Rochelle, IL

Manor Court Of Rochelle

2-star overall rating with 3-star inspections with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

2203 Flagg Road, Rochelle, IL

(815) 562-9800

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

92

Certified beds

Average residents

73

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Residential Alternatives Of Illinois

Operator or chain grouping

Approved since

2020-08-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.20

Registered nurse staffing

LPN hours / resident day

0.34

Licensed practical nurse staffing

Aide hours / resident day

3.29

Nurse aide staffing

Weekend hours

4.28

Weekend nurse staffing

RN turnover

67%

Annual RN turnover

Total nurse turnover

62%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.4
2.0
0.4 pts worse
1.9
0.5 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 5.0
2.3
2.7 pts worse
1.8
3.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 57.9%
89.6%
31.7 pts worse
93.4%
35.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 86.8%
91.6%
4.8 pts worse
95.5%
8.7 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 7.1%
3.3%
3.8 pts worse
3.3%
3.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 9.5%
50.3%
40.8 pts better
11.4%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.5%
6.5%
2 pts worse
5.4%
3.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.0%
18.5%
5.5 pts better
19.6%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 25.4%
22.8%
2.6 pts worse
16.7%
8.7 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 25.3%
17.2%
8.1 pts worse
16.3%
9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 28.1%
15.0%
13.1 pts worse
14.9%
13.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.9%
1.1%
2.8 pts worse
1.0%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 6.6%
1.7%
4.9 pts worse
1.7%
4.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.3%
21.3%
3 pts worse
19.8%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 9.6%
5.2%
4.4 pts worse
5.1%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 40.0%
68.8%
28.8 pts worse
81.7%
41.7 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 24.4%
14.0%
10.4 pts worse
12.0%
12.4 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.9%
2.3%
0.4 pts better
1.6%
0.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 36.1%
63.0%
26.9 pts worse
79.7%
43.6 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 38.3%
26.2%
12.1 pts worse
23.9%
14.4 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-05 · Fire 2025-03-05

15 health deficiencies

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

6 fire-safety deficiencies

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

Cycle 2 Health 2024-02-15 · Fire 2024-02-15

10 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-01-19 · Fire 2023-01-19

4 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-05

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-03-12

F · Potential for more than minimal harm 2025-03-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-11

F · Potential for more than minimal harm 2025-03-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-03-07

F · Potential for more than minimal harm 2025-03-05

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2025-03-11

E · Potential for more than minimal harm 2025-03-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-11

E · Potential for more than minimal harm 2025-03-05

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-07

E · Potential for more than minimal harm 2024-02-15

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 2024-02-26

E · Potential for more than minimal harm 2024-02-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-02-28

E · Potential for more than minimal harm 2024-02-15

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-28

F · Potential for more than minimal harm 2023-01-19

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-03-04

F · Potential for more than minimal harm 2023-01-19

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-10

F · Potential for more than minimal harm 2023-01-19

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2023-03-10

Inspection history

Recent health citations

G · Actual harm 2025-07-24

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 2025-08-06

G · Actual harm 2025-07-24

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-06

G · Actual harm 2025-05-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-20

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-05-14

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-05-14

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 2025-06-06

D · Potential for more than minimal harm 2025-05-14

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 2025-06-06

E · Potential for more than minimal harm 2025-03-05

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-03-14

E · Potential for more than minimal harm 2025-03-05

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-03-14

E · Potential for more than minimal harm 2025-03-05

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-03-05

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 2025-03-14

D · Potential for more than minimal harm 2025-03-05

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 2025-03-14

D · Potential for more than minimal harm 2025-03-05

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 2025-03-14

D · Potential for more than minimal harm 2025-03-05

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-03-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-02-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-13

D · Potential for more than minimal harm 2024-12-11

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 2024-12-19

D · Potential for more than minimal harm 2024-09-30

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 2024-10-08

D · Potential for more than minimal harm 2024-09-16

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 2024-09-27

F · Potential for more than minimal harm 2024-02-15

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 2024-02-23

F · Potential for more than minimal harm 2024-02-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-23

D · Potential for more than minimal harm 2024-02-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-15

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-15

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 2024-02-29

D · Potential for more than minimal harm 2024-02-15

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-29

G · Actual harm 2023-01-19

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-31

E · Potential for more than minimal harm 2023-01-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-31

D · Potential for more than minimal harm 2023-01-19

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 2023-01-31

D · Potential for more than minimal harm 2023-01-19

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-01-31

Penalties and ownership

What sits behind the stars

Ownership

Residential Alternatives Of Illinois Inc

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2020-08-17
Holt, Peggy

W-2 Managing Employee · Individual

0% 1 facilities 2020-08-17
Kempiners, William

Corporate Director · Individual

0% 7 facilities 2020-08-17
Kniery, John

Corporate Director · Individual

0% 7 facilities 2020-08-17
Kniery, John

Corporate Officer · Individual

0% 7 facilities 2020-08-17
Mcmahan, Benjamin

Corporate Director · Individual

0% 5 facilities 2020-08-17
Mcmahan, Benjamin

Corporate Officer · Individual

0% 5 facilities 2020-08-17
Shaw, Jeffrey

Corporate Director · Individual

0% 7 facilities 2020-08-17
Shaw, Jeffrey

Corporate Officer · Individual

0% 7 facilities 2020-08-17
Wilson, Ronald

Corporate Officer · Individual

0% 17 facilities 2020-09-18

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