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Pittsfield Manor

610 Lowry Street, Pittsfield, IL 62363 · Pike County · (217) 285-5200

89 certified beds, about 66 residents a day · Non profit - Corporation · Medicare and Medicaid since 1995

CMS abuse icon: cited for abuse in a recent inspection Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145837 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 20, 2026, inspectors cited 8 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 43 health citations since January 2024, 5 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 4 fines totaling $212,564 in the last three years; the largest was $104,276, and the latest is dated January 20, 2026.

Nurses and nurse aides worked 3.84 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

63.7% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Unlimited Development, Inc., an affiliated group of 10 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 43 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
1L
Actual harm
4G
0H
0I
Potential for more than minimal harm
19D
9E
10F
Potential for minimal harm
0A
0B
0C
June 4, 2026Complaint inspection · 1 citation
  1. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · 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) June 16, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from theft for 2 of 2 residents (R1, R2) reviewed for misappropriation of property in the sample of 5.
January 20, 2026Standard inspection · 8 citations
  1. G
    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 · Actual harm, isolated · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a dependent resident received passive range of motion as recommended by therapy after being discharged from therapy and failed to ensure restorative services were provided for 3 of 3 (R11, R30, R31) residents reviewed for range of motion in a sample of 49. This failure resulted in R31 having a decline in condition and becoming dependent on staff for activities of daily living.
  2. 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 · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Certified Nursing Assistant's 12 hour training was completed. This has the ability to affect all 67 residents residing in facility.
  3. E
    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, pattern · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provided dignity for 4 of 10 (R2, R28, R40 and R62) residents, reviewed for residents' rights in a sample of 49.
  4. E
    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, pattern · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on interview, observation, and record review, the facility failed to maintain resident safety and to provide safe transfers, including using a gait belt and having sufficient fall interventions in place for 5 of 17 residents (R2, R14, R39, R46, R61) reviewed for safe transfers and fall precautions in the sample of 49.
  5. E
    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, pattern · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to perform complete incontinent care 4 of 6 (R2, R5, R30, R61,) residents reviewed for incontinent care in a sample of 49.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to perform hand hygiene before and after glove changes, failed to perform hand hygiene in between residents during care, and failed to properly handle drinking glasses and medications for 10 of 15 (R1, R30, R33, R34, R40, R42, R49, R56, R61and R62) residents, reviewed for infection control, in a sample of 49.
  7. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide a hearing assist device to maintain hearing ability for 1 of 1 resident (R43) reviewed for resident hearing assist devices in the sample of 49.
  8. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on interview and record review, the facility failed to put interventions in place prevent 1 of 1 (R31) residents from developing a pressure ulcer in a sample of 49.
December 9, 2024Standard inspection · 14 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide timely treatment for 1 of 3 residents (R68) reviewed for change of condition in the sample of 33. This failure resulted in R68 delay in treatment and requiring hospital admission.
  2. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to properly store medication, label tuberculin vial, and maintain medication carts locked. This has the potential to affect all 80 residents living in the facility.
  3. 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 18, 2024
    Inspectors wroteBased on interview, observatoin, and record review, the facility failed to store food products and wash hands to prevent food borne illness. This failure has the potential to affect all 80 residents living in the facility.
  4. E
    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, pattern · Corrected (the home has a date of correction) December 19, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide timely and complete incontinence care, including proper hand hygiene and glove changes for 5 of 5 residents (R8, R34, R36, R46, R76) reviewed for incontinence care in the sample of 33.
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wrote3. On 12/03/24 at 11:25AM, during incontinent care on R36, V8, CNA, with gloved hands, wet wash cloths. V8 wiped front to back, and with visible stool on gloves of right hand, V8 used left hand to remove glove from right hand . No hand sanitizing done prior to donning new right glove. 4. On 12/03/24 at 9:58AM, V8, CNA, entered room and placed a gait belt on R46, assisted R46 to stand with walker, and walked R46 to bathroom within room. V8, CNA, donned gloves V8 did not sanitize hands prior to donning gloves. V8 placed adult diaper and wipes on back of stool; adult diaper fell on floor. V8, CNA, doffed gloves and got another diaper from drawer. V8, CNA, did not sanitize hands prior to removal or donning new gloves. V8 removed adult diaper, which had stool in it, as verified by V8, CNA. V8 removed gloves; did not sanitize hands prior to donning gloves. [...]
  6. 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 · Corrected (the home has a date of correction) December 19, 2024
    Inspectors wroteBased on interview and record review, the facility failed to prevent abuse for 1 of 1 residents (R63) reviewed for abuse in the sample of 33.
  7. 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) December 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to report an allegation of abuse to the Illinois Department of Public Health for 1 of 1 resident (R63) reviewed for abuse in the sample of 33.
  8. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to investagate an allegation of abuse for 1 of 1 resident (R63) reviewed for abuse in the sample of 33.
  9. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on interview record review, the facility failed to provide 2 of 5 residents (R46, R73) with written documentation as to why they were being sent to the hospital, for residents reviewed for transfer in the sample of 33.
  10. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to initiate a level 2 Preadmission Screening and Resident Review (PASARR) for one of 3 residents (R32) reviewed for PASAAR in the sample of 33.
  11. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the Facility failed to provide feeding assistance for 3 of 5 residents (R8, R41, and R52) reviewed for nutrition and feeding assistance in the sample of 33.
  12. 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) December 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the Facility failed to provide supplemental shakes as ordered for 1 of 5 residents (R41) reviewed for nutrition and feeding assistance in the sample of 33.
  13. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to maintain communication with dialysis center and check patency of a dialysis shunt for 1 of 2 residents (R55) reviewed for dialysis in the sample of 33. Finidngs include: R55's Face Sheet, print date of 12/5/24, documents R55 was admitted on [DATE] and has a dependence on renal dialysis. R55's Minimum Data Set, dated [DATE], documents R55 is cognitively intact. R55's Care Plan, dated 9/9/24, documents, Problem (R55) has end stage renal disease that requires HD (hemodialysis). Approach: Monitor dialysis port / shunt for bleeding. If profuse or quick bleeding, apply direct pressure and contact EMS (Emergency Medical Services). On 12/2/24 at 1:11 PM, R55 stated the Dialysis Center does not use his right arm shunt. He stated it hurts too bad and they use his chest access. R55 stated the staff do not check his shunt. On 12/3/24 at 1: [...]
  14. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to administer correct dose of medication . There were 28 opportunities with 2 errors resulting in 7.14% medication error rate. The errors involved R41 in the sample of 3 observed during medication administration.
October 8, 2024Complaint inspection · 4 citations
  1. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to secure narcotics upon delivery from pharmacy for 4 of 4 residents (R3, R4, R5, R6) reviewed for pharmacy storage.
  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) October 15, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to prevent abuse of 1 of 3 residents (R4) reviewed for abuse in the sample of 8.
  3. 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) October 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to investigate a fall and provide a new progressive fall prevention intervention in place for 1 of 3 (R1) in the sample of 8.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to wear Personal Protective Equipment (PPE) for 2 of 3 residents (R2, R8) reviewed for COVID in the sample of 8.
May 22, 2024Complaint inspection · 1 citation
  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) May 31, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to supervise and prevent an altercation for 2 of 2 (R3, R4) residents, reviewed for incidents and accidents in a sample of 5. This failure resulted in R4 being sent to the local emergency department after an altercation with R3 and sustaining facial contusion, contusion of both forearms and contusion to her right shoulder.
May 6, 2024Complaint inspection · 4 citations
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · 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) May 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to protect private health information by using cell phone to take pictures of a bruise for one 1 of 5 residents (R4) reviewed for resident rights in the sample of 10.
  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) May 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to prevent physical abuse to 1 of 5 residents (R4) reviewed for abuse in the sample of 10.
  3. 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 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to report an allegation of abuse in a timely manner for 1of 5 residents (R4) reviewed for abuse in the sample of 10.
  4. 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) May 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to initiate a timely and thorough investigation in response to allegations of abuse concerning residents for 1of 5 residents (R4) reviewed for abuse in the sample of 10.
January 2, 2024Standard inspection · 11 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) January 18, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement a system to track and trend infections, and failed to implement infection control procedures including isolation precautions and personal protective equipment (PPE) to prevent the spread of infection. These failures resulted in 23 residents devloping Gastroenteritis, including 8 residents (R10, R29, R32, R37, R41, R52, R56, R160) currently experiencing Gastroenteritis in the facility. These failures have the potential to affect all 58 residents in the facility. The Immediate Jeopardy began on 12/3/23, when R56 developed Gastroenteritis and the facility failed to implement isolation precautions including personal protective equipment. Subsequently, 22 other residents have developed Gastroenteritis. [...]
  2. 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 · Corrected (the home has a date of correction) February 8, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to assess residents for fall precautions, failed to implement appropriate fall interventions, and failed to ensure resident safety during transfers, for 5 of 7 residents (R6, R8, R10, R20, R27) reviewed for falls and transfers in the sample of 44. This failure resulted in R6 having a fractured left hip and having a closed vs open reduction of her left hip with nailing surgery.
  3. F
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 5, 2024
    Inspectors wroteBased on interview and record review, the facility failed to allow residents to receive mail on Saturdays. This failure has the potential to affect all 58 residents living in the facility.
  4. F
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to have a procedure in place for filing Grievances, understanding what a Grievance is, and implementing a system to track resolutions of a Grievance. These failures have the potential to affect all 58 residents living in the facility.
  5. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 4, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide consecutive 8 hour Registered Nurse (RN) coverage in the facility. This has the potential to affect all 58 residents residing in the facility.
  6. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide food at palatable temperature for 3 of 3 residents (R7, R22, and R49) reviewed for meal service in the sample of 44. This failure has the potential to affect all residents in the facility.
  7. 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) January 12, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to maintain the kitchen in a clean an sanitary manner, have hand hygiene products available, throw away expired food, and cover, label, and date left over food to prevent foodborne illness. These failures have the potential to affect all 58 residents residing in the facility.
  8. F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 17, 2024
    Inspectors wroteBased on interview and record review, the QA&A (Quality Assurance Committee) failed to recognize an infection control problem, and the QAPI (Quality Assurance Performance Improvement) committee failed to perform a Performance Improvement Plan (PIP) regarding an infection control problem. This failure has the potential to affect all 58 residents residing in the facility.
  9. 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 · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure the required abuse training was complete for 6 of 6 employee records reviewed for abuse. This failure has the potential to affect all 58 residents residing in the facility.
  10. E
    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, pattern · Corrected (the home has a date of correction) January 17, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide timely and complete incontinence and for 6 of 6 residents (R6, R8, R9, R10, R25, R29) reviewed for incontinent care in a sample of 44. 1. R6's Face Sheet, undated, documents R6 was admitted to the facility on [DATE], with the diagnoses of Dementia, Major depressive disorder, Type 2 Diabetes Mellitus (DM), and Left femur fracture. R6's Care Plan, dated 3/2/23, documents R6's Bowel and Bladder: Incontinent of bladder and bowel at times Continent/Incontinent Toileting: Every two hours to the toilet, assist of one Incontinence Products- Large pull-up. R6's Minimum Data Set (MDS), dated [DATE], documents R6 has a severe cognitive impairment and requires extensive assistance from one to two staff members for all Activities of Daily Living (ADLs). [...]
  11. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on interview and record review, the facility failed to establish an infection prevention and control program that reduces the risk of adverse events, including the development of antibiotic-resistant organisms, from unnecessary or inappropriate antibiotic use for 5 of 5 residents (R9, R23, R36, R50, R210) reviewed for antibiotic stewardship in the sample of 44. 1. The Facility's Monthly Infection Log for the month of October 2023 does not document an organism causing R9's infection. The log documents No for culture and organism is blank. The log also documents R9 was treated with the antibiotic Keflex. R9's Physician Order Sheet (POS), not dated, documents cephalexin capsule; 500 mg; amt: 1 tab (tablet); oral Special Instructions: give 500 mg (milligrams) by mouth twice a day x 7 days starting at 8:00am on 10/07/2023. [...]

Fire safety inspections

11 fire safety citations on file: 3 on January 20, 2026, 3 on December 9, 2024, 5 on January 2, 2024.

Every fire safety citation11 citations
  1. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 20, 2026 · Corrected (the home has a date of correction)
  2. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 20, 2026 · Corrected (the home has a date of correction)
  3. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 20, 2026 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 9, 2024 · Corrected (the home has a date of correction)
  5. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · December 9, 2024 · Corrected (the home has a date of correction)
  6. F
    Have proper power supply for life support equipment.
    K 915 · December 9, 2024 · Corrected (the home has a date of correction)
  7. F
    Establish roles under a Waiver declared by secretary.
    E 26 · January 2, 2024 · Corrected (the home has a date of correction)
  8. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · January 2, 2024 · Corrected (the home has a date of correction)
  9. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 2, 2024 · Corrected (the home has a date of correction)
  10. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 2, 2024 · Corrected (the home has a date of correction)
  11. E
    Have proper medical gas storage and administration areas.
    K 923 · January 2, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 20, 2026Fine $33,210
December 9, 2024Fine $51,051
December 9, 2024Payment Denial 15 days from December 31, 2024
May 6, 2024Fine $24,027
January 2, 2024Fine $104,276
January 2, 2024Payment Denial 13 days from January 26, 2024

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)3.843.453.86
Registered nurses0.390.720.69
All nursing staff on weekends3.573.073.42
Nurse aides2.59
Licensed practical nurses0.85
Nursing staff turnover (share who left in a year)63.7%44.5%45.8%
Registered nurse turnover76.9%41.8%42.9%
Administrators who left0

CMS expects 4.53 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 3.95 on weekdays and 3.57 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.94 in April to June 2025 to 3.84 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.840.393.953.57 5.1%1 of 9066
Oct to Dec 20254.310.564.453.96 12.2%0 of 9266
Jul to Sep 20254.080.524.273.60 23.5%1 of 9272
Apr to Jun 20253.940.464.153.39 30.8%1 of 9178
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.

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
32.513.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.30.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
6.51.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.83.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.42.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
32.514.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.84.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
22.521.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.026.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
23.313.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.62.21.8

Owners and operators

Legal business name: UNLIMITED DEVELOPMENT, INC. CMS links this home to Unlimited Development, Inc., a group of 10 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
Titus, BillyeW-2 managing employeeIndividual09/05/2018
Finke, AudreyCorporate directorIndividual09/05/2018
Gilmore, JerryCorporate directorIndividual04/26/2006
Haney, DavidCorporate directorIndividual04/26/2006
Wagner, RobertCorporate directorIndividual04/26/2006
Finke, AudreyCorporate officerIndividual09/05/2018
Wagner, RobertCorporate officerIndividual09/05/2018
Wilson, RonaldCorporate officerIndividual09/05/2018
Udi #9, LLCOperational/managerial controlOrganization04/26/2006

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 14 problems in this area, most recently on January 20, 2026: "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."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 8 problems in this area, most recently on June 4, 2026: "Protect each resident from the wrongful use of the resident's belongings or money."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on January 20, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  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 January 20, 2026: "Provide and implement an infection prevention and control program."

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Common questions

What is Pittsfield Manor's Medicare star rating?
CMS rates Pittsfield Manor 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pittsfield Manor get at its last inspection?
8 health deficiencies at the standard inspection on January 20, 2026. The Illinois average is 12.6.
Has Pittsfield Manor been fined?
Yes. CMS lists 4 fines totaling $212,564 in the last three years.
Does Pittsfield Manor 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 Pittsfield Manor?
CMS lists 9 owners and managers, and links the home to Unlimited Development, Inc.. Legal business name: UNLIMITED DEVELOPMENT, INC.

Sources

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