The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
PEKIN MANOR
PEKIN, IL · Medicare-certified · 130 beds
Needs attention
Non-profitChain member
4 of 5 overall
Pekin Manor in Pekin, IL has a 4 out of 5 overall rating, with solid health inspection results but weaker quality measures and staffing at 3 of 5. Reported nurse staffing is 4.56 hours per resident per day, above the federal benchmark of 4.1, and the facility had $14,015 in fines in the last 24 months with a recent federal penalty; recent inspection issues included pressure ulcer care, accident hazards/supervision, and infection control.
Facility ratings
Health inspections
Staffing
4.5588 hrs/resident/day
Quality measures
Last inspection: June 27, 2025Penalties, last 24 months: $14,015recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5588.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 0.61
- Nurse aides
- 3.39
- Weekend nursing
- 4.25
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 50%
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
9.5%6.8%Improving
Residents with a fall causing major injury
11.5%8.6%Improving
Residents with pressure ulcers (bedsores)
1.7%0.9%Improving
Residents with a urinary tract infection
0%4.3%Worsening
Residents who lost too much weight
4.8%1.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
42.4%20.8%Improving
Residents whose ability to walk got worse
34.2%19.5%Improving
Long-stay residents on antianxiety or sleep medication
16.1%15.5%Improving
Short-stay residents newly given an antipsychotic
1.9%0%Improving
Residents with a long-term catheter
0%1.1%Worsening
Residents with new or worsening incontinence
36%23.9%Improving
Residents with depressive symptoms
49.3%13.8%Improving
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
—98.8%—
Long-stay residents given the pneumonia vaccine
98.7%97.1%Worsening
Short-stay residents given the seasonal flu vaccine
—84.6%—
Short-stay residents given the pneumonia vaccine
87.6%90.2%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
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 September 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $14,015 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $14,015 in total fines.
- $14,015
Federal fine
Jun 27, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of UNLIMITED DEVELOPMENT, INC. · 10 homes · 2.6 stars avg
- Occupancy
- 90.5 residents on an average day (70% of 130 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.