Monmouth Rehab and Nursing
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 6 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (18 vs median 11.0)
Bottom 25% in IL · Worst in STERN CONSULTANTS chain · $195,115 in fines
What this means for your family
This facility receives deeply conflicting reports, with some families finding comfort in the staff's end-of-life support, while others report life-threatening neglect. Given the serious allegations regarding medical oversight and hygiene, families should conduct an unannounced visit and specifically inquire about their protocols for medical emergencies and pest control.
Google Reviews
Google Reviews
6 reviews on Google“Monmouth Rehab and Nursing receives highly polarized feedback, with some families praising the compassionate end-of-life care and staff dedication, while others report severe concerns regarding patient neglect and hygiene. Critical reviews highlight life-threatening medical oversights and persistent pest control issues, while positive reviews emphasize the facility's small, loving environment.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate end-of-life care
- Dedicated and caring staff
- Small, intimate facility environment
Concerns
- Severe patient neglect and failure to address medical emergencies (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 7 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the facility's intimate size of 58 residents, how do you ensure that each resident receives consistent, personalized attention throughout the day?
- 2I noticed the CMS staffing rating is currently lower than average; what specific steps is the leadership team taking to improve staff retention and ensure consistent care coverage?
- 3Could you walk me through your facility's specific protocols for responding to urgent medical changes, and how you ensure families are notified immediately during those moments?
- 4I see that you have responded to some feedback online; how does the management team use family input to drive improvements in facility cleanliness and medication management?
- 5With your focus on compassionate end-of-life care, how do you support families during those transitions while maintaining high standards of daily comfort for the resident?
- 6What does a typical daily activity schedule look like for residents who are looking to stay engaged and social within the facility?
Personalized based on this facility's data
Key Review Excerpts
“The staff provides the best care and are simply amazing They truly care about the residents. It's a small facility, but full of LOVE”
“the compassion I endured at community care center In my mothers final days was amazing not only for my mom but for me as well!”
“My Dad was in there for 5 days and almost died there because of neglect!! We filed a complaint and they were found to be guilty of improper nursing !!!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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 · 16 measures
9
measures
4
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 18 complaints triggering federal inspections, revealing recurring problems with accident prevention and safety, resident abuse/neglect protections, and care planning across multiple surveys from 2022-2026. The facility shows persistent issues with maintaining safe environments and preventing accidents, with safety deficiencies appearing in nearly every inspection period. While all violations show correction dates, the pattern of repeated problems in core care areas suggests ongoing systemic challenges that warrant careful consideration.
Mar 20, 2026Routine22
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Jan 29, 2026Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 11, 2025Complaint1
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.
Jul 1, 2025Complaint7
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jun 18, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Mar 17, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Sep 11, 2025
$19,115
Payment Denial
Jun 18, 2025
14-day denial
Fine
Oct 4, 2024
$110,975
Fine
Nov 29, 2023
$84,140
Ownership & Operations
Who Operates This Facility
Monmouth Rehab and Nursing
for profit
Chain Affiliation
Stern Consultants
23 facilities nationwide
Chain avg rating: 2.6/5 · Rank 22 of 22 (Worst)
Ownership & Management
Owners
Bsf Family Holdings LLC
Owner · Organization
Etn Family Holdings LLC
Owner · Organization
Tlco Holdings LLC
Owner · Organization
Erblich, Avraham
Owner
Sheps, Boruch
Owner
Bsf 2025 Family Trust
Owner (parent company) · Organization
Com Family Trust
Owner (parent company) · Organization
Bf16 Family Trust
Owner (parent company) · Organization
E Newhouse Family Trust
Owner (parent company) · Organization
T Newhouse Family Trust
Owner (parent company) · Organization
Tlm Family Trust
Owner (parent company) · Organization
Friedman, Benjamin
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
6 reviews from families & visitors
Official Website
Visit communitycaremidwest.com
Medicare data downloads
Original nursing home datasets
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