Imboden Creek Senior Living
Decatur · 5.1 mi · 95 beds
Citations0Substantiated0
MT Zion Health & Rehab Center
1225 WOODLAND DRIVE, Mount Zion, IL, 62549
Nursing home71 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 22 deficiencies against MT Zion Health & Rehab Center in Mount Zion, Illinois at its most recent standard inspection on 2024-02-09, 14 of them arising from complaints. 3 findings have been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $47,700. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
71certified beds
22deficiencies at the last inspection
0immediate-jeopardy findings on record
3actual-harm findings on record
1federal fines, $47,700
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.3
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.45
Potential for minimal harmThe least serious band.3
Most recentDDGDGEEDDDDGDDDDFFFE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-05-28 · from a complaint · No actual harm, potential for more than minimal harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · F0770 · 2026-05-28 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-04-28 · from a complaint · Actual harm to a resident
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-04-09 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2025-12-16 · from a complaint · Actual harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-12-16 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-12-16 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-12-16 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-12-16 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-12-16 · from a complaint · No actual harm, potential for more than minimal harm
Provide care by qualified persons according to each resident's written plan of care.
Resident Assessment and Care Planning Deficiencies · F0659 · 2025-12-16 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-10-14 · from a complaint · Actual harm to a resident
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-10-14 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-04-18 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-06-06 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-05-02 · from a complaint · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2024-02-09 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0801 · 2024-02-09 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-02-09 · from a complaint · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2024-02-09 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.2197
Nursing staff turnoverShare of nursing staff who left in a year56.3%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$47,700
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns MT Zion Health & Rehab Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| SC ILLINOIS HOLDCO LLC | Organization | 100% | since 07/01/2023 |
| APOGEE TR | Organization | NO PERCENTAGE PROVIDED | since 07/01/2023 |
| SC ILLINOIS I TBD HOLDCO LLC | Organization | NO PERCENTAGE PROVIDED | since 07/01/2023 |
| CLARK, LACY | Individual | NOT APPLICABLE | since 07/01/2023 |
| LICHTMAN, SHALOM | Individual | NOT APPLICABLE | since 07/01/2023 |
| LIGHT MAN LLC | Organization | NOT APPLICABLE | since 07/01/2023 |
| LICHTMAN, SHALOM | Individual | NOT APPLICABLE | since 07/01/2023 |
Part of the SUMMIT HEALTHCARE CONSULTING group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask MT Zion Health & Rehab Center a question
This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.
Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 145546.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction