Beecher Manor NRSG & Rehab CTR
Beecher, Illinois · CCN 145538
38 surveys since 2011. The first finding at harm level was recorded in 2018.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 124
- Surveys
- 38
- Harm or worse
- 7
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 128
- Ownership
- For profit - Limited Liability company
- Chain
- EXTENDED CARE CLINICAL
- County
- Will
- Medicare-certified since
- 1986
CMS ratings
- Overall
- 2
- Health inspection
- 3
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 232 for-profit facilities with 128 or more beds in Illinois.
Last survey on record
Jul 16, 2026
116 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.95 | 3.12 |
| Registered-nurse hours per resident day | 0.49 | — |
| Annual nurse turnover | 48.5% | 43.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $15,935 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G37.5% | H— | I— |
| No harm, potential for more than minimal | D2152.5% | E1127.5% | F410.0% |
| No harm, potential for minimal | A— | B— | C12.5% |
Most frequently cited here
In CMS’s current monthly file.
- F6895×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6863×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F6883×
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.
- F8803×
Provide and implement an infection prevention and control program.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
In the surveyor’s words
From the most serious findings on record at Beecher Manor NRSG & Rehab CTR, in the surveyor’s own words.
- Immediate jeopardy, widespreadF678Jun 10, 2021
Based on interview and record review, the facility failed to ensure that a resident's Do Not Resuscitate (DNR) order was honored when she was found without a pulse. This failure resulted in the resident having Cardiopulmonary Resuscitation (CPR) initiated, followed by intubation, then ventilator placement in an Intensive Care Unit (ICU). This failure resulted in Immediate Jeopardy. The Immediate Jeopardy was noted to begin on [DATE], when R1 was found without a pulse and CPR was initiated against her wishes. This applies to all residents residing in the facility. The [DATE] Resident Roster showed 84 residents reside in the facility. […]
- Actual harm, isolatedF600Jul 16, 2026
Based on interview and record review, the facility failed to ensure a resident was free from exploitation and sexual abuse by V5 (Maintenance Assistant).This applies to 1 resident (R1) reviewed for abuse in a sample of 5 residents.V5's abuse of power and manipulation resulted in mental anguish for R1.The findings include:On 7/15/26 at 11:04 AM, V7 (CNA/Certified Nurse Assistant) stated on 7/12/26 around 8:50 AM she walked into R1's room to deliver her breakfast tray and she saw V5 (Maintenance Assistant) and R1 kissing behind R1's door. V7 said that as she walked into R1's room and looked to her left, she saw R1 and V5's lips touching at the end of a kiss. V7 said R1's hands were on V5's neck/shoulders and R1's back was towards V7. […]
- Actual harm, isolatedF689Nov 13, 2025
Based on interview, and record review, the facility failed to have safety measures in place to prevent a fall. This failure led to a resident sustaining a 3-centimeter laceration to the left parietal scalp, requiring 3 staples for closure. This applies to 1 of 5 residents (R1) reviewed for falls. The findings include:R1's electronic health records showed that on 10/22/25, R1 was admitted with diagnoses including a displaced fractured left femur, Parkinson's disease, and a history of repeated falls.On 11/12/25 at 9:21 am, V5 Certified Nurse's Assistant (CNA) said that on 10/30/25 around 10 am, she was providing personal hygiene and dressing R1 while R1 was in bed. At this time R1's upper body was shaking and jerking heavily. V5 said that she had never provided care for R1 before. […]
- Actual harm, isolatedF689May 9, 2024
Based on observation, interview and record review the facility failed to provide safe bed mobility assistance for one (R1) of three resident reviewed for resident injury and siderail use in a sample of seven. These failures resulted R1 incurring a right femur fracture, a nasal fracture and a laceration requiring sutures. This was identified as past non-compliance that occurred from 04/02/2024 to 04/05/2024. Findings include: The 5/7/2024 Admission Record shows R1 with diagnoses to include morbid obesity, Hemiplegia and Hemipariesis following brain bleed affecting the left non-dominant side, and contractures. On 5/7/2024 at 10:20 AM R1 laid in bed with an air mattress and one quarter siderail at the top of each side of the bed. […]
- Actual harm, isolatedF689Mar 10, 2023
Based on observation, interview, and record review, the facility failed to ensure a resident was provided care in a safe manner. This failure resulted in a resident (R2) being rolled out of bed by staff, sustaining a right ankle fracture. This applies to 1 of 3 residents (R2) reviewed for accidents. The findings include: On 3/7/2023 at 9:23 AM, R2 was in bed with a cast on her right leg. R2 stated that on February 5, 2023, at around 6 AM, V17 CNA (Certified Nurse Assistant) came to her room to provide incontinence care. R2 stated V17 provided care alone even though she asked V17 to get another staff to assist. R2 stated V17 turned R2 away from her, then pulled the sheets from underneath R2. […]
Read 25 findings in full →The most serious and the most recent: 25 of 124 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 16, 2026Complaint1 finding · 1 harm
- Jul 10, 2026Complaint1 finding
- May 20, 2026Complaint1 finding
- May 2, 2026Complaint2 findings
- Apr 9, 2026Complaint1 finding
- Jan 27, 2026Complaint1 finding
- Nov 13, 2025Complaint1 finding · 1 harm
- May 5, 2025Complaint1 finding
Show the 30 earlier surveys
- Aug 30, 2024Standard12 findings
- May 9, 2024Complaint1 finding · 1 harm
- Oct 11, 2023Complaint2 findings
- Oct 4, 2023Complaint1 finding
- Jul 20, 2023Standard8 findings
- May 18, 2023Complaint1 finding
- Mar 10, 2023Complaint1 finding · 1 harm
- Feb 21, 2023Complaint1 finding
- Aug 23, 2022Complaint3 findings
- May 26, 2022Complaint1 finding
- May 6, 2022Complaint1 finding
- Apr 21, 2022Standard7 findings
- Jun 10, 2021Complaint1 finding · 1 harm
- May 14, 2021Standard2 findings
- Dec 10, 2020Complaint1 finding · 1 harm
- Sep 6, 2019Complaint1 finding
- Jun 20, 2019Standard5 findings
- May 17, 2018Standard11 findings · 1 harm
- Apr 5, 2018Complaint1 finding
- Jun 23, 2017Standard1 finding
- Apr 14, 2016Standard2 findings
- May 15, 2015Standard5 findings
- Feb 24, 2015Complaint1 finding
- Oct 30, 2014Complaint1 finding
- Jun 4, 2014Standard5 findings
- Sep 17, 2013—1 finding
- Apr 19, 2013—21 findings
- May 25, 2012—8 findings
- Nov 23, 2011—1 finding
- Jun 3, 2011—8 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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