Serenity Estates at Morris
1223 Edgewater · Morris, IL · 60450 · 8154166500
142 certified beds For profit - Limited Liability company Chain: Serenity Estates
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
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
Total nurse staffing below 3.0 hours per resident-day
2.95 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: 1 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.95 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 2.67 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (44 in the current record)
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Potential for harm · D April 29, 2026 · 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 April 30, 2026 · Resident Rights
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Potential for harm · D April 29, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D April 29, 2026 · 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 April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 31, 2025 · Resident Rights
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Potential for harm · E December 18, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 31, 2025 · Nutrition and Dietary
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Potential for harm · D August 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · D May 2, 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 May 8, 2025 · Pharmacy Service
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Potential for harm · D January 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 23, 2025 · Quality of Life and Care
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Actual harm · G October 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 12, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024
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 October 23, 2024 · Resident Rights
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Potential for harm · D October 11, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 23, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 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 October 23, 2024 · Quality of Life and Care
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Potential for harm · E October 11, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 12, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 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 October 22, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 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 October 21, 2024 · Pharmacy Service
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Potential for harm · E October 11, 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 October 23, 2024 · Pharmacy Service
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Potential for harm · F October 11, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected October 21, 2024 · Nutrition and Dietary
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Potential for harm · F October 11, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected October 21, 2024 · Nutrition and Dietary
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Potential for harm · F October 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 21, 2024 · Nutrition and Dietary
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Potential for harm · E October 11, 2024
Provide and implement an infection prevention and control program.
Corrected October 21, 2024 · Infection Control
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No harm found · C October 11, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 18, 2024 · Administration
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No harm found · C October 11, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected October 18, 2024 · Administration
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Potential for harm · D December 28, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 8, 2024 · Quality of Life and Care
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Potential for harm · D September 28, 2023
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 October 9, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 146077 · certified since February 14, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.