Cycle 1
Health 2025-01-30 · Fire 2025-01-30
11 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Lebanon, IL
Cedar Ridge Health & Rehab Ctr
3-star overall rating with 3-star inspections with $70,964 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
One Perryman Street, Lebanon, IL
(618) 537-6165
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
116
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Crest Healthcare Consulting
Operator or chain grouping
Approved since
1987-07-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 2 overall / 2 health / 1 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.75
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.46
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.81
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.01
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.39
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
2.25
CMS adjusted total nurse staffing hours
Case-mix index
1.83
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,170
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.59
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.81
Baseline 19.10% · Performance 20.59% · Measure score 1.81 · Achievement 1.81 · Improvement 0
Healthcare-associated infections
0
Baseline 8.25% · Performance 8.16% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.62
Baseline 54.37% · Performance 48.86% · Measure score 3.62 · Achievement 3.62 · Improvement 1.36
Adjusted total nurse staffing
0
Baseline 3.01 hours · Performance 2.53 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.72% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 113 · Observed rate 13.27% · Lower 95% interval 8.15% |
| Discharge to community | 48.6% |
50.57%
2 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 38.64% · Lower 95% interval 37.98% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 102 · Denominator 102 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 102 |
| Discharge self-care score | 45.61% |
53.69%
8.1 pts worse
|
Numerator 26 · Denominator 57 |
| Discharge mobility score | 45.61% |
50.94%
5.3 pts worse
|
Numerator 26 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 4.9% |
2.29%
2.6 pts worse
|
Numerator 5 · Denominator 102 · Adjusted rate 3.57% |
| Healthcare-associated infections requiring hospitalization | 8.16% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 10.77% · Lower 95% interval 4.74% |
| Staff COVID-19 vaccination coverage | 12.5% |
8.2%
4.3 pts better
|
Numerator 16 · Denominator 128 |
| Staff flu vaccination coverage | 15.97% |
42%
26 pts worse
|
Numerator 19 · Denominator 119 |
| Discharge function score | 47.37% |
56.45%
9.1 pts worse
|
Numerator 27 · Denominator 57 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 30 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 12.5% |
25.2%
12.7 pts worse
|
Numerator 6 · Denominator 48 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.0
0.7 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 4.5 · Expected 3.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
2.3
0.3 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.1 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
89.6%
8.2 pts better
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 97.8% · Q3 96.6% · Q4 98.9% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
91.6%
6.4 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
3.3%
0.2 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.1% · Q3 4.5% · Q4 4.4% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 80.2% |
50.3%
29.9 pts worse
|
11.4%
68.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.1% · Q2 78.8% · Q3 79.5% · Q4 75.6% · 4Q avg 80.2% |
| Percentage of long-stay residents who lose too much weight | 9.9% |
6.5%
3.4 pts worse
|
5.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 16.5% · Q3 9.0% · Q4 9.6% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.7% |
18.5%
0.2 pts worse
|
19.6%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 19.0% · Q3 17.9% · Q4 20.7% · 4Q avg 18.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.6% |
22.8%
7.2 pts better
|
16.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 17.5% · Q3 11.9% · Q4 16.9% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.8% |
17.2%
9.4 pts better
|
16.3%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 9.3% · Q3 6.2% · Q4 10.1% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.2% |
15.0%
5.8 pts better
|
14.9%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 9.9% · Q3 10.0% · Q4 8.6% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.1%
0.6 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.7%
0.1 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 2.4% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.5% |
21.3%
4.2 pts worse
|
19.8%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 24.7% · Q3 34.4% · Q4 17.3% · 4Q avg 25.5% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
5.2%
1.3 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.7% · Q3 5.0% · Q4 5.0% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.0% |
68.8%
20.2 pts better
|
81.7%
7.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 85.2% · Q3 89.0% · Q4 89.6% · 4Q avg 89.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
14.0%
2.7 pts better
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 12.5% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
2.3%
0.4 pts better
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.8% · Q3 0.0% · Q4 2.4% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.7% |
63.0%
22.7 pts better
|
79.7%
6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.6% |
26.2%
0.4 pts worse
|
23.9%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.6% · Observed 30.7% · Expected 27.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-05 · Fire 2024-01-05
2 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2022-12-30 · Fire 2022-12-30
18 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-30
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-06
F · Potential for more than minimal harm
2025-01-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-06
F · Potential for more than minimal harm
2025-01-30
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-06
E · Potential for more than minimal harm
2025-01-30
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-06
F · Potential for more than minimal harm
2024-01-05
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-25
E · Potential for more than minimal harm
2024-01-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-25
E · Potential for more than minimal harm
2024-01-05
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-17
E · Potential for more than minimal harm
2024-01-05
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-02-17
F · Potential for more than minimal harm
2022-12-30
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-27
F · Potential for more than minimal harm
2022-12-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-27
F · Potential for more than minimal harm
2022-12-30
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-27
E · Potential for more than minimal harm
2022-12-30
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-01-27
E · Potential for more than minimal harm
2022-12-30
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-01-27
E · Potential for more than minimal harm
2022-12-30
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-27
Inspection history
Recent health citations
G · Actual harm
2025-01-30
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-30
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-30
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-30
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-30
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-30
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-30
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-30
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-30
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-01-31
F · Potential for more than minimal harm
2024-02-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-16
F · Potential for more than minimal harm
2024-01-05
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-17
D · Potential for more than minimal harm
2024-01-05
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-01-17
G · Actual harm
2023-08-11
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-08-23
G · Actual harm
2023-06-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-01
E · Potential for more than minimal harm
2023-06-20
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-07-01
D · Potential for more than minimal harm
2023-06-20
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-02
D · Potential for more than minimal harm
2023-06-20
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-07-01
G · Actual harm
2023-05-15
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-25
D · Potential for more than minimal harm
2023-05-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-25
F · Potential for more than minimal harm
2023-03-24
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-04-07
E · Potential for more than minimal harm
2023-03-24
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-07
G · Actual harm
2023-03-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-07
E · Potential for more than minimal harm
2023-03-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-23
D · Potential for more than minimal harm
2023-03-07
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-03-23
J · Immediate jeopardy
2022-12-30
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-12-31
F · Potential for more than minimal harm
2022-12-30
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-31
D · Potential for more than minimal harm
2022-12-30
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-31
D · Potential for more than minimal harm
2022-12-30
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-12-31
D · Potential for more than minimal harm
2022-12-30
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-12-31
Penalties and ownership
What sits behind the stars
$15,483
2023-08-11
Fine
Fine · fine $15,483
Fine
$55,481
2023-06-20
Fine
Fine · fine $55,481
Fine
$0
2023-06-20
Payment Denial
Payment Denial · denial start 2023-07-20 · 13 days
13 day denial
Ownership
Crest Crjs Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Capital Finance LLC
Operational/Managerial Control · Organization
Capital Finance LLC
5% Or Greater Security Interest · Organization
Crest Crjs Tbd Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Ecfjc Trust
5% Or Greater Indirect Ownership Interest · Organization
Flick, John
Operational/Managerial Control · Individual
Lichtman, Shalom
5% Or Greater Indirect Ownership Interest · Individual
Lichtman, Shalom
Operational/Managerial Control · Individual
Light Man LLC
Operational/Managerial Control · Organization
Oneal, Kenya
Operational/Managerial Control · Individual
Tsdama Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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Evercare Of Lebanon
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#2
Nexus at Mascoutah
Mascoutah, IL
2-star overall rating with 2-star inspections with abuse icon flag with $95,361 in total fines with 21 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Clinton Manor Living Center
New Baden, IL
5-star overall rating with 5-star inspections
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