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
Liberty Village of Pekin
Registered name: PEKIN MANOR
PEKIN, IL · Medicare-certified · 130 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
4 of 5 overall
Liberty Village of Pekin has a 4-star overall rating, with stronger health inspection results (4 stars) but lower staffing and quality measures ratings (2 stars each). Reported nurse staffing is 4.23 hours per resident per day, slightly above the federal benchmark of 4.1, and the facility has had $9,110 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.231 hrs/resident/day
Quality measures
Last inspection: June 27, 2025Penalties, last 24 months: $9,110recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.231.
Staffing detail
- Registered nurses
- 0.55
- Licensed practical nurses
- 0.53
- Nurse aides
- 3.15
- Weekend nursing
- 4.03
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 55%
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
6.8%10.6%Worsening
Residents with a fall causing major injury
10.5%2.9%Improving
Residents with pressure ulcers (bedsores)
3.2%1.1%Improving
Residents with a urinary tract infection
2.6%0%Improving
Residents who lost too much weight
1.7%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
40%17.3%Improving
Residents whose ability to walk got worse
43.2%27.3%Improving
Long-stay residents on antianxiety or sleep medication
15.3%15.8%Worsening
Short-stay residents newly given an antipsychotic
0.7%0.8%No change
Residents with a long-term catheter
0%1%Worsening
Residents with new or worsening incontinence
22.8%27.8%Worsening
Residents with depressive symptoms
23%20%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
97.4%92.8%Worsening
Short-stay residents given the seasonal flu vaccine
—84.6%—
Short-stay residents given the pneumonia vaccine
87.1%84.3%Worsening
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
- PENALTY
A federal fine of $9,110 was recorded.
- 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 · $9,110 in total fines.
- $9,110
Federal fine
Jun 27, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of UNLIMITED DEVELOPMENT, INC. · 10 homes · 2.4 stars avg
- Occupancy
- 97.1 residents on an average day (75% 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.