Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-06 | 11 | 2025-06-06 | 11 |
| Cycle 2 | 2024-05-02 | 14 | 2024-05-02 | 8 |
| Cycle 3 | 2023-03-31 | 2 | 2023-03-31 | 3 |
NURSING HOME PUBLIC RECORD
107 North Watkins Street · Cisne, IL 62823 · Wayne County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-06 | 11 | 2025-06-06 | 11 |
| Cycle 2 | 2024-05-02 | 14 | 2024-05-02 | 8 |
| Cycle 3 | 2023-03-31 | 2 | 2023-03-31 | 3 |
6 rows carry G–L scope/severity codes; 0 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-05-22 · complaintProvide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-06-01 · complaintProvide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-19 · complaintProvide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-06-01 · complaintProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaintProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-02-13 · complaintEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-07-24 · complaintDevelop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-07-16Create arrangements with other facilities to receive patients.
Correction field: Deficient, Provider has date of correction · 2025-07-18Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-08-11Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-07-28Provide 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.
Correction field: Deficient, Provider has plan of correction · 2025-07-08Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has plan of correction · 2025-06-23Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has plan of correction · 2025-06-17Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has plan of correction · 2025-06-18Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has plan of correction · 2025-06-20Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-07-18Provide properly protected cooking facilities.
Correction field: Deficient, Provider has plan of correction · 2025-07-24Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-08-18Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has plan of correction · 2025-07-31Have proper power supply for life support equipment.
Correction field: Deficient, Provider has date of correction · 2025-08-15Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-06-20Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Correction field: Deficient, Provider has date of correction · 2025-07-03Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-12-18 · complaintFine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-04-30 | Fine | $40,460 | 0 |
| 2026-04-30 | Payment Denial | $0 | 6 |
| 2025-06-06 | Fine | $27,073 | 0 |
| 2025-06-06 | Payment Denial | $0 | 7 |
| 2024-05-02 | Fine | $19,669 | 0 |
| 2024-05-02 | Payment Denial | $0 | 4 |
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.