Pittsfield Manor
610 Lowry Street · Pittsfield, IL · 62363 · 2172855200
89 certified beds For profit - Corporation Chain: Unlimited Development, Inc.
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $84,261 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$84,261 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 4 · $212,564 |
Inspection citations (43 in the current record)
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Actual harm · G December 9, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 15, 2025 · Quality of Life and Care
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Potential for harm · D December 9, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 9, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 9, 2024
Respond appropriately to all alleged violations.
Corrected December 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 9, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 18, 2024 · Resident Rights
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Potential for harm · D December 9, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · E December 9, 2024
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 December 19, 2024 · Quality of Life and Care
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Potential for harm · D December 9, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · D December 9, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · D December 9, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 18, 2024 · Pharmacy Service
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Potential for harm · F December 9, 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 January 15, 2025 · Pharmacy Service
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Potential for harm · F December 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 18, 2024 · Nutrition and Dietary
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Potential for harm · E December 9, 2024
Provide and implement an infection prevention and control program.
Corrected December 18, 2024 · Infection Control
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Potential for harm · D October 8, 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 October 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 8, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 15, 2024 · Quality of Life and Care
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Potential for harm · E October 8, 2024 · found via complaint
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 October 15, 2024 · Pharmacy Service
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Potential for harm · D October 8, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 15, 2024 · Infection Control
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Actual harm · G May 22, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 31, 2024 · Quality of Life and Care
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Potential for harm · D May 6, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected May 10, 2024 · Resident Rights
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Potential for harm · D May 6, 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 May 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 6, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 6, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L January 2, 2024
Provide and implement an infection prevention and control program.
Corrected January 18, 2024 · Infection Control
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Actual harm · G January 2, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 8, 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 |
|---|---|---|
| January 20, 2026 | Fine | $33,210 |
| December 9, 2024 | Fine | $51,051 |
| December 9, 2024 | Payment Denial | 15 days |
| May 6, 2024 | Fine | $24,027 |
| January 2, 2024 | Fine | $104,276 |
| January 2, 2024 | Payment Denial | 13 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 145837 · certified since April 27, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.