Aledo, IL

Mercer Manor Rehabilitation

3-star overall rating with 4-star inspections with $137,996 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

309 N W 9th Avenue, Aledo, IL

(309) 435-0100

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

92

Certified beds

Average residents

57

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Stern Consultants

Operator or chain grouping

Approved since

2009-12-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.62

Registered nurse staffing

LPN hours / resident day

0.47

Licensed practical nurse staffing

Aide hours / resident day

2.09

Nurse aide staffing

Weekend hours

2.61

Weekend nurse staffing

RN turnover

46%

Annual RN turnover

Total nurse turnover

51%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.3
2.0
1.7 pts better
1.9
1.6 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
2.3
0.8 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 62.8%
89.6%
26.8 pts worse
93.4%
30.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.2%
91.6%
1.6 pts better
95.5%
2.3 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.0%
3.3%
2.3 pts better
3.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 50.8%
50.3%
0.5 pts worse
11.4%
39.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 15.2%
6.5%
8.7 pts worse
5.4%
9.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 36.7%
18.5%
18.2 pts worse
19.6%
17.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 18.4%
22.8%
4.4 pts better
16.7%
1.7 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 5.4%
17.2%
11.8 pts better
16.3%
10.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 3.1%
15.0%
11.9 pts better
14.9%
11.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
1.1%
0.5 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.3%
21.3%
1 pts better
19.8%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.2%
5.2%
4 pts better
5.1%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 39.5%
68.8%
29.3 pts worse
81.7%
42.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 27.5%
14.0%
13.5 pts worse
12.0%
15.5 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.3%
2.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 46.3%
63.0%
16.7 pts worse
79.7%
33.4 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.9%
26.2%
6.3 pts better
23.9%
4 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-09 · Fire 2025-01-09

7 health deficiencies

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

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-03-08 · Fire 2024-03-08

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

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

Cycle 3 Health 2022-11-18 · Fire 2022-11-18

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-09

F · Potential for more than minimal harm 2024-03-08

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-03-07

E · Potential for more than minimal harm 2024-03-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-07

E · Potential for more than minimal harm 2024-03-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-03-07

F · Potential for more than minimal harm 2022-11-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-20

E · Potential for more than minimal harm 2022-11-18

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 2022-12-20

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-01-09

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-01-10

E · Potential for more than minimal harm 2025-01-09

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 2025-02-08

D · Potential for more than minimal harm 2025-01-09

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 2025-01-24

D · Potential for more than minimal harm 2025-01-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-13

D · Potential for more than minimal harm 2025-01-09

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-13

D · Potential for more than minimal harm 2025-01-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-13

D · Potential for more than minimal harm 2025-01-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-13

J · Immediate jeopardy 2024-06-06

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 2024-06-07

F · Potential for more than minimal harm 2024-04-07

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 2024-04-15

D · Potential for more than minimal harm 2024-04-07

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 2024-04-15

F · Potential for more than minimal harm 2024-03-08

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-03-11

D · Potential for more than minimal harm 2024-03-08

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-03-11

D · Potential for more than minimal harm 2024-03-08

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 2024-03-11

E · Potential for more than minimal harm 2022-11-18

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 2022-12-27

D · Potential for more than minimal harm 2022-11-18

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-05

D · Potential for more than minimal harm 2022-11-18

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-12-05

D · Potential for more than minimal harm 2022-11-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-12-05

Penalties and ownership

What sits behind the stars

$137,996 2024-06-06

Fine

Fine · fine $137,996

Fine

Ownership

Millman, Chaim

5% Or Greater Direct Ownership Interest · Individual

26% 19 facilities 2019-06-01
Netz Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

24% 2 facilities 2019-06-01
Strom, Rochel

5% Or Greater Direct Ownership Interest · Individual

20% 2 facilities 2019-06-01
Friedman, Benjamin

5% Or Greater Direct Ownership Interest · Individual

15% 23 facilities 2019-06-01
Etn Family Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

12% 19 facilities 2019-06-01
Stern, Bezalel

5% Or Greater Indirect Ownership Interest · Individual

12% 15 facilities 2019-06-01
Erblich, Avraham

5% Or Greater Direct Ownership Interest · Individual

10% 21 facilities 2019-06-01
E Newhouse Family Trust

5% Or Greater Indirect Ownership Interest · Organization

6% 17 facilities 2019-06-01
T Newhouse Family Trust

5% Or Greater Indirect Ownership Interest · Organization

6% 17 facilities 2019-06-01
Nimble Navigator Partners LLC

5% Or Greater Direct Ownership Interest · Organization

5% 1 facilities 2019-06-01
Cook, Windy

Operational/Managerial Control · Individual

0% 6 facilities 2022-01-01
Erblich, Avraham

Operational/Managerial Control · Individual

0% 21 facilities 2019-06-01
Friedman, Benjamin

Operational/Managerial Control · Individual

0% 23 facilities 2019-06-01
Mathew, Stanley

Operational/Managerial Control · Individual

0% 10 facilities 2025-05-01
Millman, Chaim

Operational/Managerial Control · Individual

0% 19 facilities 2019-06-01
Plew, Andrea

Operational/Managerial Control · Individual

0% 13 facilities 2020-03-10

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