Elder Care Record

Illinois › Mc Donough County › Macomb

Elms, The

1212 Madelyn Avenue, Macomb, IL 61455

CCN 146033 · Government, city/county · 98 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Elms, The, in Macomb, Illinois, is certified for 98 beds under government, city/county ownership.

CMS gives it 5 of 5 stars overall, above the Illinois median of 2; the health inspection rating is 4, staffing 5 and quality measures 2.

Inspectors recorded 26 health deficiencies across the three most recent survey cycles (15, 2, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 26.5 per 100 beds, about the same as the state median of 28.4.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.7 hours per resident per day (1.1 RN), above the Illinois median of 3.3; nursing staff turnover is 28.4%.

26health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.7nurse hours per resident per daystate median 3.3
67%occupancy (residents ÷ beds)66 residents a day

Compared with county, state and nation

MeasureThis facilityMc Donough Co. medianIllinois medianUS average
Overall star rating5523.0
Health citations, 3 cycles26303428.7
Citations per 100 beds26.537.528.426.8
Total nurse hours per resident day4.74.73.33.9
RN hours per resident day1.10.90.60.7
Nursing staff turnover28.4%34.5%43.4%45.8%
Fines listed$0$0$45,123—

County and state figures are medians across facilities (4 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)15
Cycle 22
Cycle 39

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Jun 2026, 27 Mar 2025.

Severity mix: G ×1 D ×20 E ×1 F ×2 C ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
3 Jun 2026F0585Honor 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.FStandard survey25 Jun 2026
3 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey25 Jun 2026
3 Jun 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey25 Jun 2026
3 Jun 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey25 Jun 2026
3 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey25 Jun 2026
3 Jun 2026F0610Respond appropriately to all alleged violations.DStandard survey25 Jun 2026
3 Jun 2026F0637Assess the resident when there is a significant change in conditionDStandard survey25 Jun 2026
3 Jun 2026F0641Ensure each resident receives an accurate assessment.DStandard survey25 Jun 2026
3 Jun 2026F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard survey25 Jun 2026
3 Jun 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey25 Jun 2026
3 Jun 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey25 Jun 2026
3 Jun 2026F0880Provide and implement an infection prevention and control program.DStandard survey25 Jun 2026
3 Jun 2026F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey25 Jun 2026
3 Jun 2026F0732Post nurse staffing information every day.CStandard survey25 Jun 2026
13 Mar 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation19 Mar 2026
27 Mar 2025F0880Provide and implement an infection prevention and control program.EStandard survey14 Apr 2025
27 Mar 2025F0758Implement 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.DStandard survey15 Apr 2025
25 Apr 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey10 May 2024
25 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey14 May 2024
25 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey14 May 2024
25 Apr 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey10 May 2024
25 Apr 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey10 May 2024
25 Apr 2024F0758Implement 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.DStandard survey10 May 2024
25 Apr 2024F0760Ensure that residents are free from significant medication errors.DStandard survey10 May 2024
25 Apr 2024F0880Provide and implement an infection prevention and control program.DStandard survey13 May 2024
25 Jan 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation15 Feb 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.74 h
Nurse aides3.11 h
LPN0.53 h
RN1.1 h
Weekend total4.15 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 28.4%, RNs 30.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIllinois medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.3%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay8.3%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.9%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.9%12.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.9%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.0%17.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, city/county. Legal business name: County Of Mcdonough Mcdonough County Clerk.

OrganisationRole in the CMS recordInterestSince
County of Mcdonough Mcdonough County Clerk5% or greater direct ownership interestNO PERCENTAGE PROVIDED12/17/2010

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Mc Donough County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Wesley VillageMacomb73555912.3—4 Dec 2025
Macomb Post Acute Care CenterMacomb804433037.5—12 May 2026
Countryside Care CenterMacomb6221163101.6$318K11 Jun 2026

All 4 facilities in Mc Donough County

Questions and answers

How many deficiencies has Elms, The been cited for?

26 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has Elms, The been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Elms, The compare?

Reported total nurse staffing is 4.7 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.

Who operates Elms, The?

Ownership type is government, city/county. Organisations in the CMS ownership record include County of Mcdonough Mcdonough County Clerk. Individual owners and managers are not listed on this site.

When was Elms, The last inspected?

The most recent survey or investigation in the CMS record is dated 3 Jun 2026; the most recent standard health survey was 3 Jun 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.