El Paso Rehabilitation and Health Care Center
El Paso, Illinois
Skilled nursing facility in El Paso, IL with 123 certified beds.
El Paso Rehabilitation and Health Care Center is a skilled nursing facility in El Paso, Illinois (Woodford County), with 123 Medicare/Medicaid-certified beds.
Address: 850 East Second Street, El Paso, IL 61738. Phone: (309) 527-2700.
Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council.
Levels of care
- Skilled nursing
Facility details
- Street address
- 850 East Second Street
- City
- El Paso
- State
- Illinois
- ZIP code
- 61738
- Phone
- (309) 527-2700
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 146097
- County
- Woodford
- Ownership Type
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 123
- Avg Daily Residents
- 87.9
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 2005-10-10
- Special Focus Facility
- SFF
- Total Nurse Hours Per Resident Day
- 2.90546
- Rn Hours Per Resident Day
- 0.29599
- Latitude
- 40.7409
- Longitude
- -89.004
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 146097. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
Not rated
- Certified beds
- 123
- Residents per day
- 89
- Ownership
- For profit - Limited Liability company
- Health citations (latest)
- 16
- Fines
- 2 ($169,806)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
The headline score, from 1 to 5 stars.
Not rated. CMS leaves a rating blank when a home is too new or has too little data, or when it is in the Special Focus Facility program.
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
How the home did in recent state inspections and complaint investigations.
Not rated. CMS leaves a rating blank when a home is too new or has too little data.
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
How many nurses care for each resident, and how stable the nursing team is.
Not rated. CMS leaves a rating blank when a home is too new or has too little data.
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
How residents are actually doing.
Not rated. CMS leaves a rating blank when a home is too new or has too little data.
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
Flags CMS attaches to this home
- ⚑ Abuse citation. Care Compare flags homes cited for abuse where residents were harmed (severity G or higher) in the latest inspection or in the past 12 months, or cited repeatedly for abuse where residents could have been harmed (severity D or higher). [11]
- ⚑ Special Focus Facility: SFF. CMS's program for homes with a history of serious quality problems. Homes currently in it get no star ratings; candidates are rated but may be added to the program. [11]
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.31 · LPN 0.63 · Nurse aide 1.91. What the home's payroll records show.
RN 0.93 · LPN 1.16 · Nurse aide 3.15. What CMS predicts a home with these residents' needs would staff.
RN 0.23 · LPN 0.47 · Nurse aide 1.41. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with IL and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 2.86
✗ Worse than the state average. State 3.47 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.31
✗ Worse than the state average. State 0.71 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 0.95
✗ Worse than the state average. State 1.36 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.91
✗ Worse than the state average. State 2.12 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 2.29
✗ Worse than the state average. State 3.08 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.26
✗ Worse than the state average. State 0.55 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.00
✗ Worse than the state average. State 0.05 · National 0.07
- Nursing staff turnover (%, lower is better)
- 50.0%
✗ Worse than the state average. State 43.7% · National 45.3%
- RN turnover (%, lower is better)
- 54.5%
✗ Worse than the state average. State 41.5% · National 42.5%
- Administrators who left (people, lower is better)
- 1
✗ Worse than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.89
State 1.66 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
158.0 points — in IL that earns (Below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in IL [10]
- 5 ★
- 0.000-31.000
- 4 ★
- 31.001-73.000
- 3 ★
- 73.001-120.250
- 2 ★ (this home)
- 120.251-219.000
- 1 ★
- >219.000
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Jun 10, 2026 | 16 (9) | 68 | 1 | 0 | 68 |
| Prior cycles (2 and 3) | Jan 10, 2025 | 48 (40) | 428 | 1 | 0 | 428 |
Health citations per inspection
Jun 10, 2026
Jan 10, 2025
Jul 23, 2024
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Jan 10, 2025
Jul 23, 2024
Feb 7, 2024
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Resident Rights 5
- Freedom from Abuse and Neglect and Exploitation 4
- Quality of Life and Care 4
- Resident Assessment and Care Planning 2
- Nutrition and Dietary 1
- Emergency Preparedness 1
What the latest fire-safety inspection cited
- Smoke 3
- Egress 1
- Miscellaneous 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 0 | K · 100 pts 1 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 1 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 48 | E · 8 pts 10 | F · 16 pts 14 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 2 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (76) [2]
Inspection on Jul 29, 2026 · 2 citations
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 11, 2026) · From a complaint
-
D
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 12, 2026) · From a complaint
Inspection on Jul 17, 2026 · 1 citation
-
D
Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jul 18, 2026) · From a complaint
Inspection on Jun 10, 2026 · 7 citations
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 18, 2026)
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 18, 2026)
-
D
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.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 18, 2026)
-
D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 18, 2026)
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 18, 2026)
-
D
Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 18, 2026)
-
D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 18, 2026)
Inspection on May 26, 2026 · 4 citations
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 12, 2026) · From a complaint
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 12, 2026) · From a complaint
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 12, 2026) · From a complaint
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 12, 2026) · From a complaint
Inspection on Apr 13, 2026 · 1 citation
-
E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 1, 2026) · From a complaint
Inspection on Oct 9, 2025 · 1 citation
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 20, 2025) · From a complaint
Inspection on Aug 19, 2025 · 2 citations
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 2, 2025) · From a complaint
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 2, 2025) · From a complaint
Inspection on Aug 8, 2025 · 2 citations
-
D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 26, 2025) · From a complaint
-
K
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.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Aug 26, 2025) · From a complaint
Inspection on Apr 29, 2025 · 1 citation
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 9, 2025) · From a complaint
Inspection on Mar 18, 2025 · 4 citations
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 8, 2025) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 8, 2025) · From a complaint
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 8, 2025) · From a complaint
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 8, 2025) · From a complaint
Inspection on Feb 11, 2025 · 2 citations
-
E
Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 28, 2025) · From a complaint
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 28, 2025) · From a complaint
Inspection on Jan 10, 2025 · 8 citations
-
C
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 29, 2025)
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 3, 2025)
-
D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F0741 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 3, 2025)
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 29, 2025)
-
E
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Feb 3, 2025)
-
C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 28, 2025)
-
E
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 29, 2025)
-
D
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 28, 2025)
Inspection on Nov 8, 2024 · 1 citation
-
F
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F0568 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Nov 27, 2024) · From a complaint
Inspection on Oct 5, 2024 · 3 citations
-
D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Nov 7, 2024) · From a complaint
-
D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 23, 2024) · From a complaint
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 23, 2024) · From a complaint
Inspection on Jul 23, 2024 · 12 citations
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Oct 26, 2024)
-
F
Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 7, 2024)
-
D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Oct 26, 2024)
-
F
Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 24, 2024)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Oct 26, 2024)
-
F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · Deficient, Provider has date of correction (Oct 26, 2024)
-
D
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 24, 2024)
-
E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 13, 2024)
Inspection on May 22, 2024 · 4 citations
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 13, 2024) · From a complaint
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 13, 2024) · From a complaint
-
D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 13, 2024) · From a complaint
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 13, 2024) · From a complaint
Inspection on Apr 26, 2024 · 2 citations
-
D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
F0626 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 20, 2024) · From a complaint
-
D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 20, 2024) · From a complaint
Inspection on Feb 7, 2024 · 17 citations
-
F
Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
F
Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
F
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
E
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.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
D
Provide 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.
F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
F
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
-
E
Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 4, 2024) · From a complaint
Inspection on Dec 6, 2023 · 2 citations
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 21, 2023) · From a complaint
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Dec 21, 2023) · From a complaint
All fire-safety citations (32) [3]
Inspection on Jan 10, 2025 · 7 citations
-
E
Have exits that are accessible at all times.
K0271 · Egress Deficiencies · Deficient, Provider has date of correction (Jan 31, 2025)
-
F
Implement emergency and standby power systems.
E0041 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 31, 2025)
-
E
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 28, 2025)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 31, 2025)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jan 31, 2025)
-
F
Address subsistence needs for staff and patients.
E0015 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 31, 2025)
-
E
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 31, 2025)
Inspection on Jul 23, 2024 · 11 citations
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
F
Address subsistence needs for staff and patients.
E0015 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 15, 2024)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
F
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
F
Install a fire alarm system that can be heard throughout the facility.
K0341 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
F
Have properly located and lighted "Exit" signs.
K0293 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 1, 2024)
-
E
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
-
F
Implement emergency and standby power systems.
E0041 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 26, 2024)
-
E
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 16, 2024)
Inspection on Feb 7, 2024 · 14 citations
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Mar 4, 2024)
-
F
Implement emergency and standby power systems.
E0041 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Feb 26, 2024)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 23, 2024)
-
F
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 15, 2024)
-
E
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 4, 2024)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 4, 2024)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 4, 2024)
-
E
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 23, 2024)
-
E
Have properly located and lighted "Exit" signs.
K0293 · Egress Deficiencies · Deficient, Provider has date of correction (Feb 23, 2024)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 29, 2024)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 23, 2024)
-
E
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 4, 2024)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 4, 2024)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 2 State avg 2.2 · National 0.9
- Total fined
- $169,806 State avg 109,278 · National 30,351
- Payment denials
- 1 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Mar 18, 2025 | Fine | $45,396 | — |
| Feb 7, 2024 | Payment Denial | — | 27 days from Mar 8, 2024 |
| Feb 7, 2024 | Fine | $124,410 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 98.1
✓ Better than the state average. State 90.5 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 88.7
✗ Worse than the state average. State 91.7 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 1.1
✓ Better than the state average. State 3.0 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 97.7
✗ Worse than the state average. State 55.9 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 3.5
✓ Better than the state average. State 6.1 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 25.7
✗ Worse than the state average. State 18.4 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 66.3
✗ Worse than the state average. State 21.7 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.1 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 18.4
✗ Worse than the state average. State 12.8 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 9.4
✓ Better than the state average. State 13.0 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 1.9
✗ Worse than the state average. State 0.8 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.0
✓ Better than the state average. State 1.5 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 10.9
✓ Better than the state average. State 19.8 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 2.3
✓ Better than the state average. State 4.8 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 83.3
✓ Better than the state average. State 70.0 · National 82.3
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.4
- 1.2
✓ Better than the state average. State 2.0 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.6
- 2.2
✗ Worse than the state average. State 2.1 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Legal Business Name Not Available
- Certified for
- Medicare and Medicaid
- Certified beds
- 123
- Residents per day (average)
- 88.8
- In Medicare/Medicaid since
- Oct 10, 2005
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Woodford
- Located in a hospital
- No
Owners, officers and managers (1) [6]
Ownership Data Not Available
- Unknown ()
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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