two blocks away, near a busy highway, during cold weather conditions when a concerned citizen called 911, and emergency medical services responded. These failures resulted in an Immediate Jeopardy that began on 1/5/26. V1 (Administrator) was notified of the immediate jeopardy on 1/27/26 at 12:10 PM. While the Immediate Jeopardy was removed on 1/28/26, the facility remains out of compliance at a severity level two. [...]
  2. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on record review and interview, the facility failed to maintain complete and accurate clinical records for two residents (R3, R5) of three reviewed for documentation out of a sample list of six.
September 11, 2025Complaint inspection · 1 citation
  1. G
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 12, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure complete and timely physician notification following a resident accident and subsequent change in condition for one of three residents (R1) reviewed for notification of change out of a sample list of three. This failure resulted in R1 experiencing excruciating pain to her right hand due to a delay in notifying the physician and ultimately leading to a diagnosis of a fracture.
July 1, 2025Complaint inspection · 7 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure a resident's rights were maintained for one of three residents (R2), reviewed for resident rights, in sample of 5.
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to protect two of two residents (R2 and R5) from physical abuse by another resident (R1), in a sample of five.
  3. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to implement its abuse policy of immediately reporting abuse to the State Agency and investigating an allegation of resident-to-resident physical abuse for two separate occurrences, for three of three residents (R1, R2, and R5) reviewed for abuse in the sample of 5.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure two allegations of abuse were immediately reported to the State Agency for three of three residents (R1, R2, and R5) reviewed for abuse in the sample of 5.
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2025
    Inspectors wroteBased on observation and record review, the facility failed to investigate two allegations of abuse for three of three residents (R1, R2, and R5) reviewed for abuse, in the sample of 5.
  6. 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) July 2, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement fall precautions for one of three residents (R1), reviewed for falls, in a sample of 5.
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · 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) July 31, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to date and store oxygen equipment as ordered for two of three residents (R1 and R4) and failed to administer oxygen at the prescribed rate for (R4), reviewed for oxygen, in a sample of 5.
June 18, 2025Complaint inspection · 2 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 · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement appropriate safety interventions for cognitively impaired residents and failed to complete therapy evaluations after multiple falls for two (R1 and R2) of three residents reviewed for falls. These failures resulted in R1 sustaining a left foot fracture and experiencing three falls over a 24-day period, and R2 sustaining a displaced rib fracture and right radial neck fracture following an unwitnessed fall. R2 was later placed on hospice services due to declining condition.
  2. 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.
    F700 · 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 19, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to complete an entrapment assessment for bedrails prior to bedrails being applied to a bed as a fall intervention for one (R1) of three residents reviewed for bed rail assessments out of a sample list of three.
March 17, 2025Complaint 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) April 9, 2025
    Inspectors wroteThese failures resulted in two deficient practices. A. Based on record review and interview the facility failed to provide adequate supervision to prevent two cognitively impaired residents from exiting the facility without staff supervision for two of three residents (R4 and R7) reviewed for elopements in the sample of seven. B. Based on record review and interview the facility failed to implement two staff for transfers as indicated in the resident's plan of care to prevent falls for one of three residents (R2) reviewed for falls in the sample of seven.
December 20, 2024Standard inspection · 7 citations
  1. F
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on record review and interview the facility failed to ensure that resident's met the standards for infections for 2 residents (R4 and R23) and the facility failed to have standards in place for residents who were experiencing infection symptoms but did not meet the standards to be infections. The facility also failed to educate health care providers about Antibiotic Stewardship. This failure has the potential to affect all 40 residents who reside in the facility. Findings Include: The Facility's undated The Core Elements of Antibiotic Stewardship for Nursing Homes documents Improving the use of antibiotics in healthcare to protect patients and reduce the threat of antibiotic resistance is a national priority. [...]
  2. 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) February 1, 2025
    Inspectors wroteBased on interview, observation, and record review the facility failed to provide appropriate indication for use of antipsychotic medications, attempt gradual dose reductions, and limit the use of as needed psychotropic medications to 14 days for four of five residents (R5, R16, R19, R26) reviewed for unnecessary medications in a sample of 26.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on record review and interview the facility failed to allow one resident (R11) to choose her own doctor of 12 residents reviewed for choices in a total sample of 26. Findings Include: The Illinois Long-Term Care Ombudsman Residents' Rights for People in Long Term Care Facilities documents You have the right to choose your own doctor. R11's Nurse's Notes dated 7/21/24 at 5:45 PM documents Resident told this nurse that she did not want to be seen by (V10/Doctor) any longer. On 12/19/24 at 8:45 AM R11 confirmed that she did not want (V10) as her doctor. I just don't care for him. R11 stated I have told them (facility staff) but (V10) still comes to see me. I don't like him. On 12/19/24 at 9:00 AM V4 (Social Service Director) confirmed that all residents can pick their own doctor and that no one had notified V4 that R11 wanted to switch doctors.
  4. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents electronic medical records and care plans matched the Physician's Order for Life-Sustaining Treatment (POLST) for Cardio-Pulmonary Resuscitation (CPR) code status for three of five residents (R4, R6, R22) reviewed for Advanced Directives in the sample of 26 residents.
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on record review and interview the facility failed to report an in injury of unknown origin to the state reporting agency for one resident (R192) of two reviewed for accidents in a total sample of 26. Findings Include: The Facility's Abuse,Prevention and Prohibition policy dated 2021 documents The facility Administrator, employee, or agent who is made aware of any allegation of abuse or neglect shall report or cause a report to be made to the mandated state agency per reporting criteria. such reports may also be made to the local law enforcement agency in the same manner. All alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown source and misappropriation of resident property will be reported immediately to the administrator. [...]
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on interview and record review, the facility failed to accurately document the assessment for a resident receiving hospice services in the Minimum Data Set (Minimum Data Set/MDS-a federally mandated assessment) for one of two residents (R3) reviewed for hospice services in the sample of 26 residents.
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 1, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure hospice coordinated communication and the plan of cares were available and accessible to facility staff. This deficiency affects two of two residents (R3, R29) reviewed for Hospice care services in the sample of 26 residents.
October 4, 2024Complaint inspection · 4 citations
  1. J
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on record review and interview the facility failed to follow facility policy and obtain a physician order for care after a resident's Gastronomy tube (G-tube) became clogged. This failure resulted in R1's G-tube being replaced with an indwelling urinary catheter. This indwelling urinary catheter was used to administer enteral tube feedings for two days resulting in R1 experiencing emesis, loose stools, and being hospitalized . This failure affected 1 of 1 residents reviewed for Gastrostomy Tubes (R1) in a sample of 3. These failures resulted in an Immediate Jeopardy. The facility presented an abatement plan to remove the immediacy on 10/1/24. The survey team reviewed the abatement plan and was unable to accept the plan to remove the immediacy. The abatement plan was returned 10/2/24 to the facility for revisions. [...]
  2. G
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on record review and interview the facility failed to notify a physician of abnormal radiology results and a change in condition for 1 resident (R1) of 3 residents reviewed for change of condition. This failure resulted in R1 experiencing emesis and diarrhea for two days followed by hospitalization.
  3. G
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on record review and interview the facility failed to ensure licensed nurses were trained and competent in skills necessary to care for residents with a G-tube (gastrostomy tube) affecting 1 resident reviewed for Gastrostomy Tubes (R1) in a sample of 3. This failure led to R1 having emesis and diarrhea for two days and being hospitalized .
  4. F
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure four of four Certified Nurse Aides/CNA reviewed (V17, V18, V19, V20) in a total sample of four completed the required 12 hours of education per year. This failure has the potential to affect all 41 residents residing in the facility.
May 21, 2024Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 22, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure an allegation of neglect was reported to the State Agency for one of three residents (R1) reviewed for neglect in the sample of three.
November 29, 2023Standard inspection · 9 citations
  1. L
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · Immediate jeopardy to resident health or safety, widespread · Corrected (the home has a date of correction) December 26, 2023
    Inspectors wroteBased on observation, interview and record review, the facility systemically failed to implement facility wide protocols to address respiratory symptoms as evidenced by: failed to recognize respiratory symptoms of facility staff and residents as a possible contagious illness (RSV, COVID 19 Influenza); failed to perform the required COVID-19 testing on staff and residents actively demonstrating signs and symptoms of a possible infectious respiratory illness, or after close contact with a resident or staff member that had tested positive for COVID-19; failed to test for other infectious respiratory illnesses when a COVID 19 test was negative and the resident was symptomatic; failed to immediately implement the required transmission based precautions for residents with suspected respiratory illness; [...]
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 19, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff hair was covered during the plating of food, while in the kitchen, and failed to date opened food items, to ensure use before expiration. These failures have the potential to affect all 39 residents currently residing in the facility.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 19, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a comprehensive care plan for the use of an indwelling urinary catheter, side rails, the diagnosis of Diabetes Mellitus with the use of Insulin, antidepressants, and anticoagulants for five of 14 residents (R6, R11, R32, R35, R36) reviewed for care plans in the sample of 45.
  4. 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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide Active and Passive Range of Motion programming for residents with limited range of motion for two of two residents (R3, R6) reviewed for functional limitations in range of motion in the sample of 45.
  5. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an indwelling urinary catheter drainage bag was kept below the level of the bladder and off the floor for one of two residents (R35) reviewed for indwelling urinary catheters in the sample of 45.
  6. 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.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to attempt less restrictive interventions, obtain an informed consent, obtain a physician order, and perform a risk of entrapment assessment for the use of side rails for one of one resident (R11) reviewed for side rails in the sample of 45.
  7. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on interview and record review, the facility failed to develop a Dementia plan of care for one of two residents (R35) reviewed for Dementia care in the sample of 45.
  8. 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) December 19, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to document a diagnosis and target behaviors to warrant the use of an antipsychotic and perform behavior monitoring for two of two residents (R4, R35) reviewed for antipsychotics in the sample of 45.
  9. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide speech therapy services to one of one resident (R35) reviewed for specialized therapy services in the sample of 45.

Fire safety inspections

17 fire safety citations on file: 8 on March 20, 2026, 3 on December 20, 2024, 6 on November 29, 2023.

Every fire safety citation17 citations
  1. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · March 20, 2026 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 20, 2026 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 20, 2026 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 20, 2026 · Corrected (the home has a date of correction)
  5. E
    Have exits that are accessible at all times.
    K 271 · March 20, 2026 · Corrected (the home has a date of correction)
  6. 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 · March 20, 2026 · Corrected (the home has a date of correction)
  7. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 20, 2026 · Corrected (the home has a date of correction)
  8. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · March 20, 2026 · Corrected (the home has a date of correction)
  9. F
    Establish roles under a Waiver declared by secretary.
    E 26 · December 20, 2024 · Corrected (the home has a date of correction)
  10. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 20, 2024 · Corrected (the home has a date of correction)
  11. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 20, 2024 · Corrected (the home has a date of correction)
  12. F
    Have simulated fire drills held at unexpected times.
    K 712 · November 29, 2023 · Corrected (the home has a date of correction)
  13. E
    Have exits that are accessible at all times.
    K 271 · November 29, 2023 · Corrected (the home has a date of correction)
  14. E
    Install an approved automatic sprinkler system.
    K 351 · November 29, 2023 · Corrected (the home has a date of correction)
  15. E
    Install corridor and hallway doors that block smoke.
    K 363 · November 29, 2023 · Corrected (the home has a date of correction)
  16. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · November 29, 2023 · Corrected (the home has a date of correction)
  17. E
    Have proper medical gas storage and administration areas.
    K 923 · November 29, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 29, 2026Fine $19,120
September 11, 2025Fine $19,115
June 18, 2025Payment Denial 14 days from July 17, 2025
October 4, 2024Fine $110,975
November 29, 2023Fine $84,140

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.

MeasureThis homeIllinoisUnited States
All nursing staff (RN, LPN and aides)3.333.453.86
Registered nurses0.640.720.69
All nursing staff on weekends3.023.073.42
Nurse aides1.95
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)45.5%44.5%45.8%
Registered nurse turnover66.7%41.8%42.9%
Administrators who left1

CMS expects 4.07 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 3.46 on weekdays and 3.02 on weekends, 13% 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 3.02 in April to June 2025 to 3.33 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.330.643.463.02 0.0%0 of 9038
Oct to Dec 20253.230.633.372.87 0.0%0 of 9238
Jul to Sep 20253.320.583.472.94 0.0%0 of 9239
Apr to Jun 20253.020.383.122.76 0.0%0 of 9139
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.

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. If you work here, your report helps start one.

Official wage estimates for Illinois

JobMedianMiddle halfEmployed
Illinois, all employers
CNAs (nursing assistants)$22.10$18.95 to $23.2668,640
LPNs and LVNs$36.06$30.57 to $38.2517,440
Registered nurses$46.15$38.47 to $50.94138,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Monmouth Rehab and Nursing. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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
10.713.413.9
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
1.51.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.43.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.72.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.714.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.34.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.721.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
10.926.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.913.812.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Monmouth Rehab and Nursing's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (33.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

33.4% this home

Worse than the national rate

US median of homes 51.5% · Illinois: 106 better, 85 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 26 eligible stays.

Potentially preventable readmissions

11.7% this home

No different from the national rate

US median of homes 10.7% · Illinois: 2 better, 14 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 35 eligible stays.

Infections that led to a hospital stay

7.8% this home

No different from the national rate

US median of homes 7.1% · Illinois: 3 better, 10 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 25 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 4 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 9 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois1.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 9 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: MONMOUTH REHAB AND NURSING LLC. CMS links this home to Stern Consultants, a group of 22 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Bsf Family Holdings LLC5% or greater direct ownership interestOrganization15%04/01/2025
Etn Family Holdings LLCDirect ownership interestOrganization04/01/2025
Tlco Holdings LLCDirect ownership interestOrganization04/01/2025
Erblich, AvrahamDirect ownership interestIndividual04/01/2025
Sheps, BoruchDirect ownership interestIndividual04/01/2025
Bsf 2025 Family Trust5% or greater indirect ownership interestOrganization7%04/01/2025
Com Family Trust5% or greater indirect ownership interestOrganization12%04/01/2025
Bf16 Family TrustIndirect ownership interestOrganization04/01/2025
E Newhouse Family TrustIndirect ownership interestOrganization04/01/2025
T Newhouse Family TrustIndirect ownership interestOrganization04/01/2025
Tlm Family TrustIndirect ownership interestOrganization04/01/2025
Friedman, BenjaminIndirect ownership interestIndividual04/01/2025
Friedman, BenjaminCorporate officerIndividual04/01/2025
Etn Family Holdings LLCOperational/managerial controlOrganization04/01/2025
Tlco Holdings LLCOperational/managerial controlOrganization04/01/2025
Anderson, RebeccaOperational/managerial controlIndividual04/01/2025
Erblich, AvrahamOperational/managerial controlIndividual04/01/2025
Mathew, StanleyOperational/managerial controlIndividual04/01/2025
Sheps, BoruchOperational/managerial controlIndividual04/01/2025
Friedman, BenjaminTrustee of the SNFIndividual04/01/2025
Bsf Family Holdings LLCAdp of the SNFOrganization04/01/2025
Com Family TrustAdp of the SNFOrganization04/01/2025
E Newhouse Family TrustAdp of the SNFOrganization04/01/2025
Etn Family Holdings LLCAdp of the SNFOrganization04/01/2025
T Newhouse Family TrustAdp of the SNFOrganization04/01/2025
Tlco Holdings LLCAdp of the SNFOrganization04/01/2025
Tlm Family TrustAdp of the SNFOrganization04/01/2025
Anderson, RebeccaAdp of the SNFIndividual04/01/2025
Erblich, AvrahamAdp of the SNFIndividual04/01/2025
Friedman, BenjaminAdp of the SNFIndividual04/01/2025
Mathew, StanleyAdp of the SNFIndividual04/01/2025
Sheps, BoruchAdp of the SNFIndividual04/01/2025

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 17 problems in this area, most recently on March 20, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on March 20, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on July 1, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on March 20, 2026: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 hours per resident per day, below the Illinois average of 3.07.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

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Common questions

What is Monmouth Rehab and Nursing's Medicare star rating?
CMS rates Monmouth Rehab and Nursing 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Monmouth Rehab and Nursing get at its last inspection?
14 health deficiencies at the standard inspection on March 20, 2026. The Illinois average is 12.6.
Has Monmouth Rehab and Nursing been fined?
Yes. CMS lists 4 fines totaling $233,350 in the last three years.
Does Monmouth Rehab and Nursing 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 Monmouth Rehab and Nursing?
CMS lists 32 owners and managers, and links the home to Stern Consultants. Legal business name: MONMOUTH REHAB AND NURSING LLC.

Sources

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