Macomb, IL

Macomb Post Acute Care Center

3-star overall rating with 3-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

8 Doctors Lane, Macomb, IL

(309) 833-5555

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Stern Consultants

Operator or chain grouping

Approved since

1967-01-01

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

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

0.76

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.30

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.57

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.63

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.05

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.62

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.50

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.03

CMS adjusted total nurse staffing hours

Case-mix index

1.64

Higher values indicate more complex resident acuity

RN turnover

11%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,350

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

Performance score

27.03

Composite VBP score used to determine payment impact.

Payment multiplier

0.9844

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.78

Baseline 19.91% · Performance 19.68% · Measure score 3.78 · Achievement 3.78 · Improvement 0.30

Healthcare-associated infections

3.92

Baseline 6.27% · Performance 6.66% · Measure score 3.92 · Achievement 3.92 · Improvement 0

Total nurse turnover

3.11

Baseline 48.72% · Performance 50.98% · Measure score 3.11 · Achievement 3.11 · Improvement 0

Adjusted total nurse staffing

Baseline 3.01 hours · Performance 2.81 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.33%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 110 · Observed rate 13.64% · Lower 95% interval 8.03%
Discharge to community	56.44%	50.57% 5.9 pts better	No Different than the National Rate · Eligible stays 79 · Observed rate 51.9% · Lower 95% interval 46.72%
Medicare spending per beneficiary	1.07	1.02 0.1 pts worse
Drug regimen review with follow-up	92.31%	95.27% 3 pts worse	Numerator 24 · Denominator 26
Falls with major injury	3.85%	0.77% 3.1 pts worse	Numerator 1 · Denominator 26
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.85%	2.29% 1.6 pts worse	Numerator 1 · Denominator 26 · Adjusted rate 2.94%
Healthcare-associated infections requiring hospitalization	6.66%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 57 · Observed rate 5.26% · Lower 95% interval 3.88%
Staff COVID-19 vaccination coverage	3.41%	8.2% 4.8 pts worse	Numerator 3 · Denominator 88
Staff flu vaccination coverage	27.72%	42% 14.3 pts worse	Numerator 28 · Denominator 101
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · 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
Number of hospitalizations per 1000 long-stay resident days	1.2	2.0 0.8 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	2.3 0.9 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	89.6% 9.8 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.0% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.7%	91.6% 4.9 pts worse	95.5% 8.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 86.7%
Percentage of long-stay residents experiencing one or more falls with major injury	2.8%	3.3% 0.5 pts better	3.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.3% · Q3 2.2% · Q4 2.0% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	98.2%	50.3% 47.9 pts worse	11.4% 86.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 97.6% · Q3 97.7% · Q4 100.0% · 4Q avg 98.2%
Percentage of long-stay residents who lose too much weight	2.6%	6.5% 3.9 pts better	5.4% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.3% · Q3 2.4% · Q4 2.4% · 4Q avg 2.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.2%	18.5% 9.7 pts worse	19.6% 8.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 23.7% · Q3 26.2% · Q4 35.7% · 4Q avg 28.2%
Percentage of long-stay residents who received an antipsychotic medication	19.8%	22.8% 3 pts better	16.7% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 27.6% · Q3 18.2% · Q4 22.6% · 4Q avg 19.8% · 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	7.2%	17.2% 10 pts better	16.3% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q3 7.6% · Q4 12.7% · 4Q avg 7.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	0.7%	15.0% 14.3 pts better	14.9% 14.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.7% · 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 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.6%	21.3% 3.7 pts better	19.8% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 20.7% · Q3 21.5% · Q4 13.8% · 4Q avg 17.6%
Percentage of long-stay residents with pressure ulcers	0.5%	5.2% 4.7 pts better	5.1% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	24.8%	14.0% 10.8 pts worse	12.0% 12.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 24.2% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	2.3% 0.5 pts better	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 8.7% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.0%	63.0% 31 pts better	79.7% 14.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.4%	26.2% 0.8 pts better	23.9% 1.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 24.2% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

4 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-02-23 · Fire 2024-02-23

12 health deficiencies

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

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-01-13 · Fire 2023-01-13

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-30

F · Potential for more than minimal harm 2024-02-23

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-02-24

F · Potential for more than minimal harm 2024-02-23

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-02-28

F · Potential for more than minimal harm 2024-02-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-24

F · Potential for more than minimal harm 2024-02-23

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-02-24

F · Potential for more than minimal harm 2024-02-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-24

F · Potential for more than minimal harm 2024-02-23

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-02-24

F · Potential for more than minimal harm 2024-02-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-02-24

E · Potential for more than minimal harm 2024-02-23

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 2024-02-24

E · Potential for more than minimal harm 2024-02-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-02-24

E · Potential for more than minimal harm 2024-02-23

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-02-24

F · Potential for more than minimal harm 2023-01-13

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-31

F · Potential for more than minimal harm 2023-01-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-02-26

F · Potential for more than minimal harm 2023-01-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-02-26

E · Potential for more than minimal harm 2023-01-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-31

E · Potential for more than minimal harm 2023-01-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-02-26

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-17

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 2025-04-30

F · Potential for more than minimal harm 2025-04-17

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-04-17

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 2025-04-30

D · Potential for more than minimal harm 2025-04-17

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-30

G · Actual harm 2024-10-23

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-10-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-24

F · Potential for more than minimal harm 2024-06-05

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 2024-06-14

D · Potential for more than minimal harm 2024-06-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-06-05

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 2024-06-07

D · Potential for more than minimal harm 2024-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-02-23

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 2024-03-07

D · Potential for more than minimal harm 2024-02-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-07

D · Potential for more than minimal harm 2024-02-23

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-07

D · Potential for more than minimal harm 2024-02-23

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 2024-03-07

D · Potential for more than minimal harm 2024-02-23

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 2024-03-07

C · Minimal harm 2024-02-23

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-02-24

G · Actual harm 2023-12-23

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 2023-12-24

E · Potential for more than minimal harm 2023-12-23

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 2023-12-24

D · Potential for more than minimal harm 2023-12-23

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 2023-12-24

E · Potential for more than minimal harm 2023-10-04

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-10-23

F · Potential for more than minimal harm 2023-03-28

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 2023-04-13