Macomb, IL

Countryside Care Center

1-star overall rating with 1-star inspections with $260,571 in total fines with 21 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

400 West Grant Street, Macomb, IL

(309) 837-2386

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

62

Certified beds

Average residents

46

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Stern Consultants

Operator or chain grouping

Approved since

2005-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

22 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 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

0.43

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.60

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.82

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

2.85

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.03

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.54

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

2.93

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

67%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,762

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

22.62

Composite VBP score used to determine payment impact.

Payment multiplier

0.9829

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.07

Baseline 76.47% · Performance 58.06% · Measure score 3.07 · Achievement 1.37 · Improvement 3.07

Adjusted total nurse staffing

1.46

Baseline 2.53 hours · Performance 3.17 hours · Measure score 1.46 · Achievement 0 · Improvement 1.46

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 64
Staff flu vaccination coverage 23.6%
42%
18.4 pts worse
Numerator 21 · Denominator 89
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.0%
89.6%
5.4 pts better
93.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 84.4% · Q2 97.8% · Q3 100.0% · Q4 97.8% · 4Q avg 95.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.8%
91.6%
0.2 pts better
95.5%
3.7 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.8%
Percentage of long-stay residents experiencing one or more falls with major injury 5.0%
3.3%
1.7 pts worse
3.3%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 6.7% · Q3 4.5% · Q4 4.4% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 29.0%
50.3%
21.3 pts better
11.4%
17.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 19.0% · Q3 19.0% · Q4 56.8% · 4Q avg 29.0%
Percentage of long-stay residents who lose too much weight 7.5%
6.5%
1 pts worse
5.4%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.0% · Q3 10.3% · Q4 2.5% · 4Q avg 7.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.5%
18.5%
10 pts worse
19.6%
8.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 24.4% · Q3 27.5% · Q4 28.6% · 4Q avg 28.5%
Percentage of long-stay residents who received an antipsychotic medication 36.4%
22.8%
13.6 pts worse
16.7%
19.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 45.5% · 4Q avg 36.4% · 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 3.0%
17.2%
14.2 pts better
16.3%
13.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 4.9%
15.0%
10.1 pts better
14.9%
10 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.1% · Q3 2.6% · Q4 9.8% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
1.1%
0.3 pts better
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · 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 0.0% · Q2 4.5% · Q3 0.0% · Q4 2.3% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 11.4%
21.3%
9.9 pts better
19.8%
8.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 10.3% · Q3 10.8% · Q4 17.1% · 4Q avg 11.4%
Percentage of long-stay residents with pressure ulcers 1.8%
5.2%
3.4 pts better
5.1%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 3.5% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.4%
68.8%
6.6 pts better
81.7%
6.3 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 75.4%
Percentage of short-stay residents who had an outpatient emergency department visit 4.2%
14.0%
9.8 pts better
12.0%
7.8 pts better
Short Stay · 20240701-20250630 · Adjusted 4.2% · Observed 5.0% · Expected 13.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.3%
2.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.5%
26.2%
8.7 pts better
23.9%
6.4 pts better
Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 20.0% · Expected 27.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-22 · Fire 2024-11-22

21 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2023-10-18 · Fire 2023-10-18

17 health deficiencies

Top issue: Nutrition and Dietary (5 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-09-21 · Fire 2022-09-21

34 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-12-10

F · Potential for more than minimal harm 2024-11-22

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-12-09

F · Potential for more than minimal harm 2024-11-22

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2024-12-06

F · Potential for more than minimal harm 2023-10-18

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-11-08

F · Potential for more than minimal harm 2022-09-21

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2022-10-28

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-11-14

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-11-15

G · Actual harm 2025-09-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-04

G · Actual harm 2025-09-03

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 2025-09-04

D · Potential for more than minimal harm 2025-09-03

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 2025-09-04

F · Potential for more than minimal harm 2025-06-23

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-06-24

F · Potential for more than minimal harm 2025-06-23

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2025-06-24

F · Potential for more than minimal harm 2025-06-23

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-07-01

E · Potential for more than minimal harm 2025-06-23

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 2025-06-24

E · Potential for more than minimal harm 2025-06-23

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-06-24

D · Potential for more than minimal harm 2025-06-23

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-06-24

D · Potential for more than minimal harm 2025-06-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-24

G · Actual harm 2025-04-19

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 2025-04-20

D · Potential for more than minimal harm 2025-04-19

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-22

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-03-23

F · Potential for more than minimal harm 2024-11-22

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-11-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-22

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-22

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-11-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-22

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-11-22

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-02

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 2024-11-03

D · Potential for more than minimal harm 2024-11-02

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-11-03

J · Immediate jeopardy 2024-07-26

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-08-16

F · Potential for more than minimal harm 2024-07-26

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-08-16

F · Potential for more than minimal harm 2024-07-26

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-08-16

G · Actual harm 2024-05-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-06-10

D · Potential for more than minimal harm 2024-04-18

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-05-10

G · Actual harm 2023-10-18

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-11-08

F · Potential for more than minimal harm 2023-10-18

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2023-11-08

F · Potential for more than minimal harm 2023-10-18

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 2023-11-08

F · Potential for more than minimal harm 2023-10-18

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-10-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-10-18

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-10-18

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 2023-11-08

D · Potential for more than minimal harm 2023-10-18

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 2023-11-08

D · Potential for more than minimal harm 2023-10-18

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-10-18

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2023-11-08

K · Immediate jeopardy 2023-08-24

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 2023-09-11

F · Potential for more than minimal harm 2023-08-24

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-09-11

F · Potential for more than minimal harm 2023-08-24

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2023-09-11

F · Potential for more than minimal harm 2023-08-24

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2023-09-11

F · Potential for more than minimal harm 2023-08-24

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-24

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-06-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-04-05

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-04-30

G · Actual harm 2022-09-21

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 2022-12-15

G · Actual harm 2022-09-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-12-15

F · Potential for more than minimal harm 2022-09-21

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-01-06

F · Potential for more than minimal harm 2022-09-21

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2022-12-15

F · Potential for more than minimal harm 2022-09-21

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2022-12-15

F · Potential for more than minimal harm 2022-09-21

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2022-12-15

F · Potential for more than minimal harm 2022-09-21

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2022-12-15

F · Potential for more than minimal harm 2022-09-21

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2022-12-15

F · Potential for more than minimal harm 2022-09-21

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-12-15

F · Potential for more than minimal harm 2022-09-21

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2022-12-15

E · Potential for more than minimal harm 2022-09-21

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-12-15

E · Potential for more than minimal harm 2022-09-21

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 2022-12-15

D · Potential for more than minimal harm 2022-09-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-09-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-09-21

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 2022-12-15

D · Potential for more than minimal harm 2022-09-21

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 2022-12-15

D · Potential for more than minimal harm 2022-09-21

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-09-21

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 2022-12-15

D · Potential for more than minimal harm 2022-09-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-09-21

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-09-21

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 2022-12-15

D · Potential for more than minimal harm 2022-09-21

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-09-21

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-09-21

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-09-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-12-15

D · Potential for more than minimal harm 2022-09-21

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-12-15

Penalties and ownership

What sits behind the stars

$173,431 2024-07-26

Fine

Fine · fine $173,431

Fine

$12,035 2024-04-18

Fine

Fine · fine $12,035

Fine

$32,916 2023-10-18

Fine

Fine · fine $32,916

Fine

$42,189 2023-08-24

Fine

Fine · fine $42,189

Fine

Ownership

Etn Family Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

24% 19 facilities 2024-12-01
Tlco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

24% 13 facilities 2024-12-01
Erblich, Avraham

5% Or Greater Direct Ownership Interest · Individual

16% 21 facilities 2024-12-01
Friedman, Benjamin

5% Or Greater Direct Ownership Interest · Individual

15% 23 facilities 2024-12-01
Com Family Trust

5% Or Greater Indirect Ownership Interest · Organization

12% 12 facilities 2024-12-01
E Newhouse Family Trust

5% Or Greater Indirect Ownership Interest · Organization

12% 17 facilities 2024-12-01
T Newhouse Family Trust

5% Or Greater Indirect Ownership Interest · Organization

12% 17 facilities 2024-12-01
Tlm Family Trust

5% Or Greater Indirect Ownership Interest · Organization

12% 12 facilities 2024-12-01
Sheps, Boruch

5% Or Greater Direct Ownership Interest · Individual

10% 20 facilities 2024-12-01
Ahearn, Michael

Operational/Managerial Control · Individual

0% 13 facilities 2024-12-01
Cook, Windy

Operational/Managerial Control · Individual

0% 6 facilities 2024-12-01
Erblich, Avraham

Operational/Managerial Control · Individual

0% 21 facilities 2024-12-01
Etn Family Holdings LLC

Operational/Managerial Control · Organization

0% 19 facilities 2024-12-01
Friedman, Benjamin

Operational/Managerial Control · Individual

0% 23 facilities 2024-12-01
Holmberg, Janet

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-01
Millman, Chaim

Operational/Managerial Control · Individual

0% 19 facilities 2024-12-01
Newhouse, Eric

Operational/Managerial Control · Individual

0% 10 facilities 2024-12-01
Sheps, Boruch

Operational/Managerial Control · Individual

0% 20 facilities 2024-12-01
Tlco Holdings LLC

Operational/Managerial Control · Organization

0% 13 facilities 2024-12-01

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5-star overall rating with 5-star inspections with 2 recent health deficiencies

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5 / 5
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Wesley Village

Macomb, IL

3-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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3 / 5
Health
4 / 5
Staffing
1 / 5
Fines
$0

Jump out

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