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Serenity Estates of Lena

1010 South Logan Street, Lena, IL 61048 · Stephenson County · (815) 369-4561

101 certified beds, about 51 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2007

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 146114 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 29, 2026, inspectors cited 12 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 38 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.19 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.

CMS links it to Serenity Estates, an affiliated group of 5 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 38 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
29D
6E
2F
Potential for minimal harm
0A
0B
0C
April 29, 2026Standard inspection · 12 citations
  1. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 7, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure residents had access to petty cash. This applies to 4 of 4 residents (R29, R32, R41 & R46) reviewed for resident funds in the sample of 15.
  2. E
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 7, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure residents and/or Power of Attorney's (POA's) received quarterly statements for funds managed by the facility. This applies to 4 of 4 residents (R29, R32, R41 & R46) reviewed for resident funds in the sample of 15.
  3. E
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased interview and record review the facility failed to ensure Power of Attorney's (POA's) of deceased residents were reimbursed money from accounts being managed by the facility. This applies to 2 of 2 residents (R56 & R57) reviewed for resident funds in the sample of 15.
  4. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 7, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide sufficient staffing and to address staffing concerns of the facility's Resident Council for 5 of 25 residents (R9,R33,R37,R38,R45) reviewed for staffing in the sample of 25.
  5. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 7, 2026
    Inspectors wroteBased on observation, interview and record the facility failed to ensure a Gradual Dose Reduction (GDR) for psychotropic medications was completed. This applies to 1 of 5 residents (R26) reviewed for unnecessary medications in the sample of 15.
  6. 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) April 30, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure pressure ulcer prevention interventions were in place for a resident at risk for pressure ulcers for 1 of 4 residents (R33) reviewed for pressure ulcers in the sample of 15.
  7. 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 · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation and interviews, the facility failed to ensure safe hot water temperatures in resident care areas for 1 of 25 residents (R2) reviewed for safety and supervision in the sample of 25.
  8. 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) May 1, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident experiencing significant weight loss was identified and the physician was notified. This resulted in a delay in evaluation and intervention of a significant, unplanned weight loss of 5.88% for one of five (R45) residents reviewed for weight loss in the sample of 15. R45's Face Sheet printed 4/28/2026 documents R45 was admitted to the facility with multiple diagnoses that include influenza, acute respiratory failure, and unspecified protein-calorie malnutrition. On 4/27/2026 at 10:00AM, R45 was in bed, not dressed for the day, blinds closed and lights off, with breakfast (appeared to be oatmeal, eggs, toast and coffee and milk) on bedside table that appeared to be untouched. R45 stated that R45 was tired, had not yet been out of bed, and was not hungry. [...]
  9. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure urgent/emergent dental services were provided, failed to modify the diet of a resident with chewing difficulty due to dental concerns, and failed to notify the physician regarding dental concerns for 1 of 15 residents (R12) in the sample of 15 reviewed for dental care.
  10. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to serve a resident chopped meat as ordered for 1 of 15 residents (R33) reviewed for diets in the sample of 15.
  11. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure Personal Protective Equipment (PPE) was donned prior to providing direct resident care to a resident on Enhanced Barrier Precautions (EBP) for 1 of 15 residents (R33) reviewed for infection control in the sample of 15.
  12. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure effective implementation of its Infection Prevention and Control Program was effectively implemented to include identification and surveillance of one of one (R32) resident reviewed for prophylactic antibiotic therapy in the sample of 15. R32's Face Sheet printed 4/28/2026 documents R32 was admitted to the facility with multiple diagnoses that include progressive multiple sclerosis and urinary tract infection. R32's Order Summary Report printed 4/28/2026 documents that R32 has an order for Trimethoprim (antibiotic) 100 milligrams one time a day for prophylaxis of urinary tract infection that started on 1/25/2025. [...]
February 25, 2026Complaint inspection · 1 citation
  1. 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) February 26, 2026
    Inspectors wroteBased on interview and record review the facility failed to investigate an injury of unknown origin as possible abuse for 1 of 3 residents (R1) reviewed for abuse in the sample of 3.
February 9, 2026Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 12, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure a resident wasn't administered the wrong medications resulting in a significant medication error. This applies to 1 of 3 residents (R1) reviewed for medication administration in the sample of 5.
November 18, 2025Complaint inspection · 1 citation
  1. 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) November 20, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to prevent staff-to-resident physical and verbal abuse. This applies to 1 of 3 residents (R1) reviewed for abuse in the sample of the 3.
March 27, 2025Standard inspection · 10 citations
  1. 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) April 11, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure cooked foods were cooled in a manner to limit the growth of potentially dangerous pathogens. The failure has the potential to affect all residents in the facility.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on interview and record review, the facility failed to perform interdisciplinary care plan conferences for 1 of 1 residents (R44) reviewed for care plans in the sample of 26.
  3. 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) April 11, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to perform incontinence care and activities of daily living care for 1 of 1 residents (R35) reviewed for activities of daily living in the sample of 26.
  4. 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) April 11, 2025
    Inspectors wroteBased on observation, interview and record review the facilty failed to ensure a healed pressure injury did not reopen for 1 (R40) of 6 residents reviewed for pressure injury in the sample of 26.
  5. 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 · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure fall prevention measures were in place for 1 of 3 residents (R19) reviewed for safety and supervision in the sample of 26.
  6. 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) April 11, 2025
    Inspectors wroteBased on interview and record review the facility failed to show a resident was assessed for a psychotropic gradual dose reduction. This applies to 1 of 5 (R33) residents in the sample of 26.
  7. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observation, interview, record review the facility failed to follow manufacturer instructions regarding the expiration date of in use insulin. This applies to 2 of 2 residents (R47, R27) reviewed for insulin in the sample of 26.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to perform glove changes and hand hygiene during incontinence care for 1 of 8 residents (R5) reviewed for infection control in the sample of 26.
  9. 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) April 11, 2025
    Inspectors wroteBased on interview and record review the facility failed to offer a resident the flu vaccine for the 2024/2025 flu season. This applies to 1 of 5 residents (R7) reviewed for vaccinations in the sample of 26.
  10. 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) April 11, 2025
    Inspectors wroteBased on interview and record review the facility failed to offer a resident the covid vaccine for the 2024/2025 covid season. This applies to 1 of 5 residents (R7) reviewed for vaccinations in the sample of 26.
February 11, 2025Complaint inspection · 1 citation
  1. 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) February 28, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure staff wore the required personal protective equipment (PPE) when entering residents' rooms that were on isolation for influenza. This applies to 3 of 3 residents (R1, R2, and R3) reviewed for infection control in the sample of 3.
September 30, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · 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) November 1, 2024
    Inspectors wroteBased on interview and record review the facility failed to treat a resident with respect and dignity. This applies to 1 of 6 residents (R1) reviewed for resident rights in the sample of 6.
August 27, 2024Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2024
    Inspectors wroteBased on interview and record review the facility failed to administer a Physician prescribed medication as ordered. This applies to one of three residents (R1) reviewed for medication administration in the sample of six.
August 1, 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) August 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to perform safe bed mobility for 1 resident (R1) reviewed for safety and supervision. This failure resulted in R1 sustaining a nasal bone fracture, a femoral neck fracture, and a 4x4cm (centimeter) laceration to her forehead that was repaired with 9 sutures. This applies to 1 of 3 residents reviewed for safety and supervision in the sample of 3.
April 12, 2024Standard inspection · 8 citations
  1. F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure the Director of Nursing and Infection Preventionist attended the quarterly Quality Assurance and Performance Improvement (QAPI) meetings. This applies to all residents in the facility.
  2. 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) May 3, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to prevent a resident from falling from a broken beauty shop chair and failed to implement interventions to prevent falls for 4 of 5 residents (R43, R3, R20, R50) reviewed for falls in the sample of 23.
  3. E
    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, pattern · Corrected (the home has a date of correction) May 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain physician's orders for a resident on CPAP (Continuous Positive Airway Pressure) therapy for 1 resident (R410), failed to store nebulizer and CPAP masks in a sanitary manner for 4 residents (R6, R24, R50, R410). These failures apply to 4 of 8 residents reviewed for respiratory care in the sample of 23.
  4. 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) May 3, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to reassess for preferences and nutritional needs after a resident was readmitted with a diet change for 1 of 1 resident (R22) reviewed for dietary services.
  5. D
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident was assessed by a physician within the first 30 days after admission for 2 of 2 residents (R22, R9) reviewed for physician visits outside of the sample.
  6. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure a scheduled medication was available for administration for 1 of 1 resident (R10) reviewed for medications in the sample of 23.
  7. D
    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, isolated · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure vegetables were not overcooked, leaving them with a soft mushy texture and a bland flavor. This applies to 2 of 2 residents (R1, and R13) reviewed for food preparation in a sample of 23.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the correct personal protective equipment (PPE) was worn while providing care for resident in contact isolation with a multi drug resistant organism (MDRO). This applies to 1 of 8 (R54) residents reviewed for infection control in the sample of 23.
January 26, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 9, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a copy of a resident's (R1) advanced directive was present in the medical record, and failed to ensure a residents care plan was updated with current code status. This applies to 1 of 3 residents reviewed for advanced directives in the sample of 9.

Fire safety inspections

42 fire safety citations on file: 21 on March 27, 2025, 12 on April 12, 2024, 9 on May 25, 2023.

Every fire safety citation42 citations
  1. F
    Establish an Emergency Preparedness Program (EP).
    E 1 · March 27, 2025 · Corrected (the home has a date of correction)
  2. F
    Address subsistence needs for staff and patients.
    E 15 · March 27, 2025 · Corrected (the home has a date of correction)
  3. F
    Establish policies and procedures for sheltering.
    E 22 · March 27, 2025 · Corrected (the home has a date of correction)
  4. F
    Establish policies and procedures for medical documentation.
    E 23 · March 27, 2025 · Corrected (the home has a date of correction)
  5. F
    Establish policies and procedures for volunteers.
    E 24 · March 27, 2025 · Corrected (the home has a date of correction)
  6. F
    Establish roles under a Waiver declared by secretary.
    E 26 · March 27, 2025 · Corrected (the home has a date of correction)
  7. F
    Provide primary/alternate means for communication.
    E 32 · March 27, 2025 · Corrected (the home has a date of correction)
  8. F
    Provide family notifications of emergency plan.
    E 35 · March 27, 2025 · Corrected (the home has a date of correction)
  9. F
    Establish emergency prep training and testing.
    E 36 · March 27, 2025 · Corrected (the home has a date of correction)
  10. F
    Conduct testing and exercise requirements.
    E 39 · March 27, 2025 · Corrected (the home has a date of correction)
  11. F
    Implement emergency and standby power systems.
    E 41 · March 27, 2025 · Corrected (the home has a date of correction)
  12. F
    Install proper backup exit lighting.
    K 281 · March 27, 2025 · Corrected (the home has a date of correction)
  13. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 27, 2025 · Corrected (the home has a date of correction)
  14. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 27, 2025 · Corrected (the home has a date of correction)
  15. F
    Install corridor and hallway doors that block smoke.
    K 363 · March 27, 2025 · Corrected (the home has a date of correction)
  16. F
    Provide a written emergency evacuation plan.
    K 711 · March 27, 2025 · Corrected (the home has a date of correction)
  17. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 27, 2025 · Corrected (the home has a date of correction)
  18. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 27, 2025 · Corrected (the home has a date of correction)
  19. 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 27, 2025 · Corrected (the home has a date of correction)
  20. E
    Provide properly protected cooking facilities.
    K 324 · March 27, 2025 · Corrected (the home has a date of correction)
  21. C
    Have simulated fire drills held at unexpected times.
    K 712 · March 27, 2025 · Corrected (the home has a date of correction)
  22. F
    Address subsistence needs for staff and patients.
    E 15 · April 12, 2024 · Corrected (the home has a date of correction)
  23. F
    Provide family notifications of emergency plan.
    E 35 · April 12, 2024 · Corrected (the home has a date of correction)
  24. F
    Implement emergency and standby power systems.
    E 41 · April 12, 2024 · Corrected (the home has a date of correction)
  25. F
    Have properly located and lighted "Exit" signs.
    K 293 · April 12, 2024 · Corrected (the home has a date of correction)
  26. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 12, 2024 · Corrected (the home has a date of correction)
  27. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 12, 2024 · Corrected (the home has a date of correction)
  28. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 12, 2024 · Corrected (the home has a date of correction)
  29. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · April 12, 2024 · Corrected (the home has a date of correction)
  30. E
    Install corridor and hallway doors that block smoke.
    K 363 · April 12, 2024 · Corrected (the home has a date of correction)
  31. E
    Have proper medical gas storage and administration areas.
    K 923 · April 12, 2024 · Corrected (the home has a date of correction)
  32. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · April 12, 2024 · Corrected (the home has a date of correction)
  33. F
    Establish policies and procedures for sheltering.
    E 22 · April 12, 2024 · Corrected (the home has a date of correction)
  34. F
    Address subsistence needs for staff and patients.
    E 15 · May 25, 2023 · Corrected (the home has a date of correction)
  35. F
    Establish staff and initial training requirements.
    E 37 · May 25, 2023 · Corrected (the home has a date of correction)
  36. F
    Conduct testing and exercise requirements.
    E 39 · May 25, 2023 · Corrected (the home has a date of correction)
  37. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 25, 2023 · Corrected (the home has a date of correction)
  38. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · May 25, 2023 · Corrected (the home has a date of correction)
  39. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 25, 2023 · Corrected (the home has a date of correction)
  40. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · May 25, 2023 · Corrected (the home has a date of correction)
  41. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 25, 2023 · Corrected (the home has a date of correction)
  42. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · May 25, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)3.193.453.86
Registered nurses0.710.720.69
All nursing staff on weekends2.723.073.42
Nurse aides1.86
Licensed practical nurses0.61
Nursing staff turnover (share who left in a year)not reported44.5%45.8%
Registered nurse turnovernot reported41.8%42.9%
Administrators who left1

CMS expects 4.49 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 3.38 on weekdays and 2.72 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.49 in April to June 2025 to 3.19 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.190.713.382.72 0.7%0 of 9051
Oct to Dec 20253.530.693.812.84 0.6%0 of 9254
Jul to Sep 20253.700.803.963.02 2.7%0 of 9253
Apr to Jun 20253.490.813.722.90 2.4%0 of 9152
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
9.913.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.80.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.83.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.72.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.914.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
11.84.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
31.621.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
34.026.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.613.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.32.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.42.21.8

Owners and operators

Legal business name: LENA LIVING CENTER, LLC. CMS links this home to Serenity Estates, a group of 5 nursing homes averaging 2 stars overall.

NameRoleTypeShareSince
Koenig, Suzanne5% or greater direct ownership interestIndividual100%07/21/2025
Koenig, SuzanneManaging control - governing bodyIndividual06/01/2007
Sak Management Services LLCOperational/managerial controlOrganization08/01/2012
Koenig, SuzanneOperational/managerial controlIndividual08/01/2012
McDonald, DustinOperational/managerial controlIndividual02/24/2025
Schleich, JeffreyOperational/managerial controlIndividual05/10/2017
Lena Property Partners, LLCAdp of the SNFOrganization02/27/2006
Sak Management Services LLCAdp of the SNFOrganization07/09/2025
Koenig, SuzanneAdp of the SNFIndividual08/01/2012
McDonald, DustinAdp of the SNFIndividual02/24/2025
Schleich, JeffreyAdp of the SNFIndividual05/10/2017

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 11 problems in this area, most recently on April 29, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 7 problems in this area, most recently on April 29, 2026: "Provide and implement an infection prevention and control program."
  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 April 29, 2026: "Honor the resident's right to manage his or her financial affairs."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on February 9, 2026: "Ensure that residents are free from significant medication errors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.72 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

These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.

Common questions

What is Serenity Estates of Lena's Medicare star rating?
CMS rates Serenity Estates of Lena 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Serenity Estates of Lena get at its last inspection?
12 health deficiencies at the standard inspection on April 29, 2026. The Illinois average is 12.6.
Has Serenity Estates of Lena been fined?
CMS lists no fines in the last three years.
Does Serenity Estates of Lena 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 Serenity Estates of Lena?
CMS lists 11 owners and managers, and links the home to Serenity Estates. Legal business name: LENA LIVING CENTER, LLC.

Sources

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