Federal inspection record · CMS data as of October 1, 2026
Manor Court Of Peru
3230 Becker Drive, Peru, IL · (815) 220-1400
- Certified beds
- 130
- Residents per day
- 108
- Ownership
- Non-Profit
- Chain
- Residential Alternatives Of Illinois
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 19, 2005
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
Manor Court Of Peru carries 68.25 inspection points. That is fewer than 68% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights2D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning1D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Pharmacy Service1D
- D
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.
Inspection history
2025-08-28
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-10-31
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-10-19
1 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
3 h 39 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 17% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$14,069 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-09 | Fine | $14,069 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 3.0 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 93.8% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts better | 100.0% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts worse | 7.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms50 pts better | 5.9% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 8.8% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts better | 10.2% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication16.3 pts better | 5.4% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened16.1 pts worse | 28.9% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15.6 pts worse | 28.6% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 1.3% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts worse | 25.2% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.6% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.4 pts better | 90.4% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.5 pts worse | 19.0% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better | 0.5% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine30.7 pts better | 93.9% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts worse | 29.8% | 25.6% | 23.4% |
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Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Residential Alternatives Of Illinois Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| Kempiners, William | Corporate Director · Individual | 0% | 7 facilities |
| Kniery, John | Corporate Director · Individual | 0% | 7 facilities |
| Lieske, Lorrie | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Shaw, Jeffrey | Corporate Director · Individual | 0% | 7 facilities |
| Shaw, Jeffrey | Corporate Officer · Individual | 0% | 7 facilities |
| Wilson, Ronald | Corporate Officer · Individual | 0% | 17 facilities |
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Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
- F
Install a fire alarm system that can be heard throughout the facility.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4E
- E
Have proper medical gas storage and administration areas.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have proper medical gas storage and administration areas.
- E
Have proper medical gas storage and administration areas.
Construction1E
- E
Install a two-hour-resistant firewall separation.
Egress1E
- E
Have exits that are accessible at all times.
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Other homes nearby
-
Allure Of Peru
Peru, IL · Allure Healthcare Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h
- Fines
- $10,059
-
Goldwater Care Spring Valley
Spring Valley, IL · Goldwater Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 1 min
- Fines
- $0
-
La Salle County Nursing Home
Ottawa, IL
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 31 min
- Fines
- $146,063