Pittsfield Manor
Pittsfield, Illinois · CCN 145837
26 surveys since 2010. The first finding at harm level was recorded in 2014.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 114
- Surveys
- 26
- Harm or worse
- 11
- 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
- 89
- Ownership
- Non profit - Corporation
- Chain
- UNLIMITED DEVELOPMENT, INC.
- County
- Pike · rural
- Medicare-certified since
- 1995
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 2
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 31 not-for-profit facilities of 66–99 beds in Illinois.
Last survey on record
Jun 4, 2026
158 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 | 3.84 | 4.49 |
| Registered-nurse hours per resident day | 0.39 | — |
| Annual nurse turnover | 63.7% | 36.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $212,564 across 4 penalties
- Payment denials
- 2
- Abuse icon
- Flagged by CMS on Care Compare
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— | L12.0% |
| Actual harm | G510.0% | H— | I— |
| No harm, potential for more than minimal | D2142.0% | E918.0% | F1428.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8805×
Provide and implement an infection prevention and control program.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6903×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F7613×
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
In the surveyor’s words
From the most serious findings on record at Pittsfield Manor, in the surveyor’s own words.
- Immediate jeopardy, widespreadF880Jan 2, 2024
Based on observation, interview, and record review, the facility failed to implement a system to track and trend infections, and failed to implement infection control procedures including isolation precautions and personal protective equipment (PPE) to prevent the spread of infection. These failures resulted in 23 residents devloping Gastroenteritis, including 8 residents (R10, R29, R32, R37, R41, R52, R56, R160) currently experiencing Gastroenteritis in the facility. These failures have the potential to affect all 58 residents in the facility. The Immediate Jeopardy began on 12/3/23, when R56 developed Gastroenteritis and the facility failed to implement isolation precautions including personal protective equipment. Subsequently, 22 other residents have developed Gastroenteritis. […]
- Actual harm, isolatedF688Jan 20, 2026
Based on observation, interview, and record review, the facility failed to ensure a dependent resident received passive range of motion as recommended by therapy after being discharged from therapy and failed to ensure restorative services were provided for 3 of 3 (R11, R30, R31) residents reviewed for range of motion in a sample of 49. This failure resulted in R31 having a decline in condition and becoming dependent on staff for activities of daily living.Findings include:1. R31's Face Sheet, dated 1/15/2026, documents R31 was admitted on [DATE] with diagnosis of Muscle wasting and atrophy, not elsewhere classified, multiple sites, Type 2 diabetes mellitus with diabetic neuropathy, unspecified, Muscle weakness. […]
- Actual harm, isolatedF684Dec 9, 2024
Based on observation, interview, and record review, the facility failed to provide timely treatment for 1 of 3 residents (R68) reviewed for change of condition in the sample of 33. This failure resulted in R68 delay in treatment and requiring hospital admission. Findings include: 1. R68's nursing notes, dated 12/01/2024 at 10:17 AM, documents attempted to contact radiology for x-ray results and left message on answering machine. R68's nursing notes, dated 12/1/2024 at 1:23 PM, documents, contacted Nurse Practitioner unable to obtain x-ray results and resident continues with decline in physical mobility, cough with yellow sputum, afebrile, wheezing bilateral upper lobes. and received NO (nurse order) for Ceftriaxome IM QD (daily) x 3 days. […]
- Actual harm, isolatedF689May 22, 2024
Based on observation, interview, and record review, the facility failed to supervise and prevent an altercation for 2 of 2 (R3, R4) residents, reviewed for incidents and accidents in a sample of 5. This failure resulted in R4 being sent to the local emergency department after an altercation with R3 and sustaining facial contusion, contusion of both forearms and contusion to her right shoulder. Finding includes: R3's Minimum Data Set, dated dated [DATE], documented R3 was unable to complete the questions to gauge his cognition. It continued to document he was severely impaired for decision making, Physical behavioral symptoms directed towards other that had been occurring for 1 to 3 days and that he also had the ability to put others at significant risk for physical injury. […]
- Actual harm, isolatedF689Jan 2, 2024
Based on interview, observation, and record review, the facility failed to assess residents for fall precautions, failed to implement appropriate fall interventions, and failed to ensure resident safety during transfers, for 5 of 7 residents (R6, R8, R10, R20, R27) reviewed for falls and transfers in the sample of 44. This failure resulted in R6 having a fractured left hip and having a closed vs open reduction of her left hip with nailing surgery. The findings include: 1. R6's Face Sheet, undated, documents R6 was admitted to the facility on [DATE], with the diagnoses of Dementia, Atrial Fibrillation, Major depressive disorder, Type 2 Diabetes Mellitus (DM), and Left femur fracture. […]
Read 29 findings in full →The most serious and the most recent: 29 of 114 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 4, 2026Complaint1 finding
- Jan 20, 2026Standard8 findings · 1 harm
- Dec 9, 2024Standard14 findings · 1 harm
- Oct 8, 2024Complaint4 findings
- May 22, 2024Complaint1 finding · 1 harm
- May 6, 2024Complaint4 findings
- Jan 2, 2024Standard11 findings · 2 harm
- Jun 20, 2023Complaint2 findings
Show the 18 earlier surveys
- Nov 22, 2022Standard7 findings · 1 harm
- Oct 26, 2022Complaint3 findings
- Aug 31, 2022Complaint2 findings
- Jan 6, 2022Standard6 findings · 1 harm
- Dec 19, 2019Standard4 findings
- Aug 15, 2019Complaint1 finding · 1 harm
- Mar 28, 2019Complaint2 findings
- Jan 11, 2019Complaint1 finding
- Nov 29, 2018Standard7 findings
- Oct 26, 2017Standard6 findings
- Dec 1, 2016Standard2 findings
- Jun 9, 2016Complaint1 finding
- Nov 12, 2015Standard5 findings
- Oct 3, 2014Standard10 findings
- Jul 9, 2014Complaint4 findings · 3 harm
- Dec 19, 2013—2 findings
- Dec 22, 2011—4 findings
- Nov 19, 2010—2 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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