RecordWell Data

Shelbyville Manor

Nursing home · 1111 WEST NORTH 12TH STREET, Shelbyville, IL 62565 · Shelby County

1★Medicare overall
61cited deficiencies
9harm or jeopardy level
7penalties

Prices

$226 – $245 per day (Nursing care, shared and private rooms)
Daily private-pay room rate the facility reported to the Illinois Health Facilities and Services Review Board for 2024 (state data file). This is what the facility reported for that year, not a current quote.

Facility

Type
Nursing home
Capacity
109
State license
145441
Medicare CCN
145441
Licensed entity
UNLIMITED DEVELOPMENT, INC
Chain
UNLIMITED DEVELOPMENT, INC.
Ownership
Non profit - Corporation
Phone
(217) 774-2111
Nurse staffing
4.28 hours per resident per day; 60.0% nursing staff turnover
Medicare ratings
Inspections 2★ · Staffing 2★ · Quality 1★
CMS abuse flag
Cited for abuse (CMS marks this facility with its abuse icon)
Official record
Illinois Department of Public Health nursing home pages
Official record
Medicare Care Compare

Other public records for this operator

Penalties

Inspection findings

  1. May 7, 2026 Health · 2 findings
    • Serious Scope/severity G Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected May 22, 2026 · 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 May 22, 2026 · CMS health inspection

  2. Mar 5, 2026 Health · 4 findings
    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Mar 27, 2026 · CMS health inspection

    • Not serious Scope/severity D 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 Mar 27, 2026 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0744 Quality of Life and Care Deficiencies

      Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

      Corrected Mar 27, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      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 Mar 27, 2026 · CMS health inspection

  3. Nov 16, 2025 Health · 2 findings
    • Not serious Scope/severity E 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 Nov 18, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0921 Environmental Deficiencies

      Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      Corrected Nov 18, 2025 · CMS health inspection

  4. Oct 23, 2025 Health · 2 findings
    • Serious Scope/severity G Complaint

      F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      Corrected Oct 27, 2025 · 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)

  5. Jul 22, 2025 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Aug 11, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Aug 11, 2025 · CMS health inspection

  6. May 2, 2025 Fire Safety · 21 findings
    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected May 29, 2025 · CMS fire safety

    • Not serious Scope/severity D

      F0550 Resident Rights Deficiencies

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

      Corrected May 12, 2025 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected May 20, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0640 Resident Assessment and Care Planning Deficiencies

      Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      Corrected May 13, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0644 Resident Assessment and Care Planning Deficiencies

      Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      Corrected May 22, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0645 Resident Assessment and Care Planning Deficiencies

      PASARR screening for Mental disorders or Intellectual Disabilities

      Corrected May 22, 2025 · CMS health inspection

    • Serious Scope/severity G

      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 May 12, 2025 · CMS health inspection

    • Not serious Scope/severity E

      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 May 12, 2025 · 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 May 16, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0697 Quality of Life and Care Deficiencies

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

      Corrected May 16, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0740 Quality of Life and Care Deficiencies

      Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

      Corrected May 16, 2025 · CMS health inspection

    • Not serious Scope/severity F

      K0341 Smoke Deficiencies

      Install a fire alarm system that can be heard throughout the facility.

      Corrected May 13, 2025 · 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 May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jun 13, 2025 · 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 May 29, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0711 Miscellaneous Deficiencies

      Provide a written emergency evacuation plan.

      Corrected May 30, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected May 22, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0761 Miscellaneous Deficiencies

      To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      Corrected May 22, 2025 · 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 May 30, 2025 · CMS fire safety

    • 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), 300.1210c), and 300.1210d)6). 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)

    • 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), 300.1210b), 300.1210d)6), and 300.3240a). 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), 300.1210d)6), and 300.3240a).

      Statement of deficiencies (PDF)

  7. Nov 8, 2024 Health · 1 finding
    • Not serious Scope/severity D 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 Nov 15, 2024 · CMS health inspection

  8. Sep 27, 2024 Health · 2 findings
    • 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 Oct 4, 2024 · 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: 300.1210b) and 300.1210d)6). 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)

  9. Jun 7, 2024 Health · 16 findings
    • Not serious Scope/severity E

      F0550 Resident Rights Deficiencies

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

      Corrected Jun 26, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Jun 27, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0658 Resident Assessment and Care Planning Deficiencies

      Ensure services provided by the nursing facility meet professional standards of quality.

      Corrected Jun 27, 2024 · 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 Jun 27, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Jun 27, 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 Jun 27, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0801 Nutrition and Dietary Deficiencies

      Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

      Corrected Jul 2, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0804 Nutrition and Dietary Deficiencies

      Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      Corrected Jun 27, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0805 Nutrition and Dietary Deficiencies

      Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      Corrected Jun 27, 2024 · 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 Jul 2, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jun 27, 2024 · CMS health inspection

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      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.

      CMS fire safety

    • Not serious Scope/severity E

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      CMS fire safety

  10. Mar 13, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Mar 20, 2024 · CMS health inspection

  11. Jun 28, 2023 Health · 8 findings
    • Not serious Scope/severity D

      F0578 Resident Rights Deficiencies

      Honor 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.

      Corrected Jul 15, 2023 · 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 Jul 15, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0727 Nursing and Physician Services Deficiencies

      Have 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.

      Corrected Jul 15, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0801 Nutrition and Dietary Deficiencies

      Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

      Corrected Jul 15, 2023 · CMS health inspection

    • Not serious Scope/severity C

      F0803 Nutrition and Dietary Deficiencies

      Ensure 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.

      Corrected Jul 15, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0847 Administration Deficiencies

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

      Corrected Jul 15, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0908 Environmental Deficiencies

      Keep all essential equipment working safely.

      Corrected Jul 15, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0919 Environmental Deficiencies

      Make sure that a working call system is available in each resident's bathroom and bathing area.

      Corrected Jul 15, 2023 · CMS health inspection

Owners and managers (as published by CMS)

Sources: CMS's list of certified Illinois nursing homes, IDPH's quarterly nursing home violation reports and the rates facilities reported to HFSRB and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.