Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 145584

Palm Garden Of Mattoon

113 federal citations on record , and 6 federal enforcement actions totaling $83,964.

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Record summary

Federal record · Q1 2026
113
Total citations
113
Last 3 years
12
Actual harm+
6
Federal penalties
$83,964
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care31 Abuse & Neglect24 Resident Rights18 Nursing & Physician Services10 Medication & Pharmacy9

Most common F-tags at this facility

F6008 F6098 F6898 F5845 F6865

Citation history

113 on record
SurveyF-TagViolationSeveritySource
Jan 29, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Jan 29, 2026F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DComplaint
Jan 29, 2026F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jan 29, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 29, 2026F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint
Jan 29, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jan 29, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Jan 29, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 29, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Jan 29, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jan 29, 2026F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Nov 30, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.FComplaint
Nov 30, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 30, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Oct 15, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 15, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Sep 24, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 24, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Sep 5, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Sep 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Aug 6, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Aug 6, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 30, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint
Apr 25, 2025F610Respond appropriately to all alleged violations.GComplaint
Apr 25, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Apr 25, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Apr 19, 2025F759Ensure medication error rates are not 5 percent or greater.DComplaint
Apr 19, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Apr 9, 2025F881Implement a program that monitors antibiotic use.DComplaint
Apr 9, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Apr 9, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Apr 9, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint
Apr 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 9, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
Apr 9, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EComplaint
Feb 24, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint
Feb 24, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint
Jan 24, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jan 24, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard
Jan 24, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Jan 24, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 24, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 24, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Jan 24, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jan 7, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jan 7, 2025F839Employ staff that are licensed, certified, or registered in accordance with state laws.DComplaint
Jan 7, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Jan 7, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jan 7, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 7, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 7, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 7, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jan 7, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 2, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 2, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Sep 12, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Jun 26, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jun 12, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 21, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 21, 2024F610Respond appropriately to all alleged violations.DComplaint
May 21, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Mar 15, 2024F825Provide or get specialized rehabilitative services as required for a resident.EComplaint
Mar 15, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Mar 15, 2024F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DStandard
Mar 15, 2024F880Provide and implement an infection prevention and control program.FStandard
Mar 15, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 15, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Mar 15, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Mar 15, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 15, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 15, 2024F732Post nurse staffing information every day.CStandard
Mar 15, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Mar 15, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 15, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 15, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Mar 15, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard
Mar 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard
Mar 15, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard
Mar 15, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Mar 15, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard
Mar 15, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Mar 15, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Feb 20, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 20, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Feb 20, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 2, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Feb 2, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Feb 2, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Jan 17, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Jan 17, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint
Nov 5, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Sep 20, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 31, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Aug 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 18, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 18, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
May 23, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
May 23, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 2 civil money penalties totaling $83,964 and 4 payment-denial actions spanning 116 days.

DateTypeFinePayment denial
Sep 5, 2025Payment Denial—Nov 13, 2025 · 3 days
Apr 9, 2025Payment Denial—May 6, 2025 · 37 days
Jan 7, 2025Fine$46,069—
Jan 7, 2025Payment Denial—Feb 6, 2025 · 29 days
May 23, 2023Fine$37,895—
May 23, 2023Payment Denial—Aug 11, 2023 · 47 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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