MT ZION HEALTH & REHAB CENTER
MT ZION HEALTH & REHAB CENTER is a 71-bed nursing home in MOUNT ZION, Illinois. CMS has certified it for Medicare and Medicaid since 1985-09-06. It averages 64.2 residents a day.
What harm was found in the violations cited at MT ZION HEALTH & REHAB CENTER?
CMS lists 48 health-inspection deficiencies for MT ZION HEALTH & REHAB CENTER since 2022-12-06, 32 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-28 | F0689, F0770 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide timely, quality laboratory services/tests to meet the needs of residents. | D |
| 2026-04-28 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-04-09 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2026-01-07 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2026-01-07 | F0600, F0609, F0677, F0684, F0689, F0693 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D |
| 2025-12-16 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | G |
| 2025-12-16 | F0689, F0760 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors. | E |
| 2025-12-16 | F0550, F0609, F0610, F0659 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide care by qualified persons according to each resident's written plan of care. | D |
| 2025-10-14 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-10-14 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-04-18 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-06-06 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-05-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-02-09 | F0761, F0801, F0880 | Ensure 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. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Provide and implement an infection prevention and control program. | F |
| 2024-02-09 | F0756, F0758 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement 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. | E |
| 2024-02-09 | F0550, F0661, F0689, F0690 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2022-12-06 | F0727, F0755, F0812, F0880, F0882 | Have 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2022-12-06 | F0580, F0758 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Implement 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. | E |
| 2022-12-06 | F0600, F0604, F0657, F0686, F0689, F0695, F0883 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2022-12-06 | F0575, F0577 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C |
Why was MT ZION HEALTH & REHAB CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2025-12-16 | Fine | $47,700 |
How is MT ZION HEALTH & REHAB CENTER staffed relative to the IL average?
| Measure | This facility | IL average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.21970 | 3.44603 |
| Total nursing staff turnover (%) | 56.3 | 44.5 |
| Average number of residents per day | 64.2 | 95.4 |
Who owns MT ZION HEALTH & REHAB CENTER, and what chain is it in?
MT ZION HEALTH & REHAB CENTER is registered with CMS as For profit - Corporation, operates under the legal business name MOUNT ZION HEALTH AND REHAB CENTER LLC and belongs to the SUMMIT HEALTHCARE CONSULTING chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | SC ILLINOIS HOLDCO LLC | since 07/01/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | APOGEE TR, SC ILLINOIS I TBD HOLDCO LLC | since 07/01/2023 |
| W-2 MANAGING EMPLOYEE | CLARK, LACY | since 07/01/2023 |
| CORPORATE OFFICER | LICHTMAN, SHALOM | since 07/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | LIGHT MAN LLC, LICHTMAN, SHALOM | since 07/01/2023 |
Were you or a family member harmed at MT ZION HEALTH & REHAB CENTER?