Mount Pulaski, IL

H & J Vonderlieth Lvg Ctr, The

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

1120 North Topper Drive, Mount Pulaski, IL

(217) 792-3218

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

57

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Heritage Operations Group

Operator or chain grouping

Approved since

2003-02-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.61

Registered nurse staffing

LPN hours / resident day

0.56

Licensed practical nurse staffing

Aide hours / resident day

2.14

Nurse aide staffing

Weekend hours

2.98

Weekend nurse staffing

RN turnover

38%

Annual RN turnover

Total nurse turnover

34%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.5
2.0
1.5 pts better
1.9
1.4 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.2
2.3
0.1 pts better
1.8
0.4 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.1%
89.6%
6.5 pts better
93.4%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
91.6%
8.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 14.1%
3.3%
10.8 pts worse
3.3%
10.8 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 11.2%
6.5%
4.7 pts worse
5.4%
5.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.5%
18.5%
2 pts better
19.6%
3.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 24.0%
22.8%
1.2 pts worse
16.7%
7.3 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 35.3%
17.2%
18.1 pts worse
16.3%
19 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 31.1%
15.0%
16.1 pts worse
14.9%
16.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
1.1%
0.7 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.9%
1.7%
2.2 pts worse
1.7%
2.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.0%
21.3%
5.7 pts worse
19.8%
7.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.5%
5.2%
3.7 pts better
5.1%
3.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.1%
68.8%
23.3 pts better
81.7%
10.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 18.0%
14.0%
4 pts worse
12.0%
6 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 4.7%
2.3%
2.4 pts worse
1.6%
3.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
63.0%
37 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.6%
26.2%
4.6 pts better
23.9%
2.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-11 · Fire 2025-12-11

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-09-12 · Fire 2024-09-12

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-08-03 · Fire 2023-08-03

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-12-11

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 2026-01-02

E · Potential for more than minimal harm 2025-12-11

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-01-02

E · Potential for more than minimal harm 2025-12-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2026-01-02

C · Minimal harm 2025-12-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-01-02

F · Potential for more than minimal harm 2024-09-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-09-23

E · Potential for more than minimal harm 2024-09-12

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 2024-09-24

F · Potential for more than minimal harm 2023-08-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-11

F · Potential for more than minimal harm 2023-08-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-11

E · Potential for more than minimal harm 2023-08-03

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 2023-08-03

E · Potential for more than minimal harm 2023-08-03

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-08-09

E · Potential for more than minimal harm 2023-08-03

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-08-03

E · Potential for more than minimal harm 2023-08-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-16

E · Potential for more than minimal harm 2023-08-03

K930 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper storage of liquid oxygen.

Corrected 2023-08-16

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-11

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 2025-12-26

E · Potential for more than minimal harm 2025-12-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-12-11

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-12-11

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-12-26

D · Potential for more than minimal harm 2023-08-03

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 2023-08-18

D · Potential for more than minimal harm 2023-07-02

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-07-20

Penalties and ownership

What sits behind the stars

Ownership

Henry & Jane Vonderlieth Living Center Inc

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2017-05-09
Aylesworth, Richard

Corporate Director · Individual

0% 1 facilities 2017-05-09
Buenrostro, Kynda

Operational/Managerial Control · Individual

0% 1 facilities 2017-05-09
Cross, Thomas

Corporate Director · Individual

0% 1 facilities 2007-11-02
Curry, Daniel

Corporate Officer · Individual

0% 8 facilities 2022-06-07
Freer, Lynn

Corporate Officer · Individual

0% 1 facilities 2012-10-01
Hart, Benjamin

Operational/Managerial Control · Individual

0% 9 facilities 2011-07-21
Heritage Operations Group, LLC

Operational/Managerial Control · Organization

0% 9 facilities 2017-05-09
Hild, James

Corporate Officer · Individual

0% 1 facilities 2012-10-01
Lowney, Cheryl

Operational/Managerial Control · Individual

0% 3 facilities 2011-07-21
Martin, Jeff

Corporate Director · Individual

0% 1 facilities 2011-09-15
Przykopanski, Pat

Corporate Director · Individual

0% 1 facilities 2017-05-09
Wubben, Julian

Corporate Director · Individual

0% 1 facilities 2011-09-15

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