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Nursing HomeMedicaid Investigative

Manor Court of Carbondale

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

2940 W Westridge Place, Carbondale, IL 62901120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 34 Google reviews

5
4
3
2
1
Manor Court of Carbondale Nursing Home in Carbondale, IL — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

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

  • Low staffing rating (2/5 stars)
  • High staff turnover (55%)
  • High RN turnover (63%)

Above average in IL · Below recommended RN staffing · Above recommended total nurse staffing · $73,161 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

While the facility is physically modern and offers effective rehab therapy, the recurring reports of neglect and communication failures are significant red flags. If you choose this facility, ensure you have a daily presence to advocate for your loved one's hygiene, medication, and medical appointments, as staff responsiveness appears inconsistent.

Google Reviews

Google Reviews

34 reviews on Google
Manor Court of Carbondale receives highly polarized feedback, with a recurring divide between the facility's physical appearance and the quality of daily patient care. While some families praise the therapy team and the clean, modern environment, numerous reviewers report serious concerns regarding neglect, understaffing, and poor communication from management. Potential families should be aware of consistent complaints about slow response times, hygiene issues, and difficulties in coordinating medical appointments.

Quality Themes

Tap a score for details
Food4.0Staff3.0Clean7.0Activities5.0Meds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Modern, clean facility environment
  • Effective physical and rehab therapy
  • Attentive and friendly staff members (noted by some)
  • Beautifully maintained grounds and decor

Concerns

  • Understaffing and slow response times (mentioned by 9 reviewers)
  • Neglect regarding basic hygiene and feeding assistance (mentioned by 6 reviewers)
  • Poor communication and dishonesty from management (mentioned by 5 reviewers)
  • Inadequate supervision of fall-risk residents (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(3)'21(3)'23(4)'25(7)'26(5)

Distribution · 38 analyzed

5
11
4
5
3
3
2
2
1
17

How They Respond to Reviews

17%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure residents receive timely assistance with daily hygiene and mealtime support?
  • 2I noticed the facility has a 2-star CMS staffing rating; how does your leadership team manage staff turnover to ensure consistent, high-quality care for residents?
  • 3Communication is very important to our family; what is your standard process for keeping us updated on changes in care or health status, and who is our primary point of contact?
  • 4How does your team monitor and supervise residents who are identified as high fall risks to ensure their safety while maintaining their independence?
  • 5I see that the facility has a dedicated rehab department; how are the therapy team and nursing staff coordinated to ensure a resident's progress is consistent throughout the day?
  • 6What opportunities are available for residents to socialize and participate in activities, and how do you encourage those who might be hesitant to join in?

Personalized based on this facility's data


Key Review Excerpts

The Bounce Back therapists in Rehab are really good. Residents receive many hours of therapy from excellent physical therapists.

Rehab family member · 2020★★★☆☆

My bed-confined friend was moved this morning to a new room here at Manor Court but was told her call button “probably didn’t work.” Later she had a serious need for cleanup and had been trying the call button for an hour.

Long-term resident's friend · 2025☆☆☆☆

The facility is beautiful and it is kept very clean. We started out with a rough start when told by nurses and aides that there were no bedside commodes. That ended up not being true.

Rehab patient's spouse · 2025★★★★
Source: 34 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
62%
Registered nurses for medical care
Total Nursing
4.35hrs
OK
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
59%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Medicare Rating
1/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
12.1%
IL
52.5%
Jackson
18.4%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
19.5%
IL
18.3%
Jackson
24.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.2%
Worse than Avg
Here
31.2%
US
15.3%
IL
15.9%
Jackson
16.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.0%
Worse than Avg
Here
27.0%
US
14.4%
IL
14.2%
Jackson
16.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
IL
90.0%
Jackson
90.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
15.5%
IL
21.8%
Jackson
19.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.8%
Better than Avg
Here
95.8%
US
79.8%
IL
63.1%
Jackson
78.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.0%
Better than Avg
Here
94.0%
US
81.8%
IL
69.0%
Jackson
78.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.1%
Mixed vs Avgs
Here
2.1%
US
1.6%
IL
2.4%
Jackson
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
3penalties
Well below state avg (12.0)
22 complaint-triggered
$73,161 in fines

Manor Court of Carbondale has a concerning pattern of repeated deficiencies and numerous family complaints (18 complaint-triggered issues), suggesting ongoing care problems. The facility shows recurring issues with nursing staffing levels, resident rights violations, and daily care assistance that persist across multiple surveys. While the facility reports correcting deficiencies, the repeated nature of problems in critical care areas raises red flags for prospective families.

Mar 6, 2026Complaint
1
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.

Feb 10, 2026Complaint
3
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 27, 2025Routine
10
0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

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.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0927Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 19, 2025Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Sep 24, 2024Complaint
3
0725Potential for harm · WidespreadCorrected

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.

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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Sep 12, 2024Complaint
3
0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Federal Penalties

Fine

Feb 19, 2025

$14,763

Fine

Aug 22, 2024

$58,656

Payment Denial

Aug 22, 2024

10-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Manor Court of Carbondale

Organization Type

nonprofit

Chain Affiliation

Chain Name

Unlimited Development, INC.

Chain Size

10 facilities nationwide

Chain avg rating: 2.8/5 · Rank 6 of 10

Ownership & Management

Key personnel

Neitzel, MelissaW-2 Managing EmployeeFinke, AudreyOfficer / DirectorGilmore, JerryOfficer / DirectorHaney, DavidOfficer / DirectorWagner, RobertOfficer / 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 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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