Cycle 1
Health 2025-04-09 · Fire 2025-04-09
15 health deficiencies
Top issue: Pharmacy Service (5 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Morrison, IL
Resthave Home-Whiteside County
2-star overall rating with 2-star inspections with abuse icon flag with 15 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
408 Maple Avenue, Morrison, IL
(815) 772-4021
Overall
2 / 5
CMS overall stars
Health inspections
2 / 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
70
Certified beds
Average residents
66
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2015-05-26
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
0.79
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
2.41
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.59
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.18
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.13
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.87
CMS adjusted RN staffing hours
Adjusted total hours
3.99
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,419
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.81
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.90% · Performance 21.62% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.25
Baseline 7.44% · Performance 6.86% · Measure score 3.25 · Achievement 3.25 · Improvement 1.86
Total nurse turnover
5.73
Baseline 27.27% · Performance 40.26% · Measure score 5.73 · Achievement 5.73 · Improvement 0
Adjusted total nurse staffing
2.94
Baseline 3.44 hours · Performance 3.92 hours · Measure score 2.94 · Achievement 2.94 · Improvement 1.52
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.19% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 59 · Observed rate 3.39% · Lower 95% interval 5.59% |
| Discharge to community | 57.66% |
50.57%
7.1 pts better
|
No Different than the National Rate · Eligible stays 50 · Observed rate 56% · Lower 95% interval 43.32% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.67% |
95.27%
2.4 pts better
|
Numerator 42 · Denominator 43 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 43 |
| Discharge self-care score | 35.29% |
53.69%
18.4 pts worse
|
Numerator 12 · Denominator 34 |
| Discharge mobility score | 29.41% |
50.94%
21.5 pts worse
|
Numerator 10 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 43 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.86% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 4.65% · Lower 95% interval 3.71% |
| Staff COVID-19 vaccination coverage | 1.96% |
8.2%
6.2 pts worse
|
Numerator 3 · Denominator 153 |
| Staff flu vaccination coverage | 37.66% |
42%
4.3 pts worse
|
Numerator 58 · Denominator 154 |
| Discharge function score | 38.24% |
56.45%
18.2 pts worse
|
Numerator 13 · Denominator 34 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.0
0.7 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.9 |
2.3
1.6 pts worse
|
1.8
2.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 3.1 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
89.6%
9.1 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 94.8% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.3% |
91.6%
6.7 pts better
|
95.5%
2.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.4% |
3.3%
4.1 pts worse
|
3.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 9.3% · Q3 10.3% · Q4 3.4% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
50.3%
48.6 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.8% · Q4 2.6% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 11.8% |
6.5%
5.3 pts worse
|
5.4%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 13.6% · Q3 6.4% · Q4 13.2% · 4Q avg 11.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.2% |
18.5%
1.3 pts better
|
19.6%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 15.6% · Q3 16.3% · Q4 17.0% · 4Q avg 17.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.0% |
22.8%
10.8 pts better
|
16.7%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 13.5% · Q3 8.1% · Q4 9.8% · 4Q avg 12.0% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.0% |
17.2%
13.8 pts worse
|
16.3%
14.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.6% · Q2 39.8% · Q3 19.3% · Q4 26.0% · 4Q avg 31.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.6% |
15.0%
4.6 pts worse
|
14.9%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 31.0% · Q3 25.5% · Q4 8.0% · 4Q avg 19.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.1%
0.4 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.4% · Q3 0.0% · Q4 1.5% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
1.7%
1.8 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.9% · Q3 1.8% · Q4 6.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.9% |
21.3%
13.6 pts worse
|
19.8%
15.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 36.6% · Q3 41.1% · Q4 33.6% · 4Q avg 34.9% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
5.2%
0.7 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.7% · Q3 3.0% · Q4 5.4% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.9% |
68.8%
21.1 pts better
|
81.7%
8.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.6% · Q2 87.0% · Q3 95.2% · Q4 95.3% · 4Q avg 89.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.8% |
14.0%
2.8 pts worse
|
12.0%
4.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 15.2% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
2.3%
0.4 pts better
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.7% |
63.0%
22.7 pts better
|
79.7%
6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.6% |
26.2%
6.4 pts worse
|
23.9%
8.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.6% · Observed 28.3% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-21 · Fire 2024-03-21
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2023-02-16 · Fire 2023-02-16
9 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-09
F · Potential for more than minimal harm
2025-04-09
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-05-09
F · Potential for more than minimal harm
2025-04-09
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-09
F · Potential for more than minimal harm
2024-03-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-12
F · Potential for more than minimal harm
2024-03-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-12
E · Potential for more than minimal harm
2023-02-16
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-03-10
E · Potential for more than minimal harm
2023-02-16
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-03-10
E · Potential for more than minimal harm
2023-02-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-10
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-29
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-02-20
E · Potential for more than minimal harm
2026-01-29
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2026-02-20
D · Potential for more than minimal harm
2026-01-29
F693 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2026-02-20
D · Potential for more than minimal harm
2026-01-05
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 2026-01-20
D · Potential for more than minimal harm
2025-08-26
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 2025-09-07
E · Potential for more than minimal harm
2025-04-09
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-04-28
E · 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 2025-04-28
E · Potential for more than minimal harm
2025-04-09
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-04-28
D · Potential for more than minimal harm
2025-04-09
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 2025-04-28
D · Potential for more than minimal harm
2025-04-09
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-04-28
D · Potential for more than minimal harm
2025-04-09
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-28
D · Potential for more than minimal harm
2025-04-09
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-28
D · Potential for more than minimal harm
2025-04-09
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-28
D · Potential for more than minimal harm
2025-04-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-28
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 2025-04-28
D · Potential for more than minimal harm
2025-02-26
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-14
D · Potential for more than minimal harm
2025-02-26
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 2025-03-14
D · Potential for more than minimal harm
2024-12-04
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 2024-12-23
D · Potential for more than minimal harm
2024-10-23
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 2024-11-07
F · Potential for more than minimal harm
2024-03-21
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 2024-04-12
D · Potential for more than minimal harm
2024-03-21
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-03-21
F776 · Administration Deficiencies
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-01-02
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-24
D · Potential for more than minimal harm
2024-01-02
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 2024-01-24
D · Potential for more than minimal harm
2024-01-02
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 2024-01-24
G · Actual harm
2023-03-28
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-04-19
D · Potential for more than minimal harm
2023-02-16
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-03-07
D · Potential for more than minimal harm
2023-02-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-07
D · Potential for more than minimal harm
2023-02-16
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 2023-03-07
D · Potential for more than minimal harm
2023-02-16
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-07
D · Potential for more than minimal harm
2023-02-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-07
Penalties and ownership
What sits behind the stars
Ownership
Allen, Bryson
Operational/Managerial Control · Individual
Burks, Christopher
Operational/Managerial Control · Individual
Burn, Karla
Operational/Managerial Control · Individual
Denning, Tawnya
Operational/Managerial Control · Individual
Gerlach, Kasara
Operational/Managerial Control · Individual
Harrison, Stephen
Operational/Managerial Control · Individual
Kuehl, Kassi
Operational/Managerial Control · Individual
Mclain, Kellie
Operational/Managerial Control · Individual
Reed, Laura
Operational/Managerial Control · Individual
Smith, Jill
Operational/Managerial Control · Individual
Smith, Jill
Corporate Director · Individual
Stephens, William
Operational/Managerial Control · Individual
Stuart, Dawn
Operational/Managerial Control · Individual
Nearby options
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#3
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