Durand, IL

Medina Nursing Center

1-star overall rating with 2-star inspections with $8,824 in total fines with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

402 South Center Street, Durand, IL

(815) 248-2151

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 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

89

Certified beds

Average residents

49

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1984-04-26

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

0.74

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.39

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.81

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.93

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.12

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.52

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.62

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

0.75

CMS adjusted RN staffing hours

Adjusted total hours

4.00

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,200

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

Performance score

27.52

Composite VBP score used to determine payment impact.

Payment multiplier

0.9846

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.12

Baseline 55.81% · Performance 55.00% · Measure score 2.12 · Achievement 2.12 · Improvement 0

Adjusted total nurse staffing

3.38

Baseline 3.29 hours · Performance 4.04 hours · Measure score 3.38 · Achievement 3.38 · Improvement 2.50

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.21%
10.72%
0.5 pts worse
No Different than the National Rate · Eligible stays 27 · Observed rate 11.11% · Lower 95% interval 7.48%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.73
1.02
0.3 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 20 · Denominator 20
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 20
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 20 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 83
Staff flu vaccination coverage 43.96%
42%
2 pts better
Numerator 40 · Denominator 91
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 16 · 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 12 · 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 100.0%
89.6%
10.4 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 5.0%
3.3%
1.7 pts worse
3.3%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.4% · Q3 4.5% · Q4 4.5% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.7%
50.3%
46.6 pts better
11.4%
7.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.4% · Q4 9.4% · 4Q avg 3.7%
Percentage of long-stay residents who lose too much weight 15.6%
6.5%
9.1 pts worse
5.4%
10.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q3 16.7% · Q4 15.4% · 4Q avg 15.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.3%
18.5%
9.8 pts worse
19.6%
8.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q3 28.0% · Q4 25.9% · 4Q avg 28.3%
Percentage of long-stay residents who received an antipsychotic medication 33.3%
22.8%
10.5 pts worse
16.7%
16.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 45.0% · Q3 30.0% · Q4 30.0% · 4Q avg 33.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 4.3%
0.1%
4.2 pts worse
0.1%
4.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 5.4% · Q3 4.5% · Q4 4.5% · 4Q avg 4.3%
Percentage of long-stay residents whose ability to walk independently worsened 17.2%
17.2%
About the same
16.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 21.4%
15.0%
6.4 pts worse
14.9%
6.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q3 13.0% · Q4 28.0% · 4Q avg 21.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 9.6%
1.1%
8.5 pts worse
1.0%
8.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 7.2% · Q3 13.7% · Q4 9.9% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.1%
1.7%
1.4 pts worse
1.7%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.7% · Q3 4.7% · Q4 2.3% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.8%
21.3%
3.5 pts worse
19.8%
5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 35.4% · Q3 25.0% · Q4 21.1% · 4Q avg 24.8%
Percentage of long-stay residents with pressure ulcers 7.1%
5.2%
1.9 pts worse
5.1%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.7% · Q3 7.1% · Q4 10.4% · 4Q avg 7.1% · 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 28.7%
14.0%
14.7 pts worse
12.0%
16.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 23.8% · Expected 9.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 5.4%
2.3%
3.1 pts worse
1.6%
3.8 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 74.5%
63.0%
11.5 pts better
79.7%
5.2 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 31.1%
26.2%
4.9 pts worse
23.9%
7.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 31.1% · Observed 23.8% · Expected 18.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-09 · Fire 2025-04-09

15 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2024-03-14 · Fire 2024-03-14

6 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-05-18 · Fire 2023-05-18

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-09

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2025-05-02

F · Potential for more than minimal harm 2025-04-09

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-05-02

F · Potential for more than minimal harm 2025-04-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-25

E · Potential for more than minimal harm 2025-04-09

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-04-28

E · Potential for more than minimal harm 2025-04-09

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-04-25

E · Potential for more than minimal harm 2025-04-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-28

F · Potential for more than minimal harm 2024-03-14

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-04-19

F · Potential for more than minimal harm 2024-03-14

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-14

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-03-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-04

E · Potential for more than minimal harm 2024-03-14

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2024-05-10

F · Potential for more than minimal harm 2023-05-18

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 2023-06-06

F · Potential for more than minimal harm 2023-05-18

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-06-01

F · Potential for more than minimal harm 2023-05-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-06-21

E · Potential for more than minimal harm 2023-05-18

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-06-06

E · Potential for more than minimal harm 2023-05-18

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-06-06

E · Potential for more than minimal harm 2023-05-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-06

E · Potential for more than minimal harm 2023-05-18

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-31

Inspection history

Recent health citations

G · Actual harm 2025-12-06

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 2025-12-18

D · Potential for more than minimal harm 2025-12-02

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-12-08

J · Immediate jeopardy 2025-09-19

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 2025-09-25

D · Potential for more than minimal harm 2025-09-10

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-06-13

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-06-10

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 2025-06-18

D · Potential for more than minimal harm 2025-05-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-29

D · Potential for more than minimal harm 2025-05-15

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 2025-05-29

F · Potential for more than minimal harm 2025-04-09

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 2025-04-10

D · Potential for more than minimal harm 2025-04-09

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-04-09

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 2025-04-19

D · Potential for more than minimal harm 2025-04-09

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 2025-04-19

D · Potential for more than minimal harm 2025-04-09

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-03-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-25

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

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 2024-11-21

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

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 2024-10-08

G · Actual harm 2024-03-14

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 2024-03-22

D · Potential for more than minimal harm 2024-03-14

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 2024-03-25

D · Potential for more than minimal harm 2024-03-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-03-14

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-03-25

G · Actual harm 2024-01-16

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 2024-01-23

D · Potential for more than minimal harm 2024-01-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-23

E · Potential for more than minimal harm 2023-05-18

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 2023-05-26

D · Potential for more than minimal harm 2023-05-18

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-05-18

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 2023-05-26

D · Potential for more than minimal harm 2023-05-18

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-05-18

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 2023-05-26

G · Actual harm 2023-03-24

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 2023-03-30

Penalties and ownership

What sits behind the stars

$8,824 2024-03-14

Fine

Fine · fine $8,824

Fine

Ownership

Oksnevad, Holgeir

5% Or Greater Direct Ownership Interest · Individual

100% 2 facilities 1976-10-21
Michalsen, Thomas

Operational/Managerial Control · Individual

0% 2 facilities 2019-12-05
Njolstad-Oksnevad, Ellen

Operational/Managerial Control · Individual

0% 2 facilities 2025-05-17
Oxmati Management LLC

Operational/Managerial Control · Organization

0% 2 facilities 2022-08-12

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Staffing
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#3

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3-star overall rating with 4-star inspections with $10,199 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
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