Elder Care Record

Illinois › Warren County › Monmouth

Monmouth Rehab and Nursing

117 South I Street, Monmouth, IL 61462

CCN 146057 · For-profit, limited liability company · 58 certified beds · chain Stern Consultants

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.

Monmouth Rehab and Nursing, in Monmouth, Illinois, is certified for 58 beds under for-profit, limited liability company ownership and belongs to the Stern Consultants chain.

CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 1, staffing 2 and quality measures 4.

Inspectors recorded 48 health deficiencies across the three most recent survey cycles (17, 21, 10 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 82.8 per 100 beds, more than the state median of 28.4.

CMS lists 5 penalties in the period covered: fines totalling $233K and 1 payment denial.

Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Illinois median of 3.3; nursing staff turnover is 45.5%.

48health deficiencies, 3 survey cycles7 at actual harm or worse
$233Kfines listed by CMS5 penalties in period
3.3nurse hours per resident per daystate median 3.3
65%occupancy (residents ÷ beds)38 residents a day

Compared with county, state and nation

MeasureThis facilityWarren Co. medianIllinois medianUS average
Overall star rating1123.0
Health citations, 3 cycles48483428.7
Citations per 100 beds82.882.828.426.8
Total nurse hours per resident day3.33.43.33.9
RN hours per resident day0.60.60.60.7
Nursing staff turnover45.5%46.7%43.4%45.8%
Fines listed$233,350$233,350$45,123—

County and state figures are medians across facilities (2 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)17
Cycle 221
Cycle 310

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Mar 2026, 20 Dec 2024.

Severity mix: J ×2 L ×1 G ×4 D ×31 E ×3 F ×7

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
20 Mar 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.FStandard survey26 Mar 2026
20 Mar 2026F0565Honor the resident's right to organize and participate in resident/family groups in the facility.FStandard survey26 Mar 2026
20 Mar 2026F0880Provide and implement an infection prevention and control program.FStandard survey26 Mar 2026
20 Mar 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.FStandard survey26 Mar 2026
20 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey26 Mar 2026
20 Mar 2026F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey26 Mar 2026
20 Mar 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey26 Mar 2026
20 Mar 2026F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey26 Mar 2026
20 Mar 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 survey26 Mar 2026
20 Mar 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey26 Mar 2026
20 Mar 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey26 Mar 2026
20 Mar 2026F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey26 Mar 2026
20 Mar 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey26 Mar 2026
20 Mar 2026F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey26 Mar 2026
29 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation30 Jan 2026
29 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation30 Jan 2026
11 Sep 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint investigation12 Sep 2025
1 Jul 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation2 Jul 2025
1 Jul 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation2 Jul 2025
1 Jul 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation2 Jul 2025
1 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation2 Jul 2025
1 Jul 2025F0610Respond appropriately to all alleged violations.DComplaint investigation2 Jul 2025
1 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation2 Jul 2025
1 Jul 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation31 Jul 2025
18 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation19 Jun 2025
18 Jun 2025F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DComplaint investigation19 Jun 2025
17 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation9 Apr 2025
20 Dec 2024F0881Implement a program that monitors antibiotic use.FStandard survey1 Feb 2025
20 Dec 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.EStandard survey1 Feb 2025
20 Dec 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey1 Feb 2025
20 Dec 2024F0578Honor 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.DStandard survey1 Feb 2025
20 Dec 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey1 Feb 2025
20 Dec 2024F0641Ensure each resident receives an accurate assessment.DStandard survey1 Feb 2025
20 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 Feb 2025
4 Oct 2024F0693Ensure 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.JComplaint investigation28 Oct 2024
4 Oct 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint investigation28 Oct 2024
4 Oct 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.GComplaint investigation28 Oct 2024
4 Oct 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FComplaint investigation28 Oct 2024
21 May 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation22 May 2024
29 Nov 2023F0880Provide and implement an infection prevention and control program.LStandard survey26 Dec 2023
29 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey19 Dec 2023
29 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey19 Dec 2023
29 Nov 2023F0688Provide 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.DStandard survey19 Dec 2023
29 Nov 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey19 Dec 2023
29 Nov 2023F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey19 Dec 2023
29 Nov 2023F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey30 Nov 2023
29 Nov 2023F0758Implement 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 survey19 Dec 2023
29 Nov 2023F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey15 Dec 2023

Penalties

DateTypeAmountDetail
29 Jan 2026Fine$19,120
11 Sep 2025Fine$19,115
18 Jun 2025Payment denial—14 days
4 Oct 2024Fine$110,975
29 Nov 2023Fine$84,140

Staffing

Total nursing3.33 h
Nurse aides1.95 h
LPN0.73 h
RN0.64 h
Weekend total3.02 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 45.5%, RNs 66.7%; 1 administrator 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 Stay10.7%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.5%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.4%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.7%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.7%12.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.3%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.7%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: for-profit, limited liability company. Legal business name: Monmouth Rehab And Nursing Llc. Chain: Stern Consultants (22 facilities).

OrganisationRole in the CMS recordInterestSince
Tlco Holdings LLCDirect ownership interestNOT APPLICABLE04/01/2025
Tlco Holdings LLCOperational/managerial controlNOT APPLICABLE04/01/2025
Tlco Holdings LLCAdp of the snfNOT APPLICABLE04/01/2025

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 Warren County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Goldwater Care RosevilleRoseville991113535.4$139K10 Sep 2025

All 2 facilities in Warren County

Questions and answers

How many deficiencies has Monmouth Rehab and Nursing been cited for?

48 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has Monmouth Rehab and Nursing been fined?

Yes. CMS lists fines totalling $233K in the period covered, plus 1 payment denial.

How does staffing at Monmouth Rehab and Nursing compare?

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

Who operates Monmouth Rehab and Nursing?

It is part of the Stern Consultants chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Tlco Holdings LLC and Tlco Holdings LLC. Individual owners and managers are not listed on this site.

When was Monmouth Rehab and Nursing last inspected?

The most recent survey or investigation in the CMS record is dated 20 Mar 2026; the most recent standard health survey was 20 Mar 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.