Monmouth Rehab and Nursing
117 South I Street · Monmouth, IL · 61462 · 3097343811
58 certified beds For profit - Limited Liability company Chain: Stern Consultants
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $130,090 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$130,090 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 3 · $214,230 |
Inspection citations (48 in the current record)
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Potential for harm · F March 20, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 26, 2026 · Resident Rights
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Potential for harm · F March 20, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 26, 2026 · Resident Rights
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Potential for harm · D March 20, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 26, 2026 · Resident Rights
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Potential for harm · D March 20, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 26, 2026 · Resident Rights
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Potential for harm · D March 20, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · E March 20, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D March 20, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D March 20, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D March 20, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected March 26, 2026 · Administration
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Potential for harm · F March 20, 2026
Provide and implement an infection prevention and control program.
Corrected March 26, 2026 · Infection Control
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Potential for harm · D March 20, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 26, 2026 · Infection Control
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Potential for harm · D March 20, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected March 26, 2026 · Infection Control
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Potential for harm · F March 20, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 26, 2026 · Environmental
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Immediate jeopardy · J January 29, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 30, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 30, 2026 · Resident Assessment and Care Planning
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Actual harm · G September 11, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 12, 2025 · Resident Rights
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Potential for harm · D July 1, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 2, 2025 · Resident Rights
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Potential for harm · D July 1, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 1, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 1, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 1, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 2, 2025 · Quality of Life and Care
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Potential for harm · D July 1, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 31, 2025 · Quality of Life and Care
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Actual harm · G June 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 19, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 11, 2025 | Fine | $19,115 |
| June 18, 2025 | Payment Denial | 14 days |
| October 4, 2024 | Fine | $110,975 |
| November 29, 2023 | Fine | $84,140 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 146057 · certified since December 1, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.