Cycle 1
Health 2025-12-10 · Fire 2024-03-13
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Gibson City, IL
Gibson Community Hsp Annex
5-star overall rating with 5-star inspections with $27,485 in total fines
430 East 19th, Gibson City, IL
(217) 784-2566
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
16
Certified beds
Average residents
13
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1999-05-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.87
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.71
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.57
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.86
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.12
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.65
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
4.90
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 46% · national 46%
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 41 · Observed rate 7.32% · Lower 95% interval 6.74% |
| Discharge to community | 35.26% |
50.57%
15.3 pts worse
|
Worse than the National Rate · Eligible stays 41 · Observed rate 29.27% · Lower 95% interval 27.57% |
| Medicare spending per beneficiary | 0.62 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 16 · 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 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 6.98% |
8.2%
1.2 pts worse
|
Numerator 3 · Denominator 43 |
| Staff flu vaccination coverage | 73.47% |
42%
31.5 pts better
|
Numerator 36 · Denominator 49 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 11 · 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 | 97.4% |
89.6%
7.8 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 97.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% |
3.3%
2 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.6% |
50.3%
44.7 pts better
|
11.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.6% |
| Percentage of long-stay residents who lose too much weight | 8.6% |
6.5%
2.1 pts worse
|
5.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.7% |
18.5%
7.2 pts worse
|
19.6%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
22.8%
22.8 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.8% |
15.0%
3.8 pts worse
|
14.9%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.4% |
1.1%
4.3 pts worse
|
1.0%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
1.7%
0.9 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 38.1% |
21.3%
16.8 pts worse
|
19.8%
18.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 38.1% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
5.2%
5.2 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
68.8%
31.2 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · 4Q avg 100.0% |
| 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 assessed and appropriately given the seasonal influenza vaccine | 40.0% |
63.0%
23 pts worse
|
79.7%
39.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 40.0% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-13 · Fire 2023-06-05
7 health deficiencies
Top issue: Infection Control (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-05 · Fire 2022-07-21
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
G · Actual harm
2024-03-13
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 2024-04-04
F · Potential for more than minimal harm
2024-03-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-04
E · Potential for more than minimal harm
2024-03-13
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-03-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-25
D · Potential for more than minimal harm
2024-03-13
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 2024-03-22
D · Potential for more than minimal harm
2024-03-13
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 2024-04-04
D · Potential for more than minimal harm
2024-03-13
F887 · Infection Control Deficiencies
Health
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.
Corrected 2024-04-04
J · Immediate jeopardy
2023-06-05
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 2023-06-06
E · Potential for more than minimal harm
2023-06-05
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 2023-06-26
D · Potential for more than minimal harm
2023-06-05
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 2023-06-26
D · Potential for more than minimal harm
2023-06-05
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2023-06-26
Penalties and ownership
What sits behind the stars
$20,046
2024-03-13
Fine
Fine · fine $20,046
Fine
$7,439
2023-06-05
Fine
Fine · fine $7,439
Fine
Ownership
Bennett, Kathleen
Corporate Director · Individual
Hudson, Andy
Corporate Director · Individual
Kelly, Steven
Corporate Director · Individual
Lee, Ellen
Corporate Director · Individual
Martin, Margo
Corporate Director · Individual
Nuss, Marty
Corporate Director · Individual
Petersen, Mike
Corporate Director · Individual
Reese, Donald
Corporate Director · Individual
Reese, Donald
W-2 Managing Employee · Individual
Schmitt, Robert
Corporate Officer · Individual
Schmitt, Robert
W-2 Managing Employee · Individual
Seymour, Kevin
Corporate Director · Individual
Steidinger, Brian
Corporate Director · Individual
Swan, Justin
Corporate Director · Individual
Taylor, Justin
Corporate Director · Individual
Young, Michael
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Goldwater Care Gibson City
Gibson City, IL
1-star overall rating with 2-star inspections with abuse icon flag with $84,595 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Accolade Paxton Senior Living
Paxton, IL
5-star overall rating with 5-star inspections
#3
Accolade Hc Of Paxton On Pells
Paxton, IL
1-star overall rating with 2-star inspections with $111,570 in total fines with 18 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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