Pekin Manor
Strong Medicare quality ratings; families often praise clean, well-maintained facility. Still worth an in-person visit.
based on 36 Google reviews
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What this means for your family
While recent tours suggest the facility is clean and welcoming, the history of serious medical and hygiene lapses is concerning. We strongly recommend that you visit during off-hours or weekends to observe actual staffing levels and response times, rather than relying solely on scheduled tours.
Google Reviews
Google Reviews
36 reviews on Google“Pekin Manor receives highly polarized feedback, with recent tours praising the cleanliness and staff friendliness, while long-term family members report severe concerns regarding neglect and poor communication. While some visitors note a clean environment and attentive care, others have documented distressing incidents involving hygiene failures, medication errors, and a lack of responsiveness to medical needs. Families should be aware of the stark contrast between the positive impressions of recent tours and the serious allegations of neglect from those with long-term experience at the facility.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Polite and friendly staff during tours
- Effective rehab therapy programs
- Modern, inviting common areas
Concerns
- Neglect and poor hygiene (soiled clothing/bedding) (mentioned by 3 reviewers)
- Slow or non-existent response to call buttons (mentioned by 2 reviewers)
- Medication management errors (mentioned by 2 reviewers)
- Poor communication from administration (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 37 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1With 130 residents, how does the team ensure that call buttons are answered promptly and that residents receive timely assistance throughout the day?
- 2Could you walk me through your specific protocols for medication management to ensure accuracy and prevent errors for residents?
- 3I noticed some concerns regarding hygiene and laundry; what is your daily process for ensuring residents' clothing and bedding are kept consistently clean and fresh?
- 4Given the importance of family involvement, what is your standard process for communicating updates or changes in a resident's care plan to their loved ones?
- 5How do you balance the staffing levels to ensure that residents receive attentive, personalized care while maintaining the facility's modern and well-maintained environment?
- 6What does a typical daily activity schedule look like to keep residents engaged and active within the common areas?
Personalized based on this facility's data
Key Review Excerpts
“When we arrived, the bed had feces all over it. It was on the pillows, sheets, blankets, railings, and her pajamas. There were so many flies all over landing on everything and everyone.”
“My dad moved in on Saturday night, and was in the hospital by Tuesday night with dehydration. They also didn’t give him his medicine for 24 hours, and with a stroke victim, that’s the only thing that keeps him thinking straight.”
“I must say years ago I would have not recommended this nursing home to anyone now I would recommend it to everybody something as changed for the better.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN 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
11
measures
5
measures
1
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents vaccinated for the flu
Residents whose walking got worse
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
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 multiple complaints against this facility, triggering 9 of the 42 total deficiencies found across recent surveys. The most recurring problems involve safety hazards and accident prevention, fire safety system maintenance, and infection control. While all cited deficiencies show correction dates, the persistent pattern of safety concerns and resident complaints, particularly around accident prevention appearing in multiple surveys, suggests ongoing challenges with maintaining consistent safety standards.
Jun 27, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Feb 10, 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.
Sep 26, 2024Routine11
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
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
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Mar 6, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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.
Nov 2, 2023Routine9
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 24, 2023Complaint1
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
Jun 27, 2025
$9,110
Ownership & Operations
Who Operates This Facility
Pekin Manor
nonprofit
Chain Affiliation
Unlimited Development, INC.
10 facilities nationwide
Chain avg rating: 2.8/5 · Rank 2 of 10 (Best)
Ownership & Management
Owners
Unlimited Development, INC
Owner · Organization
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
36 reviews from families & visitors
Official Website
Visit libertyvillageofpekin.com
Medicare data downloads
Original nursing home datasets
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