The nursing home failed to ensure residents were free from significant medication errors. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
THE HAVEN OF ST. ELMO
ST ELMO, IL · Medicare-certified · 60 beds
In good standing
For-profitChain member
2 of 5 overall
THE HAVEN OF ST. ELMO has an overall rating of 2 out of 5 stars, with a 1-star staffing rating and reported staffing of 3.09 hours per resident per day versus the 4.1-hour federal benchmark. Health inspection is 3 stars, quality measures are 2 stars, there were no fines in the last 24 months, and recent citations included medication errors and not enough nursing staff/RN coverage.
Facility ratings
Health inspections
Staffing
3.0891 hrs/resident/day
Quality measures
Last inspection: August 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0891.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.70
- Nurse aides
- 1.85
- Weekend nursing
- 2.79
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 67%
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
19%20%Worsening
Residents with a fall causing major injury
6.8%7.9%Worsening
Residents with pressure ulcers (bedsores)
7.3%5.7%Improving
Residents with a urinary tract infection
12.5%5.6%Improving
Residents who lost too much weight
7.5%2.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.8%5.6%Improving
Residents whose ability to walk got worse
—12.9%—
Long-stay residents on antianxiety or sleep medication
27.9%29.7%Worsening
Short-stay residents newly given an antipsychotic
—4.9%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.1%11.5%Improving
Residents with depressive symptoms
75%72.2%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
—93.9%—
Long-stay residents given the pneumonia vaccine
97.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—45.5%—
Short-stay residents given the pneumonia vaccine
68.2%100%Improving
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — 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 July 2024 — widespread issue, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of HAVEN HEALTHCARE · 7 homes · 1.3 stars avg
- Occupancy
- 40.3 residents on an average day (67% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 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.