Deficiency Index

The Haven of St. Elmo

St Elmo, Illinois · CCN 145857

27 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
98
Surveys
27
Harm or worse
5
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file19/27

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
For profit - Limited Liability company
Chain
HAVEN HEALTHCARE
County
Fayette · 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 somewhat more weighted findings than its peer group.

Weighted by harm level, against 57 for-profit facilities with fewer than 66 beds in Illinois.

Last survey on record

Jun 12, 2026

150 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.033.43
Registered-nurse hours per resident day0.56—
Annual nurse turnover47.6%45.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$127,905 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L13.4%
Actual harmG310.3%H—I—
No harm, potential for more than minimalD1448.3%E26.9%F413.8%
No harm, potential for minimalA—B413.8%C13.4%
CMS’s current file: 29 of the 98 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F9124×

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F7252×

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

In the surveyor’s words

From the most serious findings on record at The Haven of St. Elmo, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF880Jun 12, 2026

    Based on observation, interview and record review, the facility failed to establish and maintain an effective infection prevention and control program to identify infectious disease symptoms as well as track, report, treat and isolate infected residents to prevent urinary tract infections for 4 (R1, R3, R6, R23) of 4 residents reviewed for infection control. This failure has the potential to affect all 33 residents in the facility. This failure resulted in R1 being admitted to the hospital on [DATE] for developing sepsis related to a urinary tract infection (UTI), R3 admitted to the hospital on [DATE] with developing a complicated urinary tract infection, and R23 being admitted to the hospital on [DATE] with an acute metabolic encephalopathy secondary to UTI complicated by bilateral ureter… […]

  • Actual harm, isolatedF686Jun 12, 2026

    Based on interview, observation, and record review, the facility failed to complete skin and wound assessments for a resident at risk for skin breakdown, failed to notify the physician of a new wound, and failed to identify worsening of a wound for 1 (R1) of 1 residents reviewed for pressure ulcers in the sample of 25. This failure resulted in R1 developing a stage 2 pressure ulcer that worsened to the right buttock and developed a new stage 2 pressure ulcer to the left buttock.The Findings Include:R1's admission Record documents R1 was admitted to the facility on [DATE] with diagnoses including sepsis due to Escherichia Coli, urinary tract infection, bacteremia, type 2 diabetes mellitus, unspecified dislocation of right hip, depression, hypothyroidism, venous insufficiency, and… […]

  • Actual harm, isolatedF760May 7, 2026

    Based on observation, interview, and record review, the facility failed to administer an antianxiety medication for 1 (R1) of 3 residents reviewed for medication errors in the sample of 9. The failure resulted in R1 developing withdrawal symptoms including nausea, vomiting, shaking, agitation, and being admitted to the local hospital for 2 days.This past noncompliance occurred between 4/22/26 and 4/29/26.Findings include: R1's admission Record documented an admission date to the facility on 9/27/2024 and included diagnoses of type 2 diabetes mellitus without complications, unsteadiness on feet, cerebral infarction, unspecified, insomnia and anxiety disorder, unspecified.R1's Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15,… […]

  • Actual harm, isolatedF760May 20, 2025

    Based on interview and record review the facility failed to administer sliding scale insulin and monitor blood sugars as directed per physician's orders for 1 (R6) of 1 resident reviewed for insulin in a sample of 39. This failure resulted in R6 being sent to the emergency room for hyperglycemia. Findings include: R6's Admission Record documents an admitted [DATE] with diagnoses including: type 2 diabetes mellitus with ketoacidosis without coma, dysphagia, lack of coordination, major depressive disorder, dementia, anxiety disorder, and acute kidney failure. R6's Minimum Data Set (MDS) dated [DATE] documents a BIMS (Brief Interview of Mental Status) score of 12 indicating R6 has moderate cognitive impairment. […]

  • Actual harm, isolatedF689Jun 27, 2022

    Based on interview and record review, the facility failed to provide the identified level of supervision and assistance required to prevent accidents for one (R1) of two residents reviewed for accidents and supervision in the sample of 53. This failure resulted in R1 falling in the hallway while being walked out of the restroom by 1 staff and sustaining a fracture of the left hip. Findings include: On 6/21/22 at 10:30 AM, V15 (Licensed Practical Nurse/LPN/Unit Director) stated that (R1) recently had a fall, sustained a hip fracture and the staples were removed a few days ago. On 6/23/22 at 1:05 PM, V1 (Administrator) said that V19 (Certified Nurse Aide/CNA) was the only staff present on 6/01/22 with (R1) at 4:00 PM when (R1) fell and sustained a left hip fracture. […]

Read 21 findings in full →The most serious and the most recent: 21 of 98 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 12, 2026Standard4 findings · 2 harm
  • May 7, 2026Complaint2 findings · 1 harm
  • Apr 23, 2026Complaint3 findings
  • Aug 25, 2025Complaint3 findings
  • May 20, 2025Standard7 findings · 1 harm
  • Jul 24, 2024Standard8 findings
  • Mar 7, 2024Complaint1 finding
  • May 11, 2023Standard1 finding
Show the 19 earlier surveys
  • Jun 27, 2022Standard3 findings · 1 harm
  • Jan 20, 2022Complaint1 finding
  • Sep 29, 2021Complaint1 finding
  • Apr 2, 2021Standard2 findings
  • Oct 30, 2020Complaint4 findings
  • Oct 9, 2020Complaint1 finding
  • Jun 14, 2019Standard10 findings
  • May 22, 2019Complaint1 finding
  • Jul 23, 2018Complaint1 finding
  • May 24, 2018Standard5 findings
  • Jun 27, 2017Standard10 findings
  • Jul 14, 2016Standard3 findings
  • May 5, 2016Complaint2 findings
  • Aug 27, 2015Standard3 findings
  • Dec 11, 2014Standard6 findings
  • Mar 20, 2014Standard3 findings
  • Apr 25, 2013—6 findings
  • May 24, 2012—5 findings
  • Jun 30, 2011—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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