Starfile

Starfile / Illinois

Fondulac Rehabilitation and Health Care Center

901 ILLINI DRIVE, EAST PEORIA, IL 61611 · CCN 145266

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Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
98
Avg residents/day
81.4
Phone
3096946446

Inspection history vs Illinois & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityIllinois avgNational avgvs state
12024-08-212712.29.5+14.8 worse
22023-08-041912.79.8+6.3 worse
32022-06-151613.19.3+2.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation5
Quality of life and care4
Resident assessment and care planning2
Nursing and physician services1
Resident rights2
Nutrition and dietary2
Pharmacy service4
Administration5
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.75
RN staffing (reported)0.28
Total nurse staffing (adjusted)1.89

Fines & penalties

Total fines
$10,358
Number of fines
1
Number of penalties
2
Payment denials
1

Chain

Chain
PETERSEN HEALTH CARE
Facilities in chain
14
Chain avg overall
1.60 / 5

Inspection citations (62)2 immediate jeopardy2 actual harm

  1. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-28 · Health · corrected 2025-06-11

    Immediate jeopardy

  2. FF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-28 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  3. FF0610Respond appropriately to all alleged violations.2025-05-28 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  4. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-28 · Health · corrected 2025-06-11

    Immediate jeopardy

  5. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-05-28 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  6. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-05-28 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  7. FF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-05-28 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  8. FF0946Provide training in compliance and ethics.2025-05-28 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  9. FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-05-28 · Health · corrected 2025-06-11

    Potential for more than minimal harm

  10. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-21 · Health · corrected 2025-04-14

    Actual harm

  11. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  12. DF0610Respond appropriately to all alleged violations.2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  13. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  14. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-08-21 · Health · corrected 2024-10-27

    Potential for more than minimal harm

  15. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  16. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-21 · Health · corrected 2024-10-27

    Potential for more than minimal harm

  17. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-21 · Health · corrected 2024-10-27

    Potential for more than minimal harm

  18. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  19. FF0727Have 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.2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  20. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-21 · Health · corrected 2024-10-27

    Potential for more than minimal harm

  21. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  22. DF0758Implement 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.2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  23. GF0760Ensure that residents are free from significant medication errors.2024-08-21 · Health · corrected 2024-10-27

    Actual harm

  24. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-08-21 · Health · corrected 2024-10-27

    Potential for more than minimal harm

  25. FF0803Ensure 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.2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  26. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  27. FF0880Provide and implement an infection prevention and control program.2024-08-21 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  28. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-08-15 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  29. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-15 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  30. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-15 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  31. FF0572Give residents a notice of rights, rules, services and charges.2023-08-04 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  32. FF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  33. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-08-04 · Health · corrected 2023-08-25

    Potential for minimal harm

  34. DF0578Honor 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.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  35. FF0585Honor 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.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  36. DF0641Ensure each resident receives an accurate assessment.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  37. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  38. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  40. DF0692Provide enough food/fluids to maintain a resident's health.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  41. DF0693Ensure 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.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  42. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  43. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  44. FF0727Have 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.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  45. EF0758Implement 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.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  46. FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  47. FF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  48. FF0880Provide and implement an infection prevention and control program.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  49. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-08-04 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  50. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-05 · Health · corrected 2023-07-19

    Potential for more than minimal harm

  51. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-27 · Health · corrected 2023-04-10

    Potential for more than minimal harm

  52. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-06-15 · Health · corrected 2022-11-01

    Potential for more than minimal harm

  53. EF0688Provide 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.2022-06-15 · Health · corrected 2022-10-13

    Potential for more than minimal harm

  54. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-15 · Health · corrected 2022-10-13

    Potential for more than minimal harm

  55. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-06-15 · Health · corrected 2022-10-13

    Potential for more than minimal harm

  56. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2022-06-15 · Health · corrected 2022-10-13

    Potential for more than minimal harm

  57. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-06-15 · Health · corrected 2022-10-13

    Potential for more than minimal harm

  58. DF0759Ensure medication error rates are not 5 percent or greater.2022-06-15 · Health · corrected 2022-10-13

    Potential for more than minimal harm

  59. DF0760Ensure that residents are free from significant medication errors.2022-06-15 · Health · corrected 2022-10-13

    Potential for more than minimal harm

  60. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-15 · Health · corrected 2022-11-01

    Potential for more than minimal harm

  61. FF0880Provide and implement an infection prevention and control program.2022-06-15 · Health · corrected 2022-10-13

    Potential for more than minimal harm

  62. FF0886Perform COVID19 testing on residents and staff.2022-06-15 · Health · corrected 2022-10-13

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PETERSEN, MARKIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2005-09-30
MEHAFFY, RYANIndividualW-2 MANAGING EMPLOYEE2017-01-09

Other facilities in EAST PEORIA

NameOverallBeds
LOFT REHAB OF EAST PEORIA, THE★★★★★120

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.