Mt Zion Health & Rehab Center
A nursing home in Mount Zion, Illinois 62549
1225 Woodland Drive, Mount Zion, Illinois 62549. (217) 864-2356.
- Cited for abuse (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 22 health citations at the latest inspection cycle Illinois average: 12.7
- 3.19 nurse hours per resident per day Illinois average: 3.47
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
22 health citations at the latest inspection cycle
The Illinois average is 12.7.
Last standard inspection Jan 7, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Apr 28, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
34 citations in 10 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 34 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 19 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 31, 2026: complaint inspection1 citation
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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.
Jul 14, 2026: complaint inspection1 citation
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 28, 2026: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
Apr 28, 2026: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 9, 2026: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jan 7, 2026: standard inspection7 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Provide and implement an infection prevention and control program.
Dec 16, 2025: complaint inspection7 citations
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Provide care by qualified persons according to each resident’s written plan of care.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure that residents are free from significant medication errors.
Oct 14, 2025: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 18, 2025: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jun 6, 2024: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 2, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 9, 2024: standard inspection8 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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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.
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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.
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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.
Feb 9, 2024: standard and complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Sep 6, 1985.
- Not on CMS’s special focus list.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 71 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $31,005 in all.
- 1 Medicare payment denial in the last three years.
- 19 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 9, 2026 | Medicare payment denial | Not given |
| Dec 16, 2025 | Fine | $31,005 |
Who does the caring?
3.19 nurse hours per resident per day
The Illinois average is 3.47.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Illinois average |
|---|---|---|
| Nurse hours per resident per day | 3.19 | 3.47 |
| Of which registered nurses | 0.52 | 0.71 |
| At weekends | 2.79 | 3.08 |
| Nursing staff turnover | 62.2% | 43.7% |
| Registered nurse turnover | 50% | 41.5% |
| Administrators who left | 2 | Not given |
Who owns it?
- SC Illinois Holdco LLC owns 100% directly since Jul 1, 2023.
- Light Man LLC runs it.
- 3 owners or officers are people: Shalom Lichtman (corporate officer); Shalom Lichtman (runs it (operational or managerial control)); Lacy Clark (managing employee (on the payroll)).
- Part of Summit Healthcare Consulting (9 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| SC Illinois Holdco LLC | Owns 5% or more directly | 100% | Jul 1, 2023 |
| SC Illinois I Tbd Holdco LLC | Owns 5% or more through other companies | 100% | Jul 1, 2023 |
| Apogee Tr | Owns 5% or more through other companies | 20% | Jul 1, 2023 |
| Light Man LLC | Runs it (operational or managerial control) | Jul 1, 2023 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Illinois average 3.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 25.4 miles, this one had the 7th most health citations at the latest inspection cycle (22; the middle value was 22.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Mt Zion Health & Rehab Center This nursing home | 22 | |
| Imboden Creek Senior Living | 4.8 | 36 |
| Fair Havens Senior Living | 6.0 | 36 |
| Loft Rehab of Decatur | 7.5 | 23 |
| The Loft Rehab of Rock Springs | 7.6 | 16 |
| Decatur Rehab & Health Care Ct | 7.8 | 19 |
| Arc at Hickory Point | 10.6 | 24 |
| The Haven of Bement. | 18.7 | 19 |
| Eastview Healthcare & Senior Living | 19.5 | 14 |
| Sullivan Healthcare & Senior Living | 19.8 | 32 |
| Piatt County Nursing Home | 23.7 | 3 |
| Goldwater Care Clinton | 25.4 | 56 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.