The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
MONTGOMERY NURSING & REHAB CTR
HILLSBORO, IL · Medicare-certified · 110 beds
Needs attention
For-profitChain member
3 of 5 overall
Montgomery Nursing & Rehab Ctr has an overall 3-star rating, with a strong 4-star health inspection score but a 1-star staffing rating; reported nurse staffing is 2.76 hours per resident per day versus the 4.1-hour federal benchmark, and it has $12,048 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.763 hrs/resident/day
Quality measures
Last inspection: March 24, 2026Penalties, last 24 months: $12,048recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.763.
Staffing detail
- Registered nurses
- 0.25
- Licensed practical nurses
- 0.60
- Nurse aides
- 1.92
- Weekend nursing
- 2.53
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.2%Worsening
Residents with a fall causing major injury
4.2%Improving
Residents with pressure ulcers (bedsores)
5.9%Improving
Residents with a urinary tract infection
2%Improving
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.3%Worsening
Residents whose ability to walk got worse
10.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
7.2%Steady
Short-stay residents newly given an antipsychotic
1.2%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.1%Improving
Residents with depressive symptoms
76.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited February 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to properly label and securely store medications and biologicals. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $12,048 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,048 in total fines.
- $12,048
Federal fine
May 23, 2024
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of HELIA HEALTHCARE · 13 homes · 2.3 stars avg
- Occupancy
- 68.7 residents on an average day (62% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 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.