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MOUNT VERNON COUNTRYSIDE MANOR Inspection Report, Violations & Safety Grade (MOUNT VERNON, Illinois)

606 EAST IL HWY 15, MOUNT VERNON, Illinois 62864

Phone: 6182421800

CMS Overall:2/5

Overview & Bed Count

Certified Beds
91
Avg Residents/Day
79.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Jefferson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health3/5
Staffing1/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityIllinois AvgDifference
RN Hours per Resident per Day0.400.71-0.32
Total Nurse Hours per Resident per Day2.913.47-0.56
CMS Staffing Rating1/52.2/5-
Nursing Staff Turnover47.1%43.7%-

Health Citation History

28 health citations on record

DateCategoryDescriptionSeverity
2026-03-27Pharmacy Service DeficienciesEnsure 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.F – Moderate Harm Potential
2026-03-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-03-27Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-03-27Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D – Moderate Harm Potential
2026-03-27Quality of Life and Care DeficienciesProvide 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.D – Moderate Harm Potential
2026-03-27Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2026-03-27Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2026-03-27Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-10-09Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-02-21Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-01-24Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.G – Actual Harm
2025-01-24Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.E – Moderate Harm Potential
2025-01-24Quality of Life and Care DeficienciesProvide 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.D – Moderate Harm Potential
2025-01-24Pharmacy Service DeficienciesImplement 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 – Moderate Harm Potential
2024-08-27Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-06-13Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-06-13Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2024-03-01Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G – Actual Harm
2024-03-01Quality of Life and Care DeficienciesEnsure the activities program is directed by a qualified professional.F – Moderate Harm Potential
2024-03-01Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-03-01Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.E – Moderate Harm Potential
2024-03-01Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesE – Moderate Harm Potential
2024-03-01Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential
2024-03-01Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D – Moderate Harm Potential
2024-02-06Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-02-06Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2024-01-18Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2024-01-18Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential

Fire Safety Citation History

19 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-01-24Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2025-01-24Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2025-01-24Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-01-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-01-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-01-24Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2025-01-24Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2025-01-24Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2025-01-24Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2024-03-01Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2024-03-01Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2024-03-01Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2024-03-01Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.F – Moderate Harm Potential
2024-03-01Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-03-01Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-03-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-03-01Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2024-03-01Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential

Total Penalties & Fines

$126,387
Total Fine Amount (CMS)
4
Number of Fines
6
Total Penalties
DateTypeFine AmountPayment Denial
2025-01-24Fine$56,024-
2025-01-24Payment Denial-14 days starting 2025-02-15
2024-08-27Fine$14,050-
2024-03-01Fine$39,767-
2024-03-01Payment Denial-1 days starting 2024-03-28
2024-01-18Fine$16,546-

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