The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
ELMS, THE
MACOMB, IL · Medicare-certified · 98 beds
In good standing
Government-run
5 of 5 overall
5 out of 5 stars overall. The Elms in Macomb, IL has 5-star health inspection and staffing ratings, 3-star quality measures, reported nursing staffing above the federal benchmark (5.03 vs 4.1 hours per resident per day), and no fines in the last 24 months; recent inspection citations included pressure ulcer care, infection prevention and control, and resident rights.
Facility ratings
Health inspections
Staffing
5.0304 hrs/resident/day
Quality measures
Last inspection: March 13, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0304.
Staffing detail
- Registered nurses
- 1.14
- Licensed practical nurses
- 0.54
- Nurse aides
- 3.35
- Weekend nursing
- 4.41
Hours per resident per day.
Total staff turnover: 29%
Registered nurse turnover: 28%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.3%11.1%Worsening
Residents with a fall causing major injury
3.1%3.4%No change
Residents with pressure ulcers (bedsores)
2%5.5%Worsening
Residents with a urinary tract infection
12.5%10.2%Improving
Residents who lost too much weight
17%17.4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.4%15.9%Improving
Residents whose ability to walk got worse
30%5.4%Improving
Long-stay residents on antianxiety or sleep medication
18.5%21.7%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.4%0%Improving
Residents with new or worsening incontinence
33.3%30.2%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
90.8%94.9%Improving
Short-stay residents given the seasonal flu vaccine
—79.4%—
Short-stay residents given the pneumonia vaccine
87.3%65.1%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2026 — isolated incident, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: D
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited March 2025 — isolated incident, potential for harm.
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F-Tag 758 — 42 CFR §483.45(e) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 63.3 residents on an average day (65% of 98 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
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.