B+
84/100

PEKIN MANOR Inspection Report, Violations & Safety Grade (PEKIN, Illinois)

1520 EL CAMINO DRIVE, PEKIN, Illinois 61554

Phone: 3093531099

CMS Overall:4/5

Overview & Bed Count

Certified Beds
130
Avg Residents/Day
101.1
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Tazewell
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing3/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityIllinois AvgDifference
RN Hours per Resident per Day0.560.71-0.15
Total Nurse Hours per Resident per Day4.273.47+0.80
CMS Staffing Rating3/52.2/5-
Nursing Staff Turnover48.4%43.7%-

Health Citation History

20 health citations on record

DateCategoryDescriptionSeverity
2025-06-27Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2025-06-27Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-06-27Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-02-10Quality 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
2024-09-26Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-09-26Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2024-09-26Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-09-26Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-09-26Pharmacy 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
2024-03-06Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.D – Moderate Harm Potential
2024-03-06Quality 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
2023-11-02Quality 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.D – Moderate Harm Potential
2023-11-02Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2022-09-15Nutrition 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
2022-09-15Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2022-09-15Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-09-15Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2022-09-15Quality 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
2022-09-15Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2022-09-15Pharmacy 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

Fire Safety Citation History

19 fire safety citations on record

DateCategoryDescriptionSeverity
2024-09-26Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2024-09-26Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-09-26Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-09-26Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-09-26Smoke 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
2024-09-26Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2023-11-02Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2023-11-02Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2023-11-02Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2023-11-02Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.F – Moderate Harm Potential
2023-11-02Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2023-11-02Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-11-02Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2022-09-15Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2022-09-15Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2022-09-15Construction DeficienciesInstall a two-hour-resistant firewall separation.E – Moderate Harm Potential
2022-09-15Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2022-09-15Smoke 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
2022-09-15Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper storage of liquid oxygen.E – Moderate Harm Potential

Total Penalties & Fines

$9,110
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-06-27Fine$9,110-

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