The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: J
Nursing home report
ZION, IL · Medicare-certified · 115 beds
1-star facility with 1-star health inspections, 2-star staffing and quality, and nurse staffing above the federal benchmark at 5.09 vs 4.1 hours per resident per day. It also has $115,135 in fines in the last 24 months and a recent abuse citation, with recent inspection problems involving pain management, accident hazards/supervision, and pressure ulcer care.
Health inspections
Staffing
5.0911 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0911.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 697 — 42 CFR §483.25(k) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2024 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2024 — isolated incident, actual harm.
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 3 health deficiencies.
A federal fine of $22,315 was recorded.
A federal payment denial was recorded.
A federal fine of $92,820 was recorded.
On record with Medicare: 4 fines · $263,264 in total fines · 3 payment denials.
Federal fine
Apr 30, 2025
Medicare/Medicaid payment denial
Jul 12, 2024
Federal fine
Jul 12, 2024
Medicare/Medicaid payment denial
Jan 2, 2024
Federal fine
Jan 2, 2024
Federal fine
Oct 23, 2023
Medicare/Medicaid payment denial
May 24, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.