Nature Trail Health and Rehab

1001 South 34th Street · Mount Vernon, IL · 62864 · 6182425700

74 certified beds For profit - Limited Liability company Chain: Crest Healthcare Consulting

Why this verdict

  • 3 citations involved actual harm to residents.

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Red flags

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 82
Staffing 20% 64
Federal penalties 15% 51
Trend 10% 63
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.433.48 min · 4.1 strong
RN hours / resident-day0.570.55–0.75
Weekend hours / resident-day2.91≈ weekday level
Nursing turnover / year47%median 45%
Fines (3-yr window)1 · $28,620

Inspection citations (28 in the current record)

  • Actual harm · G December 8, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected December 28, 2025 · Quality of Life and Care

  • Potential for harm · E December 8, 2025

    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 December 28, 2025 · Resident Rights

  • Potential for harm · D December 8, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 8, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 28, 2025 · Quality of Life and Care

  • Potential for harm · E December 8, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected December 28, 2025 · Nutrition and Dietary

  • Potential for harm · D December 8, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 28, 2025 · Infection Control

  • Potential for harm · D December 8, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected December 28, 2025 · Infection Control

  • Potential for harm · F December 8, 2025

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected December 28, 2025 · Environmental

  • Potential for harm · D May 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 June 13, 2025 · Pharmacy Service

  • Actual harm · G February 4, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 21, 2025 · Quality of Life and Care

  • Potential for harm · E February 4, 2025

    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 21, 2025 · Quality of Life and Care

  • No harm found · B February 4, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected February 21, 2025 · Environmental

  • Potential for harm · D April 18, 2024 · 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 May 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 16, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected November 29, 2023 · Resident Rights

  • Potential for harm · D November 16, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 29, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 16, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 29, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 16, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 29, 2023 · Quality of Life and Care

  • Potential for harm · D November 16, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 29, 2023 · Quality of Life and Care

  • Potential for harm · D November 16, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 29, 2023 · Pharmacy Service

  • Potential for harm · D November 16, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected November 29, 2023 · Pharmacy Service

  • Potential for harm · D November 16, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected November 29, 2023 · Infection Control

  • No harm found · B November 16, 2023

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected November 29, 2023 · Environmental

  • Actual harm · G November 10, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 31, 2023 · Quality of Life and Care

  • Potential for harm · D August 4, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 9, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 4, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 9, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 8, 2025Fine$28,620
February 4, 2025Payment Denial10 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 146021 · certified since March 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.