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Facility profile · CCN 445491

The Mckendree Post Acute & Rehabilitation

37 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $252,242.

Abuse Icon Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
37
Total citations
27
Last 3 years
4
Actual harm+
2
Federal penalties
$252,242
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

37 on record
SurveyF-TagViolationSeveritySource
Nov 20, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Oct 3, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Oct 3, 2023F908Keep all essential equipment working safely.FComplaint
Oct 3, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Oct 3, 2023F758Implement 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.DComplaint
Oct 3, 2023F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DComplaint
Oct 3, 2023F700Try 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.KComplaint
Oct 3, 2023F699Provide care or services that was trauma informed and/or culturally competent.DComplaint
Oct 3, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Oct 3, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Oct 3, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 3, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 3, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Oct 3, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 3, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
Oct 3, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Oct 3, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DComplaint
Oct 3, 2023F625Notify 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
Oct 3, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Oct 3, 2023F610Respond appropriately to all alleged violations.DComplaint
Oct 3, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 3, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Oct 3, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Oct 3, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 3, 2023F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.FComplaint
Oct 3, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 3, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.GStandard
Jun 19, 2019F908Keep all essential equipment working safely.FStandard
Jun 19, 2019F880Provide and implement an infection prevention and control program.FStandard
Jun 19, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 19, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 19, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 19, 2019F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Jun 6, 2018F758Implement 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
Jun 6, 2018F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jun 6, 2018F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Jun 6, 2018F578Honor 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.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $252,242 and 1 payment-denial actions spanning 74 days.

DateTypeFinePayment denial
Oct 3, 2023Fine$252,242
Oct 3, 2023Payment DenialNov 9, 2023 · 74 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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