NOKOMIS HC & SENIOR LIVING
505 STEVENS STREET, NOKOMIS, IL 62075 · CCN 145478
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 92
- Avg residents/day
- —
- Phone
- 2175637725
Inspection history vs Illinois & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Illinois avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-18 | 5 | 12.2 | 9.5 | -7.2 better |
| 2 | 2023-10-26 | 12 | 12.7 | 9.8 | -0.7 better |
| 3 | 2023-01-04 | 10 | 13.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Nursing and physician services | 1 |
| Pharmacy service | 1 |
| Environmental | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | — | — |
| RN staffing (reported) | — | — |
| Total nurse staffing (adjusted) | — | — |
Fines & penalties
- Total fines
- $34,418
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- PETERSEN HEALTH CARE
- Facilities in chain
- 14
- Chain avg overall
- 1.60 / 5
Inspection citations (27)3 actual harm
- FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-11-18 · Health · corrected 2024-11-27
Potential for more than minimal harm
- 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.2024-11-18 · Health · corrected 2024-11-27
Potential for more than minimal harm
- FF0761Ensure 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.2024-11-18 · Health · corrected 2024-11-27
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-11-18 · Health · corrected 2024-11-27
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-11-18 · Health · corrected 2024-11-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-09 · Health · corrected 2024-09-11
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-26 · Health · corrected 2024-04-10
Actual harm
- 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.2024-03-26 · Health · corrected 2024-04-10
Potential for more than minimal harm
- DF0774Help the resident with transportation to and from laboratory services outside of the facility.2024-03-26 · Health · corrected 2024-04-10
Potential for more than minimal harm
- EF0825Provide or get specialized rehabilitative services as required for a resident.2024-03-26 · Health · corrected 2024-04-10
Potential for more than minimal harm
- EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-10-26 · Health · corrected 2023-11-09
Potential for more than minimal harm
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-10-26 · Health · corrected 2023-11-07
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-26 · Health · corrected 2023-11-07
Actual harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-26 · Health · corrected 2023-11-07
Potential for more than minimal harm
- 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.2023-10-26 · Health · corrected 2023-11-13
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2023-10-26 · Health · corrected 2023-11-07
Potential for more than minimal harm
- EF0761Ensure 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.2023-10-26 · Health · corrected 2023-11-07
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-12 · Health · corrected 2023-11-01
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-12 · Health · corrected 2023-11-01
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-10-12 · Health · corrected 2023-11-01
Potential for more than minimal harm
- 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.2023-10-12 · Health · corrected 2023-11-13
Potential for more than minimal harm
- 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.2023-08-31 · Health · corrected 2023-11-13
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-01-04 · Health · corrected 2023-01-29
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-04 · Health · corrected 2023-01-29
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-04 · Health · corrected 2023-01-29
Potential for more than minimal harm
- 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.2023-01-04 · Health · corrected 2023-02-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-01-04 · Health · corrected 2023-01-29
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PETERSEN, MARK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2009-11-01 |
| ASHCRAFT, JESSICA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
Other facilities in NOKOMIS
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.