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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
4E
3F
Potential for minimal harm
0A
0B
0C
June 4, 2026Standard inspection · 8 citations
- F
Put firmly secured handrails on each side of hallways.
Inspectors wroteBased on observation and interview the facility failed to secure handrails to the wall in a safe and secure manner. This deficiency has the potential to affect all 79 residents/visitors and employees in the facility by compromising their safety when grabbing ahold of the handrails. Findings Include:On 06/01/2026 at 9:45 AM the handrail between rooms [ROOM NUMBERS] was loose and moved easily. On 06/03/2026 at 10:00 AM the handrail between rooms [ROOM NUMBERS] was loose and moved easily, at 10:03 AM the handrail outside of room eight was loose and moved easily, at 10:06 AM the handrail outside of room [ROOM NUMBER] was loose and moved easily, at 10:07 AM the handrail outside of room [ROOM NUMBER] was loose and moved easily and at 10:09 AM the handrail outside of room [ROOM NUMBER] was loose and moved easily. [...]
- E
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 and interview, the facility failed to provide a homelike environment by failing to repair a damaged wall for five of five residents (R7, R11, R12, R17, R75) reviewed for homelike environment in the sample list of 40.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interview, the facility failed to provide adequate electrical outlets in resident rooms for three of three residents (R14, R76, R8) reviewed for accident hazards in the sample list of 40. Findings Include:On 06/03/2026 at 12:27 PM R14's room contained two power strips were being used. One power strip was plugged into a two-receptacle outlet with three devices plugged into it. The other power strip was plugged into a two-receptacle outlet with three devices plugged into it. On 06/03/2026 at 12:32 PM R76's room contained a multi-port that was plugged into a two-receptacle outlet. Two devices and one two wire extension cord were plugged into the multi-port. On 06/03/2026 at 12:32 PM R8's room contained a power strip that was plugged into a two-receptacle outlet. Two devices were plugged into the power strip. [...]
- 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 provide dignified dining services while maintaining resident's rights for three of three (R20, R35 and R50) residents reviewed for dining meal service in the sample list 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 and interview and record review, the facility failed to ensure appropriate positioning during enteral feeding and failed to ensure the enteral feeding bottle was labeled with all of the required information for two of two (R1 and R85) residents reviewed for enteral feeding in the sample list of 40.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review, the facility failed to place an oxygen in use warning sign at the room entrance door to three of three (R31, R58 and R85) residents reviewed for respiratory care in the sample list of 40.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview and record review, the facility failed to properly store an inhaler in a safe location for one of one (R40) resident reviewed for medication storage in the sample list of 40.
- D
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure hand hygiene was performed during incontinent cares for one (R21) of three residents reviewed for infection control in the sample list of 40.
January 16, 2025Standard inspection · 5 citations
- F
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation, interview and record review, the Facility failed to ensure the Illinois Department of Public Health deficiencies
- 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 medications and ensure timely disposal of a multi dose vial. This failure has the potential to affect all 81 residents residing in the Facility.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview and record review, the Facility failed to ensure food was served at an appealing temperature for 7 of 24 residents (R7, R23, R32, R38, R66, R73, and R283) reviewed for dietary services in the sample of 36.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review the facility failed to provide assistance/cueing for 1 of 3 residents (R11) reviewed for meal assistance in the sample of 36.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on interview and record review, the Facility failed to prevent hair contamination for 2 of 24 residents (R7, R23) reviewed for Dietary Services, in the sample of 36.
February 1, 2024Standard inspection · 1 citation
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview and record review the facility failed to properly monitor personal food storage for four of four residents (R25, R63, R65, and R17) reviewed for environment in the sample 35. 1. R25's face sheet, dated 1/31/24, documented that R25 was admitted to the facility on [DATE] with diagnosis of hypertensive heart disease with heart failure, Osteomyelitis, chronic obstructive pulmonary disease, neuromuscular dysfunction of bladder, paroxysmal atrial fibrillation, cardiomyopathy, anxiety disorder, osteoarthritis, and chronic gout. R25's MDS (Minimum Data Set), dated 1/16/24, documented that R25 is severely cognitively impaired. On 1/29/24 at 9:15 AM, R25 was observed resting in bed. R25 had a small refrigerator sitting on his nightstand. The nightstand was within reach of R25. The refrigerator had a thermometer that read 78 degrees. [...]
Fire safety inspections
30 fire safety citations on file: 7 on June 4, 2026, 8 on January 16, 2025, 15 on February 1, 2024.
Every fire safety citation30 citations
- F
Implement emergency and standby power systems.
E 41 · June 4, 2026 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · June 4, 2026 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · June 4, 2026 · Corrected (the home has a date of correction)
- 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 · June 4, 2026 · Corrected (the home has a date of correction)
- E
Provide properly protected cooking facilities.
K 324 · June 4, 2026 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · June 4, 2026 · Corrected (the home has a date of correction)
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · June 4, 2026 · Corrected (the home has a date of correction)
- F
Establish staff and initial training requirements.
E 37 · January 16, 2025 · Corrected (the home has a date of correction)
- F
Conduct testing and exercise requirements.
E 39 · January 16, 2025 · Corrected (the home has a date of correction)
- F
Have approved installation, maintenance and testing program for fire alarm systems.
K 345 · January 16, 2025 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · January 16, 2025 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · January 16, 2025 · Corrected (the home has a date of correction)
- E
Have exits that are accessible at all times.
K 271 · January 16, 2025 · Corrected (the home has a date of correction)
- 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 · January 16, 2025 · Corrected (the home has a date of correction)
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K 761 · January 16, 2025 · Corrected (the home has a date of correction)
- F
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · February 1, 2024 · Corrected (the home has a date of correction)
- F
Develop Emergency Preparedness policies and procedures.
E 13 · February 1, 2024 · Corrected (the home has a date of correction)
- F
Develop a communication plan.
E 29 · February 1, 2024 · Corrected (the home has a date of correction)
- F
Establish emergency prep training and testing.
E 36 · February 1, 2024 · Corrected (the home has a date of correction)
- F
Establish staff and initial training requirements.
E 37 · February 1, 2024 · Corrected (the home has a date of correction)
- F
Conduct testing and exercise requirements.
E 39 · February 1, 2024 · Corrected (the home has a date of correction)
- F
Inspect, test, and maintain automatic sprinkler systems.
K 353 · February 1, 2024 · Corrected (the home has a date of correction)
- F
Have simulated fire drills held at unexpected times.
K 712 · February 1, 2024 · Corrected (the home has a date of correction)
- F
Have generator or other power source capable of supplying service within 10 seconds.
K 918 · February 1, 2024 · Corrected (the home has a date of correction)
- 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 · February 1, 2024 · Corrected (the home has a date of correction)
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
K 355 · February 1, 2024 · Corrected (the home has a date of correction)
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K 374 · February 1, 2024 · Corrected (the home has a date of correction)
- E
Ensure proper usage of power strips and extension cords.
K 920 · February 1, 2024 · Corrected (the home has a date of correction)
- E
Have proper medical gas storage and administration areas.
K 923 · February 1, 2024 · Corrected (the home has a date of correction)
- E
Ensure proper storage of liquid oxygen.
K 930 · February 1, 2024 · Corrected (the home has a date of correction)