Manor Court of Freeport
2170 West Navajo Drive · Freeport, IL · 61032 · 8152332400
117 certified beds Non profit - Corporation Chain: Residential Alternatives of Illinois
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $75,485 in fines in the last 24 months.
- 10 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
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
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.
5 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$75,485 in federal fines in the last 24 months
5 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 3.56 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 5 · $75,485 |
Inspection citations (47 in the current record)
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Potential for harm · E April 23, 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 May 7, 2026 · Nursing and Physician Services
-
Potential for harm · E April 23, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 7, 2026 · Pharmacy Service
-
Potential for harm · E April 23, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 7, 2026 · Pharmacy Service
-
Potential for harm · D March 26, 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 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G March 19, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 27, 2026 · Quality of Life and Care
-
Potential for harm · D March 19, 2026 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected March 27, 2026 · Resident Rights
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Potential for harm · D March 19, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 27, 2026 · Pharmacy Service
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Potential for harm · D October 10, 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 October 19, 2025 · Resident Rights
-
Potential for harm · D October 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 20, 2025 · Quality of Life and Care
-
Actual harm · G August 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 20, 2025 · Quality of Life and Care
-
Potential for harm · D July 18, 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 July 30, 2025 · Resident Rights
-
Potential for harm · D July 18, 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 July 30, 2025 · Pharmacy Service
-
Actual harm · G July 8, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 9, 2025 · Pharmacy Service
-
Potential for harm · D February 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 5, 2025 · Quality of Life and Care
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Actual harm · G January 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 15, 2025 · Quality of Life and Care
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Actual harm · G November 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 5, 2024 · Quality of Life and Care
-
Actual harm · G September 11, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 19, 2024 · Quality of Life and Care
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Actual harm · G September 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2024 · Quality of Life and Care
-
Actual harm · G August 29, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 10, 2024 · Quality of Life and Care
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Actual harm · G August 29, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected September 10, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 10, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 10, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 19, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
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 September 10, 2024 · 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 |
|---|---|---|
| August 19, 2025 | Fine | $11,196 |
| July 8, 2025 | Fine | $12,935 |
| January 9, 2025 | Fine | $14,505 |
| November 25, 2024 | Fine | $14,050 |
| August 29, 2024 | Fine | $22,799 |
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 146102 · certified since April 4, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.