Federal inspection record · CMS data as of October 1, 2026
Serenity Estates of Lena
1010 South Logan Street, Lena, IL · (815) 369-4561
- Certified beds
- 101
- Residents per day
- 45
- Ownership
- For-Profit
- Chain
- Serenity Estates
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 2, 2007
1
How this home got 2 stars
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.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
Serenity Estates of Lena carries 79 inspection points. That is fewer than 63% 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
38 health citations on record since 2024. 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 (1)
-
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 Care10E
- 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 enough food/fluids to maintain a resident's health.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide enough food/fluids to maintain a resident's health.
Infection Control7D
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 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.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights5E
- E
Honor the resident's right to manage his or her financial affairs.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- 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.
Pharmacy Service5D
- D
Ensure that residents are free from significant medication errors.
- 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.
- D
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.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 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.
Nutrition and Dietary3F
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration1F
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspection history
2026-04-29
15 health deficiencies · 15 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-03-27
11 health deficiencies · 15 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
2024-04-12
12 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 54 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
2 h 54 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days0.7 pts better | 1.3 | 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 vaccine7.7 pts worse | 82.8% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.7 pts worse | 86.0% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 3.9% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms19.4 pts better | 36.5% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight8.2 pts worse | 14.3% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.1 pts worse | 25.5% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.3 pts worse | 31.0% | 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 worsened2.7 pts worse | 15.5% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts worse | 17.2% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 1.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 1.1% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts worse | 20.7% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.6 pts worse | 10.4% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine27.8 pts worse | 42.2% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.3 pts better | 11.2% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 1.6% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.4 pts worse | 61.8% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.4 pts worse | 35.0% | 25.6% | 23.4% |
·
Who owns and runs it
11 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 |
|---|---|---|---|
| Koenig, Suzanne | 5% Or Greater Direct Ownership Interest · Individual | 100% | 2 facilities |
| Koenig, Suzanne | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Koenig, Suzanne | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Koenig, Suzanne | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lena Property Partners, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mcdonald, Dustin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcdonald, Dustin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sak Management Services LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sak Management Services LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Schleich, Jeffrey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schleich, Jeffrey | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
42 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness18F
- F
Establish an Emergency Preparedness Program (EP).
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Establish policies and procedures for medical documentation.
- F
Establish policies and procedures for volunteers.
- F
Establish roles under a Waiver declared by secretary.
- F
Provide primary/alternate means for communication.
- F
Provide family notifications of emergency plan.
- F
Establish emergency prep training and testing.
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Provide family notifications of emergency plan.
- F
Implement emergency and standby power systems.
- F
Address subsistence needs for staff and patients.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Smoke11F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Egress5F
- F
Install proper backup exit lighting.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous4F
- F
Provide a written emergency evacuation plan.
- C
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems4F
- 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.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E
Have proper medical gas storage and administration areas.
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Other homes nearby
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Allure Of Stockton
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 15 min
- Fines
- $0
-
Pearl Pointe Nursing Rehab & Care
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 45 min
- Fines
- $155,187
-
Manor Court Of Freeport
Freeport, IL · Residential Alternatives Of Illinois
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 58 min
- Fines
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