Montgomery Nursing & Rehab Ctr
State Route 127 · Hillsboro, IL · 62049 · 2175326126
110 certified beds For profit - Individual Chain: Helia Healthcare
Why this verdict
- 3 citations involved actual harm to residents.
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.
RN staffing in the bottom 10% nationally
0.25 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
2.76 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.76 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 2.53 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 1 · $12,048 |
Inspection citations (16 in the current record)
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Potential for harm · D March 24, 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 January 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 7, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · F March 27, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 7, 2025 · Pharmacy Service
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Potential for harm · E March 27, 2025
Provide and implement an infection prevention and control program.
Corrected April 7, 2025 · Infection Control
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Actual harm · G May 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 30, 2024 · Quality of Life and Care
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Potential for harm · D March 13, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · F March 13, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected March 29, 2024 · Pharmacy Service
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Potential for harm · D September 26, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 5, 2023 · Resident Rights
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Potential for harm · D September 26, 2023 · 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 October 5, 2023 · Resident Rights
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Actual harm · G February 15, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 23, 2023 · Resident Rights
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Actual harm · G February 15, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 2, 2023 · Quality of Life and Care
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Potential for harm · E February 15, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 1, 2023 · Quality of Life and Care
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Potential for harm · D February 15, 2023
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 1, 2023 · Quality of Life and Care
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Potential for harm · F February 15, 2023
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 March 1, 2023 · Nursing and Physician Services
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Potential for harm · E February 15, 2023
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.
Corrected March 1, 2023 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 23, 2024 | Fine | $12,048 |
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 145483 · certified since January 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.