SHELBYVILLE MANOR
1111 WEST NORTH 12TH STREET, SHELBYVILLE, IL 62565 · CCN 145441
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 109
- Avg residents/day
- 85.5
- Phone
- 2177742111
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 | 2025-05-02 | 15 | 12.2 | 9.5 | +2.8 worse |
| 2 | 2024-06-07 | 14 | 12.7 | 9.8 | +1.3 worse |
| 3 | 2023-06-28 | 9 | 13.1 | 9.3 | -4.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.24 | 43.8% |
| RN staffing (reported) | 0.58 | 35.7% |
| Total nurse staffing (adjusted) | 3.94 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 1
- Payment denials
- 1
Chain
- Chain
- UNLIMITED DEVELOPMENT, INC.
- Facilities in chain
- 10
- Chain avg overall
- 2.80 / 5
Inspection citations (38)4 actual harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-16 · Health · corrected 2025-11-18
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-11-16 · Health · corrected 2025-11-18
Potential for more than minimal harm
- GF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-10-23 · Health · corrected 2025-10-27
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-22 · Health · corrected 2025-08-11
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2025-07-22 · Health · corrected 2025-08-11
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-02 · Health · corrected 2025-05-12
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.2025-05-02 · Health · corrected 2025-05-20
Actual harm
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-05-02 · Health · corrected 2025-05-13
Potential for more than minimal harm
- EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-05-02 · Health · corrected 2025-05-22
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-05-02 · Health · corrected 2025-05-22
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-02 · Health · corrected 2025-05-12
Actual harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-02 · Health · corrected 2025-05-12
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-02 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-02 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-05-02 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-08 · Health · corrected 2024-11-15
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-27 · Health · corrected 2024-10-04
Actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-07 · Health · corrected 2024-06-26
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-07 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-07 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-06-07 · Health · corrected 2024-06-27
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-07 · Health · corrected 2024-06-27
Potential for more than minimal harm
- 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.2024-06-07 · Health · corrected 2024-06-27
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-06-07 · Health · corrected 2024-07-02
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-06-07 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-06-07 · Health · corrected 2024-06-27
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-07 · Health · corrected 2024-07-02
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-06-07 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-13 · Health · corrected 2024-03-20
Potential for more than minimal harm
- 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.2023-06-28 · Health · corrected 2023-07-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-28 · Health · corrected 2023-07-15
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.2023-06-28 · Health · corrected 2023-07-15
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-06-28 · Health · corrected 2023-07-15
Potential for more than minimal harm
- CF0803Ensure 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.2023-06-28 · Health · corrected 2023-07-15
Potential for minimal harm
- DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-06-28 · Health · corrected 2023-07-15
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2023-06-28 · Health · corrected 2023-07-15
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-06-28 · Health · corrected 2023-07-15
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-03 · Health · corrected 2023-05-12
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| UDI #3, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-02-02 |
| FINKE, AUDREY | Individual | CORPORATE DIRECTOR | — | 2018-08-30 |
| GILMORE, JERRY | Individual | CORPORATE DIRECTOR | — | 2006-02-02 |
| HANEY, DAVID | Individual | CORPORATE DIRECTOR | — | 2006-02-02 |
| WAGNER, ROBERT | Individual | CORPORATE DIRECTOR | — | 2006-02-02 |
| WAGNER, ROBERT | Individual | CORPORATE OFFICER | — | 2018-08-30 |
| WILSON, RONALD | Individual | CORPORATE OFFICER | — | 2018-08-30 |
| DAILEY, KAREN | Individual | W-2 MANAGING EMPLOYEE | — | 2006-02-02 |
Other facilities in SHELBYVILLE
| Name | Overall | Beds |
|---|---|---|
| SHELBYVILLE HEALTHCARE & SENIOR LIVING | ★☆☆☆☆ | 80 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.