Prairie Manor Nrsg & Rehab Ctr

Penalties

• Sep 12, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)

Inspection findings

1. Dec 23, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Dec 31, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 31, 2025 · CMS health inspection

2. Apr 7, 2025 Health · 1 finding
   • 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 Apr 18, 2025 · CMS health inspection

3. Feb 14, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Feb 25, 2025 · CMS health inspection

4. Sep 12, 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 Sep 16, 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: 300.610a), 300.1210b), and 300.1210d)3)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)

5. Jul 12, 2024 Health · 13 findings
   • 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 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0849 Administration Deficiencies

     Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

     Corrected Jul 22, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Aug 8, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Jul 29, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jul 30, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Sep 13, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jul 25, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Jul 25, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Jul 25, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0781 Miscellaneous Deficiencies

     Have restrictions on the use of portable space heaters.

     Corrected Jul 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 Jul 25, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jul 29, 2024 · CMS fire safety

6. Aug 22, 2023 Health · 2 findings
   • 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 Aug 28, 2023 · 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 Aug 28, 2023 · CMS health inspection

7. Aug 4, 2023 Fire Safety · 17 findings
   • Not serious Scope/severity F

     E0015 Emergency Preparedness Deficiencies

     Address subsistence needs for staff and patients.

     Corrected Sep 5, 2023 · CMS fire safety

   • Not serious Scope/severity F

     E0022 Emergency Preparedness Deficiencies

     Establish policies and procedures for sheltering.

     Corrected Sep 5, 2023 · CMS fire safety

   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Sep 5, 2023 · 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 Aug 14, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Aug 14, 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 Aug 14, 2023 · 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 Aug 14, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Aug 14, 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 Aug 14, 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 Aug 14, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0849 Administration Deficiencies

     Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

     Corrected Aug 14, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 14, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Sep 5, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Aug 23, 2023 · 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 Aug 23, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0915 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper power supply for life support equipment.

     Corrected Aug 23, 2023 · CMS fire safety

8. Aug 25, 2022 Health · 16 findings
   • Serious Scope/severity G

     F0550 Resident Rights Deficiencies

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

     Corrected Sep 8, 2022 · CMS health inspection

   • Serious Scope/severity G

     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 Sep 8, 2022 · CMS health inspection

   • Not serious Scope/severity D

     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 Sep 8, 2022 · CMS health inspection

   • Serious Scope/severity G

     F0637 Resident Assessment and Care Planning Deficiencies

     Assess the resident when there is a significant change in condition

     Corrected Sep 8, 2022 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Sep 8, 2022 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

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

     Corrected Sep 8, 2022 · CMS health inspection

   • Not serious Scope/severity E

     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 Sep 8, 2022 · CMS health inspection

   • Not serious Scope/severity E

     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 Sep 8, 2022 · 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 Sep 8, 2022 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 8, 2022 · CMS health inspection

   • Not serious Scope/severity F

     F0885 Infection Control Deficiencies

     Report COVID19 data to residents and families.

     Corrected Sep 8, 2022 · CMS health inspection

   • Not serious Scope/severity F

     F0886 Infection Control Deficiencies

     Perform COVID19 testing on residents and staff.

     Corrected Sep 8, 2022 · CMS health inspection

   • Not serious Scope/severity F

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

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

     Corrected Sep 21, 2022 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Sep 21, 2022 · CMS fire safety

   • Not serious Scope/severity E

     K0930 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper storage of liquid oxygen.

     Corrected Sep 21, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• ARONIN, DAVID — operational/managerial control, NOT APPLICABLE, since 01/01/2013
• ISRAEL, LEVI — operational/managerial control, NOT APPLICABLE, since 01/01/2013
• JOSHI, SANJEEV — operational/managerial control, NOT APPLICABLE, since 01/01/2013
• JOSHI, SANJEEV — adp of the snf, NOT APPLICABLE, since 01/01/2013
• ROTHNER, DANIEL — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• ROTHNER, MELISSA — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• ROTHNER, RACHEL — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• ROTHNER, WILLIAM — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• RUDOLPH, KIMBERLY — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• STUCKER, MARY — operational/managerial control, NOT APPLICABLE, since 01/01/2013
• STUCKER, MARY — adp of the snf, NOT APPLICABLE, since 01/01/2013
• VALES, ADAM — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• VALES, KATHRYN — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• ADAMS VALES ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• ADAMS VALES ACCUMULATION TRUST — adp of the snf, NOT APPLICABLE, since 01/01/2013
• ADAMS VALES ACCUMULATION TRUST — 5% or greater direct ownership interest, 11%, since 01/01/2013
• DANIEL ROTHNER ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 09/01/2013
• DANIEL ROTHNER ACCUMULATION TRUST — 5% or greater direct ownership interest, 11%, since 09/01/2013
• DANIEL ROTHNER ACCUMULATION TRUST — adp of the snf, NOT APPLICABLE, since 01/23/2025
• EXTENDED CARE CLINICAL LLC — adp of the snf, NOT APPLICABLE, since 01/01/2013
• EXTENDED CARE CONSULTING LLC — adp of the snf, NOT APPLICABLE, since 01/01/2013
• KATHRYN VALES ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• KATHRYN VALES ACCUMULATION TRUST — 5% or greater direct ownership interest, 11%, since 01/01/2013
• KATHRYN VALES ACCUMULATION TRUST — adp of the snf, NOT APPLICABLE, since 01/23/2025
• KIMBERLY VALES ACCUMULATION TRUST — adp of the snf, NOT APPLICABLE, since 01/23/2025
• KIMBERLY VALES ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• KIMBERLY VALES ACCUMULATION TRUST — 5% or greater direct ownership interest, 11%, since 01/01/2013
• MELISSA ROTHNER ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• MELISSA ROTHNER ACCUMULATION TRUST — adp of the snf, NOT APPLICABLE, since 01/23/2025
• MELISSA ROTHNER ACCUMULATION TRUST — 5% or greater direct ownership interest, 11%, since 01/01/2013
• NATHAN AND SHIRLEY ROTHNER FAMILY TRUST — 5% or greater direct ownership interest, 22%, since 01/01/2013
• NATHAN AND SHIRLEY ROTHNER FAMILY TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• RACHEL ROTHNER ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013
• RACHEL ROTHNER ACCUMULATION TRUST — 5% or greater direct ownership interest, 11%, since 01/01/2013
• RACHEL ROTHNER ACCUMULATION TRUST — adp of the snf, NOT APPLICABLE, since 01/23/2025
• WILLIAM ROTHNER ACCUMULATION TRUST — 5% or greater direct ownership interest, 11%, since 01/01/2013
• WILLIAM ROTHNER ACCUMULATION TRUST — adp of the snf, NOT APPLICABLE, since 01/23/2025
• WILLIAM ROTHNER ACCUMULATION TRUST — trustee of the snf, NOT APPLICABLE, since 01/01/2013