Rose Garden of Pana
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 19 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 (2/5 stars)
- Low staffing rating (1/5 stars)
Below average in IL · Critically understaffed (RN) · Significantly below average staffing · Chain outperformer · $124,787 in fines
What this means for your family
While the facility is frequently praised for its cleanliness and friendly atmosphere, the recent report of severe neglect regarding medication and hygiene is deeply concerning. If you consider this facility, we strongly recommend conducting unannounced visits and asking specifically how they monitor and document the administration of time-sensitive medications like insulin.
Google Reviews
Google Reviews
19 reviews on Google“Rose Garden of Pana presents a stark contrast in experiences, with recent reviews praising the facility's cleanliness, home-like atmosphere, and compassionate staff. However, a critical recent account highlights severe failures in basic hygiene, medication management, and physical therapy consistency for a resident. Families should weigh the positive reports of facility aesthetics against serious allegations regarding the quality of daily clinical care.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Compassionate, friendly nursing staff
- Welcoming, home-like environment
Concerns
- Inconsistent or missed medication administration
- Poor hygiene and lack of assistance with bathing
Rating Trends
Tap a year to see what changed
Distribution · 19 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the current staffing levels, what specific protocols do you have in place to ensure that residents receive consistent support with daily hygiene and bathing?
- 2I noticed that medication management is a high priority; could you walk me through your double-check process to ensure that medications are administered accurately and on time?
- 3How do you keep families updated on their loved one’s care, and what is the best way to maintain open communication with the nursing team?
- 4With 105 residents, how do you ensure that each individual has meaningful social interaction and engaging activities throughout the week?
- 5What steps are being taken to address the recent health inspection findings to ensure the facility maintains the high standard of cleanliness that visitors often praise?
- 6In the event of a medical emergency, what is your protocol for notifying family members, and how quickly is a physician involved in the decision-making process?
Personalized based on this facility's data
Key Review Excerpts
“The care he received was the best around, he had been in a few facilities prior to being at Rose Garden. The care staff was great!”
“The facility is always clean and has a welcoming atmosphere. Staff here care about the residents and do their best to provide a home like environment.”
“He is Diabetic and they never give him his insulin on time. He is left in his own feces and in 11 days they have not helped him bathe or anything.”
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 · 17 measures
5
measures
10
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents needing more daily help over time
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
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 complaint reports about this facility, triggering 5 deficiencies over multiple years. The facility shows recurring problems with accident prevention and safety, nursing coverage, and food service across surveys from 2022-2025. While all deficiencies have correction dates, the pattern of repeated issues in key care areas and complaint-triggered violations suggests ongoing operational challenges that families should investigate thoroughly.
Feb 26, 2026Complaint3
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Oct 28, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Oct 31, 2024Routine11
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.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nov 16, 2023Routine11
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nov 7, 2023Complaint2
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Sep 20, 2022Routine9
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Federal Penalties
Fine
Feb 26, 2026
$25,200
Fine
Nov 7, 2023
$95,242
Payment Denial
Nov 7, 2023
37-day denial
Ownership & Operations
Who Operates This Facility
Rose Garden of Pana
for profit
Chain Affiliation
Pointe Management
12 facilities nationwide
Chain avg rating: 1.3/5 · Rank 2 of 12
Ownership & Management
Owners
S & C Holdings Illinois LLC
Owner (parent company) · Organization
Stonewall Hcg LLC
Owner (parent company) · Organization
Chankin, Kevin
Owner (parent company)
Levovitz, Yeruchom
Owner (parent company)
Ribiat, Avrohom
Owner (parent company)
Webster, Shimon
Owner (parent company)
Weiss, Aharon
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
19 reviews from families & visitors
Official Website
Visit panahcc.com
Medicare data downloads
Original nursing home datasets
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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.