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Nursing HomeMedicaid Top Rated

Elms, the

Strong Medicare quality ratings; families often praise historically friendly and caring staff. Still worth an in-person visit.

1212 Madelyn Avenue, Macomb, IL 6145598 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 28 Google reviews

5
4
3
2
1
Elms, the Nursing Home in Macomb, IL — Street View
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What this means for your family

While this facility has a historical reputation for kindness and community engagement, recent reviews indicate a dangerous decline in care standards. If you choose this facility, you must closely monitor medication administration and room hygiene, as recent reports suggest significant lapses in these critical areas.

Google Reviews

Google Reviews

28 reviews on Google
Families should exercise significant caution, as recent reviews highlight severe issues regarding medication administration, cleanliness, and staff professionalism. While older reviews frequently praise the facility for its kind staff and comfortable atmosphere, very recent feedback describes neglectful care and poor hygiene standards.

Quality Themes

Tap a score for details
FoodN/AStaff3.0Clean2.0Activities8.0Meds0.0MemoryN/AComms5.0ValueN/A

Strengths

  • Historically friendly and caring staff
  • Engaging community events like Halloween
  • Comfortable atmosphere

Concerns

  • Poor room cleanliness and bedding maintenance
  • Medication administration failures

Rating Trends

Tap a year to see what changed

2343.3'16(3)4.83.7'18(9)2.75.0'22(3)1.01.0'25(2)1.0'26(1)

Distribution · 35 analyzed

5
16
4
8
3
0
2
1
1
10

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1It's wonderful to see such a high CMS rating for staffing; how do you ensure that the friendly and caring atmosphere mentioned by long-time families is maintained during busy shifts?
  • 2We love hearing about the community events like the Halloween celebrations; what does a typical weekly calendar of activities look like for the residents here?
  • 3Could you walk us through your daily protocols for medication administration to ensure everything is tracked accurately and on time?
  • 4With the high health inspection rating, what specific cleaning schedules and housekeeping standards are in place to keep the resident rooms and bedding fresh and comfortable?
  • 5In the event of a medical emergency after hours, what is the specific process for contacting doctors and notifying the family?
  • 6How do you manage the balance between providing professional clinical care and maintaining the comfortable, home-like atmosphere that makes this facility special?

Personalized based on this facility's data


Key Review Excerpts

They treat elderly with respect an kindness. They do things to the best of their knowledge. They help family members understand what is happening with their loved one as best as they can.

Long-term resident's family · 2017★★★★★

My Grandpa has been in the elms for 2 in a half weeks. And he has been treated poorly. Because his room was never cleaned and the bedding was never changed at all.

Short-term resident's family · 2023☆☆☆☆

Megan the nurse didn't give me my pain meds no meds at all and she's rasict as hell place is nasty

Patient · 2025☆☆☆☆
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.14hrs
OK
Registered nurses for medical care
Total Nursing
5.03hrs
OK
All nurses + aides combined
Staff Turnover
29%
Lower is better (< 30% = good)
RN Turnover
28%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

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

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IL
52.5%

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

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility19.6%
Worse than Avg
Here
19.6%
US
5.3%
IL
6.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
15.5%
IL
21.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
19.4%
IL
21.1%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility10.8%
Worse than Avg
Here
10.8%
US
1.6%
IL
1.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IL
91.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility79.4%
Mixed vs Avgs
Here
79.4%
US
79.8%
IL
63.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.5%
Mixed vs Avgs
Here
75.5%
US
81.8%
IL
69.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IL
2.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (12.0)
2 complaint-triggered

This facility shows recurring issues with medication management appearing across three separate surveys, suggesting ongoing challenges in this critical area. Other repeated problems include infection control deficiencies and general care quality issues like wound care and nutrition. One family filed a complaint about poor communication regarding resident condition changes. While all deficiencies show correction dates, the pattern of medication-related violations returning in subsequent inspections raises concerns about sustained improvement in pharmacy services.

Mar 13, 2026Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Mar 27, 2025Routine
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Apr 25, 2024Routine
10
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 25, 2024Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Feb 24, 2023Routine
2
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Elms, the

Organization Type

government

Ownership & Management

Owners

County of Mcdonough Mcdonough County Clerk

Owner · Organization

Key personnel

Bickers, GinaManagerHowd, JeffManagerMinter, RichardManagerHowd, JeffAdp of the SnfMinter, RichardAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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