Piatt County Nursing Home

1111 N State St · Monticello, IL · 61856 · 2177622506

100 certified beds Government - City/county

Why this verdict

  • Federal penalties on record: $26,930 in fines in the last 24 months.
  • 4 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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.

Get the Safety Report

Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 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.

Medicare/Medicaid payments were denied

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

64% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 44
Staffing 20% 63
Federal penalties 15% 13
Trend 10% 91
Context 5% 100

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

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.093.48 min · 4.1 strong
RN hours / resident-day0.380.55–0.75
Weekend hours / resident-day3.51≈ weekday level
Nursing turnover / year64%median 45%
Fines (3-yr window)3 · $182,948

Inspection citations (32 in the current record)

  • Potential for harm · D June 18, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 24, 2025 · Resident Rights

  • Potential for harm · D June 18, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected June 26, 2025 · Resident Rights

  • Potential for harm · D June 18, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected June 24, 2025 · Resident Rights

  • Potential for harm · D June 18, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected July 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 18, 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 June 26, 2025 · Pharmacy Service

  • Potential for harm · E June 18, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 24, 2025 · Infection Control

  • Actual harm · G May 5, 2025 · found via complaint

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

    Corrected May 6, 2025 · Quality of Life and Care

  • Actual harm · G February 10, 2025 · found via complaint

    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

  • Immediate jeopardy · J April 9, 2024 · 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 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K April 9, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected April 25, 2024 · Resident Rights

  • Potential for harm · D April 9, 2024

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

    Corrected April 17, 2024 · Quality of Life and Care

  • Potential for harm · D April 9, 2024

    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 April 17, 2024 · Pharmacy Service

  • Potential for harm · D April 9, 2024

    Implement a program that monitors antibiotic use.

    Corrected April 9, 2024 · Infection Control

  • Potential for harm · F April 9, 2024

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected April 17, 2024 · Nursing and Physician Services

  • Potential for harm · D April 9, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 17, 2024 · Resident Rights

  • Potential for harm · E April 9, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected April 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G May 11, 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 June 15, 2023 · Quality of Life and Care

  • Actual harm · G May 11, 2023

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

    Corrected June 15, 2023 · Quality of Life and Care

  • Potential for harm · D May 11, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 14, 2023 · Resident Rights

  • Potential for harm · D May 11, 2023

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected June 14, 2023 · Resident Rights

  • Potential for harm · D May 11, 2023

    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 June 14, 2023 · Resident Rights

  • Potential for harm · F May 11, 2023

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected June 14, 2023 · Resident Rights

  • Potential for harm · D May 11, 2023

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 14, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 11, 2023

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

    Corrected June 14, 2023 · Resident Assessment and Care Planning

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

Federal penalties

DateTypeAmount / length
May 5, 2025Fine$14,505
May 5, 2025Payment Denial39 days
February 10, 2025Fine$12,425
April 9, 2024Fine$156,018

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145883 · certified since July 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.