Macomb Post Acute Care Center

Penalties

• Oct 23, 2024 — IDPH fine (Nursing Home Care Act) ($1,100)
• Dec 23, 2023 — IDPH fine (Nursing Home Care Act) ($25,000)

Inspection findings

1. May 12, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 13, 2026 · CMS health inspection

2. Apr 17, 2025 Health · 5 findings
   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Apr 30, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0761 Pharmacy Service Deficiencies

     Ensure 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.

     Corrected Apr 30, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0806 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

     Corrected Apr 30, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 30, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Apr 30, 2025 · CMS fire safety

3. Oct 23, 2024 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Oct 24, 2024 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Oct 24, 2024 · CMS health inspection

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), and 300.1210d)3).

     Statement of deficiencies (PDF)

4. Jun 5, 2024 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 14, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 7, 2024 · CMS health inspection

5. Feb 23, 2024 Health · 16 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Mar 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Mar 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Mar 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Mar 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement 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.

     Corrected Mar 7, 2024 · CMS health inspection

   • Not serious Scope/severity C

     F0847 Administration Deficiencies

     Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

     Corrected Feb 24, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Feb 24, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 24, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Feb 24, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Feb 28, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 24, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0354 Smoke Deficiencies

     Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

     Corrected Feb 24, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Feb 24, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Feb 24, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0911 Gas, Vacuum, and Electrical Systems Deficiencies

     Meet requirements for the installation and maintenance of electrical systems.

     Corrected Feb 24, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Feb 24, 2024 · CMS fire safety

6. Dec 23, 2023 Health · 4 findings
   • Not serious Scope/severity E Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Dec 24, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Dec 24, 2023 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Dec 24, 2023 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), 300.1210d)6), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

7. Oct 4, 2023 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Oct 23, 2023 · CMS health inspection

8. Jan 13, 2023 Health · 14 findings
   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Jan 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jan 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jan 26, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Jan 26, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Jan 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure 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.

     Corrected Jan 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jan 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0808 Nutrition and Dietary Deficiencies

     Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

     Corrected Jan 26, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 23, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Mar 31, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Mar 31, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Feb 26, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0914 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

     Corrected Feb 26, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Feb 26, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• COOK, WINDY — operational/managerial control, NOT APPLICABLE, since 06/01/2021
• COOK, WINDY — adp of the snf, NOT APPLICABLE, since 06/01/2021
• ERBLICH, AVRAHAM — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• ERBLICH, AVRAHAM — adp of the snf, NOT APPLICABLE, since 06/01/2021
• ERBLICH, AVRAHAM — operational/managerial control, NOT APPLICABLE, since 06/01/2021
• FRIEDMAN, BENJAMIN — operational/managerial control, NOT APPLICABLE, since 06/01/2021
• FRIEDMAN, BENJAMIN — adp of the snf, NOT APPLICABLE, since 06/01/2021
• FRIEDMAN, BENJAMIN — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• MATHEW, STANLEY — adp of the snf, NOT APPLICABLE, since 05/01/2025
• MATHEW, STANLEY — operational/managerial control, NOT APPLICABLE, since 05/01/2025
• MATHEW, STANLEY — managing control - governing body, NOT APPLICABLE, since 05/01/2025
• MAYHUGH, KIMBERLY — operational/managerial control, NOT APPLICABLE, since 01/20/2022
• MAYHUGH, KIMBERLY — adp of the snf, NOT APPLICABLE, since 06/01/2021
• MILLMAN, CHAIM — adp of the snf, NOT APPLICABLE, since 06/01/2021
• MILLMAN, CHAIM — operational/managerial control, NOT APPLICABLE, since 06/01/2021
• MILLMAN, CHAIM — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• NEWHOUSE, ERIC — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• NEWHOUSE, ERIC — trustee of the snf, NOT APPLICABLE, since 06/01/2021
• NEWHOUSE, ERIC — indirect ownership interest, NOT APPLICABLE, since 06/01/2021
• NEWHOUSE, TEMI — trustee of the snf, NOT APPLICABLE, since 06/01/2021
• PLEW, ANDREA — adp of the snf, NOT APPLICABLE, since 06/01/2021
• PLEW, ANDREA — operational/managerial control, NOT APPLICABLE, since 06/01/2021
• SHEPS, BORUCH — adp of the snf, NOT APPLICABLE, since 06/01/2021
• SHEPS, BORUCH — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• SHEPS, BORUCH — operational/managerial control, NOT APPLICABLE, since 06/01/2021
• E NEWHOUSE FAMILY TRUST — adp of the snf, NOT APPLICABLE, since 06/01/2021
• ETN FAMILY HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 06/01/2021
• ETN FAMILY HOLDINGS LLC — operational/managerial control, NOT APPLICABLE, since 06/01/2021
• MACOMB REALTY LLC — adp of the snf, NOT APPLICABLE, since 06/01/2021
• STERN THERAPY CONSULTANTS LLC — adp of the snf, NOT APPLICABLE, since 05/25/2025
• STERN THERAPY CONSULTANTS LLC — operational/managerial control, NOT APPLICABLE, since 06/01/2021
• T NEWHOUSE FAMILY TRUST — adp of the snf, NOT APPLICABLE, since 06/01/2021