Federal inspection record · CMS data as of October 1, 2026
Mt Zion Health & Rehab Center
1225 Woodland Drive, Mount Zion, IL · (217) 864-2356
- Cited for abuse (CMS abuse icon)
- Certified beds
- 71
- Residents per day
- 66
- Ownership
- For-Profit
- Chain
- Summit Healthcare Consulting
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 6, 1985
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Illinois homes
Mt Zion Health & Rehab Center carries 152 inspection points. That is fewer than 33% of Illinois's 659 rated homes.
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
50 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (3)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from the wrongful use of the resident's belongings or money.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care13E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Freedom from Abuse, Neglect, and Exploitation8D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Pharmacy Service7F
- F
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.
- E
Ensure that residents are free from significant medication errors.
- F
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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- F
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Resident Assessment and Care Planning5E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Provide care by qualified persons according to each resident's written plan of care.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control5F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Rights5E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Nutrition and Dietary2F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nursing and Physician Services1F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspection history
2026-01-07
22 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2024-02-09
10 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2022-12-06
18 health deficiencies · 3 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 11 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
3 h 11 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 50% of registered nurses left in the past year, along with 2 administrators.
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
$31,005 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-09 | Payment Denial · 22 day denial | $0 |
| 2025-12-16 | Fine | $31,005 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.7 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better | 100.0% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts better | 100.0% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 4.4% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms40.7 pts worse | 96.6% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.7 pts worse | 9.8% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9 pts worse | 27.4% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.4 pts better | 10.3% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts worse | 13.1% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts better | 9.8% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 1.1% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts worse | 28.2% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts worse | 6.1% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine27.2 pts better | 97.2% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better | 11.3% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 2.2% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine32 pts better | 95.2% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts better | 25.5% | 25.6% | 23.4% |
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Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sc Illinois Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 8 facilities |
| Apogee Tr | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Clark, Lacy | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Lichtman, Shalom | Corporate Officer · Individual | 0% | 19 facilities |
| Lichtman, Shalom | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Light Man LLC | Operational/Managerial Control · Organization | 0% | 18 facilities |
| Sc Illinois I Tbd Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Emergency Preparedness3F
- F
Establish staff and initial training requirements.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper storage of liquid oxygen.
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Other homes nearby
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Imboden Creek Senior Living
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 23 min
- Fines
- $234,751
-
Fair Havens Senior Living
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 42 min
- Fines
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-
Loft Rehab Of Decatur
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 4 min
- Fines
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