Federal inspection record · CMS data as of October 1, 2026

Monmouth Rehab And Nursing

117 South I Street, Monmouth, IL · (309) 734-3811

CMS overall rating

1 of 5

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Certified beds
58
Residents per day
38
Ownership
For-Profit
Chain
Stern Consultants
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 1, 2003

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Illinois homes

Monmouth Rehab And Nursing carries 225 inspection points. That is fewer than 18% of Illinois's 659 rated homes.

5★4★3★2★1★+20 homes above 459.7505102550100200400inspection points → fewer is better on the leftThis home · 225 pts · 1★

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

51 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 1 150 pts

Actual harmA resident was hurt

G 5 20 pts
H 2 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 31 4 pts
E 3 8 pts
F 7 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (10)

  1. H

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

    August 13, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F609 · Corrected August 14, 2026

  2. H

    Respond appropriately to all alleged violations.

    August 13, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected August 14, 2026

  3. G

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

    August 13, 2026 · Complaint inspection · Quality of Life and Care · F686 · Corrected August 14, 2026

  4. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 29, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected January 30, 2026

  5. G

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    September 11, 2025 · Complaint inspection · Resident Rights · F580 · Corrected September 12, 2025

  6. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 18, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected June 19, 2025

  7. J

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    October 4, 2024 · Complaint inspection · Quality of Life and Care · F693 · Corrected October 28, 2024

  8. G

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 4, 2024 · Complaint inspection · Resident Rights · F580 · Corrected October 28, 2024

  9. G

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    October 4, 2024 · Complaint inspection · Nursing and Physician Services · F726 · Corrected October 28, 2024

  10. L

    Provide and implement an infection prevention and control program.

    November 29, 2023 · Standard inspection · Infection Control · F880 · Corrected December 26, 2023

Everything else, by area of care

Quality of Life and Care14E
  1. E

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

    March 20, 2026 · Standard · F684 · Corrected March 26, 2026

  2. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    March 20, 2026 · Standard · F676 · Corrected March 26, 2026

  3. 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.

    March 20, 2026 · Standard · F690 · Corrected March 26, 2026

  4. D

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

    March 20, 2026 · Standard · F692 · Corrected March 26, 2026

  5. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 1, 2025 · Complaint · F689 · Corrected July 2, 2025

  6. D

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

    July 1, 2025 · Complaint · F695 · Corrected July 31, 2025

  7. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    June 18, 2025 · Complaint · F700 · Corrected June 19, 2025

  8. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 17, 2025 · Complaint · F689 · Corrected April 9, 2025

  9. D

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

    December 20, 2024 · Standard · F684 · Corrected February 1, 2025

  10. D

    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.

    November 29, 2023 · Standard · F688 · Corrected December 19, 2023

  11. 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.

    November 29, 2023 · Standard · F690 · Corrected December 19, 2023

  12. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    November 29, 2023 · Standard · F700 · Corrected December 19, 2023

  13. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    November 29, 2023 · Standard · F744 · Corrected November 30, 2023

  14. D

    Provide or get specialized rehabilitative services as required for a resident.

    November 29, 2023 · Standard · F825 · Corrected December 15, 2023

Resident Rights7F
  1. F

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 20, 2026 · Standard · F550 · Corrected March 26, 2026

  2. F

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    March 20, 2026 · Standard · F565 · Corrected March 26, 2026

  3. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    March 20, 2026 · Standard · F584 · Corrected March 26, 2026

  4. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    March 20, 2026 · Standard · F628 · Corrected March 26, 2026

  5. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    July 1, 2025 · Complaint · F550 · Corrected July 2, 2025

  6. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 20, 2024 · Standard · F550 · Corrected February 1, 2025

  7. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    December 20, 2024 · Standard · F578 · Corrected February 1, 2025

Freedom from Abuse, Neglect, and Exploitation6D
  1. D

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

    July 1, 2025 · Complaint · F600 · Corrected July 2, 2025

  2. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    July 1, 2025 · Complaint · F607 · Corrected July 2, 2025

  3. D

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

    July 1, 2025 · Complaint · F609 · Corrected July 2, 2025

  4. D

    Respond appropriately to all alleged violations.

    July 1, 2025 · Complaint · F610 · Corrected July 2, 2025

  5. D

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

    December 20, 2024 · Standard · F609 · Corrected February 1, 2025

  6. D

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

    May 21, 2024 · Complaint · F609 · Corrected May 22, 2024

Infection Control4F
  1. F

    Provide and implement an infection prevention and control program.

    March 20, 2026 · Standard · F880 · Corrected March 26, 2026

  2. D

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

    March 20, 2026 · Standard · F883 · Corrected March 26, 2026

  3. D

    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.

    March 20, 2026 · Standard · F887 · Corrected March 26, 2026

  4. F

    Implement a program that monitors antibiotic use.

    December 20, 2024 · Standard · F881 · Corrected February 1, 2025

Resident Assessment and Care Planning4E
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 20, 2026 · Standard · F842 · Corrected March 26, 2026

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    January 29, 2026 · Complaint · F842 · Corrected January 30, 2026

  3. D

    Ensure each resident receives an accurate assessment.

    December 20, 2024 · Standard · F641 · Corrected February 1, 2025

  4. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    November 29, 2023 · Standard · F656 · Corrected December 19, 2023

Pharmacy Service2E
  1. E

    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.

    December 20, 2024 · Standard · F758 · Corrected February 1, 2025

  2. 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.

    November 29, 2023 · Standard · F758 · Corrected December 19, 2023

Environmental1F
  1. F

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    March 20, 2026 · Standard · F919 · Corrected March 26, 2026

Administration1D
  1. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    March 20, 2026 · Standard · F849 · Corrected March 26, 2026

Nursing and Physician Services1F
  1. F

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    October 4, 2024 · Complaint · F947 · Corrected October 28, 2024

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 29, 2023 · Standard · F812 · Corrected December 19, 2023

Inspection history

  1. 2026-03-20

    19 health deficiencies · 8 fire-safety deficiencies

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

  2. 2024-12-20

    22 health deficiencies · 3 fire-safety deficiencies

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

  3. 2023-11-29

    10 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 29 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

3 h 29 min

Illinois average

3 h 28 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 32% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.

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

$254,290 in federal fines on record over the past three years.

DatePenaltyAmount
2026-08-13Fine$20,940
2026-01-29Fine$19,120
2025-09-11Fine$19,115
2025-06-18Payment Denial · 14 day denial$0
2024-10-04Fine$110,975
2023-11-29Fine$84,140

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts better99.3%90.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts worse88.9%91.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse4.4%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms30.7 pts better25.2%55.9%13.5%
Percentage of long-stay residents who lose too much weight1.1 pts better5.0%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication17 pts worse35.4%18.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.8 pts better13.9%21.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.4 pts better6.4%12.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts better11.2%13.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better0.0%0.8%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts worse1.6%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.6 pts better14.2%19.8%18.3%
Percentage of long-stay residents with pressure ulcers2.4 pts better2.4%4.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine26.1 pts better96.1%70.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.8 pts better9.7%13.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better1.6%2.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.4 pts worse53.8%63.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.5 pts better20.1%25.6%23.4%

·

Who owns and runs it

32 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bsf Family Holdings LLC5% Or Greater Direct Ownership Interest · Organization15%3 facilities
Com Family Trust5% Or Greater Indirect Ownership Interest · Organization12%14 facilities
Bsf 2025 Family Trust5% Or Greater Indirect Ownership Interest · Organization7%3 facilities
Anderson, RebeccaOperational/Managerial Control · Individual0%1 facilities
Anderson, RebeccaAdp Of The SNF · Individual0%1 facilities
Bf16 Family TrustIndirect Ownership Interest · Organization0%3 facilities
Bsf Family Holdings LLCAdp Of The SNF · Organization0%3 facilities
Com Family TrustAdp Of The SNF · Organization0%14 facilities
E Newhouse Family TrustIndirect Ownership Interest · Organization0%18 facilities
E Newhouse Family TrustAdp Of The SNF · Organization0%18 facilities
Erblich, AvrahamDirect Ownership Interest · Individual0%21 facilities
Erblich, AvrahamOperational/Managerial Control · Individual0%21 facilities
Erblich, AvrahamAdp Of The SNF · Individual0%21 facilities
Etn Family Holdings LLCDirect Ownership Interest · Organization0%22 facilities
Etn Family Holdings LLCOperational/Managerial Control · Organization0%22 facilities
Etn Family Holdings LLCAdp Of The SNF · Organization0%22 facilities
Friedman, BenjaminIndirect Ownership Interest · Individual0%24 facilities
Friedman, BenjaminCorporate Officer · Individual0%24 facilities
Friedman, BenjaminTrustee Of The SNF · Individual0%24 facilities
Friedman, BenjaminAdp Of The SNF · Individual0%24 facilities
Mathew, StanleyOperational/Managerial Control · Individual0%13 facilities
Mathew, StanleyAdp Of The SNF · Individual0%13 facilities
Sheps, BoruchDirect Ownership Interest · Individual0%22 facilities
Sheps, BoruchOperational/Managerial Control · Individual0%22 facilities
Sheps, BoruchAdp Of The SNF · Individual0%22 facilities
T Newhouse Family TrustIndirect Ownership Interest · Organization0%18 facilities
T Newhouse Family TrustAdp Of The SNF · Organization0%18 facilities
Tlco Holdings LLCDirect Ownership Interest · Organization0%14 facilities
Tlco Holdings LLCOperational/Managerial Control · Organization0%14 facilities
Tlco Holdings LLCAdp Of The SNF · Organization0%14 facilities
Tlm Family TrustIndirect Ownership Interest · Organization0%11 facilities
Tlm Family TrustAdp Of The SNF · Organization0%11 facilities

·

Fire safety

17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke8F
  1. F

    Install a fire alarm system that can be heard throughout the facility.

    March 20, 2026 · K341 · Corrected April 7, 2026

  2. F

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

    March 20, 2026 · K345 · Corrected April 8, 2026

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 20, 2026 · K353 · Corrected April 7, 2026

  4. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 20, 2026 · K321 · Corrected March 19, 2026

  5. E

    Install corridor and hallway doors that block smoke.

    March 20, 2026 · K363 · Corrected March 31, 2026

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 20, 2024 · K353 · Corrected January 10, 2025

  7. E

    Install an approved automatic sprinkler system.

    November 29, 2023 · K351 · Corrected December 18, 2023

  8. E

    Install corridor and hallway doors that block smoke.

    November 29, 2023 · K363 · Corrected December 1, 2023

Miscellaneous4F
  1. F

    Have simulated fire drills held at unexpected times.

    March 20, 2026 · K712 · Corrected April 13, 2026

  2. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    March 20, 2026 · K741 · Corrected April 13, 2026

  3. F

    Have simulated fire drills held at unexpected times.

    December 20, 2024 · K712 · Corrected January 10, 2025

  4. F

    Have simulated fire drills held at unexpected times.

    November 29, 2023 · K712 · Corrected November 30, 2023

Egress2E
  1. E

    Have exits that are accessible at all times.

    March 20, 2026 · K271 · Corrected March 19, 2026

  2. E

    Have exits that are accessible at all times.

    November 29, 2023 · K271 · Corrected December 22, 2023

Gas, Vacuum, and Electrical Systems2E
  1. E

    Meet requirements for the installation and maintenance of electrical systems.

    November 29, 2023 · K911 · Corrected November 30, 2023

  2. E

    Have proper medical gas storage and administration areas.

    November 29, 2023 · K923 · Corrected December 19, 2023

Emergency Preparedness1F
  1. F

    Establish roles under a Waiver declared by secretary.

    December 20, 2024 · E26 · Corrected January 23, 2025

·

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