Montgomery Nursing & Rehab Ctr
State Route 127, Hillsboro, IL 62049 · Montgomery County · (217) 532-6126
110 certified beds, about 66 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145483 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 1 health deficiency (the Illinois average is 12.6, the national average 9.2).
Of 11 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $12,048 in the last three years; the largest was $12,048, and the latest is dated May 23, 2024.
Nurses and nurse aides worked 2.99 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.
38.1% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Helia Healthcare, an affiliated group of 13 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 11 health citations on file.
May 7, 2026Standard inspection · 1 citation
- E 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 provide food in a form that meets individual needs for 4 of 4 residents (R6, R52, R7, R56) reviewed for nutritional services in the sample of 26.
March 24, 2026Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review the facility failed to ensure one (R1) resident was free of sexual abuse from one (R8) resident reviewed for abuse in the sample of 8. This past non-compliance occurred from 1/9/2026-1/13/2026.
March 27, 2025Standard inspection · 4 citations
- F 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 properly store medication and label multi dose insulin vials and pens. This has the potential to effect all residents residing in the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the Facility failed to follow their Enhanced Barrier Precautions (EBP) policy by not posting signage or utilizing Personal Protective Equipment (PPE) when caring for residents with qualifying criteria for 4 of 4 residents (R33, R74, R75, and R230) reviewed for Transmission Based Precautions (TBP) in the sample of 40.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review and interview, the facility failed to provide dignity for two of six (R3 and R19) residents reviewed for dining in a sample of 40.
- D 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to administer a Gastrostomy Tube (G-tube) feeding according to standards of care for 1 of 1 residents (R230) reviewed for tube feedings in the sample of 40.
May 23, 2024Complaint inspection · 1 citation
- 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 adequately supervise 1 of 1 resident (R5), reviewed for accidents and incidents, in a sample of 5. This failure resulted in R5 spilling coffee on herself and sustaining second degree burns. This past non-compliance occurred between 4/28/24 and 4/30/24. Findings Include: Facility reported incident, dated 4/30/2024, documented, [AGE] year-old female with Dementia, Atrial Fibrillation, Hypertension, Anxiety, Severely Cognitively Impaired. On 4/28/2024 at 10:16AM R5 was in room with breakfast tray. R5 attempted to stand and used the bedside table to stand up and the coffee that was on the breakfast tray spilled onto R5's lap. R5 was immediately assessed and R5 noted to have redness to right upper thigh. Medical Doctor, MD, and Power of Attorney, POA, were updated and R5 put on follow up to monitor area. [...]
March 13, 2024Standard inspection · 2 citations
- F 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 discard insulin pens after being in use for longer than 28 days, remove and dispose of expired medications, and not store food items in the medication refrigerator. This failure has the potential to affect all 75 residents residing in the Facility.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed supervise and assist with meals for 1 of 1 (R45) residents reviewed for nutrition in a sample of 38.
September 26, 2023Complaint inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident's call lights were within easy reach for 1 of 11 residents (R2) reviewed for call lights in a sample of 11.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the resident's environment in a clean and sanitary condition for 1 of 11 residents (R2) in a sample of 11.
Fire safety inspections
4 fire safety citations on file: 2 on May 7, 2026, 1 on March 27, 2025, 1 on March 13, 2024.
Every fire safety citation4 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 23, 2024 | Fine | $12,048 |
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) | 2.99 | 3.45 | 3.86 |
| Registered nurses | 0.35 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.81 | 3.07 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 38.1% | 44.5% | 45.8% |
| Registered nurse turnover | 50.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.09 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 3.06 on weekdays and 2.81 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.82 in April to June 2025 to 2.99 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 | 2.99 | 0.35 | 3.06 | 2.81 | 1.5% | 0 of 90 | 66 |
| Oct to Dec 2025 | 2.76 | 0.25 | 2.85 | 2.53 | 0.7% | 0 of 92 | 69 |
| Jul to Sep 2025 | 2.74 | 0.24 | 2.81 | 2.57 | 0.5% | 0 of 92 | 68 |
| Apr to Jun 2025 | 2.82 | 0.28 | 2.92 | 2.59 | 0.5% | 1 of 91 | 74 |
| 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 | 17.0 | 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 | 2.1 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.2 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.4 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.3 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.3 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.2 | 1.8 |
Owners and operators
Legal business name: HELIA HEALTHCARE OF HILLSBORO LLC. CMS links this home to Helia Healthcare, a group of 13 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Miller, Stephen | 5% or greater direct ownership interest | Individual | 100% | 08/02/2007 |
| Cox, Christopher | W-2 managing employee | Individual | 03/17/2021 | |
| Miller, Stephen | W-2 managing employee | Individual | 05/15/2006 | |
| Miller, Stephen | Corporate officer | Individual | 05/15/2006 | |
| Mills, Michael | Corporate officer | Individual | 01/01/2017 | |
| Mueller, Natalie | Operational/managerial control | Individual | 03/01/2020 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on March 27, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 27, 2025: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 27, 2025: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 7, 2026: "Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.81 hours per resident per day, below the Illinois average of 3.07.
Other nursing homes nearby
- Hillsboro Rehab & HCC Hillsboro, 4.4 mi · 1 of 5 stars · 69 citations
- Avenues at Litchfield Litchfield, 10.1 mi · 4 of 5 stars · 15 citations
- Litchfield Health & Rehab Center Litchfield, 10.4 mi · 4 of 5 stars · 8 citations
- Greenville Nursing & Rehab Greenville, 15.4 mi · 4 of 5 stars · 17 citations
- Staunton Health and Rehab Ctr Staunton, 17 mi · 2 of 5 stars · 26 citations
- Gillespie Health & Rehab Ctr Gillespie, 17.7 mi · 4 of 5 stars · 16 citations
- Alhambra Rehab & Healthcare Alhambra, 18.8 mi · 4 of 5 stars · 12 citations
- Hitz Memorial Home Alhambra, 19.2 mi · 3 of 5 stars · 15 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 Montgomery Nursing & Rehab Ctr's Medicare star rating?
- CMS rates Montgomery Nursing & Rehab Ctr 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Montgomery Nursing & Rehab Ctr get at its last inspection?
- 1 health deficiency at the standard inspection on May 7, 2026. The Illinois average is 12.6.
- Has Montgomery Nursing & Rehab Ctr been fined?
- Yes. CMS lists 1 fine totaling $12,048 in the last three years.
- Does Montgomery Nursing & Rehab Ctr 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 Montgomery Nursing & Rehab Ctr?
- CMS lists 6 owners and managers, and links the home to Helia Healthcare. Legal business name: HELIA HEALTHCARE OF HILLSBORO LLC.
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.