Monmouth Rehab and Nursing
Monmouth, Illinois · CCN 146057
28 surveys since 2011. The first finding at harm level was recorded in 2022.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 122
- Surveys
- 28
- Harm or worse
- 14
- Immediate jeopardy
- 4
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
- 58
- Ownership
- For profit - Limited Liability company
- Chain
- STERN CONSULTANTS
- County
- Warren · rural
- Medicare-certified since
- 2003
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 57 for-profit facilities with fewer than 66 beds in Illinois.
Last survey on record
Mar 20, 2026
234 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 | 3.33 | 3.43 |
| Registered-nurse hours per resident day | 0.64 | — |
| Annual nurse turnover | 45.5% | 45.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $233,350 across 4 penalties
- Payment denials
- 1
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 | J24.2% | K— | L12.1% |
| Actual harm | G48.3% | H— | I— |
| No harm, potential for more than minimal | D3164.6% | E36.3% | F714.6% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5503×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6093×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
In the surveyor’s words
From the most serious findings on record at Monmouth Rehab and Nursing, in the surveyor’s own words.
- Immediate jeopardy, widespreadF880Nov 29, 2023
Based on observation, interview and record review, the facility systemically failed to implement facility wide protocols to address respiratory symptoms as evidenced by: failed to recognize respiratory symptoms of facility staff and residents as a possible contagious illness (RSV, COVID 19 Influenza); failed to perform the required COVID-19 testing on staff and residents actively demonstrating signs and symptoms of a possible infectious respiratory illness, or after close contact with a resident or staff member that had tested positive for COVID-19; failed to test for other infectious respiratory illnesses when a COVID 19 test was negative and the resident was symptomatic; failed to immediately implement the required transmission based precautions for residents with suspected respiratory… […]
- Immediate jeopardy, isolatedF689Jan 29, 2026
Based on observation, interview, and record review, the facility failed to provide adequate supervision and implement interventions for a resident with a known history of elopement and exit-seeking behaviors to prevent elopement and failed to provide adequate supervision for one of one residents (R5) reviewed for elopement risk in the sample of six. These failures resulted in R5 exiting the facility on 1/5/26 without staff knowledge and being found at a local coffee shop two blocks away, near a busy highway, during cold weather conditions when a concerned citizen called 911, and emergency medical services responded.These failures resulted in an Immediate Jeopardy that began on 1/5/26. V1 (Administrator) was notified of the immediate jeopardy on 1/27/26 at 12:10 PM. […]
- Immediate jeopardy, isolatedF693Oct 4, 2024
Based on record review and interview the facility failed to follow facility policy and obtain a physician order for care after a resident's Gastronomy tube (G-tube) became clogged. This failure resulted in R1's G-tube being replaced with an indwelling urinary catheter. This indwelling urinary catheter was used to administer enteral tube feedings for two days resulting in R1 experiencing emesis, loose stools, and being hospitalized . This failure affected 1 of 1 residents reviewed for Gastrostomy Tubes (R1) in a sample of 3. These failures resulted in an Immediate Jeopardy. The facility presented an abatement plan to remove the immediacy on 10/1/24. The survey team reviewed the abatement plan and was unable to accept the plan to remove the immediacy. […]
- Immediate jeopardy, isolatedF689Aug 25, 2022
Based on observation, interview, and record review, the facility failed to ensure a door monitoring system for cognitively impaired residents that are assessed as high risk for leaving the facility unattended, was in proper working order; failed to perform recommended weekly door alarm function tests; failed to ensure staff did not engage in the unauthorized practice of propping open exit doors bypassing the door monitoring system; failed to respond timely to door monitoring system alarms; failed to ensure a cognitively impaired, wandering resident's electronic monitoring bracelet was in working order to prevent an elopement; failed to monitor the proper function and placement of resident's electronic monitoring bracelet, every shift; and failed to recognize an incident of elopement as an… […]
- Actual harm, patternF609Aug 13, 2026
Based on Observation, Interview and Record Review, the facility failed to recognize and immediately report multiple allegations of staff to resident verbal and mental abuse to the facility's Abuse Coordinator and the State Agency for four of six residents (R1, R4, R5, R6) reviewed for Abuse in the sample of six. This failure resulted in multiple allegations of staff to resident mental and verbal abuse going unreported and left R4, R5 and R6 feeling mentally and physically upset and in fear of retaliation for reporting allegations themselves.Findings include:The facility's Elder Justice Act and Reporting Suspected Crimes Against Residents policy, dated 10/1/23, documents It is the policy of the facility to empower and enable any and all owners, operators, employees, agents or contractors of… […]
Read 29 findings in full →The most serious and the most recent: 29 of 122 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 13, 2026Complaint3 findings · 3 harm
- Mar 20, 2026Standard14 findings
- Jan 29, 2026Complaint2 findings · 1 harm
- Sep 11, 2025Complaint1 finding · 1 harm
- Jul 1, 2025Complaint7 findings
- Jun 18, 2025Complaint2 findings · 1 harm
- Mar 17, 2025Complaint1 finding
- Dec 20, 2024Standard7 findings
Show the 20 earlier surveys
- Oct 4, 2024Complaint4 findings · 3 harm
- May 21, 2024Complaint1 finding
- Nov 29, 2023Standard9 findings · 1 harm
- Feb 1, 2023Complaint1 finding · 1 harm
- Oct 7, 2022Standard8 findings · 1 harm
- Aug 25, 2022Complaint4 findings · 1 harm
- May 24, 2022Complaint1 finding · 1 harm
- Sep 2, 2021Standard8 findings
- Jul 31, 2021Complaint1 finding
- Jul 27, 2021Complaint2 findings
- May 18, 2021Complaint2 findings
- Oct 17, 2019Standard2 findings
- Sep 20, 2018Standard10 findings
- Nov 9, 2017Standard2 findings
- Jan 12, 2016Complaint2 findings
- Sep 10, 2015Standard4 findings
- Oct 30, 2014Standard8 findings
- Nov 14, 2013—1 finding
- Dec 7, 2012—5 findings
- Dec 15, 2011—10 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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