2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Metamora, IL
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1200 East Partridge, Metamora, IL
(309) 367-4300
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
84
Certified beds
Average residents
73
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-08-25
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
RN hours / resident day
0.59
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.12
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.63
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.51
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.01
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
5.06
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
1,844
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.60
Composite VBP score used to determine payment impact.
Payment multiplier
1.0083
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.12
Baseline 20.95% · Performance 19.06% · Measure score 5.12 · Achievement 5.12 · Improvement 4.32
Healthcare-associated infections
2.54
Baseline 5.38% · Performance 7.07% · Measure score 2.54 · Achievement 2.54 · Improvement 0
Total nurse turnover
5.84
Baseline 51.43% · Performance 39.81% · Measure score 5.84 · Achievement 5.84 · Improvement 3.87
Adjusted total nurse staffing
7.94
Baseline 4.08 hours · Performance 5.34 hours · Measure score 7.94 · Achievement 7.94 · Improvement 6.88
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.07% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 278 · Observed rate 8.27% · Lower 95% interval 7.7% |
| Discharge to community | 55.42% |
50.57%
4.9 pts better
|
Better than the National Rate · Eligible stays 274 · Observed rate 53.65% · Lower 95% interval 50.78% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 192 · Denominator 192 |
| Falls with major injury | 0.52% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 192 |
| Discharge self-care score | 55.56% |
53.69%
1.9 pts better
|
Numerator 90 · Denominator 162 |
| Discharge mobility score | 40.12% |
50.94%
10.8 pts worse
|
Numerator 65 · Denominator 162 |
| Pressure ulcers or injuries, new or worsened | 3.13% |
2.29%
0.8 pts worse
|
Numerator 6 · Denominator 192 · Adjusted rate 3.91% |
| Healthcare-associated infections requiring hospitalization | 7.08% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 194 · Observed rate 5.67% · Lower 95% interval 4.32% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 211 |
| Staff flu vaccination coverage | 23.4% |
42%
18.6 pts worse
|
Numerator 44 · Denominator 188 |
| Discharge function score | 59.88% |
56.45%
3.4 pts better
|
Numerator 97 · Denominator 162 |
| Transfer of health information to provider | 94.94% |
95.95%
1 pts worse
|
Numerator 75 · Denominator 79 |
| Transfer of health information to patient | 97.44% |
96.28%
1.2 pts better
|
Numerator 76 · Denominator 78 |
| Resident COVID-19 vaccinations up to date | 30.59% |
25.2%
5.4 pts better
|
Numerator 26 · Denominator 85 |
Quality measures
| 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 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
2.3
1.1 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.6%
10.4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
91.6%
8.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.0% |
3.3%
5.7 pts worse
|
3.3%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 7.8% · Q3 9.8% · Q4 9.3% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.4% |
50.3%
44.9 pts better
|
11.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 7.9% · Q3 4.5% · Q4 6.8% · 4Q avg 5.4% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
6.5%
3.8 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.6% · Q3 2.8% · Q4 0.0% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.4% |
18.5%
1.9 pts worse
|
19.6%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 18.4% · Q3 16.2% · Q4 19.4% · 4Q avg 20.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.3% |
22.8%
7.5 pts better
|
16.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 14.3% · Q3 14.3% · Q4 14.3% · 4Q avg 15.3% · 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 | 31.6% |
17.2%
14.4 pts worse
|
16.3%
15.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 46.8% · Q2 39.0% · 4Q avg 31.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.5% |
15.0%
5.5 pts worse
|
14.9%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 21.6% · Q3 13.5% · Q4 16.7% · 4Q avg 20.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.1%
0.4 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 1.4% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.7%
1.2 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.1% |
21.3%
10.8 pts worse
|
19.8%
12.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 23.4% · Q3 38.1% · Q4 32.3% · 4Q avg 32.1% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
5.2%
1.6 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 1.9% · Q3 4.9% · Q4 1.4% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
68.8%
26.1 pts better
|
81.7%
13.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 98.5% · Q3 94.2% · Q4 89.7% · 4Q avg 94.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% |
14.0%
3.8 pts better
|
12.0%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 10.2% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
2.3%
1.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.1% |
63.0%
27.1 pts better
|
79.7%
10.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.8% |
26.2%
4.4 pts better
|
23.9%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 21.1% · Expected 23.0% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Infection Control (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-28
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-05-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-15
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-05-06
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-05-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-15
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-05-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-24
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-28
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-02
Health
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.
Corrected 2024-05-02
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-04-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-17
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
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