Wesley Village
Macomb, Illinois · CCN 146047
19 surveys since 2011, 6 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
- 56
- Surveys
- 19
- Harm or worse
- 6
- 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
- 73
- Ownership
- Non profit - Church related
- Chain
- Independent
- County
- Mc Donough · rural
- Medicare-certified since
- 2003
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 5
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=14, floor 20).
Last survey on record
Dec 4, 2025
340 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 | 4.87 | 4.49 |
| Registered-nurse hours per resident day | 0.91 | — |
| Annual nurse turnover | 27.0% | 36.9% |
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 | D444.4% | E222.2% | F333.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8803×
Provide and implement an infection prevention and control program.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6411×
Ensure each resident receives an accurate assessment.
- F6441×
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- F7581×
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.
In the surveyor’s words
From the most serious findings on record at Wesley Village, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Dec 4, 2025
Based on observation, interview and record review, the facility failed to ensure hairnets were worn in the kitchen, failed to ensure all in-use dishwasher machines reached the required dish surface sanitation temperature during the rinse cycle, failed to ensure opened food items in the refrigerator and freezer were dated and labeled, failed to ensure food items were kept off of the floor in the kitchen, failed to complete and record cool down temperatures for food items that were prepared ahead and stored for future use, and failed to ensure the ceiling in the kitchen was kept clean and free of debris and dust. […]
- No harm, potential for more than minimal, widespreadF812Feb 20, 2025
Based on observation, interview and record review, the facility failed to ensure safe and sanitary kitchens to prevent foodborne illnesses. This failure has the potential to affect 48 residents who reside in the facility. Findings include: The Facility Resident Census Roster and Facility Matrix/802, dated 2/18/25, were reviewed. The Census Roster documented 48 Residents residing in the Facility. The 1st Shift and 2nd Shift Dietary Aide Responsibilities handout, not dated, instructed the Dietary Aides to record equipment (dishwashers, freezers and refrigerators) temperatures at 7:00 AM, 11:00 AM and between 4:30 PM and 4:45 PM. On 02/18/25 at 9:30 AM through 10:00 AM, Kitchen 1, Kitchen 2, Kitchen 3 and Kitchen 4 were toured with V5 (Food Service Advisor). […]
- No harm, potential for more than minimal, widespreadF880Mar 20, 2024
Based on record review and interview the facility failed to effectively monitor all infections in the facility. This failure has the potential to affect all 54 residents who currently reside in the facility. Finding Include: The Facility's Infection Control Policy dated 01/11/2024 documents The Infection Prevention and Control Program includes a system for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents, staff, volunteers, visitors, and other individuals providing services under a contractual arrangement based upon the facility assessment conducted according to the regulatory requirements and follow accepted national standard. […]
- No harm, potential for more than minimal, patternF880Feb 20, 2025
Based on observation, interview and record review the facility failed to ensure required Personal Protective Equipment was donned prior to entering a COVID Positive Resident (R33) Room. This failure has the potential to affect all 12 residents (R1, R7, R8, R11, R17, R22, R23, R28, R3, R36, R38, R43) who reside in R33's Household Unit. The facility also failed to follow Enhanced Barrier Precautions and ensure required Personal Protective Equipment was donned during cares for two residents (R14 and R29) of 12 residents reviewed for direct cares in a total sample of 31. Findings include: 1. […]
- No harm, potential for more than minimal, patternF880Sep 15, 2023
Based on observation, interview and record review, the facility failed to report, track and perform COVID-19 testing of an employee that displayed COVID-19 like symptoms prior to providing services to 11 residents (R4 through R14) of 17 residents reviewed for COVID-19 in a sample of 14. Findings include: The facility's Infection Surveillance - Employee policy dated 4/2023 documents Infection prevention begins with ongoing surveillance to identify infections that are causing, or have the potential to cause, an outbreak. […]
Read 26 findings in full →The most serious and the most recent: 26 of 56 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 4, 2025Standard2 findings
- Feb 20, 2025Standard5 findings
- Mar 20, 2024Standard1 finding
- Sep 15, 2023Complaint1 finding
- Mar 9, 2023Standard1 finding
- Sep 1, 2022Complaint2 findings
- Apr 26, 2022Infection control1 finding
- Apr 15, 2021Standard1 finding
Show the 11 earlier surveys
- Jan 9, 2020Standard1 finding
- Jan 16, 2019Standard3 findings
- Dec 13, 2017Standard2 findings
- Oct 3, 2017Complaint1 finding
- Feb 17, 2017Standard2 findings
- Mar 21, 2016Complaint5 findings · 4 harm
- Jan 19, 2016Standard13 findings · 1 harm
- Dec 4, 2014Standard5 findings · 1 harm
- Nov 6, 2013—3 findings
- Dec 16, 2011—6 findings
- May 13, 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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