Palm Garden of Mattoon
1000 Palm · Mattoon, IL · 61938 · 2172347403
178 certified beds For profit - Corporation Chain: Pointe Management
Why this verdict
- Carries CMS’s abuse warning icon.
- 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).
- Staffing levels are well below research benchmarks for safe care.
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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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
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.
5 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$351,078 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.13 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.52 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.13 | 0.55–0.75 |
| Weekend hours / resident-day | 2.28 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $351,078 |
Inspection citations (109 in the current record)
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Potential for harm · D April 20, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 21, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J April 2, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2026 · Quality of Life and Care
-
Potential for harm · D April 2, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 3, 2026 · Resident Assessment and Care Planning
-
Actual harm · G January 29, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 29, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 11, 2026 · Quality of Life and Care
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Actual harm · G 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 February 11, 2026 · Quality of Life and Care
-
Potential for harm · D January 29, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 11, 2026 · Resident Rights
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Potential for harm · D January 29, 2026
Ensure each resident receives an accurate assessment.
Corrected February 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 29, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 29, 2026
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · F January 29, 2026
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected February 11, 2026 · Nutrition and Dietary
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Potential for harm · D January 29, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 11, 2026 · Nutrition and Dietary
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Potential for harm · F January 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 11, 2026 · Nutrition and Dietary
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Potential for harm · E January 29, 2026 · found via complaint
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 February 11, 2026 · Resident Rights
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Potential for harm · D January 29, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 29, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 29, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected February 11, 2026 · Resident Rights
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Potential for harm · D January 29, 2026 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · F January 29, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 11, 2026 · Nursing and Physician Services
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Potential for harm · F November 30, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected December 10, 2025 · Nursing and Physician Services
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Potential for harm · D November 30, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 15, 2025 · Pharmacy Service
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Potential for harm · F November 30, 2025 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected December 11, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 29, 2026 | Fine | $231,360 |
| January 29, 2026 | Payment Denial | 44 days |
| September 5, 2025 | Fine | $72,930 |
| September 5, 2025 | Payment Denial | 3 days |
| April 9, 2025 | Payment Denial | 37 days |
| January 7, 2025 | Fine | $46,788 |
| January 7, 2025 | Payment Denial | 29 days |
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 145584 · certified since October 14, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.