Cycle 1
Health 2024-07-18 · Fire 2024-07-18
8 health deficiencies
Top issue: Infection Control (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Kankakee, IL
Miller Health Care Center
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1601 Butterfield Trail, Kankakee, IL
(815) 936-6500
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
160
Certified beds
Average residents
94
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-07-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.96
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.14
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.77
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.74
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.94
CMS adjusted RN staffing hours
Adjusted total hours
4.06
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,097
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.01
Composite VBP score used to determine payment impact.
Payment multiplier
0.9881
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.73
Baseline 22.98% · Performance 21.66% · Measure score 1.73 · Achievement 0 · Improvement 1.73
Healthcare-associated infections
4.64
Baseline 6.95% · Performance 6.45% · Measure score 4.64 · Achievement 4.64 · Improvement 2.06
Total nurse turnover
5.39
Baseline 48.91% · Performance 41.67% · Measure score 5.39 · Achievement 5.39 · Improvement 2.51
Adjusted total nurse staffing
1.85
Baseline 4.40 hours · Performance 3.60 hours · Measure score 1.85 · Achievement 1.85 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.05% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 392 · Observed rate 12.24% · Lower 95% interval 8.32% |
| Discharge to community | 57.21% |
50.57%
6.6 pts better
|
Better than the National Rate · Eligible stays 385 · Observed rate 50.39% · Lower 95% interval 51.89% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 94.67% |
95.27%
0.6 pts worse
|
Numerator 213 · Denominator 225 |
| Falls with major injury | 1.33% |
0.77%
0.6 pts worse
|
Numerator 3 · Denominator 225 |
| Discharge self-care score | 53.33% |
53.69%
0.4 pts worse
|
Numerator 80 · Denominator 150 |
| Discharge mobility score | 46.67% |
50.94%
4.3 pts worse
|
Numerator 70 · Denominator 150 |
| Pressure ulcers or injuries, new or worsened | 4.89% |
2.29%
2.6 pts worse
|
Numerator 11 · Denominator 225 · Adjusted rate 4.96% |
| Healthcare-associated infections requiring hospitalization | 6.45% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 227 · Observed rate 6.17% · Lower 95% interval 4.66% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 176 |
| Staff flu vaccination coverage | 51.14% |
42%
9.1 pts better
|
Numerator 90 · Denominator 176 |
| Discharge function score | 48.67% |
56.45%
7.8 pts worse
|
Numerator 73 · Denominator 150 |
| Transfer of health information to provider | 96.27% |
95.95%
0.3 pts better
|
Numerator 155 · Denominator 161 |
| Transfer of health information to patient | 92.86% |
96.28%
3.4 pts worse
|
Numerator 39 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 10.71% |
25.2%
14.5 pts worse
|
Numerator 12 · Denominator 112 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.0
About the same
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
2.3
1 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.6 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 70.3% |
89.6%
19.3 pts worse
|
93.4%
23.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 75.9% · Q3 91.4% · Q4 89.3% · 4Q avg 70.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% |
91.6%
6.8 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.3%
1.1 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.7% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 29.6% |
50.3%
20.7 pts better
|
11.4%
18.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 27.1% · Q3 27.3% · Q4 32.7% · 4Q avg 29.6% |
| Percentage of long-stay residents who lose too much weight | 2.5% |
6.5%
4 pts better
|
5.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 5.1% · Q4 2.9% · 4Q avg 2.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1% |
18.5%
6.4 pts better
|
19.6%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 9.5% · Q3 7.5% · Q4 25.0% · 4Q avg 12.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.2% |
22.8%
16.6 pts better
|
16.7%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 3.6% · Q3 4.0% · Q4 8.7% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 2.6% |
0.1%
2.5 pts worse
|
0.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.6% · Q3 0.0% · Q4 1.8% · 4Q avg 2.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 55.2% |
17.2%
38 pts worse
|
16.3%
38.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 55.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.3% |
15.0%
9.3 pts worse
|
14.9%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 22.2% · Q3 25.0% · Q4 27.3% · 4Q avg 24.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
1.1%
1.2 pts worse
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.6% · Q3 1.6% · Q4 1.6% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.3% |
1.7%
3.6 pts worse
|
1.7%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 5.6% · Q3 10.5% · Q4 3.6% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.1% |
21.3%
11.8 pts worse
|
19.8%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 31.9% · Q3 36.6% · Q4 34.6% · 4Q avg 33.1% |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
5.2%
1.8 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.4% · Q3 2.7% · Q4 4.1% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 47.8% |
68.8%
21 pts worse
|
81.7%
33.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 47.8% · Q3 57.5% · Q4 49.6% · 4Q avg 47.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 29.5% |
14.0%
15.5 pts worse
|
12.0%
17.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.5% · Observed 29.4% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
2.3%
1.1 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 2.4% · Q4 0.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.0% |
63.0%
12 pts better
|
79.7%
4.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.4% |
26.2%
11.2 pts worse
|
23.9%
13.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 37.4% · Observed 41.7% · Expected 26.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-04 · Fire 2023-08-04
14 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-05-12 · Fire 2022-05-12
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-07-18
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-31
F · Potential for more than minimal harm
2024-07-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-31
E · Potential for more than minimal harm
2024-07-18
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 2024-07-31
E · Potential for more than minimal harm
2024-07-18
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-31
E · Potential for more than minimal harm
2024-07-18
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-31
E · Potential for more than minimal harm
2024-07-18
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-23
C · Minimal harm
2024-07-18
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-31
F · Potential for more than minimal harm
2023-08-04
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-14
F · Potential for more than minimal harm
2023-08-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-14
F · Potential for more than minimal harm
2023-08-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-14
E · Potential for more than minimal harm
2023-08-04
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 2023-08-14
F · Potential for more than minimal harm
2022-05-12
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2022-06-03
F · Potential for more than minimal harm
2022-05-12
E23 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-06-03
F · Potential for more than minimal harm
2022-05-12
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-06-03
F · Potential for more than minimal harm
2022-05-12
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2022-06-03
F · Potential for more than minimal harm
2022-05-12
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2022-06-03
F · Potential for more than minimal harm
2022-05-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-07
E · Potential for more than minimal harm
2022-05-12
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-05-18
E · Potential for more than minimal harm
2022-05-12
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-05-17
E · Potential for more than minimal harm
2022-05-12
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-05-17
E · Potential for more than minimal harm
2022-05-12
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-06-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-25
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 2025-08-26
E · Potential for more than minimal harm
2024-09-01
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 2024-09-03
G · Actual harm
2024-07-18
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-09-03
E · Potential for more than minimal harm
2024-07-18
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 2024-09-03
E · Potential for more than minimal harm
2024-07-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-03
D · Potential for more than minimal harm
2024-07-18
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 2024-09-03
D · Potential for more than minimal harm
2024-07-18
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-03
D · Potential for more than minimal harm
2024-07-18
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 2024-09-03
C · Minimal harm
2024-07-18
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-09-03
D · Potential for more than minimal harm
2024-07-07
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-07-10
D · Potential for more than minimal harm
2024-05-02
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 2024-05-05
D · Potential for more than minimal harm
2024-05-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-05
F · Potential for more than minimal harm
2023-08-04
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-08-24
F · Potential for more than minimal harm
2023-08-04
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 2023-08-15
F · Potential for more than minimal harm
2023-08-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-24
E · Potential for more than minimal harm
2023-08-04
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 2023-08-24
E · Potential for more than minimal harm
2023-08-04
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-24
E · Potential for more than minimal harm
2023-08-04
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 2023-08-24
D · Potential for more than minimal harm
2023-08-04
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-08-24
D · Potential for more than minimal harm
2023-08-04
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 2023-08-24
D · Potential for more than minimal harm
2023-08-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-24
D · Potential for more than minimal harm
2023-08-04
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-08-24
F · Potential for more than minimal harm
2023-04-07
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-04-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-01
E · Potential for more than minimal harm
2022-05-12
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 2022-06-01
E · Potential for more than minimal harm
2022-05-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-05-12
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 2022-06-01
D · Potential for more than minimal harm
2022-05-12
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 2022-06-01
D · Potential for more than minimal harm
2022-05-12
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 2022-06-01
Penalties and ownership
What sits behind the stars
$0
2024-07-18
Payment Denial
Payment Denial · denial start 2024-08-17 · 17 days
17 day denial
Ownership
Bennett, Jeff
Corporate Director · Individual
Frogge, Margaret
Corporate Director · Individual
Hegg, David
Corporate Director · Individual
Hoekstra, Jerry
Corporate Director · Individual
Kambic, Phillip
Corporate Director · Individual
Kambic, Phillip
W-2 Managing Employee · Individual
O'gorman, Michael
Corporate Director · Individual
Payne, Bruce
Corporate Director · Individual
Rose, Joy
Corporate Director · Individual
Strasma, Norman
Corporate Director · Individual
Tyson, Dave
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Citadel Care Center-Kankakee
Kankakee, IL
2-star overall rating with 4-star inspections with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Arc at Kankakee
Kankakee, IL
3-star overall rating with 3-star inspections with $86,813 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Citadel Of Bourbonnais,the
Bourbonnais, IL
4-star overall rating with 4-star inspections with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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