Stonebridge Nursing & Rehab
Benton, Illinois · CCN 146144
21 surveys since 2011, 3 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
- 70
- Surveys
- 21
- Harm or worse
- 3
- 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
- 80
- Ownership
- For profit - Corporation
- Chain
- WLC MANAGEMENT FIRM
- County
- Franklin · rural
- Medicare-certified since
- 2011
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 3
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 140 for-profit facilities of 66–99 beds in Illinois.
Last survey on record
Dec 18, 2025
326 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 | 3.40 | 3.18 |
| Registered-nurse hours per resident day | 0.62 | — |
| Annual nurse turnover | 54.0% | 45.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D114.3% | E114.3% | F228.6% |
| No harm, potential for minimal | A— | B342.9% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F9123×
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- F6861×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F7251×
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F8081×
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- F9211×
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
In the surveyor’s words
From the most serious findings on record at Stonebridge Nursing & Rehab, in the surveyor’s own words.
- Actual harm, isolatedF689Oct 20, 2022
Based on interview and record review, the facility failed to lock the wheels on a resident's bed and failed to provide the required level of assistance with bed mobility for 1 of 8 residents (R55) reviewed for falls in the sample of 55. This failure resulted in R55 falling out of bed, suffering a fractured left femur, and subsequently being admitted to the hospital for surgical intervention. Findings Include: R55's facility document titled, Face Sheet documents R55 was admitted to the facility on [DATE] with an admitting diagnosis of heart failure, muscle weakness, polyneuropathy, and type 2 diabetes mellitus. R55's Minimum Data Set (MDS), dated [DATE], documents a Brief Interview for Mental Status (BIMS) score of 15, indicating R55 is cognitively intact. […]
- No harm, potential for more than minimal, widespreadF921Nov 20, 2025
Based on observation, interview, and record review the facility failed to maintain a safe, functional, and sanitary environment by allowing a wall behind the washer to fall apart from water damage and allowing for an increased risk of mold growth. This failure has the potential to affect all 53 residents residing in the facility.The findings include:On 11/17/25 at 6:05AM, observed behind the washer in laundry room and saw what appeared to be a black mold-like substance on the wall next to the hoses. Also observed along the bottom part of the wall, that the wall was falling apart and damp with the cove base trim lying down over the top of a grate that had water in it. The grate appeared to be where the water from the washer would drain. […]
- No harm, potential for more than minimal, widespreadF725Sep 2, 2025
Based on observation, interview, and record review the facility failed to ensure sufficient staff to meet the needs of the residents timely. This has the potential to affect all 58 residents currently residing at the facility. Findings include: 1. R13's admission Record documents an admission date of 2/9/25 with diagnoses including in part: altered mental status, anxiety disorder, diabetes, disorder of muscle, unsteadiness on feet, other lack of coordination, and unsteadiness on feet. R13's MDS dated [DATE] documents a BIMS of 14, indicating R13's cognition is intact. On 8/26/25 at 11:54 AM, R13's was sitting in his wheelchair in the doorway to his room with his call light on, this surveyor asked if his call light had been on a while, and he stated yes it has been. […]
- No harm, potential for more than minimal, widespreadF725Oct 20, 2022
Based on interview and record review the facility failed to have sufficient number of nursing staff to provide nursing and related services to meet the activity of daily living needs of the residents who reside there. This failure has the potential to affect all 61 resident who reside in this facility. Findings included: On 10/17/2022 at 9:30am, V1 (Administrator) presented a facility document titled Resident Census and Condition. This document showed the facility has a census of 61 residents and of the 61 residents 59 of them require assistance of one or two staff for transferring and 42 residents require the assistance of 1 or 2 staff for personal hygiene needs. […]
- No harm, potential for more than minimal, widespreadF725Jul 2, 2021
Based on observation, interview, and record review the facility failed to provide adequate staff to meet care needs of residents. This failure has the potential to affect all 49 residents residing in the facility. The Findings Include: 1. On 6/29/21 at 1:23 PM, while in R34's room, the call light was turned on due to an incontinent episode and the room having a strong smell of urine. R34's bed sheets were saturated along with the clothing he was wearing. R34 stated that it takes the staff a long time to get to those lights at times. R34's most recent Minimum Data Set (MDS) documents a BIMS (Brief Interview Mental Status) of 11 indicating that he is moderately impaired in cognition. At 1:55 PM, V10 (Certified Nurse Assistant) came to R34's room to answer the call light. […]
Read 22 findings in full →The most serious and the most recent: 22 of 70 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 18, 2025Standard2 findings
- Nov 20, 2025Complaint1 finding
- Sep 2, 2025Complaint1 finding
- Jun 17, 2025Complaint1 finding
- Dec 19, 2024Standard1 finding
- Nov 30, 2023Standard1 finding
- Oct 20, 2022Standard5 findings · 1 harm
- Oct 4, 2022Complaint3 findings
Show the 13 earlier surveys
- Oct 12, 2021Complaint1 finding
- Jul 2, 2021Standard5 findings
- Oct 18, 2019Standard2 findings
- Nov 2, 2018Standard8 findings
- Nov 9, 2017Standard2 findings
- Oct 14, 2016Standard1 finding
- Dec 10, 2015Standard5 findings
- Oct 17, 2014Standard5 findings
- Nov 1, 2013—8 findings
- Apr 3, 2013—2 findings · 2 harm
- Sep 19, 2012—8 findings
- Oct 21, 2011—7 findings
- Sep 15, 2011—1 finding
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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