Mercer Manor Rehabilitation
Aledo, Illinois · CCN 146138
24 surveys since 2011, 7 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 97
- Surveys
- 24
- 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
- 92
- Ownership
- For profit - Limited Liability company
- Chain
- STERN CONSULTANTS
- County
- Mercer
- Medicare-certified since
- 2009
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 5
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 140 for-profit facilities of 66–99 beds in Illinois.
Last survey on record
Apr 25, 2026
198 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 | 2.94 | 3.18 |
| Registered-nurse hours per resident day | 0.56 | — |
| Annual nurse turnover | 41.7% | 45.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $137,996 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 | J15.3% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D947.4% | E526.3% | F421.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7582×
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.
- F8802×
Provide and implement an infection prevention and control program.
- F5831×
Keep residents' personal and medical records private and confidential.
- F6381×
Assure that each resident’s assessment is updated at least once every 3 months.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Mercer Manor Rehabilitation, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Jun 6, 2024
Based on observation, interview, and record review the facility failed to ensure the memory care unit exit doors and bracelet alarms were loud and widespread enough to alert staff when activated. The facility failed to identify and investigate incidents of elopement, revise a care plan, and implement interventions for a resident who eloped from the facility. The facility failed to follow facility elopement policies and failed to provide adequate supervision for one of three residents (R1) reviewed for elopement in the sample of three. […]
- Actual harm, isolatedF580Feb 1, 2022
Based on observation, interview, and record review, the facility failed to immediately notify the physician of a resident's fall with injury for one of three residents (R1) reviewed for falls in the sample of four. This failure resulted in R1 not being immediately sent to the emergency room for evaluation after a fall with noted injury to the head and a left arm radial fracture that was not diagnosed or immobilized for approximately 19 hours with increased pain and decreased range of motion to left hand and wrist. Findings include: The facility's Change in Condition Procedure policy, dated 9/21/20, documents This facility will provide guidelines for the appropriate handling of a resident's change in condition. […]
- No harm, potential for more than minimal, widespreadF725Apr 25, 2026
Based on observation, interview, and record review the facility failed to ensure adequate staffing to meet the needs of dependent residents and failed to ensure nursing aides are certified for 3 of 3 residents (R1, R2, R3) reviewed for staffing in the sample of 6. This has the potential to affect all residents residing in the facility. The findings include:R1's face sheet documents R1 was admitted to the facility 3/17/26 with diagnoses to include spinal stenosis, localized edema, asthma, low back pain, idiopathic progressive neuropathy, hypertension, atrial fibrillation, osteoarthritis, and congestive heart failure. R1's facility assessment dated [DATE] documented R1 has no cognitive impairment and requires substantial to maximal assistance of staff for toileting needs. […]
- No harm, potential for more than minimal, widespreadF728Apr 25, 2026
Based on observation, interview, and record review the facility failed to ensure nursing aides completed a training and competency evaluation program prior to working. This affects all 58 residents residing in the facility. The findings include:On 4/25/26 the facility provided a resident roster showing 58 residents residing in the building.The facility's Nursing and CNA (Certified Nursing Assistant) schedules were reviewed for the previous 2 weeks and showed either V9 (CNA Student) or V11 (CNA Student) assigned their own halls on 4/11/26, 4/12/26, 4/13/26, 4/17/26, 4/18/26, 4/19/26, 4/20/26, 4/21/26, 4/22/26, 4/23/26, 4/24/26, and 4/25/26. On 4/25/26 at 9:50 AM, V4 (CNA) said, There is supposed to be 4 CNAs scheduled on the south end. […]
- No harm, potential for more than minimal, widespreadF812Apr 7, 2024
Based on observation, interview, and record review, facility dietary staff failed to have their hair restrained while handling and preparing food. This failure has the potential to affect all 60 residents currently residing in the facility. Findings Include: The facility policy, Personnel Adherence to Sanitary Procedures, dated November 5, 2019 directs staff, Food services personnel shall follow appropriate sanitary procedures. In addition to employee personnel policies, food services and dietary personnel will be required to adhere to the following sanitary standards: Hair nets or approved hats, covering all of the hair, will be worn while handling or preparing food. On 4/6/24 from 8:30 A.M. […]
Read 26 findings in full →The most serious and the most recent: 26 of 97 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 25, 2026Complaint2 findings
- Jan 22, 2026Standard4 findings
- Jan 9, 2025Standard7 findings
- Jun 6, 2024Complaint1 finding · 1 harm
- Apr 7, 2024Complaint2 findings
- Mar 8, 2024Standard3 findings
- Nov 18, 2022Standard4 findings
- Feb 1, 2022Complaint1 finding · 1 harm
Show the 16 earlier surveys
- Nov 10, 2021Complaint2 findings
- Oct 15, 2021Standard and complaint10 findings
- Apr 22, 2021Complaint1 finding
- Sep 1, 2020Complaint2 findings · 1 harm
- Feb 25, 2020Complaint2 findings
- Feb 14, 2020Complaint2 findings
- Dec 12, 2019Complaint2 findings
- Nov 1, 2019Standard1 finding
- Nov 5, 2018Standard20 findings · 2 harm
- Dec 22, 2017Standard1 finding
- Jan 5, 2017Standard7 findings
- Feb 18, 2016Standard10 findings · 1 harm
- Feb 15, 2013—1 finding
- Dec 13, 2012—3 findings · 1 harm
- Feb 27, 2012—5 findings
- Jan 13, 2011—4 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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction