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Nursing HomeMedicaid Investigative

Aviston Countryside Manor

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

450 West 1st Street, Aviston, IL 6221697 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 14 Google reviews

5
4
3
2
1
Aviston Countryside Manor Nursing Home in Aviston, IL — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (54%)

Bottom 25% in IL · Below recommended RN staffing · Worst in PALLADIAN HEALTHCARE chain · $31,151 in fines · Abuse citation

Source: Medicare data

What this means for your family

The facility is highly recommended for its exceptional rehabilitation outcomes and dedicated staff. However, we advise families to visit on a weekend to personally assess the cleanliness and staffing levels, as recent reports suggest these areas may be struggling.

Google Reviews

Google Reviews

14 reviews on Google
Aviston Countryside Manor receives high praise for its dedicated nursing and rehabilitation staff, with patients highlighting significant progress in physical recovery and a compassionate, family-like atmosphere. However, recent feedback indicates concerns regarding facility hygiene and potential staffing shortages during weekend hours. Families should weigh the strong clinical outcomes against reports of cleanliness issues.

Quality Themes

Tap a score for details
Food10.0Staff9.0Clean3.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Highly effective rehabilitation therapy
  • Warm, family-oriented environment
  • Strong focus on resident well-being

Concerns

  • Unpleasant odors and cleanliness issues in hallways (mentioned by 2 reviewers)
  • Evidence of staff being overworked or understaffed on weekends (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'13(1)5.05.0'20(1)5.05.0'23(5)5.02.7'25(3)5.0'26(1)

Distribution · 16 analyzed

5
14
4
0
3
0
2
1
1
1

How They Respond to Reviews

64%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the facility has a very warm, family-oriented reputation; how do you ensure that personal, attentive care remains consistent throughout the weekend shifts?
  • 2With the current focus on rehabilitation therapy, what specific programs or daily activities are available to keep residents engaged and active outside of their scheduled therapy sessions?
  • 3I see that you are active in responding to feedback online; how do you use that family input to continuously improve the resident experience here?
  • 4Regarding the facility's maintenance, what is your current protocol for ensuring the hallways and common areas remain fresh and clean throughout the day?
  • 5Given the CMS staffing rating, could you walk me through how your team manages resident care needs during peak hours to ensure everyone receives timely attention?
  • 6What is your protocol for handling medical emergencies or sudden changes in a resident's health status, especially during evening or overnight hours?

Personalized based on this facility's data


Key Review Excerpts

This facility had me standing, doing turn pivots, and walking in a month. Other facilities couldn't do that in 6 months. Their staff of CNAs, Nurses, and Rehab depth are the best ever.

Rehab patient · 2024★★★★★

Went for a visit last weekend and the halls smelled of straight up urine, which means people either aren't changed and/or washed. The poor nurses were running around like chickens with their heads cut off, clearly stressed.

Prospective family member · 2025☆☆☆☆

the care and most importantly the love she received from everyone was so comforting. the staff act as if they have nothing to do but tend to the resident having some difficulty at that time.

Long-term resident's family · 2013★★★★★
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
58%
Registered nurses for medical care
Total Nursing
2.76hrs
67%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
12.1%
IL
52.5%
Clinton
16.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IL
90.0%
Clinton
91.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.9%
Better than Avg
Here
13.9%
US
15.5%
IL
21.8%
Clinton
17.1%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility8.2%
Worse than Avg
Here
8.2%
US
1.6%
IL
1.6%
Clinton
2.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
95.5%
IL
91.8%
Clinton
95.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
14.4%
IL
14.2%
Clinton
17.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.3%
Better than Avg
Here
94.3%
US
79.8%
IL
63.1%
Clinton
77.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.9%
Better than Avg
Here
97.9%
US
81.8%
IL
69.0%
Clinton
79.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Mixed vs Avgs
Here
2.2%
US
1.6%
IL
2.4%
Clinton
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Well below state avg (12.0)
6 complaint-triggered
$31,151 in fines

Families filed several reports triggering investigations, including a recent January 2026 case involving resident protection from abuse and neglect that remains under correction. The facility shows recurring problems with accident prevention and safety supervision across multiple surveys from 2022 to 2026, along with ongoing fire safety and emergency preparedness issues. While most deficiencies have been corrected, the pattern of repeated safety violations warrants careful consideration.

Feb 11, 2026Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jan 16, 2026Complaint
3
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 13, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 26, 2024Routine
6
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0915Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper power supply for life support equipment.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 18, 2023Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Jul 12, 2023Complaint
1
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

Federal Penalties

Payment Denial

Sep 8, 2025

10-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Aviston Countryside Manor

Organization Type

for profit

Chain Affiliation

Chain Name

Palladian Healthcare

Chain Size

6 facilities nationwide

Chain avg rating: 1.7/5 · Rank 4 of 6 (Worst)

Ownership & Management

Owners

Miller, Stephen

Owner

100%

Key personnel

Miller, StephenContracted Managing EmployeeMills, MichaelW-2 Managing EmployeeMiller, StephenOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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