See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Pittsfield Manor

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

610 Lowry Street, Pittsfield, IL 6236389 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 14 Google reviews

5
4
3
2
1
Pittsfield Manor Nursing Home in Pittsfield, IL — Street View
Street View

Watch Pittsfield Manor

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

8/ 10
critical 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 (2/5 stars)
  • Above-median deficiencies (14 vs median 11.0)
  • High staff turnover (56%)
  • High RN turnover (62%)

Bottom 25% in IL · Below recommended RN staffing · Above average staffing · Worst in UNLIMITED DEVELOPMENT, INC. chain · $179,354 in fines · Abuse citation

Source: Medicare data

What this means for your family

While some families report excellent end-of-life care, the facility has significant reports of cleanliness issues and unprofessional staff conduct. We strongly recommend conducting an unannounced tour to inspect the facility's hygiene and observing staff interactions firsthand before making a decision.

Google Reviews

Google Reviews

14 reviews on Google
Pittsfield Manor receives polarized feedback, with some families praising the compassionate end-of-life care and dedicated staff, while others report serious concerns regarding cleanliness and unprofessional staff behavior. Critics highlight issues with neglect, poor hygiene, and a toxic workplace culture that negatively impacts resident care.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean2.0ActivitiesN/AMeds8.0MemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate end-of-life care
  • Supportive and accommodating to family members
  • Attentive nursing staff in specific instances

Concerns

  • Unprofessional and neglectful staff behavior (mentioned by 2 reviewers)
  • Poor facility cleanliness (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02018(2)3.02019(1)1.02022(2)5.02024(1)4.02025(4)5.02026(6)

Distribution · 16 analyzed

5
12
4
0
3
1
2
0
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on facility maintenance, could you walk me through your current daily cleaning schedule and how you ensure high standards of hygiene in resident rooms?
  • 2I noticed the facility has had some recent staffing challenges; what specific steps are you taking to ensure consistent, professional care for every resident throughout the day and night?
  • 3What is your protocol for communicating with families when a resident has a medical change or an emergency, and how do you ensure that information is shared promptly?
  • 4I read that your team is highly regarded for their support during end-of-life care; how do you extend that same level of attentive, compassionate care to residents in their day-to-day living?
  • 5Could you share how you plan your activity calendar to keep residents engaged and active, and how you accommodate those who may have different levels of mobility?
  • 6How do you monitor and address staff performance to ensure that all residents receive the respectful and attentive care they deserve at all times?

Personalized based on this facility's data


Key Review Excerpts

The wonderful ladies on staff took great care of my uncle Brent during his final stretch of life. They allowed me to stay overnight in his room to be with him so that he didn’t have to pass without family present by his side.

Family member of resident · 2024★★★★★

Liberty Village of Pittsfield provides outstanding care and a genuine sense of community. The staff are dedicated, patient, and attentive, always ensuring residents feel safe and valued.

Family member · 2025★★★★★

Per usual most of the staff like to pick and belittle other coworkers and they make usually one person take care of most of the residents while the rest sit down in a group and make fun of other coworkers. The residents are not being treated correctly either

Former employee or observer · 2025☆☆☆☆
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.56hrs
74%
Registered nurses for medical care
Total Nursing
4.31hrs
OK
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
46%
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
2/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
12.1%
IL
52.5%
Pike
7.9%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility33.5%
Worse than Avg
Here
33.5%
US
14.4%
IL
14.2%
Pike
12.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility34.5%
Worse than Avg
Here
34.5%
US
15.3%
IL
15.9%
Pike
14.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IL
90.0%
Pike
94.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.6%
Mixed vs Avgs
Here
27.6%
US
19.5%
IL
18.3%
Pike
28.4%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility9.3%
Worse than Avg
Here
9.3%
US
1.6%
IL
1.6%
Pike
2.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.9%
Better than Avg
Here
96.9%
US
81.8%
IL
69.0%
Pike
85.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.7%
Better than Avg
Here
86.7%
US
79.8%
IL
63.1%
Pike
80.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IL
2.4%
Pike
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
6penalties
Above state avg (12.0)
11 complaint-triggered
$179,354 in fines

Pittsfield Manor shows recurring serious issues across multiple care areas, with families filing 11 complaints that triggered federal inspections. The facility has persistent problems with resident protection from abuse and neglect, safety hazards and accident prevention, medication management, and infection control. While all deficiencies show correction dates, the pattern of repeated violations in the same areas—particularly safety and medication errors—suggests ongoing operational challenges that families should carefully consider.

Dec 9, 2024Routine
17
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0915Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper power supply for life support equipment.

0690Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0600Potential for 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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0623Potential for harm · IsolatedCorrected

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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Oct 8, 2024Complaint
4
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0600Potential for 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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 22, 2024Complaint
1
0689Actual 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.

May 6, 2024Complaint
4
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0600Potential for 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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jan 2, 2024Routine
16
0880Immediate jeopardy · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0689Actual 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.

0576Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0585Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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.

0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0947Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0690Potential for harm · PatternCorrected

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.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jun 20, 2023Complaint
2
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.

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.

Federal Penalties

Fine

Jan 20, 2026

$33,210

Fine

Dec 9, 2024

$51,051

Payment Denial

Dec 9, 2024

15-day denial

Fine

May 6, 2024

$24,027

Fine

Jan 2, 2024

$104,276

Payment Denial

Jan 2, 2024

13-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pittsfield Manor

Organization Type

for profit

Chain Affiliation

Chain Name

Unlimited Development, INC.

Chain Size

10 facilities nationwide

Chain avg rating: 2.8/5 · Rank 10 of 10 (Worst)

Ownership & Management

Key personnel

Haney, DavidOfficer / DirectorWagner, RobertOfficer / DirectorFinke, AudreyOfficer / DirectorWagner, RobertOfficer / DirectorWilson, RonaldOfficer / 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.

Call